ASGE DDW Videos from Around the World | 2026-SUCCESSFUL HEALING OF A NECROTIC CAVITY REFRACTORY TO VACUUM THERAPY AS A CONSEQUENCE OF SLEEVE-GASTRECTOMY STAPLE LINE LEAK BY LONG FULL-THICKNESS GASTRIC MYOTOMY

SUCCESSFUL HEALING OF A NECROTIC CAVITY REFRACTORY TO VACUUM THERAPY AS A CONSEQUENCE OF SLEEVE-GASTRECTOMY STAPLE LINE LEAK BY LONG FULL-THICKNESS GASTRIC MYOTOMY

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Video Transcription

Video Summary

A 42-year-old woman developed a severe staple-line leak with a large necrotic cavity after sleeve gastrectomy, causing sepsis and prolonged illness. Despite multiple surgeries and 14 sessions of endoscopic vacuum therapy, the cavity did not heal. Doctors then performed a full-thickness gastric myotomy along the staple line to create open drainage from the cavity into the stomach. The patient improved rapidly, resumed feeding, and was discharged six days later. Follow-up endoscopy five weeks afterward showed complete healing. This case suggests full-thickness gastric myotomy may be a promising option for refractory post-sleeve gastrectomy leaks.

Asset Subtitle

S. Šimková, M. Vašátko, B. Kudrnovska, M. Man, E. Sukar, R. Syrova, B. Kianicka, S. Amin, J. Martinek

Keywords

sleeve gastrectomy leak

gastric myotomy

endoscopic vacuum therapy

necrotic cavity

open drainage