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

Meta Tag

Concept Staple-Line Leak

Concept Full-Thickness Gastric Myotomy

Concept Sleeve Gastrectomy

Concept Refractory Gastric Leak

Concept Necrotic Cavity

Keywords

sleeve gastrectomy leak

gastric myotomy

endoscopic vacuum therapy

necrotic cavity

open drainage

Staple-Line Leak

Full-Thickness Gastric Myotomy

Sleeve Gastrectomy

Refractory Gastric Leak

Necrotic Cavity