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Published byNathalie Métivier Modified over 5 years ago
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Management of a refractory leak after sleeve gastrectomy: the endoscopic armamentarium
Jessica X. Yu, MD, MS, Allison R. Schulman, MD, MPH VideoGIE Volume 4, Issue 8, Pages (August 2019) DOI: /j.vgie Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions
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Figure 1 A, CT scan demonstrating perigastric fluid collection. B, Upper-GI series demonstrating leak from the proximal aspect of the gastric sleeve. VideoGIE 2019 4, DOI: ( /j.vgie ) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions
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Figure 2 Initial endoscopy revealing a 3-cm defect at the proximal staple line. VideoGIE 2019 4, DOI: ( /j.vgie ) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions
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Figure 3 Repeated endoscopy demonstrating a fibrous septum separating the leak cavity and the gastric lumen that extended 3 cm distally. VideoGIE 2019 4, DOI: ( /j.vgie ) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions
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Figure 4 Septotomy with an insulated cutting knife.
VideoGIE 2019 4, DOI: ( /j.vgie ) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions
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Figure 5 Follow-up CT scan demonstrating resolution of the perigastric collection and leak. VideoGIE 2019 4, DOI: ( /j.vgie ) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions
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