Introduction Roux-en-Y gastric bypass surgery is widely accepted in the treatment
of morbid obesity. Anastomotic leakage is one of the most commonly reported and feared
complications. The complete healing of the leak is challenging and in some cases may
need to utilize endoscopic interventions, such as Over-the-Scope Clip.
Case report A 57-year-old male with a medical history of diabetes mellitus and morbid
obesity underwent a Roux-en-Y gastric bypass surgery. The patient manifested a staple-line
anastomotic leakage. After one week of conservative management, a 1.5cm persistent
leakage was confirmed both radiologically (Figure) and endoscopically (Figure), so
an endoscopic closure with over the scope clip using the suction method was performed
(Figure). Leakage of gastric liquids stopped after OTS-clip closure. No recurrence
of the leakage was observed during the 12-month follow-up [1]
[2]
[3]
[4].
Conclusions In conclusion, although various methods at treating leakages have been
utilized, over-the-scope clip has recently gained growing interest with encouraging
results in the management of early leaks after bariatric surgery.
