Lumen-apposing metal stent for gastric stricture after sleeve gastrectomy

摘要

Sleeve gastrectomy is a commonly performed bariatricprocedure that is complicated by stricture formation inapproximately 0.5% of cases.1 Gastric sleeve surgeryadverse events, which can result in strictures and leaks,are increasingly managed through a minimally invasiveendoscopic approach. Surgical revision of sleevegastrectomy is associated with significant morbidity evenwhen performed laparoscopically.2,3 Therefore, endoscopic management is the preferred option. However,the usual endoscopic management of strictures withballoon dilation and covered esophageal stents is notalways successful and may require a repeated operation.We present a new endoscopic option for the managementof gastric sleeve strictures refractory to usual endoscopicmanagement.