Minimally invasive management of sleeve gastrectomy collection with a nasobiliary drainage tube

Tejminder S Sidhu; Shaurya Jhamb; Christine Welch; Scott Whiting

doi:10.1093/jscr/rjad626

Minimally invasive management of sleeve gastrectomy collection with a nasobiliary drainage tube

J Surg Case Rep. 2023 Nov 20;2023(11):rjad626. doi: 10.1093/jscr/rjad626. eCollection 2023 Nov.

Authors

Tejminder S Sidhu^{1

2}, Shaurya Jhamb^{1

2}, Christine Welch³, Scott Whiting^{2

4}

Affiliations

¹ College of Medicine and Dentistry, James Cook University, James Cook Drive, QLD 4811, Queensland, Australia.
² Department of Surgery, Townsville University Hospital, 100 Angus Smith Drive, Douglas QLD 4814, Townsville, Queensland, Australia.
³ Gastroenterology North Queensland, Mater Hospital, 25 Fulham Road, Pimlico QLD 4812, Townsville, Queensland, Australia.
⁴ North Queensland Minimal Invasive Surgery (NQMIS), Mater Hospital, 25 Fulham Road, Pimlico QLD 4812, Townsville, Queensland, Australia.

Abstract

A staple line leak is a feared complication of sleeve gastrectomy. Endoscopic methods have superseded surgical management of small leaks, however large collections often require surgical intervention. Here, we describe endoscopic management of large collection adjacent to the staple line with an 8Fr nasobiliary tube.

Keywords: bariatric surgery; endoscopic management; gastric sleeve; sleeve leak.

Publication types

Case Reports