Gastroesophageal junction leak with serious sepsis after gastric bypass: successful tre atment with endoscopy-assisted intraluminal esophageal drainage and self-expandable covered metal stent

Abstract

We present a case of gastroesophageal junction leak after gastric bypass with serious sepsis and hemody- namic instability. Minimally invasive treatment was per- formed in two stages: initial sepsis control by lavage and endoscopy-assisted laparoscopic placement of an intra- luminal esophageal drainage tube through the leak orifice; this was followed by definitive leak treatment with a self- expandable covered metal stent after achieving hemody- namic stability. Patient evolution was satisfactory without the need for open surgery.