Location and treatment of leak and obstruction after sleeve
Leaks are most often near gastroesophageal junction at the angle of His, and are usually treated conservatively unless the patient is unstable. This includes percutaneous drainage and covered stent. Obstruction usually occurs at the incisura angularis and is treated with endoscopic dilation or laparoscopic myotomy. Rarely conversion to gastric bypass or esophagojejunostomy is needed for severe or non-healing complication.