Bariatric and Metabolic Surgery, East Hospital, Tongji University School of Medicine, 200120, Shanghai, China
Laparoscopic sleeve gastrectomy (LSG) is the most commonly used bariatric procedure and has similar outcomes in weight loss and metabolic syndrome improvement compared to other procedures. Although, LSG is considered as a simple and safe procedure, it does have some complications. Among various complications, the gastric leak is the most feared and dreadful complication following LSG. In this article, we have discussed the successful recovery of three patients having a post-LSG gastric leak. The suspicion for its diagnosis included patients having symptoms of tachycardia and high fever along with left shoulder pain. The diagnosis was confirmed using contrast X-ray and CT scans. All the three cases had common leak site at the gastroesophageal junction. The gastric leak is usually of minute size; it does not need any aggressive management of undergoing surgery and can be effectively managed with conservative treatment. The main treatment principles for gastric leak after LSG should be effective drainage, decompression, enteral nutrition and medications with fewer intervention procedures.