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Treatment of gastric leaks met new challenges with sleeve gastrectomy, as exclusive bariatric surgery1. Mistakenly seen as simpler, many inexperienced surgeons in laparoscopic and bariatric surgery began its use in patients. Was recognized that these fistulas are difficult to treat requiring multiple endoscopic treatments, reoperation and gastric resection2,3,4. Using the same principle of septotomies performed in gastric bypass complications, this pioneering author used this method for cases of fistula of the esophagogastric angle and gastric body after vertical gastrectomy.

Endoscopic treatment of post vertical gastrectomy fistula: septotomy associated with air expansion of incisura angularis