Postoperative leaks pose a significant risk to patients undergoing sleeve gastrectomy (SG).1 Currently, selfexpandable metal stent (SEMS) placement is the mainstayof the treatment of early bariatric leaks.2 The stent worksby covering the orifice of the fistula and also shaping thestomach and promoting a distal dilation, treatingdownstream obstruction.3,4 The overall success rate ofstent use was 72.8%, with a migration rate of 28.2%.2Recently, a newer stent, the megastent, has also emergedas an interesting option because its long and large shapeadequately fits the tortuous anatomy of the SG,demonstrating superior results in comparison withesophageal stents in the management of sleeve leaks;however, serious adverse events may arise.
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