Background

This is a 32 yo M who presented with epigastric pain on POD14 from an elective laparoscopic sleeve gastrectomy performed at an outside hospital. He was found to have a contained sleeve leak along the proximal staple line measuring approximately 5cm in diameter. He was taken to the operating room for upper endoscopy and an endoscopic wound vac was placed. After serial exchanges over a few weeks, the cavity healed well. At the final vac removal, a stent was placed. His stent was soon removed, the leak and cavity had completely resolved, and he advanced to a normal diet.