Leak of the stapler line after laparoscopic sleeve gastrectomy. Literature review

The last 10 years have seen an exponential increase in the number of obese patients. In most countries, over 30% of the population is overweight and obese. Bariatric surgery is the most effective treatment for morbid obesity today. The number of bariatric interventions performed annually is growing and today exceeds 760 thousand per year. Over the past 7 years, the most commonly performed bariatric surgery has been laparoscopic sleeve gastrectomy. Despite the huge experience in bariatric surgery and the continuous improvement of staplers and dissections tissue technologies the complications still exists. The most serious complication after performing a laparoscopic sleeve gastrectomy is a leak of staple line. The article presents current view on the causes, diagnosis, prevention and treatment tactics for patients with the leak after sleeve gastrectomy.