Over-the-Scope XXXX (OTSC) System for Sleeve Gastrectomy Leaks.

@entity1 @entity23396 @entity28
BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) is currently being widely accepted for its role in the treatment of morbid @entity28 . Staple-line leakage is one of the most reported complications found in 0.5-7  % of the population, in which the Over-the-Scope @entity23396 (OTSC) (Ovesco Endoscopy, T  bingen, Germany), a novel device, is employed. We present our experience with this system in LSG leaks. METHODS: A retrospective analysis of prospectively collected data from @entity1 with LSG leakage was performed, and these @entity1 were treated with the OTSC system. Efficiency was defined as complete oral nutrition without any evidence of additional leakage. RESULTS: Overall, 26 @entity1 underwent endoscopic OTSC treatment. The median age was 39  years (range 26-60), and 12 were male @entity1 (46.15  %). The mean body mass index (BMI) was 42.89  kg/m(2), and 10 @entity1 (38.46  %) came from a revisional bariatric procedure (SRVG or LAGB). Twenty-two @entity1 (84.61  %) had upper staple-line leaks (near the GEJ), and the remaining 4 (15.38  %) had lower antral leaks. Number of endoscopy sessions ranged from 2 to 7 (median 3). There were five failures: 2 of them had an antral leak, and the remaining 3 had an upper staple-line leak. Twenty-one (80.76  %) leaks were successfully treated within 32  days' median time till complete oral nutrition was attained (range 14-70). CONCLUSIONS: The success rate was high with the OTSC system, and it is concluded to be a safe and effective treatment for LSG leaks.
