Fig. 4. (A) Leak just above the gastroesophageal junction after sleeve gastrectomy. (B) Leak into left subphrenic space (white arrow), note the markedly twisted gastric sleeve causing relative obstruction distal to the leak (black arrow). (C) Over-the-scope clip applied and a 23-cm fully coveredself-expandable metallic stent deployed. (D) Contrast injection confirms no further leakage. (E, F) Four weeks later, clip well embedded in the wall, no further leakage.
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