“Leaks and fistulas are among the most feared complications of bariatric surgery. Variable in presentation, acuity, and severity, these often require multimodal and multispecialty management strategies for optimal outcomes. Recent advancements in the realm of endoscopic therapies have made these integral to the treatment algorithm of post-operative leaks and fistulas. In this review, we will discuss the epidemiology, pathophysiology and classification of post-bariatric surgery defects and provide an in-depth assessment of current management strategies, with a focus on endoscopic therapies.”

“In summary, management of post-bariatric surgery leaks and fistulas is complex, and requires multidisciplinary management with surgery, endoscopy and or combination therapies. The novel endoscopic techniques and innovative procedures have improved outcomes and make these minimally invasive approaches very appealing for providers and
patients.”

Firkins, Stephen A, and Roberto Simons-Linares. “Management of leakage and fistulas after bariatric surgery.” Best practice & research. Clinical gastroenterology vol. 70 (2024) Full Text for Emory Users