Contained Leak Following Laparoscopic Sleeve Gastrectomy: Successful Management with Endoscopic Wound Vacuum Therapy and Stenting.

We report the case of a 32-year-old male with a history of hypertension and obesity who developed perigastric abscess and staple line dehiscence two weeks after undergoing laparoscopic sleeve gastrectomy, consistent with a contained staple line leak. The patient presented with fever, abdominal pain, and imaging-confirmed abscess at the gastric cardia. Management included multiple endoscopic wound vacuum exchanges, eventual esophagogastric stent placement, and nutritional support. The case demonstrates a multidisciplinary approach to a complex post-bariatric surgery complication, highlighting the role of advanced endoscopic therapies in avoiding open surgical re-intervention.