There is an increasing trend for a change in clinical practice from a strategy of diversion with SEMS towards an open endoscopic treatment of leaks using active or passive internal drainage of the collection with aggressive management of distal sleeve stenosis and without closure of the defect [ 9 ].
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Endoscopic Negative Pressure Therapy (ENPT) Is Superior to Stent Therapy for Staple Line Leak After Sleeve Gastrectomy: a Single-Center Cohort Study.
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