Leaks in fixed-ring banded sleeve gastrectomies: a management approach.

Background: The use of a Fobi ring to prevent pouch dilation is sometimes used in Roux-en-Y gastric bypass (RYGB). Recently, it has been extrapolated to laparoscopic sleeve gastrectomy (LSG) procedures by placing a fixed-ring band a few centimeters below the gastroesophageal junction (GEJ).

Objectives: What is the consequence if a patient develops a leak?

Setting: Tertiary metropolitan referral center, Australia.