Through-the-Scope Suturing for Late-Onset Fistula Closure in the Setting of Bariatric Surgery

Anastomotic leaks related to bariatric surgeries are uncommon but are related to increased morbidity and mortality. With the recent advances in intraluminal endoscopic interventions, there are some alternative options to close the leak via over-the-scope-clips/suturing or through-the-scope-clips/suturing or covered stent placement. Herein, we aimed to discuss the efficiency and the role of the through-the-scope suturing technique (X-Tack-160-H, Apollo Endosurgery, Austin, Texas, United States) in two different cases who presented with anastomotic leaks following bariatric surgery.