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Abstract
A 25-year-old woman weighing 321 pounds (body mass index 53 kg/m2) underwent a laparoscopic Roux-en-Y gastric bypass. Per protocol, she underwent an upper GI contrast series on postoperative (PO) day 1. A minor leak at the gastrojejunal (GJ) anastomosis was recognized (A). Laparoscopic suturing of the anastomotic leak was attempted on PO day 2. Unfortunately, drain output persisted and the patient continued to spike fevers over the following 2 weeks. On PO day 16, the patient was referred for an attempt at endoscopic closure (Video 1, available online at www.giejournal.org).
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