Successful laparoscopic treatment of iatrogenic distal esophageal perforation during sleeve gastrectomy

Laparoscopic sleeve gastrectomy (LSG) is one of the most common operation performed for morbid obesity worldwide. Complication of LSG include hemorrhage, gastric leak, and intra-abdominal abscess. Iatrogenic distal esophageal perforation is a rare but potential life threatening complication of the blind bougie advancement used for gastric tube calibration. The timely treatment of such complication is mandatory but no clear consensus exist on the treatment algorithm. We report the case of a 61-year-old female with iatrogenic distal esophageal perforation occurred during sleeve gastrectomy that was successfully treated with laparoscopic suturing.