Choosing the best endoscopic approach for post-bariatric surgical leaks and fistulas: Basic principles and recommendations

Figure 10  Endoscopic internal drainage with double pigtail stents. A: Leak orifice at the gastrojejunal anastomosis suture line; after Roux-en-Y gastric bypass surgery; B: Fluoroscopy showing a contained associated collection and guidewire placement; C: Endoscopic internal drainage with ureteral pigtail stents; D: Fluoroscopy showing adequate placement and drainage of the leak associated collection. GJA: Gastrojejunal anastomosis.