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

Figure 11  Septotomy. A: Septum between the associated collection and the leak orifice at the gastrojejunal anastomosis staple line after Roux-en-y gastric bypass surgery; B: Fluoroscopy showing a septum between the leak associated collection and the gastric pouch; C: Endoscopic image after septotomy; D: Fluoroscopy showing a gastric pouch without associated collections as the septotomy transformed the pouch and the associated collection in one compartment. GJA: Gastrojejunal anastomosis.