| Sleeve gastrectomy has become the most frequently practiced bariatric procedure in the USA [1]. Staple line leakage (SL) is a potentially life-threatening, worrisome, and fortunately rare complication of sleeve gastrectomy [2]. In early cases, it presents with tachycardia, tachypnea, and early onset of fever within 7 days of the surgery. The patients most often require surgical drainage followed by an endoscopic approach in some cases. Most of surgeons believe that waiting for at least 12 weeks is needed before definitive reconstructive treatment to avoid difficulty in managing adhesions [3]. This study aims to report that early Roux-en-Y gastrojejunostomy (before 12 weeks) is a safe and feasible treatment with a high rate of success even in patients with sepsis which also lowers the costs and duration of hospital admission. |