{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T20:38:42Z","timestamp":1768682322228,"version":"3.49.0"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,17]]},"DOI":"10.7759\/cureus.101723","type":"journal-article","created":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T09:53:12Z","timestamp":1768643592000},"source":"Crossref","is-referenced-by-count":0,"title":["Over-the-Scope Clip for Treating Chronic Bariatric Surgery Leaks Refractory to Prior Endoscopic Therapies: Experience From a Bariatric Center of Excellence"],"prefix":"10.7759","author":[{"given":"Talal K","family":"Khewater","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Husaam","family":"Adi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmad S","family":"Alayed","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdulaziz S","family":"Alharthi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdulwahab N","family":"Aladhyani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.2147\/CEG.S461534","article-title":"Managing leaks and fistulas after laparoscopic sleeve gastrectomy: challenges and solutions","volume":"18","author":"Gipe J","year":"2025","unstructured":"Gipe J, Agathis AZ, Nguyen SQ. Managing leaks and fistulas after laparoscopic sleeve gastrectomy: challenges and solutions. Clin Exp Gastroenterol. 2025, 18:1-9. 10.2147\/CEG.S461534","journal-title":"Clin Exp Gastroenterol"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-012-2426-x","article-title":"Gastric leaks after sleeve gastrectomy: a multicenter experience with 2,834 patients","volume":"27","author":"Sakran N","year":"2013","unstructured":"Sakran N, Goitein D, Raziel A, et al.. Gastric leaks after sleeve gastrectomy: a multicenter experience with 2,834 patients. Surg Endosc. 2013, 27:240-5. 10.1007\/s00464-012-2426-x","journal-title":"Surg Endosc"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2018.03.030","article-title":"Risk factors for gastrointestinal leak after bariatric surgery: MBASQIP analysis","volume":"227","author":"Alizadeh RF","year":"2018","unstructured":"Alizadeh RF, Li S, Inaba C, et al.. Risk factors for gastrointestinal leak after bariatric surgery: MBASQIP analysis. J Am Coll Surg. 2018, 227:135-41. 10.1016\/j.jamcollsurg.2018.03.030","journal-title":"J Am Coll Surg"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-024-11190-2","article-title":"Six-year analysis of 30-day post-operative leaks for primary sleeve gastrectomy: a MBSAQIP database study","volume":"38","author":"Osti N","year":"2024","unstructured":"Osti N, Aboud A, Gumbs S, et al.. Six-year analysis of 30-day post-operative leaks for primary sleeve gastrectomy: a MBSAQIP database study. Surg Endosc. 2024, 38:7451-8. 10.1007\/s00464-024-11190-2","journal-title":"Surg Endosc"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2011.10.019","article-title":"International Sleeve Gastrectomy Expert Panel Consensus Statement: best practice guidelines based on experience of >12,000 cases","volume":"8","author":"Rosenthal RJ","year":"2012","unstructured":"Rosenthal RJ, Diaz AA, Arvidsson D, et al.. International Sleeve Gastrectomy Expert Panel Consensus Statement: best practice guidelines based on experience of &gt;12,000 cases. Surg Obes Relat Dis. 2012, 8:8-19. 10.1016\/j.soard.2011.10.019","journal-title":"Surg Obes Relat Dis"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.21614\/chirurgia.114.6.790","article-title":"Persistent fistula after sleeve gastrectomy: a chronic dilemma","volume":"114","author":"Boru CE","year":"2019","unstructured":"Boru CE, Angelis F, Iossa A, Antypas P, Ciccioriccio C, Termine P, Silecchia G. Persistent fistula after sleeve gastrectomy: a chronic dilemma. Chirurgia (Bucur). 2019, 114:790-7. 10.21614\/chirurgia.114.6.790","journal-title":"Chirurgia (Bucur)"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.3390\/jpm13091422","article-title":"Risk factors and management approaches for staple line leaks following sleeve gastrectomy: a single-center retrospective study of 402 patients","volume":"13","author":"Verras GI","year":"2023","unstructured":"Verras GI, Mulita F, Lampropoulos C, et al.. Risk factors and management approaches for staple line leaks following sleeve gastrectomy: a single-center retrospective study of 402 patients. J Pers Med. 2023, 13:1422. 10.3390\/jpm13091422","journal-title":"J Pers Med"},{"key":"ref8","unstructured":"Management of the contained sleeve leak. (2020). Accessed. September 27, 2025: https:\/\/bariatrictimes.com\/management-of-the-contained-sleeve-leak\/."},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.5946\/ce.2020.298","article-title":"Endoscopic management of staple line leak after bariatric surgery: surgeon's perspective","volume":"54","author":"Chung Y","year":"2021","unstructured":"Chung Y, Park DG, Kim YJ. Endoscopic management of staple line leak after bariatric surgery: surgeon's perspective. Clin Endosc. 2021, 54:805-9. 10.5946\/ce.2020.298","journal-title":"Clin Endosc"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.20524\/aog.2019.0390","article-title":"Endoscopic management of gastric outlet obstruction disease","volume":"32","author":"Tringali A","year":"2019","unstructured":"Tringali A, Giannetti A, Adler DG. Endoscopic management of gastric outlet obstruction disease. Ann Gastroenterol. 2019, 32:330-7. 10.20524\/aog.2019.0390","journal-title":"Ann Gastroenterol"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.5946\/ce.2021.250","article-title":"Over-the-scope clip in the treatment of gastrointestinal leaks and perforations","volume":"54","author":"Wei MT","year":"2021","unstructured":"Wei MT, Ahn JY, Friedland S. Over-the-scope clip in the treatment of gastrointestinal leaks and perforations. Clin Endosc. 2021, 54:798-804. 10.5946\/ce.2021.250","journal-title":"Clin Endosc"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-014-1540-3","article-title":"Over-the-scope clip (OTSC) system for sleeve gastrectomy leaks","volume":"25","author":"Keren D","year":"2015","unstructured":"Keren D, Eyal O, Sroka G, et al.. Over-the-scope clip (OTSC) system for sleeve gastrectomy leaks. Obes Surg. 2015, 25:1358-63. 10.1007\/s11695-014-1540-3","journal-title":"Obes Surg"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-020-07471-1","article-title":"Endoscopic management of leaks and fistulas after bariatric surgery: a systematic review and meta-analysis","volume":"35","author":"Rogalski P","year":"2021","unstructured":"Rogalski P, Swidnicka-Siergiejko A, Wasielica-Berger J, et al.. Endoscopic management of leaks and fistulas after bariatric surgery: a systematic review and meta-analysis. Surg Endosc. 2021, 35:1067-87. 10.1007\/s00464-020-07471-1","journal-title":"Surg Endosc"},{"key":"ref14","unstructured":"The world\u2019s first SRC-accredited center of excellence in metabolic and bariatric revisional surgery - King Salman Armed Forces Hospital. (2025). Accessed. September 27, 2025: https:\/\/www.surgicalreview.org\/king-salman-armed-forces-hospital-nwafh-becomes-the-worlds-first-src-accredited-center...."},{"key":"ref15","unstructured":"Obesity surgery - instructions for authors. Accessed. September 27, 2025: https:\/\/media.springer.com\/full\/springer-instructions-for-authors-assets\/pdf\/11695_OBSU%20Instructions%20for%20Author...."},{"key":"ref16","unstructured":"OTSC\u00ae System Set. Accessed. September 27, 2025: https:\/\/ovesco.com\/otsc-system\/otsc-system-set\/."},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpg.2024.101926","article-title":"Management of leakage and fistulas after bariatric surgery","volume":"70","author":"Firkins SA","year":"2024","unstructured":"Firkins SA, Simons-Linares R. Management of leakage and fistulas after bariatric surgery. Best Pract Res Clin Gastroenterol. 2024, 70:101926. 10.1016\/j.bpg.2024.101926","journal-title":"Best Pract Res Clin Gastroenterol"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2013.02.010","article-title":"Surgical management of chronic fistula after sleeve gastrectomy","volume":"9","author":"Nedelcu AM","year":"2013","unstructured":"Nedelcu AM, Skalli M, Deneve E, Fabre JM, Nocca D. Surgical management of chronic fistula after sleeve gastrectomy. Surg Obes Relat Dis. 2013, 9:879-84. 10.1016\/j.soard.2013.02.010","journal-title":"Surg Obes Relat Dis"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-023-10386-2","article-title":"Long-term follow-up of a cohort with post sleeve gastrectomy leaks: results of endoscopic treatment and salvage surgery","volume":"37","author":"Deffain A","year":"2023","unstructured":"Deffain A, Alfaris H, Hajjar R, et al.. Long-term follow-up of a cohort with post sleeve gastrectomy leaks: results of endoscopic treatment and salvage surgery. Surg Endosc. 2023, 37:9358-65. 10.1007\/s00464-023-10386-2","journal-title":"Surg Endosc"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.tige.2024.09.004","article-title":"Endoscopic repair for sleeve gastrectomy leaks is associated with a high rate of leak resolution","volume":"27","author":"Fahoum K","year":"2025","unstructured":"Fahoum K, Kahan T, Delau O, et al.. Endoscopic repair for sleeve gastrectomy leaks is associated with a high rate of leak resolution. Tech Innov Gastrointest Endosc. 2025, 27:11-8. 10.1016\/j.tige.2024.09.004","journal-title":"Tech Innov Gastrointest Endosc"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/454840-over-the-scope-clip-for-treating-chronic-bariatric-surgery-leaks-refractory-to-prior-endoscopic-therapies-experience-from-a-bariatric-center-of-excellence","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T09:53:18Z","timestamp":1768643598000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/454840-over-the-scope-clip-for-treating-chronic-bariatric-surgery-leaks-refractory-to-prior-endoscopic-therapies-experience-from-a-bariatric-center-of-excellence"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,17]]},"references-count":20,"URL":"https:\/\/doi.org\/10.7759\/cureus.101723","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2026,1,17]]}}}