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We report the case of a 39-year-old male, BMI 39.2 kg/m2 and 57.6% excess weight (EW) submitted to laparoscopic sleeve gastrectomy (LSG). One month after surgery the patient returned in poor general condition and food vomiting associated with abdominal pain. Gastrografin swallow study showed the presence of a medium-gastric stenosis of about 2 cm long. Endoscopy confirmed the presence of stenosis and during the same examination the dilatation was carried out by using a balloon. The treatment of the stenosis depends on its length, which must be measured with a gastrografin swallow and confirmed by the endoscopy.
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