# Delayed Gastric Leak Secondary to Marijuana Consumption Post Sleeve Gastrectomy

## TL;DR

This paper reports a rare case of a delayed stomach leak after weight-loss surgery linked to marijuana use.

## Contribution

It highlights a novel association between marijuana consumption and delayed gastric leak post-surgery.

## Key findings

- A gastric leak occurred weeks after sleeve gastrectomy in a patient who used marijuana.
- Marijuana consumption may contribute to delayed complications after bariatric surgery.
- Imaging and clinical evaluation were key in diagnosing and managing the leak.

## Abstract

Obesity is a chronic disease and a major health concern in the United States. Laparoscopic sleeve gastrectomy (LSG) is the most common metabolic and bariatric surgery performed in the United States. Complications after sleeve gastrectomy are rare and mostly observed during the acute phase. We present a case of delayed gastric leak after LSG secondary to marijuana consumption. In this case report, we discuss the clinical presentation, imaging characteristics and management of delayed gastric leak, and its association with marijuana consumption.