1. A 35-year-old male patient presents 4 weeks post-RYGB with a low-grade fever and epigastric pain for the past 24 hours. Vital signs reveal a HR of 110 and blood pressure of 140/85 mmHg, and physical examination reveals localized epigastric tenderness. The rest of the abdomen is soft, nontender with normal bowel sounds. A UGI contrast study reveals a leak at the GJ anastomosis. A CT scan shows no significant collection. If all options are available, which of the following is the next BEST option? A. Perform an emergency laparotomy. B. Perform a diagnostic laparoscopy. C. Place a percutaneous drain. D. Perform an endoscopy and put a stent across the leak. E. C and D.
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1. A 35-year-old male patient presents 4 weeks post-RYGB with a low-grade fever and epigastric pain.