**4.4 Hemorrhage**

Postoperative hemorrhage is rare after LSG and less common than with RYGB. Bleeding usually occurs at the staple line and is extraluminal in about half of the cases. CT scan confirms the diagnosis, and emergency surgical intervention is required for clinically significant active hemorrhage. For intraluminal bleeding,

endoscopic interventions, including epinephrine injection, heater probe, and clipping, are effective [72].
