Abstract Background: Laparoscopic sleeve gastrectomy (LSG) is one of the mostly performed bariatric surgical procedures. LSG has many advantages as there is no anastomosis, it is performed easily and the gastric antrum is preserved. However, this procedure has some complications, the most disquieting of them is the stable line leakage, it is the main source of postoperative morbidity and mortality after LSG Method: This study was conducted between January 2015 and February 2019 on eight patients diagnosed with post laparoscopic sleeve gastrectomy staple line leak. Underwent endoscopic fully covered mega stent insertion to cover the leak defect, 7 of them underwent rapid stent insertion and one delayed for management of peritonitis. Results: The stent managed to control leak in 7 patients successfully mean time 31.8 ±SD7.1 days, one case needed stent reposition. One patient needed ROUX en Y gastric bypass (RYGB). Conclusion: Endoscopic fully covered mega stent insertion is a safe effective method for treatment of post laparoscopic sleeve gastrectomy staple line leak