scholarly journals Gastrobronchial Fistula: A Rare Complication of Postlaparascopic Sleeve Gastrectomy—A Case Report and Literature Review

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Mohammed Sabawi ◽  
Alhassan Alhasson ◽  
Abdul-Rahman Abualruz ◽  
Alaa Abdulsattar Al-Taie
Keyword(s):  
Bariatric Surgery ◽  
Sleeve Gastrectomy ◽  
Case Report ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Rare Complication ◽  
Standard Of Care ◽  
Gastric Leak ◽  
Contrast Study ◽  
Diagnostic Modality ◽  
Gastrobronchial Fistula

Introduction. Obesity is one of the leading causes of morbidity and mortality in countries all over the world, and its prevalence has been increasing dramatically in recent years. Bariatric surgery is considered the gold standard of care for patients who failed conservative management. Laparoscopic sleeve gastrectomy (LSG) is of increasing popularity. One of its vicious consequences is the development of acquired fistula between the stomach and the tracheobronchial tract due to intractable gastric leak. Case Report. We are presenting a case of a 25-year-old man who underwent laparoscopic sleeve gastrectomy for morbid obesity, which was complicated with the development of gastrobronchial fistula, despite an unremarkable postoperative course. Conclusion. Acquired gastrobronchial fistula due to bariatric surgery is not reported widely in radiologic literature; hence, there is lack of consensus of the diagnostic modality of choice. However, there is a myriad of tests available for diagnosing gastrobronchial fistula, with contrast study of the upper gastrointestinal tract which is the widely accepted diagnostic test.

scholarly journals Percutaneous embolization for a subacute gastric fistula following laparoscopic sleeve gastrectomy: a case report and literature review

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Hung-Hsuan Yen ◽  
Yu-Ting Lin ◽  
Jin-Ming Wu ◽  
Kao-Lang Liu ◽  
Ming-Tsan Lin
Keyword(s):  
Bariatric Surgery ◽  
Sleeve Gastrectomy ◽  
Case Report ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Fistula Tract ◽  
Gastric Leak ◽  
Gastric Fistula ◽  
Percutaneous Embolization ◽  
Endoscopic Intervention ◽  
Chronic Fistula

Abstract Background The management for subacute or chronic fistula after bariatric surgery is very complicated and with no standard protocol yet. It is also an Achilles’ heel of all bariatric surgery. The aim of this case report is to describe our experience in managing this complication by percutaneous embolization, a less commonly used method. Case presentation A 23-year-old woman with a body mass index of 35.7 kg/m2 presented with delayed gastric leak 7 days after laparoscopic sleeve gastrectomy (LSG) for weight reduction. Persistent leak was still noted under the status of nil per os, nasogastric decompression, and parenteral nutrition for 1 month; therefore, endoscopic glue injection was performed. The fistula tract did not seal off, and the size of pseudocavity enlarged after gas inflation during endoscopic intervention. Subsequently, we successfully managed this subacute gastric fistula via percutaneous fistula tract embolization (PFTE) with removal of the external drain 2 months after LSG. Conclusions PFTE can serve as one of the non-invasive methods to treat subacute gastric fistula after LSG. The usage of fluoroscopy-visible glue for embolization can seal the fistula tract precisely and avoid the negative impact from gas inflation during endoscopic intervention.

Bronchoesophageal fistula, a rare complication post laparoscopic sleeve gastrectomy: A case report and literature review

2019 ◽  
Vol 7 (4) ◽  
pp. 167
Author(s):  
AshrafA Maghrabi ◽  
Saleh Aldagal ◽  
Abdullah Sultan ◽  
NisarHaider Zaidi ◽  
MuradM Aljiffry ◽  
...  
Keyword(s):  
Sleeve Gastrectomy ◽  
Case Report ◽  
Literature Review ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Rare Complication ◽  
Bronchoesophageal Fistula

scholarly journals Portomesenteric venous thrombosis in a prophylactically anticoagulated obese patient after laparoscopic sleeve gastrectomy: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Feras Alsannaa ◽  
Faisal Albaqami ◽  
Mishary Shalhoub
Keyword(s):  
Bariatric Surgery ◽  
Sleeve Gastrectomy ◽  
Case Report ◽  
Small Bowel ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Bowel Ischemia ◽  
Morbidity And Mortality ◽  
Midline Laparotomy ◽  
Vein Thrombosis ◽  
Portomesenteric Vein Thrombosis

Abstract Background Obesity is associated with an increased risk of morbidity and mortality, so weight reduction is important. Bariatric surgery is a well-tolerated approach for reducing body weight, with laparoscopic sleeve gastrectomy commonly performed. An uncommon and potentially fatal sequela of laparoscopic sleeve gastrectomy is portomesenteric vein thrombosis, which may result in severe bowel ischemia. Case report A 32-year-old Middle Eastern obese man (body mass index 33) presented to the emergency department with severe, generalized abdominal pain 2 weeks after laparoscopic sleeve gastrectomy. Computed tomography of the abdomen and pelvis revealed extensive acute on chronic portosplenic and superior mesenteric vein thrombosis with associated small bowel ischemia. Laparoscopic exploration was converted to midline laparotomy and an extensive ischemic small bowel resection. Conclusion Laparoscopic sleeve gastrectomy carries a risk of both morbidity and mortality. Venous thromboembolism is a well-known risk of bariatric surgery, but portomesenteric vein thrombosis is also a rare but sometimes serious complication. A high index of suspicion for portomesenteric vein thrombosis to prompt early detection is essential in patients who have undergone laparoscopic sleeve gastrectomy to minimize complications and optimize outcomes. Uncertainty still remains around the optimal dose and duration of anticoagulation after laparoscopic sleeve gastrectomy.

scholarly journals Single Incisional Laparoscopic Sleeve Gastrectomy and Adolescent Bariatric Surgery: Case Report and Brief Review

2015 ◽  
Vol 4 (2) ◽  
pp. 40-45 ◽  
Author(s):  
Young Suk Park ◽  
Do Joong Park ◽  
Ki Hyun Kim ◽  
Dong Jin Park ◽  
Sang Hoon Ahn ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Sleeve Gastrectomy ◽  
Case Report ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Adolescent Bariatric Surgery
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