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      Mini gastric bypass for the management of gastrobronchial fistula: A case report

      Author(s): , , ,
      Publication date Created:
      Publication date (Print):
      Journal: International Journal of Surgery Case Reports
      Publisher: Elsevier BV

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          Abstract

          Highlights • Gastrobronchial fistula is uncommon with an ambiguous presentation. • It should be suspected among patients who underwent bariatric surgery. • Optimal management is yet to be determined.

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          Gastric leaks post sleeve gastrectomy: review of its prevention and management.

          Hicham El Masri, Antoine Abou Rached, Melkart Basile (2014)
          Gastric sleeve gastrectomy has become a frequent bariatric procedure. Its apparent simplicity hides a number of serious, sometimes fatal, complications. This is more important in the absence of an internationally adopted algorithm for the management of the leaks complicating this operation. The debates exist even regarding the definition of a leak, with several classification systems that can be used to predict the cause of the leak, and also to determine the treatment plan. Causes of leak are classified as mechanical, technical and ischemic causes. After defining the possible causes, authors went into suggesting a number of preventive measures to decrease the leak rate, including gentle handling of tissues, staple line reinforcement, larger bougie size and routine use of methylene blue test per operatively. In our review, we noticed that the most important clinical sign or symptom in patients with gastric leaks are fever and tachycardia, which mandate the use of an abdominal computed tomography, associated with an upper gastrointrstinal series and/or gastroscopy if no leak was detected. After diagnosis, the management of leak depends mainly on the clinical condition of the patient and the onset time of leak. It varies between prompt surgical intervention in unstable patients and conservative management in stable ones in whom leaks present lately. The management options include also endoscopic interventions with closure techniques or more commonly exclusion techniques with an endoprosthesis. The aim of this review was to highlight the causes and thus the prevention modalities and find a standardized algorithm to deal with gastric leaks post sleeve gastrectomy.
          Article 0 comments Cited 40 times – based on 0 reviews     Review now
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            Endoscopic treatment of fistulas after sleeve gastrectomy: a comparison of internal drainage versus closure

            Anne Dutour, Sandrine Boullu, Stéphane V Berdah … (2018)
            Fistulas after sleeve gastrectomy are major adverse events of bariatric surgery. The endoscopic management strategy evolved from closure to internal drainage after 2013. The main objective of our study was to evaluate and compare these different approaches.
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              Endoscopic treatment of fistula after sleeve gastrectomy: results of a multicenter retrospective study

              Dimitri Christophorou, Jean-Christophe Valats, Natalie Funakoshi … (2015)
              Fistula is the main complication of laparoscopic sleeve gastrectomy (LSG), for which healing is difficult to achieve. The aims of the study were to evaluate the efficacy of interventional endoscopy for post-LSG fistula treatment, to evaluate various endoscopic techniques used and identify their complications, and to identify predictive factors of healing following endoscopic treatment.
              Article 0 comments Cited 12 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Title: International Journal of Surgery Case Reports
                Abbreviated Title: International Journal of Surgery Case Reports
                Publisher: Elsevier BV
                ISSN (Print): 22102612
                Publication date Created: December 2019
                Publication date (Print): December 2019
                Article
                DOI: 10.1016/j.ijscr.2019.11.064
                SO-VID: 84d685c9-5352-4b04-b6e9-677f2c6f2242
                Copyright © © 2019
                License:

                https://www.elsevier.com/tdm/userlicense/1.0/

                http://creativecommons.org/licenses/by/4.0/

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