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      Call for Papers: Artificial Intelligence in Gastroenterology

      Submit here before May 31, 2024

      About Digestion: 3.2 Impact Factor I 6.4 CiteScore I 0.914 Scimago Journal & Country Rank (SJR)

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      Esophago-Pleural Fistula Complicating a Laparoscopic Adjustable Gastric Band

      case-report

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          Abstract

          Laparoscopic adjustable gastric banding was previously a commonly performed bariatric procedure. However, in recent years, the procedure has become less commonly performed. Long-term complications nonetheless persist and continue to be seen in clinical practice. We present a case of an esophago-pleural fistula complicating a longstanding laparoscopic adjustable gastric band in a woman presenting with persistent empyema. Palliative esophageal stenting was successfully performed, and the patient was discharged home on hospice care per her family's wishes.

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          Most cited references16

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          Fungi in the healthy human gastrointestinal tract

          Heather E Hallen-Adams, Mallory J Suhr (2016)
          Many species of fungi have been detected in the healthy human gut; however, nearly half of all taxa reported have only been found in one sample or one study. Fungi capable of growing in and colonizing the gut are limited to a small number of species, mostly Candida yeasts and yeasts in the family Dipodascaceae (Galactomyces, Geotrichum, Saprochaete). Malassezia and the filamentous fungus Cladosporium are potential colonizers; more work is needed to clarify their role. Other commonly-detected fungi come from the diet or environment but either cannot or do not colonize (Penicillium and Debaryomyces species, which are common on fermented foods but cannot grow at human body temperature), while still others have dietary or environmental sources (Saccharomyces cerevisiae, a fermentation agent and sometime probiotic; Aspergillus species, ubiquitous molds) yet are likely to impact gut ecology. The gut mycobiome appears less stable than the bacterial microbiome, and is likely subject to environmental factors.
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            Diagnosis and recommended management of esophageal perforation and rupture.

            R Postlethwait, Marco Bladergroen, A. J. Lowe (1986)
            Over the past 47 years (1937 to 1984), a total of 127 patients with esophageal perforation or rupture were evaluated at Duke Medical Center or the Durham Veterans Administration Medical Center. In 13 patients, the diagnosis was established at the time of autopsy and in the remaining 114, the diagnosis was established clinically. The etiology, radiological findings, underlying esophageal disease, time interval between onset of symptoms and therapy, and eventual outcome were evaluated. Patients with anastomotic leaks and those in whom carcinoma resulted in perforation or fistula were excluded. Iatrogenic causes were responsible for 55% of perforations, followed by spontaneous rupture in 15%, foreign body perforation in 14%, and traumatic perforation in 10%. Of the 127 patients, 114 underwent treatment involving primary closure (43%), drainage alone (28%), resection (9%), or nonoperative therapy (20%). The overall mortality among these 114 patients was 21%. Fourteen patients sustained a major complication requiring additional operative intervention. The overall mortality among patients requiring reoperation was 57%. Survival was significantly influenced by a delay in treatment of greater than 24 hours. With the exception of nonoperative therapy, survival was improved for all forms of treatment instituted within 24 hours. Primary closure within 24 hours resulted in the most favorable outcome (92% survival). In addition to early treatment, other factors associated with a favorable outcome included traumatic perforation (100% survival), foreign-body perforations (94% survival), and iatrogenic causes (80% survival). Spontaneous rupture resulted in the lowest survival (37%). The incidence of esophageal perforation has increased dramatically since 1967.(ABSTRACT TRUNCATED AT 250 WORDS)
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              Long-term complications requiring reoperations after laparoscopic adjustable gastric banding: a systematic review

              Xiaojun Shen, Xin Zhang, Jianwei Bi … (2015)
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                Author and article information

                Journal
                Journal ID (nlm-ta): Case Rep Gastroenterol
                Journal ID (iso-abbrev): Case Rep Gastroenterol
                Journal ID (publisher-id): CRG
                Title: Case Reports in Gastroenterology
                Publisher: S. Karger AG (Allschwilerstrasse 10, P.O. Box · Postfach · Case postale, CH–4009, Basel, Switzerland · Schweiz · Suisse, Phone: +41 61 306 11 11, Fax: +41 61 306 12 34, karger@karger.com )
                ISSN (Electronic): 1662-0631
                Publication date Collection: Sep-Dec 2022
                Publication date (Electronic): 8 November 2022
                Publication date PMC-release: 8 November 2022
                Volume: 16
                Issue: 3
                Pages: 607-611
                Affiliations
                [1] aDivision of Internal Medicine, St. Luke's Hospital, Chesterfield, Missouri, USA
                [2] bDivision of Digestive Diseases, St. Luke's Hospital, Chesterfield, Missouri, USA
                Author notes
                Article
                Publisher ID: crg-0016-0607
                DOI: 10.1159/000526133
                PMC ID: 9830290
                PubMed ID: 36636362
                SO-VID: 1f8bf110-be10-4176-8a08-102f4d34dc32
                Copyright © Copyright © 2022 by The Author(s). Published by S. Karger AG, Basel
                License:

                This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.

                History
                Date received : 4 May 2022
                Date accepted : 15 July 2022
                Date: 2022
                Page count
                Figures: 5, References: 16, Pages: 5
                Funding
                The authors have no funding sources to disclose.
                Categories
                Subject: Single Case

                ScienceOpen disciplines: Gastroenterology & Hepatology
                Keywords: fistula,esophagus,bariatric surgery,endoscopy,complication
                Data availability:
                ScienceOpen disciplines: Gastroenterology & Hepatology
                Keywords: fistula, esophagus, bariatric surgery, endoscopy, complication

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