Use of a Roux Limb to Correct Esophagogastric Junction Fistulas after Sleeve Gastrectomy
- 10 October 2007
- journal article
- case report
- Published by Springer Science and Business Media LLC in Obesity Surgery
- Vol. 17 (10), 1408-1410
- https://doi.org/10.1007/s11695-007-9222-z
Abstract
Laparoscopic sleeve gastrectomy (LSG) can be complicated, in the early postoperative course, by an esophagogastric junction (EGJ) leak with very serious consequences. A 48-year-old woman developed an EGJ leak 3 days after LSG surgery and was treated with conservative measures. Finally, 6 weeks after the original surgery, a Roux limb was brought to the EGJ and anastomosed side-to-end to the fistula. At the beginning, the Roux limb was the only functioning outlet and finally, 2 months later, both pathways (the gastric sleeve and the Roux-en-Y) are patent at 3 months after surgery. The Roux limb resolved a dangerous EGJ leak after a LSG.Keywords
This publication has 18 references indexed in Scilit:
- Endoscopic Treatment of Gastrocutaneous Fistula following Gastric Bypass for ObesityObesity Surgery, 2007
- Use of Polyflex stents in treatment of acute esophageal and gastric leaks after bariatric surgerySurgery for Obesity and Related Diseases, 2007
- Treatment of Gastro-Jejunal Leakage and Fistulization after Gastric Bypass with Coated Self-Expanding StentsObesity Surgery, 2006
- A Prospective Randomized Study Between Laparoscopic Gastric Banding and Laparoscopic Isolated Sleeve Gastrectomy: Results after 1 and 3 YearsObesity Surgery, 2006
- Total Gastrectomy for Complications of the Duodenal Switch, with ReversalObesity Surgery, 2006
- Laparoscopic Sleeve Gastrectomy as an Initial Bariatric Operation for High-Risk Patients: Initial Results in 10 PatientsObesity Surgery, 2005
- Sleeve Gastrectomy and Gastric Banding: Effects on Plasma Ghrelin LevelsObesity Surgery, 2005
- Laparoscopic Sleeve Gastrectomy is Superior to Endoscopic Intragastric Balloon as a First Stage Procedure for Super-Obese Patients (BMI ≥50)Obesity Surgery, 2005
- Decreased Bleeding after Laparoscopic Sleeve Gastrectomy with or without Duodenal Switch for Morbid Obesity using a Stapled Buttressed Absorbable Polymer MembraneObesity Surgery, 2004
- Endoscopic management of gastrocutaneous fistula after bariatric surgery by using a fibrin sealantGastrointestinal Endoscopy, 2004