Laparoscopic treatment of a gastro-gastric fistula after Roux-en-Y gastric bypass—report of two cases

The most frequently performed bariatric surgery is the laparoscopic Roux-en-Y gastric bypass (LRYGB). An uncommon complication of LRYGB is gastro-gastric fistula (GGF). Possible causes of GGF include incomplete transection of the stomach during the initial surgery, staple-line leaks in the post-oper...

Descripción completa

Detalles Bibliográficos
Autores principales: Gaspar, Joana Raquel Rodrigues, Marques, Paula, Mesquita, Isabel, Marcos, Mário, Santos, Jorge, Nogueira, Carlos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Case Series
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7732258/
https://www.ncbi.nlm.nih.gov/pubmed/33343864
http://dx.doi.org/10.1093/jscr/rjaa478
Descripción
Sumario:The most frequently performed bariatric surgery is the laparoscopic Roux-en-Y gastric bypass (LRYGB). An uncommon complication of LRYGB is gastro-gastric fistula (GGF). Possible causes of GGF include incomplete transection of the stomach during the initial surgery, staple-line leaks in the post-operative period and marginal ulcers. The optimal management of GGF is still under debate, with medical, endoscopic and surgical treatment modalities available. The authors present two cases of a GGF successfully managed with a laparoscopic surgical approach, after failed medical and endoscopic treatment.

Ejemplares similares