Laparoscopic Total Gastrectomy with Roux-Y Esophagojejunostomy for Chronic Gastric Fistula After Laparoscopic Sleeve Gastrectomy

2013 ◽  
Vol 24 (3) ◽  
pp. 425-429 ◽  
Author(s):  
Almog Ben Yaacov ◽  
Eran Sadot ◽  
Matan Ben David ◽  
Nir Wasserberg ◽  
Andrei Keidar
Keyword(s):  
Sleeve Gastrectomy ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Total Gastrectomy ◽  
Laparoscopic Total Gastrectomy ◽  
Gastric Fistula

Does Somatostatin-14 Have an Impact on Gastric Fistula After Laparoscopic Sleeve Gastrectomy?

2014 ◽  
Vol 25 (2) ◽  
pp. 377-380
Author(s):  
Lionel Rebibo ◽  
Flavien Prevot ◽  
Abdennaceur Dhahri ◽  
Jean-Marc Regimbeau
Keyword(s):  
Sleeve Gastrectomy ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Gastric Fistula ◽  
Somatostatin 14

scholarly journals Weight Loss after Sleeve Gastrectomy in Super Superobesity

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
J.-M. Catheline ◽  
M. Fysekidis ◽  
R. Dbouk ◽  
A. Boschetto ◽  
H. Bihan ◽  
...  
Keyword(s):  
Weight Loss ◽  
Gastric Bypass ◽  
Sleeve Gastrectomy ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Operative Time ◽  
Postoperative Mortality ◽  
Gastric Fistula ◽  
Second Stage ◽  
The Mean ◽  
Complete Situs Inversus

Objective. This prospective study evaluated laparoscopic sleeve gastrectomy for its safety and efficiency in excess weight loss (%EWL) in super superobese patients (BMI>60 Kg/m2).Results. Thirty patients (33 women and 7 men) were included, with mean age of 35 years (range 18 to 59). Mean preoperative BMI was 66 Kg/m2(range 60 to 85). The study included one patient with complete situs inversus and 4 (14%) with previous restrictive gastric banding. The mean operative time was 120 minutes (range 80 to 220 min) and the mean hospital stay was 7.5 days (4 to 28 days). There was no postoperative mortality or need for a laparotomy conversion. Two subphrenic hematomas, one gastric fistula, and one pulmonary embolism, were the major complications. After 18 months 17 (77%) had sufficient weight loss and six had insufficient results, leading to either re-sleeve gastrectomy (3), or gastric bypass (2). Three years after the initial laparoscopic sleeve gastrectomy, the mean EWL was 51% (range 21 to 82).Conclusion. The laparoscopic sleeve gastrectomy is a safe and efficient operating procedure for treating super superobesity. In the case of insufficient weight loss, a second-stage operation like resleeve gastrectomy or gastric bypass can be proposed.

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.

scholarly journals Splenic abscess after laparoscopic sleeve gastrectomy. A rare complication—case report and literature review

2021 ◽  
Vol 2021 (4) ◽  
Author(s):  
Esam Batayyah ◽  
Waed Yaseen ◽  
Faris Alshareef
Keyword(s):  
Computed Tomography ◽  
Sleeve Gastrectomy ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Clinical Presentation ◽  
Rare Complication ◽  
Splenic Abscess ◽  
Definitive Treatment ◽  
Gastric Fistula ◽  
Upper Gastrointestinal ◽  
Prompt Diagnosis

Abstract Laparoscopic sleeve gastrectomy is currently a stand-alone bariatric procedure with a low complication profile. A rare complication of leak following sleeve gastrectomy was reported in this study. Its rareness and nonspecific clinical presentation could make the diagnosis difficult and could be easily confused with leak and subdiaphragmatic abscess. A 22-year-old Saudi female with body mass index 41 underwent laparoscopic sleeve gastrectomy in 2017, presented 18 months later to emergency department complaining of fever and abdominal pain for 3 months prior to presentation. Computed tomography of abdomen revealed a large splenic abscess, upper gastrointestinal studies were unremarkable. Patient was taken for laparoscopic exploration with finding of splenic abscess and gastric fistula, splenectomy and clipping of fistula was performed. The management of splenic abscess remains controversial. Splenectomy and antibiotics have generally been the definitive treatment particularly with large multilobulated collection. Familiarity with the rare complications as splenic abscess will allow for a prompt diagnosis and treatment.

Letter to Editor: “Gastric Fistula after Laparoscopic Sleeve Gastrectomy: Don't Forget to Treat for Candida”

2013 ◽  
Vol 23 (12) ◽  
pp. 2106-2108 ◽  
Author(s):  
Lionel Rebibo ◽  
Hervé Dupont ◽  
Mélanie Levrard ◽  
Cyril Cosse ◽  
Abdennaceur Dhahri ◽  
...  
Keyword(s):  
Sleeve Gastrectomy ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Gastric Fistula

scholarly journals A Case of Gastroesophageal Cancer after Laparoscopic Sleeve Gastrectomy

2020 ◽  
Vol 2 (3-4) ◽  
pp. First
Author(s):  
Ahmad Aljarboo ◽  
Faisal Alghamdi ◽  
Abdullah Alzahrani ◽  
Bandar Ali
Keyword(s):  
Risk Factors ◽  
Gastric Cancer ◽  
Sleeve Gastrectomy ◽  
Gastroesophageal Reflux ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Total Gastrectomy ◽  
Bariatric Procedure ◽  
Gastroesophageal Cancer ◽  
Reflux Symptoms

Gastric cancer has been reported in relatively few cases after sleeve gastrectomy, which has become a common bariatric procedure. In this paper, we present a 58-year-old woman diagnosed with gastric cancer by esophagogastroduodenoscopy (EGD) 4 years after sleeve gastrectomy. For that, she underwent distal esophagectomy and total gastrectomy with Roux-en-Y esophagojejunostomy. Preoperative endoscopy is recommended before planning surgery in patients with gastroesophageal reflux symptoms. In addition, annual EGD should be considered after sleeve gastrectomy in patients with risk factors for gastric cancer.

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