Gastro-Colic Fistula After Sleeve Gastrectomy Leak: Our Experience with this Rare Complication.
Chetan D ParmarHany KhalilMuffazal LakdawalaChetan BhanPratik SufiPublished in: Obesity surgery (2020)
SG leaks can add long-term morbidity. Stent can be used successfully to treat SG leak if used judiciously. There should be low threshold for investigating patients with EWL of > 100% for anatomical complications like stricture, fistula or kink in the gastric sleeve. We wanted to make the bariatric fraternity aware of a rare late (> 12 weeks) complication of gastro-colic fistula after successfully treated SG leak. Limited literature is published about this rare complication and its management which ranges from conservative management to stent placement to surgical intervention (Asian Journal of Endoscopic Surgery 7:314-6, 2014; Clinical Case Reports 6:1342-1346, 2008; Surgery for Obesity and Related Diseases 6:308-12, 2010). It can be dealt with successfully with minimally invasive technique by a multidisciplinary team in an experienced tertiary bariatric unit.
Keyphrases
- minimally invasive
- weight loss
- coronary artery bypass
- roux en y gastric bypass
- randomized controlled trial
- ultrasound guided
- robot assisted
- systematic review
- gastric bypass
- metabolic syndrome
- insulin resistance
- type diabetes
- bariatric surgery
- surgical site infection
- quality improvement
- risk factors
- case report
- palliative care
- high fat diet induced
- body mass index
- atrial fibrillation
- endoscopic submucosal dissection
- physical activity
- percutaneous coronary intervention