Post Operative(Laparoscopic sleeve Gastrectomy) - Gastro Pulmonary Fistula

Gastro Pulmonary Fistula

Authors

  • Dr Sarath B Gillellamudi
  • Dr Jayashree S. Todkar
  • Dr Pramod Kadam*
  • Dr Shashank S. Shah

Keywords:

Laparoscopy - sleeve gastrectomy; morbid obesity, bariatric surgery, restrictive procedure, post operative bronchogastric fistula

Abstract

Laparoscopic sleeve Gastrectomy (LSG) is a new restrictive bariatric procedure increasingly indicated in the treatment of morbid obesity. Postoperative complications are mainly represented by gastric fistula with an occurrence rate of 0% to 5.1% in the literature. This complication is difficult to manage and requires multiple radiological, endoscopic, and surgical procedures. We are reporting second such case till date following Laparoscopic sleeve Gastrectomy. The present report describes the serious nature of this complication in a patient after an uneventful Laparoscopic sleeve Gastrectomy.

References

1. Fuks D, Dumont F, Berna P, Verhaeghe P,Sinna R,Sabbagh C et al. Case report-complex management of a postoperative bronchogastric fistula after laparoscopic sleeve gastrectomy. Obesity Surgery. 2009 Feb; 19(2): 261-4.
2. Campos J, Siqueira L, Ferraz A, Ferraz E. Gastrointestinal fistula after obesity surgery. J Am Coll Surg. 2007; 204:711–3.
3. Jayashree S. Todkar, Shashank S. Shah, Poonam S. Shah, Jayashri Gangwani .Long-term effects of laparoscopic sleeve gastrectomy in morbidly obese subjects with type 2 diabetes mellitus Surgery for Obesity and Related Diseases. 2010 ;6(2):142-5.
4. Brethauer SA, Hammel JP, Schauer PR. Systematic review of sleeve gastrectomy as staging and primary bariatric procedure. Surg Obes Relat Dis. 2009; 5:469–75.
5. Doumit M, Doumit G, Shamji FM, Gregoire S, Seppala RE Gastropulmonary fistula after bariatric surgery. Can J Gastroenterol 2009;23(3):215-6.

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Published

2012-03-31

How to Cite

B Gillellamudi, D. S., S. Todkar, D. J., Kadam*, D. P., & S. Shah, D. S. (2012). Post Operative(Laparoscopic sleeve Gastrectomy) - Gastro Pulmonary Fistula: Gastro Pulmonary Fistula. National Journal of Integrated Research in Medicine, 3(1), 133–135. Retrieved from http://nicpd.ac.in/ojs-/index.php/njirm/article/view/254

Issue

Section

Case Report