Management of Gastropleural Fistula after Revisional Bariatric Surgery: A Hybrid Laparoendoscopic Approach

Omar M. Ghanem, Barham K. Abu Dayyeh, Todd A. Kellogg

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Introduction: Gastropleural fistula (GPF) is a serious complication after bariatric surgery. Multiple treatment modalities including pharmacologic, endoscopic, and revisional surgery have been proposed. We present a case of a GPF managed successfully with a laparoendoscopic approach utilizing a fistula plug. Methods: A 43-year-old male patient presented with a GPF after a revisional bariatric surgery. A laparoendoscopic approach including lysis of adhesions, identification of the fistula, plugging the fistula with a BioGore A® fistula plug, placement an enteric stent, placement of a feeding tube, and surgical drainage was performed. The multimedia video illustrates the technique used. Results: Postoperatively, upper gastrointestinal (UGI) imaging showed no evidence of leak. The enteric stent was removed after 2 months after verifying complete healing of the fistula. Conclusion: A laparoendoscopic approach to GPF repair with the use of fistula plug is effective, safe, and feasible.

Original languageEnglish (US)
Pages (from-to)1-5
Number of pages5
JournalObesity Surgery
DOIs
StateAccepted/In press - Aug 7 2017

Keywords

  • Bariatric surgery
  • Endoscopy
  • Gastropleural fistula
  • Laparoendoscopy
  • Laparoscopy

ASJC Scopus subject areas

  • Surgery
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

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