Late Gastropleural Fistula after the Management of Laparoscopic Sleeve Gastrectomy Leakage

被引：3

作者：

Sobhani, Zahra ^{[1
]}

Moein Vaziri, Nader ^{[2
]}

Hosseini, Babak ^{[2
]}

Amini, Masood ^{[2
,3
]}

Setoodeh, Maryam ^{[4
]}

Karimi, Ali ^{[2
]}

机构：

[1] Shiraz Univ Med Sci, Laparoscopy Res Ctr, Shiraz, Iran

[2] Shiraz Univ Med Sci, Laparoscopy Res Ctr, Sch Med, Dept Surg, Shiraz, Iran

[3] Mother & Child Hosp Ghadir, Laparascopy Res Ctr, First Town Gulshan, Shiraz, Iran

[4] Shiraz Univ Med Sci, Obes Prevent & Treatment Res Ctr, Shiraz, Iran

来源：

OBESITY SURGERY | 2020年 / 30卷 / 09期

关键词：

Gastropleural fistula; Leakage; Laparoscopic sleeve gastrectomy; BARIATRIC SURGERY; GASTRIC BYPASS; COMPLICATIONS; OBESITY;

D O I：

10.1007/s11695-020-04604-2

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

One of the rare but serious complications of laparoscopic sleeve gastrectomy (LSG) with significant morbidity and mortality is gastropleural fistula (GPF). Here, we present a 34-year-old woman who underwent LSG. Due to leakage in the proximal site of the stapler line and splenic artery erosion into the site of leakage after 1 month, splenectomy and drainage catheter insertion was done. Three months later, she presented with dyspnea, fever, and lung abscess, GPF was diagnosed, and Roux-en-Y fistulo-jejunostomy was done. After 10 days, her clinical condition improved, but the patient expired due to hemorrhagic cerebrovascular accident (CVA). Therefore, GPF along with other common complications should be seriously considered in patients developing post-LSG chronic respiratory symptoms.

引用

页码：3620 / 3623

页数：4

共 18 条

[1]

Al-Shurafa H, 2017, INT J SURG CASE REP, V35, P82, DOI 10.1016/j.ijscr.2017.03.035

[2] Gastropleural Fistula as a Rare Complication of Gastric Sleeve Surgery: A Case Report and Comprehensive Literature Review [J].