A Gastrobronchial Fistula Secondary to Endoscopic Internal Drainage of a Post-Sleeve Gastrectomy Fluid Collection

被引:1
作者
Gkolfakis, Paraskevas [1 ]
Bureau, Marc-Andre [1 ]
Arvanitakis, Marianna [1 ]
Deviere, Jacques [1 ]
Blero, Daniel [1 ]
机构
[1] Univ Libre Bruxelles, Erasme Univ Hosp, Dept Gastroenterol Hepatopancreatol & Digest Onco, Route Lennik 808, B-1070 Brussels, Belgium
关键词
Bariatric endoscopy; Endoscopy complications; Endoscopic internal drainage; Gastrobronchial fistula; Sleeve gastrectomy; SURGERY; LEAKS;
D O I
10.5946/ce.2021.033
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
A 44-year-old woman underwent sleeve gastrectomy, which was complicated by a leak. She was treated with li,vo sessions of endoscopic internal drainage using plastic double-pigtail stents. Her clinical evolution was favorable, but four months alter the initial stein placement, she became symptomatic, and a gastrobronchial fistula with the proximal end of the stents invading the diaphragm was diagnosed. She was treated with antibiotics, plastic stents were removed, and a partially covered metallic esophageal stent was placed. Eleven weeks later, the esophageal stein was removed with no evidence of fistula. Inappropriate stent size, position, stenting duration, and persistence of low-grade inflammation could explain the patient's symptoms and provide a mechanism for gradual muscle rupture and fistula formation. Although endoscopic internal drainage is usually safe and effective for the management of post-laparoscopic sleeve gastrectomy leaks, close clinical and radiological follow-up is mandatory.
引用
收藏
页码:141 / 145
页数:5
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