Journal of Metabolic and Bariatric Surgery  2016;5(1):41-43

Case Report: Gastrobronchial Fistula after Sleeve Gastrectomy: Treated by Laparoscopic Proximal Gastrectomy with Double Tract Reconstruction.

Dong Jin PARK 1 ; Ki Hyun KIM ; Young Suk PARK ; Sang Hoon AHN ; Do Joong PARK ; Hyung Ho KIM

Affiliations

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Keywords

Laparoscopic sleeve gstrectomy; Bronchogastric fistula; Laparoscopic proximal gastrectomy

Country

Republic of Korea

Language

Korean

Abstract

Laparoscopic sleeve gastrectomy is one of the most popular procedure for the treatment of morbid obesity. Postoperative bronchogastric fistula is very rare and difficult to manage. This complication requires multiple radiological, endoscopic, and surgical procedures. We report here the case of a 28 years old foreign woman who underwent laparoscopic sleeve gastrectomy for morbid obesity in her contury. She complained of a cough with fever and was diagnosed a postoperative bronchogastric fistula. After failure of conservative treatment, she wanted to treat at our hospital. First of all, we inserted a stent for the fistula, however, it failed to treatment. And then, we performed a thoracoscopic segmentectomy and laparoscopic proximal gastrectomy with double tract reconstruction.