Published in:
28-06-2022 | Endoscopy | Multimedia Article
Multiple Endoscopic Therapies for Treatment of Chronic Post-bariatric Surgery Gastropleural Fistula
Authors:
Alexandre Moraes Bestetti, Mateus Bond Boghossian, Bruno Salomão Hirsch, Thomas R. McCarty, Marco Aurélio Santo, Eduardo Guimarães Hourneaux de Moura, Diogo Turiani Hourneaux de Moura
Published in:
Obesity Surgery
|
Issue 9/2022
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Excerpt
The development of a gastropleural fistula after laparoscopic sleeve gastrectomy (LSG) is a severe complication after bariatric surgery and may occur in 0.2 to 0.4% of cases. Revisional surgery is challenging and associated with higher rates of morbidity as compared to primary surgery [
1]. As such, nowadays, alternative endoscopic approaches may be considered the first-line strategy [
2]. Current endoscopic approaches for chronic fistulas are less effective compared to acute leaks with unsuccessful closure in up to 20% of patients, with multiple endoscopic procedures typically required, including therapy directed at fistula-related factors such as downstream sleeve stenosis [
2‐
5]. In this video, we describe multiple endoscopic techniques to achieve successful closure of a chronic post-LSG gastropleural fistula. …
