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Obesity Surgery
Published in: Obesity Surgery 10/2015

01-10-2015 | Review Article

Gastrobronchial Fistula in Sleeve Gastrectomy and Roux-en-Y Gastric Bypass—A Systematic Review

Authors: Lyz Bezerra Silva, Rena C. Moon, Andre F. Teixeira, Muhammad A. Jawad, Álvaro Antônio Bandeira Ferraz, Manoel Galvão Neto, Almino Cardoso Ramos, Josemberg Marins Campos

Published in: Obesity Surgery | Issue 10/2015

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Abstract

Gastrobronchial fistula (GBF) is a rare surgical complication after bariatric surgery. We aimed to identify the clinical aspects of GBF and establish diagnostic and treatment strategies. A literature search was conducted in December 2013, in the PubMed electronic database. Eleven studies were selected, comprising a total of 36 patients. Most patients presented with a gastric leak prior to the diagnosis of GBF. Mean period until diagnosis was 7.2 months, and main presenting symptoms were productive cough (n = 13) and subphrenic abscess (n = 12). Endoscopic treatment was successful in 18 out of 20 patients, with minimal complication. Surgical treatment was successful in 17 cases with significant complications. GBF can be effectively treated with both endoscopic and surgical approach; however, surgical treatment can be associated with more complication.
Literature
1.
Aurora AR, Khaitan L, Saber AA. Sleeve gastrectomy and the risk of leak: a systematic analysis of 4,888 patients. Surg Endosc. 2012;26:1509–15.CrossRefPubMed
2.
Morales MP, Miedema BW, Scott JS, et al. Management of postsurgical leaks in the bariatric patient. Gastrointest Endosc Clin N Am. 2011;21:295–304.CrossRefPubMed
3.
Gaensler EH, Jeffrey Jr RB, Noonan CD. Gastrobronchial fistula: an unusual complication of Nissen fundoplication. Gastrointest Radiol. 1988;13:6–8.CrossRefPubMed
4.
Jha PK, Deiraniya AK, Keeling-Roberts CS, et al. Gastrobronchial fistula—a recent series. Interact Cardiovasc Thorac Surg. 2003;2:6–8.CrossRefPubMed
5.
Miwa K, Takamori S, Hayashi A, et al. Gastrobronchial fistula after esophagectomy. Eur J Cardiothorac Surg. 2004;25:460.CrossRefPubMed
6.
Stal JM, Hanly PJ, Darling GE. Gastrobronchial fistula: an unusual complication of esophagectomy. Ann Thorac Surg. 1994;58:886–7.CrossRefPubMed
7.
Jeganathan R, Pore N, Clements WD. Gastrobronchial fistula—a complication of splenectomy. Ulster Med J. 2004;73:126–8.PubMedCentralPubMed
8.
Campos JM, Pereira EF, Evangelista LF, et al. Gastrobronchial fistula after sleeve gastrectomy and gastric bypass: endoscopic management and prevention. Obes Surg. 2011;21:1520–9.CrossRefPubMed
9.
Campos JM, Siqueira LT, Ferraz AA, et al. Gastrobronchial fistula after obesity surgery. J Am Coll Surg. 2007;204:711.CrossRefPubMed
10.
Campos JM, Siqueira LT, Meira MR, et al. Gastrobronchial fistula as a rare complication of gastroplasty for obesity: a report of two cases. J Bras Pneumol. 2007;33:475–9.CrossRefPubMed
11.
Chin PL. Gastrobronchial fistula as a complication of a laparoscopic adjustable gastric banding. Surg Obes Relat Dis. 2008;4:671–3.CrossRefPubMed
12.
Li YD, Li MH, Han XW, et al. Gastrotracheal and gastrobronchial fistulas: management with covered expandable metallic stents. J Vasc Interv Radiol. 2006;17:1649–56.CrossRefPubMed
13.
Serra C, Baltasar A, Perez N, et al. Total gastrectomy for complications of the duodenal switch, with reversal. Obes Surg. 2006;16:1082–6.CrossRefPubMed
14.
Fuks D, Dumont F, Berna P, et al. Case report-complex management of a postoperative bronchogastric fistula after laparoscopic sleeve gastrectomy. Obes Surg. 2009;19:261–4.CrossRefPubMed
15.
Sakran N, Assalia A, Keidar A, et al. Gastrobronchial fistula as a complication of bariatric surgery: a series of 6 cases. Obes Facts. 2012;5:538–45.CrossRefPubMed
16.
Rebibo L, Dhahri A, Berna P, et al. Management of gastrobronchial fistula after laparoscopic sleeve gastrectomy. Surg Obes Relat Dis. 2014;10:460–7.CrossRefPubMed
17.
Albanopoulos K, Tsamis D, Leandros E. Gastrobronchial fistula as a late complication of sleeve gastrectomy. Surg Obes Relat Dis. 2013;9:e97–9.CrossRefPubMed
18.
19.
Besada B, Beraun B, Castillo-Angeles M, et al. Gastrobronchial fistula post sleeve gastrectomy. Rev Gastroenterol Peru. 2013;33:157–61.
20.
Abraham A, Virdi RP, Rajan D et al. Gastrobronchial fistula following laparoscopic sleeve gastrectomy. BMJ Case Rep 2012;2012.
21.
Sinna R, De Dominicis F, Quassemyar Q, et al. Diaphragmatic reconstruction using combined reversed extended latissimus dorsi and serratus anterior fascia flaps. Ann Thorac Surg. 2011;91:922–4.CrossRefPubMed
22.
Serra C, Baltasar A, Andreo L, et al. Treatment of gastric leaks with coated self-expanding stents after sleeve gastrectomy. Obes Surg. 2007;17:866–72.CrossRefPubMed
23.
Moeller DD, Carpenter PR. Gastrobronchial fistula: case report and review of the English literature. Am J Gastroenterol. 1985;80:538–41.PubMed
24.
25.
Moon RC, Shah N, Teixeira AF, Jawad MA. Management of staple line leaks following sleeve gastrectomy. Surg Obes Relat Dis. 2015;11:54–9.CrossRefPubMed
26.
Lalor PF, Tucker ON, Szomstein S, Rosenthal RJ. Complications after laparoscopic sleeve gastrectomy. Surg Obes Relat Dis. 2008;4:33–8.CrossRefPubMed
Metadata
Title
Gastrobronchial Fistula in Sleeve Gastrectomy and Roux-en-Y Gastric Bypass—A Systematic Review
Authors
Lyz Bezerra Silva
Rena C. Moon
Andre F. Teixeira
Muhammad A. Jawad
Álvaro Antônio Bandeira Ferraz
Manoel Galvão Neto
Almino Cardoso Ramos
Josemberg Marins Campos
Publication date
01-10-2015
Publisher
Springer US
Published in
Obesity Surgery / Issue 10/2015
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-015-1822-4

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