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Late Gastropleural Fistula after the Management of Laparoscopic Sleeve Gastrectomy Leakage

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Abstract

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.

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Acknowledgments

We would like to show our gratitude to the staff of the Laparoscopy Research Center and Obesity Clinic, Shiraz Mother and Child Hospital, who helped and assisted this research.

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Authors and Affiliations

  1. Laparoscopy research Center, Shiraz University of Medical Sciences, Shiraz, Iran

    Zahra Sobhani

  2. Department of Surgery, School of Medicine, Laparoscopy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

    Nader Moein Vaziri, Babak Hosseini, Masood Amini & Ali Karimi

  3. Laparascopy Research Center, Mother and Child Hospital Ghadir, Above gate Quran, First Town Gulshan, Shiraz, Iran

    Masood Amini

  4. Obesity Prevention and Treatment Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

    Maryam Setoodeh

Authors
  1. Zahra Sobhani
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  2. Nader Moein Vaziri
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  3. Babak Hosseini
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  4. Masood Amini
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  5. Maryam Setoodeh
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  6. Ali Karimi
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Correspondence to Masood Amini.

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A written informed consent was obtained from the patient presented in the study.

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Sobhani, Z., Moein Vaziri, N., Hosseini, B. et al. Late Gastropleural Fistula after the Management of Laparoscopic Sleeve Gastrectomy Leakage. OBES SURG 30, 3620–3623 (2020). https://doi.org/10.1007/s11695-020-04604-2

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  • DOI: https://doi.org/10.1007/s11695-020-04604-2

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