[Gastrobronchial fistula post sleeve gastrectomy]

Area of Science:

• Bariatric Surgery
• Gastroenterology
• Surgical Complications

Background:

• A 35-year-old female with morbid obesity (BMI 45) presented with a gastrobronchial fistula following a sleeve gastrectomy.
• Initial endoscopic treatments for the fistula were unsuccessful, necessitating further intervention.

Observation:

• The gastrobronchial fistula persisted despite endoscopic management.
• The patient's condition required a more definitive surgical solution.

Findings:

• A total resection of the gastric remnant was performed.
• A successful Roux-en-Y reconstruction was completed following the resection.

Implications:

• This case demonstrates the efficacy of gastric remnant resection and Roux-en-Y reconstruction for managing refractory gastrobronchial fistulas post-sleeve gastrectomy.
• This surgical strategy offers a viable option for complex cases where endoscopic interventions fail.