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Management of gastro-colic fistula after laparoscopic sleeve gastrectomy
Aparna Govil Bhasker1, Hind Khalifa, Amit Sood
1Center for obesity and digestive surgery, Mumbai, India; Bariatric and metabolic section of the Institute of Minimally Invasive Surgical Sciences and Research Centery, Saifee Hospital, Mumbai.
Abstract:
Laparoscopic sleeve gastrectomy (LSG) is the most common bariatric procedure performed in Asia. Staple-line leaks post LSG are notoriously difficult to treat. Here we report a case of a gastro-colic fistula after a post-LSG leak. While reperforming laparoscopy and/or stenting remain the mainstay of early leak management, chronic complications such as a gastro-colic fistula are rare and require a tailor-made approach. Stenting alone has a limited role in managing chronic fistulas after LSG.
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