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Gastro-gastric Fistula: Late Complication After Roux-en-Y Gastric Bypass
Javier Chinelli1, Graciela Hernández2, Gustavo Rodríguez2
1Corporación Médica de Canelones (COMECA), 1472, Mercedes St, Montevideo, PC 11200, Uruguay. jchinelli01@gmail.com.
Obesity Surgery
|May 13, 2022
Summary
Gastro-gastric fistula is a rare complication following Roux-en-Y gastric bypass surgery. This case highlights the challenges of laparoscopic revision for this condition due to inflammation.
Area of Science:
- Bariatric Surgery
- Surgical Complications
- Gastrointestinal Surgery
Background:
- Divided Roux-en-Y gastric bypass is a weight-loss surgery.
- Gastro-gastric fistula is an uncommon but serious complication.
Observation:
- A 52-year-old male with a BMI over 49 developed weight regain 2 years after gastric bypass.
- The patient presented with a type 2 gastro-gastric fistula.
Findings:
- Laparoscopic revision involved fistula excision, gastrojejunal anastomosis revision, and remnant gastrectomy.
- The surgical resolution was technically challenging due to the inflammatory environment.
Implications:
- Laparoscopic approaches can be complex for managing gastro-gastric fistulas.
- Effective management requires careful surgical planning in revisional bariatric procedures.
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