Treatment of gastrogastric fistula after Roux-en-Y gastric bypass: surgery combined with gastroscopy.
A 53-year-old male who had previously undergone an open gastric bypass (Capella-Fobi) developed a gastrogastric fistula during the late postoperative course. Because he regained weight and had a stomal ulcer difficult to control, it was decided to submit him to revisional surgery. At laparotomy, a retrogastric approach plus gastroscopy permitted easy identification and closure of the fistula. The patient is doing well and losing weight after this reoperation.
Júnior
Wilson Salgado
WS
Department of Surgery and Anatomy, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto-SP, Brazil. vpsalgado@netsite.com.br
Pitanga
Caroline Kalfa
CK
Borges
Carla Nonino
CN
dos Santos
José Ernesto
JE
Módena
José Luiz Pimenta
JL
Ceneviva
Reginaldo
R
D015390:Gastric Bypass / Q000009:adverse effects*; D005747:Gastric Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D005773:Gastroscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D012086:Reoperation