title: Gastrobronchial fistula as a rare complication of gastroplasty for obesity: a report of two cases.
abstract: Gastrobronchial fistula is a rare condition as a complication following bariatric surgery. The management of this condition requires the active participation of a pulmonologist, who should be familiar with aspects of the main types of bariatric surgery. Herein, we report the cases of two patients who presented recurrent subphrenic and lung abscess secondary to fistula at the angle of His for an average of 19.5 months. After relaparotomy was unsuccessful, cure was achieved by antibiotic therapy and, more importantly, by stenostomy and endoscopic dilatation, together with the use of clips and fibrin glue in the fistula. These pulmonary complications should not be treated in isolation without a gastrointestinal evaluation since this can result in worsening of the respiratory condition, thus making anesthetic management difficult during endoscopic procedures.
authors.affiliation: Universidade Federal de Pernambuco, Recife, PE, Brasil. berg@elogica.com.br
authors.forename: Josemberg Marins
authors.initials: JM
authors.lastname: Campos
authors.forename: Luciana Teixeira de
authors.initials: LT
authors.lastname: Siqueira
authors.forename: Marconi Roberto de Lemos
authors.initials: MR
authors.lastname: Meira
authors.forename: Alvaro Antônio Bandeira
authors.initials: AA
authors.lastname: Ferraz
authors.forename: Edmundo Machado
authors.initials: EM
authors.lastname: Ferraz
authors.forename: Murilo José de Barros
authors.initials: MJ
authors.lastname: Guimarães
mesh_terms: D000328:Adult; D001983:Bronchial Fistula / Q000209:etiology* / Q000628:therapy; D002404:Catheterization; D004724:Endoscopy; D005260:Female; D015718:Fibrin Tissue Adhesive; D005747:Gastric Fistula / Q000209:etiology* / Q000628:therapy; D015391:Gastroplasty / Q000009:adverse effects*; D006801:Humans; D008169:Lung Abscess / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D008297:Male; D009765:Obesity / Q000601:surgery*; D009767:Obesity, Morbid / Q000601:surgery; D011859:Radiography; D013536:Suture Techniques / Q000295:instrumentation
chemical_list: D015718:Fibrin Tissue Adhesive