Gastrobronchial fistula as a rare complication of gastroplasty for obesity: a report of two cases.
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.
Campos
Josemberg Marins
JM
Universidade Federal de Pernambuco, Recife, PE, Brasil. berg@elogica.com.br
Siqueira
Luciana Teixeira de
LT
Meira
Marconi Roberto de Lemos
MR
Ferraz
Alvaro Antônio Bandeira
AA
Ferraz
Edmundo Machado
EM
Guimarães
Murilo José de Barros
MJ
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
D015718:Fibrin Tissue Adhesive