title: Laparoscopic management of chronic pouch fistula after a leak following staple line dehiscence after laparoscopic revision of a dilated pouch following Roux-en-Y gastric bypass.
abstract: A super-obese male underwent laparoscopic gastric bypass. The gastric pouch dilated, with weight gain. The pouch was revised, followed by a leak, tracking through left diaphragm. Eventually, fistulotomy with debridement was necessary, followed by uneventful recovery.
authors.affiliation: The Bariatric Institute and Section of Minimally Invasive Surgery, Cleveland Clinic Florida, 2950 Cleveland Clinic Boulevard, Weston, FL 33331, USA.
authors.forename: Olga N
authors.initials: ON
authors.lastname: Tucker
authors.forename: Samuel
authors.initials: S
authors.lastname: Szomstein
authors.forename: Raul
authors.initials: R
authors.lastname: Rosenthal
mesh_terms: D000328:Adult; D004108:Dilatation, Pathologic / Q000209:etiology / Q000601:surgery; D015390:Gastric Bypass / Q000009:adverse effects*; D013271:Gastric Dilatation / Q000209:etiology / Q000601:surgery*; D005747:Gastric Fistula / Q000209:etiology / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D009767:Obesity, Morbid / Q000601:surgery*; D012086:Reoperation; D017792:Surgical Stapling / Q000009:adverse effects; D013529:Surgical Wound Dehiscence / Q000209:etiology / Q000601:surgery*