title: Management of gastro-colic fistula after laparoscopic sleeve gastrectomy.
abstract: Laparoscopic sleeve gastrectomy (LSG) is the most common bariatric procedure performed in Asia. Staple-line leaks post LSG are notoriously difficult to treat. Here we report a case of a gastro-colic fistula after a post-LSG leak. While reperforming laparoscopy and/or stenting remain the mainstay of early leak management, chronic complications such as a gastro-colic fistula are rare and require a tailor-made approach. Stenting alone has a limited role in managing chronic fistulas after LSG.
authors.affiliation: Center for obesity and digestive surgery, Mumbai, India; Bariatric and metabolic section of the Institute of Minimally Invasive Surgical Sciences and Research Centery, Saifee Hospital, Mumbai.
authors.forename: Aparna Govil
authors.initials: AG
authors.lastname: Bhasker
authors.forename: Hind
authors.initials: H
authors.lastname: Khalifa
authors.forename: Amit
authors.initials: A
authors.lastname: Sood
authors.forename: Muffazal
authors.initials: M
authors.lastname: Lakdawala
mesh_terms: D000328:Adult; D057868:Anastomotic Leak / Q000601:surgery; D003108:Colonic Diseases / Q000209:etiology / Q000601:surgery*; D005260:Female; D005743:Gastrectomy / Q000379:methods; D005747:Gastric Fistula / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods; D009765:Obesity / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery*
keywords: Gastro-colic fistula; laparoscopic sleeve gastrectomy; leak