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Fistulojejunostomy for Chronic Fistula After Sleeve Gastrectomy

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Abstract

The most dreadful complication after sleeve gastrectomy (SG) is staple line leak. Its rate varies between 1 and 2%. With the development of interventional endoscopy, its treatment is currently fairly standardized and allows healing in the majority of cases without revisional surgery. However, if endoscopic treatment fails, surgical treatment becomes unavoidable. Fistulojejunostomy is a surgical option in the management of chronic fistula after SG. Laparoscopic fistulojejunostomy in a patient with chronic fistula after SG is difficult but feasible. This procedure allows complete healing and nutritional recovery in the case of failure of other endoscopic modalities.

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References

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Authors and Affiliations

  1. Department of Digestive, Oncologic and Bariatric Surgery, AP-HP, Hôpital Européen Georges Pompidou and UFR Paris Descartes, Université de Paris, 20 Rue Leblanc, 75015, Paris, France

    Tigran Poghosyan, Guillaume Levenson, Matthieu Bruzzi, Jean-Marc Chevallier & Richard Douard

  2. Department of Nutrition, AP-HP, Hôpital Européen Georges Pompidou and UFR Paris Descartes, Université de Paris, Paris, France

    Claire Rives-Lange & Sebastien Czernichow

Authors
  1. Tigran Poghosyan
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  2. Guillaume Levenson
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  3. Matthieu Bruzzi
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  4. Claire Rives-Lange
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  5. Sebastien Czernichow
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  6. Jean-Marc Chevallier
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  7. Richard Douard
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Corresponding author

Correspondence to Tigran Poghosyan.

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Poghosyan, T., Levenson, G., Bruzzi, M. et al. Fistulojejunostomy for Chronic Fistula After Sleeve Gastrectomy. OBES SURG 30, 3638–3639 (2020). https://doi.org/10.1007/s11695-020-04660-8

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  • DOI: https://doi.org/10.1007/s11695-020-04660-8

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