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Laparoscopic Roux-en-Y Fistulo-Jejunostomy for a Chronic Gastric Leak After Sleeve Gastrectomy

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References

  1. Chouillard E, Chahine E, Schoucair N, et al. Roux-en-Y fistulo-jejunostomy as a salvage procedure in patients with post-sleeve gastrectomy fistula. Surg Endosc. 2014;28(6):1954–60. https://doi.org/10.1007/s00464-014-3424-y. Epub 2014 Feb 25

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  2. Taleb S, Nedelcu M, Skalli M, et al. The evolution of surgical treatment for chronic leak following sleeve. Surg Obes Relat Dis. 2021;17(2):278–83. https://doi.org/10.1016/j.soard.2020.10.008. Epub 2020 Oct 13

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Author notes

  1. Maud Robert and Arnaud Pasquer contributed equally to this work.

Authors and Affiliations

  1. Department of Digestive Surgery, Center of Bariatric Surgery, Hopital Edouard Herriot, Hospices Civils de Lyon, F69437, Lyon, France

    Maud Robert & Arnaud Pasquer

  2. Fédération Hospitalo-Universitaire DO-IT, Centre Intégré et Spécialisé de L’Obésité de Lyon, CRNH-RA, Hospices Civils de Lyon, Lyon, France

    Maud Robert

  3. Pavillon D, Chirurgie digestive, Hôpital Edouard Herriot, 69437, Lyon Cedex 03, France

    Arnaud Pasquer

Authors
  1. Maud Robert
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  2. Arnaud Pasquer
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Corresponding author

Correspondence to Arnaud Pasquer.

Ethics declarations

Author Maud Robert and author Arnaud Pasquer have no conflict of interest.

Informed consent was obtained from all individual participants included in the study.

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Key Points

Chronic gastric leaks are difficult to manage with risks of subphrenic abscess that can lead to a gastrobronchial fistula (1)

Patients are often young, still obese with comorbidities

The radical treatment with a total gastrectomy is at high risk of complications

A conservative surgical treatment consisting in a fistulo-jejunostomy seems a very interesting option, with lower risks of severe surgical complications and potentially less side effects in the long term (2)

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Robert, M., Pasquer, A. Laparoscopic Roux-en-Y Fistulo-Jejunostomy for a Chronic Gastric Leak After Sleeve Gastrectomy. OBES SURG 31, 5100–5101 (2021). https://doi.org/10.1007/s11695-021-05599-0

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  • DOI: https://doi.org/10.1007/s11695-021-05599-0

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