Skip to main content
SpringerLink
Log in

Case Report: Combined Laparoscopic Gastric Pouch Resizing with Fistula Resection and Distalization of the Roux Limb for a Patient with Weight Regain and a Gastro-Gastric Fistula After Roux-en-Y Gastric Bypass

  • Letter to the Editor
  • Published:
Obesity Surgery Aims and scope Submit manuscript

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

References

  1. Chahine E, Kassir R, Dirani M, et al. Surgical management of gastrogastric fistula after Roux-en-Y gastric bypass: 10-year experience. Obes Surg. 2018;28(4):939–44. https://www.ncbi.nlm.nih.gov/pubmed/28983751

    Article  Google Scholar 

  2. Tucker ON, Szomstein S, Rosenthal RJ. Surgical management of gastro-gastric fistula after divided laparoscopic Roux-en-Y gastric bypass for morbid obesity. J Gastrointest Surg. 2007;11(12):1673–9. https://www.ncbi.nlm.nih.gov/pubmed/17912592

    Article  CAS  Google Scholar 

  3. Dolan RD, Bazarbashi AN, Jirapinyo P, et al. Test characteristics of abdominal computed tomography for the diagnosis of gastro-gastric fistula in patients with Roux-en-Y gastric bypass. Obes Surg. 2021;31(6):2471–6. https://www.ncbi.nlm.nih.gov/pubmed/33619691

    Article  Google Scholar 

  4. Hamed H, Ali MA, Naiem YE. Types, safety, and efficacy of limb distalization for inadequate weight loss after Roux-en-y Gastric Bypass: A systematic review and meta analysis with a call for standardized terminology. Ann Surg. 2021;274(2):271-80. https://www.ncbi.nlm.nih.gov/pubmed/32941271

  5. Shin RD, Goldberg MB, Shafran AS, et al. Revision of Roux-en-Y gastric bypass with limb distalization for inadequate weight loss or weight regain. Obes Surg. 2019;29(3):811–8. https://www.ncbi.nlm.nih.gov/pubmed/30560312

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of General Surgery, Department of Surgery, Taichung Armed Forces General Hospital, Taichung, Taiwan

    Wan-Ting Hung

  2. Division of General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan

    Wan-Ting Hung, Fang-Chin Hsu, Hsin-Mei Pan, Guo-Shiou Liao, Teng-Wei Chen, De-Chuan Chan & Kuo-Feng Hsu

  3. Department of General Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan

    Fang-Chin Hsu & Hsin-Mei Pan

Authors
  1. Wan-Ting Hung
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Fang-Chin Hsu
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Hsin-Mei Pan
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Guo-Shiou Liao
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Teng-Wei Chen
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. De-Chuan Chan
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Kuo-Feng Hsu
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Kuo-Feng Hsu.

Ethics declarations

Ethics Approval

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.

Informed Consent

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

Conflict of Interest

The authors declare no competing interests.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Key Points

1. Gastro-gastric fistula (GGF) is a rare complication in laparoscopic divided Roux-en-Y gastric bypass (RYGB).

2. GGF can lead to weight regain, poor weight loss, or marginal ulcers.

3. We report a practical approach of combined laparoscopic gastric pouch resizing with fistula resection and distalization of the bypass in a patient with a GGF and weight regain after RYGB.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Hung, WT., Hsu, FC., Pan, HM. et al. Case Report: Combined Laparoscopic Gastric Pouch Resizing with Fistula Resection and Distalization of the Roux Limb for a Patient with Weight Regain and a Gastro-Gastric Fistula After Roux-en-Y Gastric Bypass. OBES SURG 32, 189–191 (2022). https://doi.org/10.1007/s11695-021-05595-4

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11695-021-05595-4

Search

Navigation