Abstract
Gastric banding was a common procedure over the last decades, but, because of its poor results in weight loss and frequent complications, it has been avoided. A rare complication of this surgical technique is the formation of a gastro-gastric fistula. The authors report a case of an obese woman who underwent gastric banding, and, due to the onset of epigastric discomfort and sporadic vomiting, the band was removed. The patient persisted with the symptoms, and a gastro-gastric fistula was diagnosed. Our surgical approach was a laparoscopic Roux-en-Y gastric bypass with ligation of the fistula since the patient still had a body mass index of 37 kg/m2. Gastro-gastric fistula after gastric banding is a rare complication, and its diagnosis can be a challenge.There is no consensus on what surgical technique to use, but a laparoscopic Roux-en-Y gastric bypass with ligation of the fistula is a safe procedure if done by an experienced surgeon.
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References
Waidner U, Henne-Bruns D, Wolf AM (2007) Gastro-gastric fistula between pouch and fundus following gastric banding and bypass. Obes Surg 17(1):108–111. https://doi.org/10.1007/s11695-007-9015-4
Allen JW (2007) Laparoscopic gastric band complications. Med Clin North Am 91(3):485–497. https://doi.org/10.1007/s11695-007-9015-4
Chahine E, Kassir R, Dirani M, Joumaa S, Debs T, Chouillard E (2018) Surgical management of gastrogastric fistula after Roux-en-Y gastric bypass: 10-year experience. Obes Surg 28(4):939–944. https://doi.org/10.1007/s11695-017-2949-2
Brac B, Rebibo L, Lemouel JP, Regimbeau JM (2016) Laparoscopic treatment of a large gastric pouch following gastric band slippage. Obes Surg 26(12):3084–3085. https://doi.org/10.1007/s11695-016-2388-5
Ribeiro-Parenti L, De Courville G, Daikha A, Arapis K, Chosidow D, Marmuse JP (2017) Classification, surgical management and outcomes of patients with gastrogastric fistula after Roux-En-Y gastric bypass. Surg Obes Relat Dis 13(2):243–248. https://doi.org/10.1016/j.soard.2016.09.027
Corcelles R, Jamal MH, Daigle CR, Rogula T, Brethauer SA, Schauer PR (2015) Surgical management of gastrogastric fistula. Surg Obes Relat Dis 11(6):1227–1232. https://doi.org/10.1016/j.soard.2015.03.004
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Pavão, T.C., Simão, R., Nora, M. et al. Gastro-gastric Fistula: a Rare Complication of Gastric Banding. Indian J Surg (2021). https://doi.org/10.1007/s12262-021-03116-2
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DOI: https://doi.org/10.1007/s12262-021-03116-2