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Use of a Roux Limb to Correct Esophagogastric Junction Fistulas after Sleeve Gastrectomy

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Laparoscopic sleeve gastrectomy (LSG) can be complicated, in the early postoperative course, by an esophagogastric junction (EGJ) leak with very serious consequences. A 48-year-old woman developed an EGJ leak 3 days after LSG surgery and was treated with conservative measures. Finally, 6 weeks after the original surgery, a Roux limb was brought to the EGJ and anastomosed side-to-end to the fistula. At the beginning, the Roux limb was the only functioning outlet and finally, 2 months later, both pathways (the gastric sleeve and the Roux-en-Y) are patent at 3 months after surgery. The Roux limb resolved a dangerous EGJ leak after a LSG.

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Authors and Affiliations

  1. The Surgical Service, “Virgen de los Lirios” Hospital, Alcoy, Alicante, Spain

    Aniceto Baltasar, Rafael Bou, Marcelo Bengochea, Carlos Serra & Luis Cipagauta

  2. Cid 61, 03803 - Alcoy, Alicante, Spain

    Aniceto Baltasar

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  1. Aniceto Baltasar
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  2. Rafael Bou
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  3. Marcelo Bengochea
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  4. Carlos Serra
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  5. Luis Cipagauta
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Correspondence to Aniceto Baltasar.

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Baltasar, A., Bou, R., Bengochea, M. et al. Use of a Roux Limb to Correct Esophagogastric Junction Fistulas after Sleeve Gastrectomy. OBES SURG 17, 1408–1410 (2007). https://doi.org/10.1007/s11695-007-9222-z

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  • DOI: https://doi.org/10.1007/s11695-007-9222-z

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