Abstract
Revisional bariatric surgery is growing in numbers. It is indicated in patients who have weight regain and insufficient weight loss or suffer from complications from the primary bariatric surgery. Complication rates are higher for revision compared to those for primary bariatric surgery. We report a case of a patient who suffered from gastropleural fistula after revisional Roux-En-Y gastric bypass. The patient underwent open chest tube insertion and radiologically placed chest drains which failed to control the leak. Subsequently, the patient underwent video-assisted thoracic surgery and debridement of the pleural cavity. The patient’s clinical condition improved after surgery and upper gastrointestinal studies 3 weeks after surgery showed the leak had sealed off. Gastropleural fistula is an uncommon complication after revision bariatric surgery. Principles of management include early recognition, aggressive sepsis management, and multi-modal therapy.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Sjöström L (2013) Review of the key results from the Swedish Obese Subjects (SOS) trial - a prospective controlled intervention study of bariatric surgery. J Intern Med 273:219–234
Qiu J, Lundberg PW, Javier Birriel T, Claros L, Stoltzfus J, el Chaar M (2018) Revisional bariatric surgery for weight regain and refractory complications in a single MBSAQIP accredited center: what are we dealing with? Obes Surg 28:2789–95 (Available from: https://pubmed.ncbi.nlm.nih.gov/29679337/)
Fulton C, Sheppard C, Birch D, Karmali S, de Gara C (2017) A comparison of revisional and primary bariatric surgery. Can J Surg 60:205 (Canadian Medical Association. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5453764/)
Saliba C, Nicolas G, Diab S, Joudi I, Tayar C (2019) Gastrobronchial fistula following a laparoscopic sleeve gastrectomy. Am J Case Rep 20:31 (International Scientific Information, Inc. Available from: pmc/articles/PMC6335978/)
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
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.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Ahmed, S., Slater, G. Case Report on Successful Management of Gastropleural Fistula After Revisional Roux-En-Y Gastric Bypass. Indian J Surg (2023). https://doi.org/10.1007/s12262-023-03704-4
Received:
Accepted:
Published:
DOI: https://doi.org/10.1007/s12262-023-03704-4