TY - JOUR
T1 - A new approach for treatment of gastro-gastric fistula after gastric bypass
AU - Torres-Villalobos, Gonzalo
AU - Leslie, Daniel
AU - Kellogg, Todd
AU - Andrade, Rafael
AU - Maddaus, Michael
AU - Hunter, David
AU - Ikramuddin, Sayeed
N1 - Copyright:
Copyright 2009 Elsevier B.V., All rights reserved.
PY - 2007/2
Y1 - 2007/2
N2 - We report a novel technique for gastro-gastric fistula (GGF) repair. A 44-year-old woman was found to have a fistula between her gastric pouch and bypassed stomach 18 years after Roux-en-Y gastric bypass (RYGBP) for morbid obesity. She underwent an attempted open surgical repair, which was complicated by postoperative abdominal sepsis. An upper gastrointestinal series, abdominal CT scan and upper endoscopy confirmed the diagnosis of failed surgery with recurrent GGF. Under endoscopic and fluoroscopic guidance, two ports were inserted percutaneously into the stomach. The fistula was closed with a percutaneous, transgastric, totally extraperitoneal approach. She remains well 7 months after this intervention. This procedure appears to be a safe and effective minimally invasive approach for closure of GGF after RYGBP. This is the first description of an intragastric, percutaneous closure of a GGF after RYGBP in the medical literature. Further experience with this technique is needed to define the selection criteria, limitations, advantages, and disadvantages.
AB - We report a novel technique for gastro-gastric fistula (GGF) repair. A 44-year-old woman was found to have a fistula between her gastric pouch and bypassed stomach 18 years after Roux-en-Y gastric bypass (RYGBP) for morbid obesity. She underwent an attempted open surgical repair, which was complicated by postoperative abdominal sepsis. An upper gastrointestinal series, abdominal CT scan and upper endoscopy confirmed the diagnosis of failed surgery with recurrent GGF. Under endoscopic and fluoroscopic guidance, two ports were inserted percutaneously into the stomach. The fistula was closed with a percutaneous, transgastric, totally extraperitoneal approach. She remains well 7 months after this intervention. This procedure appears to be a safe and effective minimally invasive approach for closure of GGF after RYGBP. This is the first description of an intragastric, percutaneous closure of a GGF after RYGBP in the medical literature. Further experience with this technique is needed to define the selection criteria, limitations, advantages, and disadvantages.
KW - Endoluminal laparoscopy
KW - Gastric bypass
KW - Gastro-gastric fistula
KW - Intragastric
KW - Minimally invasive surgery
KW - Morbid obesity
KW - Percutaneous
KW - Transgastric surgery
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U2 - 10.1007/s11695-007-9028-z
DO - 10.1007/s11695-007-9028-z
M3 - Article
C2 - 17476879
AN - SCOPUS:34247511196
SN - 0960-8923
VL - 17
SP - 242
EP - 246
JO - Obesity Surgery
JF - Obesity Surgery
IS - 2
ER -
