Esophagopericardial fistula: an unexpected dreaded complication of treatment of leak following revisional sleeve gastrectomy by endoscopic internal drainage
نویسندگان
چکیده
Esophagopericardial fistula (EPF) is an uncommon but life-threatening complication of upper gastrointestinal tract surgery or endoscopy, which is related to anastomotic breakdown, chronic infection or esophageal traumatism. We first describe the first case of an EPF secondary to double pigtail drain migration: an endoscopic internal approach for the treatment of leak following revisional sleeve gastrectomy.
منابع مشابه
Outcome of Leaks After Sleeve Gastrectomy Based on a New Algorithm Addressing Leak Size and Gastric Stenosis.
We welcomed with great interest the masterpiece of Nedelcu et al. [1] concerning the outcome of leaks after laparoscopic sleeve gastrectomy (LSG) based on a new algorithm addressing leak size and gastric stenosis. The article stressed the importance of adopting this new algorithm in order to standardize leak management, thus reducing the number of endoscopic procedures. We agree with the author...
متن کاملدرمان اندوسکوپیک نشت آناستوموز به دنبال گاسترکتومی اسلیو: گزارش مورد
Background and purpose: Bariatric surgeries are effective treatments for morbid obesity, among which sleeve gastrectomy (SG) has become more popular. One of the most serious complications of this method is anastomosis leak which is treated by reoperation or endotherapy. The use of clips is recently proposed as a safe and effective option for treatment of leaks following bariatric surgeries. Thi...
متن کاملComplication-chronic Sleeve Leak and Retained Stent
Background: Sleeve gastrectomy is emerging as a popular option in bariatric surgery. Sleeve leak is a known complication of this procedure and many propose the use of endoluminal stents in the management of sleeve leaks. Stents also carry their own set of risks and complications. Methods: This is a case of a patient who underwent a sleeve gastrectomy and developed a postoperative leak. An attem...
متن کاملPercutaneous Transesophageal Gastro-tubing: A New Treatment Strategy for Gastric Leakage after Sleeve Gastrectomy
The number of laparoscopic sleeve gastrectomy (LSG) performed worldwide is increasing continuously. Serious complications are relatively rare, but staple line leakage after LSG remains one of the most dreaded acute complications. Endoscopic treatments play a major role in treating sleeve leakage after initial surgical or percutaneous perigastric abscess control. Despite the high success rate of...
متن کاملTreatment of sleeve gastrectomy leak with an endoscopic stent.
Laparoscopic sleeve gastrectomy is used increasingly for obesity treatment. The most important complications of this procedure are bleeding and staple line leak. In this article, a 44-year-old female patient who developed a leak at the gastro-oesophageal junction following a revision laparoscopic sleeve gastrectomy is presented. The leak was recognized by computerized tomography and fluoroscopy...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 2017 شماره
صفحات -
تاریخ انتشار 2017