Abstract

BAPTISTE-CASTILLO, Henry Francisco; PARRA-ZULUAGA, Ricardo; NINO-ANDRADE, Freud  and  RODRIGUEZ-SANCHEZ, Stefanía. Surgical management of a gastropleural fistula after gastric sleeve. rev. colomb. cir. [online]. 2021, vol.36, n.4, pp.712-718.  Epub Feb 18, 2022. ISSN 2011-7582.  https://doi.org/10.30944/20117582.771.

This is a clinical case of a 30-year-old patient, who underwent a laparoscopic gastric sleeve procedure in March 2014, who presented, at the third and fourth years of the initial procedure, two episodes of massive hemoptysis, with failure in the second embolization therapy, requiring a lower left pulmonary lobectomy. On the second day of this postoperative period, the nutrition material came out through the chest tubes, establishing the diagnosis of gastro-pleural fistula. Due to failure of conservative management, she underwent laparoscopic surgical resection of the fistula, with proximal gastrectomy and Roux-en-Y reconstruction. Regarding our experience with this patient, this article discusses the management strategies for a gastropleural fistula, proposed in the literature to date.

Keywords : bariatric surgery; gastrectomy; laparoscopy; minimally invasive surgical procedures; postoperative complications; gastric fistula; pleura.

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