Successful treatment of gastrosplenic fistula after sleeve gastrectomy

Czech version

Authors: D. Toman ^1,2; A. Foltýs ^1,2; P. Ostruszka ^1,2; L. Tulinský ^1,2; L. Martínek ^1,2
Authors‘ workplace: Chirurgická klinika, Fakultní nemocnice Ostrava, Česká republika ¹; Lékařská fakulta, Ostravská univerzita, Ostrava, Česká republika ²
Published in: Rozhl. Chir., 2024, roč. 103, č. 1, s. 26-30.
doi: https://doi.org/10.33699/PIS.2024.103.1.26–30

Overview

Introduction: Laparoscopic sleeve gastrectomy (LSG) is one of the most performed bariatric procedures. But it is also associated with serious and potentially life-threatening staple line-related complications, such as stomach leak and bleeding.

Case report: The article describes a case of surgical treatment of an early fistula between the stomach and the spleen 3 weeks after LSG. We have focused our attention on the diagnosis and possible treatment options for this potentially life-threatening complication.

Conclusion: Efforts to reduce the frequency of leakage after LSG include a number of different measures. It is advisable to have expert knowledge not only in primary bariatric surgery, but also in the management of problems and reoperations in gastrointestinal surgery. An individualized approach and multidisciplinary teamwork are essential for successful therapy.

Keywords:

bariatric surgery – gastric fistula – revision surgery

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MUDr. Daniel Toman, Ph.D.
Chirurgická klinika, FN Ostrava
Ostrava-Poruba
e-mail: daniel.toman@fno.cz
ORCID: 0000-0002-6627-3162

Labels

Surgery Orthopaedics Trauma surgery

Bariatrics

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Single anastomosis sleeve ileal bypass a single anastomosis sleeve jejunal bypass in the surgical treatment of severe obesity

Gastric bypass − 10 years’ results

From adjustable gastric banding to Roux-en-Y gastric bypass – case report

Article was published in

Perspectives in Surgery

2024 Issue 1