CONVERTING A SLEEVE GASTRECTOMY INTO ROUX-EN-Y GASTRIC BYPASS AFTER GASTRIC FISTULA

  • Jorge Nogueiro Centro Hospitalar Universitário São João, Porto, Portugal http://orcid.org/0000-0002-0539-6003
  • Fábio Gomes Centro Hospitalar Universitário São João, Porto, Portugal http://orcid.org/0000-0003-4388-008X
  • Fernando Resende Centro Hospitalar Universitário São João, Porto, Portugal; Centro de Responsabilidade Integrado – Obesidade, Centro Hospitalar Universitário São João, Porto, Portugal http://orcid.org/0000-0003-2779-312X
  • André Pinho Centro Hospitalar Universitário São João, Porto, Portugal; Centro de Responsabilidade Integrado – Obesidade, Centro Hospitalar Universitário São João, Porto, Portugal http://orcid.org/0000-0002-8774-5771
  • Hugo Santos-Sousa Centro Hospitalar Universitário São João, Porto, Portugal; Centro de Responsabilidade Integrado – Obesidade, Centro Hospitalar Universitário São João, Porto, Portugal http://orcid.org/0000-0001-6176-5654
  • John Preto Centro Hospitalar Universitário São João, Porto, Portugal; Centro de Responsabilidade Integrado – Obesidade, Centro Hospitalar Universitário São João, Porto, Portugal http://orcid.org/0000-0002-8278-865X
  • Eduardo Lima da Costa Centro Hospitalar Universitário São João, Porto, Portugal; Centro de Responsabilidade Integrado – Obesidade, Centro Hospitalar Universitário São João, Porto, Portugal http://orcid.org/0009-0003-0813-3801

Abstract


Sleeve Gastrectomy (SG) is the most widely performed bariatric surgery worldwide. Despite being considered a relatively simple surgery compared with other metabolic choices, it has no negligible risk of postoperative complications.
Gastric fistulas are one of the most feared complications and the most consensual explanation is the increased intraluminal pressure because of any cause of gastric emptying impairment. Due to its complex nature and multifactorial origin, the treatment is challenging and usually involves clinical, endoscopic and surgical management.
To date, there is no consensus about the treatment or the ideal time for treating gastric fistulas after SG, but conversion to RYGB remains one of the options to solve this issue mainly as it can decrease the intraluminal pressure of the gastric tube. We aim to present a video of a laparoscopic conversion to RYGB in a patient with gastric fistula after SG.

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Published
2024-01-11
How to Cite
NOGUEIRO, Jorge et al. CONVERTING A SLEEVE GASTRECTOMY INTO ROUX-EN-Y GASTRIC BYPASS AFTER GASTRIC FISTULA. Revista Portuguesa de Cirurgia, [S.l.], n. 56, p. 97-98, jan. 2024. ISSN 2183-1165. Available at: <https://revista.spcir.com/index.php/spcir/article/view/1006>. Date accessed: 29 feb. 2024. doi: https://doi.org/10.34635/rpc.1006.
Section
Videos