A woman with cough: gastrobronchial fistula as a delayed complication of bariatric surgery. Case report and literature review

Greenberg, Sofiya; Kanth, Nalini; Kanth, Anil

doi:10.1016/j.ajem.2013.11.022

Cited by 7 publications

(9 citation statements)

References 8 publications

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“…Complications of GBFs include (recurrent) pulmonary infections, lung suppurations and, by extension, respiratory failure and septic shock 11 12 17 18. Pulmonary sepsis is the most common cause of death 19. In this report, the patient initially presented with pulmonary sepsis.…”

Section: Discussionmentioning

confidence: 80%

“…Measurement of bronchial secretion pH only has diagnostic value in case of inappropriately low pH and absence of gastric content aspiration 20. Methylene blue swallow studies represent a less convenient diagnostic modality as they often only give indirect evidence of the presence of GBF 19…”

Section: Discussionmentioning

confidence: 99%

“…Supportive measures consist of a nil-per-os regimen, nasogastric decompression, gastric acid suppression and broad antibiotic coverage. In the specific circumstances of GBFs, conservative management is seldom feasible 19. To date, only five cases with conservative management, although with variable success, have been reported 2 12 17 18 21 22…”

Section: Discussionmentioning

confidence: 99%

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Benign gastrobronchial fistula following oesophagectomy in a patient presenting with respiratory failure

et al. 2019

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Benign gastrobronchial fistula (GBF) is a rare but potentially life-threatening complication of oesophagectomy for malignancy. We present a case of GBF post Ivor-Lewis surgery manifesting as pulmonary sepsis and type II respiratory failure. Clues to the diagnosis were persistent hypercapnia despite high minute ventilation, aspiration of gastric content through the endotracheal tube and accumulation of air in the nasogastric drainage bag. Flexible bronchoscopy confirmed the diagnosis. Surgical exploration identified necrosis of the proximal stomach as causative factor. Despite reconstruction of the oesophagogastric anastomosis and interposition of an intercostal muscle flap, the patient developed a new episode of type II respiratory failure. Bronchoscopy revealed in situ recurrence of the fistula. Patency of the fistula was proven through application of methylene blue with subsequent gastroscopy. A conservative, symptom-based, management was conducted. The patient died 6 hours later.

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Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Benign gastrobronchial fistula following oesophagectomy in a patient presenting with respiratory failure

et al. 2019

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“…Hernias likely cause these fistulas due to repeated sliding of the stomach creating an ulcer that allows for erosion into the lung tissue [1,5]. Lastly, postsurgical changes from dissection or staples can cause ischemic changes that create an environment for fistula formation [6][7][8].…”

Section: Discussionmentioning

confidence: 99%

“…Due to the variability of clinical presentations, diagnosis is challenging and must include a high index of suspicion. At present, the diagnosis has revolved around three modalities: barium swallow (fluoroscopy or CT), bronchoscopy, and EGD [1,5,6,10,11].…”

Section: Discussionmentioning

confidence: 99%

Gastrobronchial Fistula after Robotic Repair of Traumatic Diaphragmatic Hernia

Tung

Lucero

Davis

et al. 2020

Case Reports in Surgery

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Gastrobronchial fistulas are a rare occurrence in the literature. We report a case of a gastrobronchial fistula after robotic repair of a chronic traumatic diaphragmatic hernia. The patient had severe respiratory symptoms with multiple studies that were inconclusive. The fistula was ultimately discovered after an esophagogastroduodenoscopy (EGD). The patient underwent a left thoracotomy for takedown of his fistula and eventually recovered. Earlier EGD and a lower threshold for differential that included this diagnosis would have led to an earlier identification and treatment of a rare disease process.

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The impact of pregnancy on postoperative outcomes among obese women who underwent bariatric surgery: A systematic review and meta-analysis

Yang

Zhou

Chen

et al. 2020

European Journal of Obstetrics & Gynecology and Reproductiv

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A woman with cough: gastrobronchial fistula as a delayed complication of bariatric surgery. Case report and literature review

Cited by 7 publications

References 8 publications

Benign gastrobronchial fistula following oesophagectomy in a patient presenting with respiratory failure

Benign gastrobronchial fistula following oesophagectomy in a patient presenting with respiratory failure

Gastrobronchial Fistula after Robotic Repair of Traumatic Diaphragmatic Hernia

The impact of pregnancy on postoperative outcomes among obese women who underwent bariatric surgery: A systematic review and meta-analysis

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