Letter to Editor: “Gastric Fistula after Laparoscopic Sleeve Gastrectomy: Don't Forget to Treat for Candida”

Positive peritoneal fluid fungal cultures in postoperative peritonitis after bariatric surgery

“…However, our fungal culture rates appeared to be higher than those reported in several studies of POP [9][10][11]. Only two studies in complicated BS have reported the presence of Candida in 31% to 37% of cases [4,12]. Postoperative changes in host microbiota could be proposed as a driving force for the emergence of Candida, as fungal colonization has been reported in the excluded and functional parts of the stomach of patients who have previously undergone gastric bypass surgery [13].…”

Cost-effectiveness analysis of stent type in endoscopic treatment of gastric leak after laparoscopic sleeve gastrectomy

“…Reoperation procedures for gastric leak have been described in detail elsewhere. In patients with an early‐onset gastric leak (POD 7 or earlier) that was poorly tolerated (low BP, severe clinical symptoms), open surgery consisted of sampling for bacteriological and yeast cultures, abdominal cavity washing, suturing of the leak orifice (if possible), drainage of the gastric leak (with 2 drains for postoperative irrigation and drainage) and insertion of a feeding jejunostomy. Laparoscopy was performed for early‐onset gastric leaks that were well tolerated (few clinical symptoms).…”

Persistent gastric fistula after sleeve gastrectomy: an analysis of the time between discovery and reoperation

“…Reoperation procedures for GL have been described in detail elsewhere [2]. In cases of early-onset (r POD 7), poorly tolerated GL, open surgery consisted of sample collection for bacteriologic and yeast cultures [21], washing of the abdominal cavity, suturing of the leak's orifice (if possible and depending on intraoperative local conditions), drainage of the GL (with 2 drains for postoperative irrigation and drainage), and implementation of feeding jejunostomy. For early-onset, well-tolerated GLs, laparoscopy was performed [22] ( QF1 Fig.…”