Using the endoscopic overstitching device and fully covered esophageal stents for closure of a gastropleural fistula and repair of a deformed gastric sleeve

Andrawes, Sherif; Douaihy, Youssef El

doi:10.1016/j.vgie.2017.02.003

Cited by 8 publications

(5 citation statements)

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“…Various endoscopic interventions have been used, including endoscopic clip stents, suturing, and fistula plug application. 7,9,10 Our patient was managed conservatively, and the fistula was closed endoscopically with an OTSC.…”

Section: Discussionmentioning

confidence: 99%

Pediatric gastropleural fistula, a complication of sleeve gastrectomy: Case report and brief review

albassam

Alzaid

Alotaibi

et al. 2021

Clinical Case Reports

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Section: Discussionmentioning

confidence: 99%

Pediatric gastropleural fistula, a complication of sleeve gastrectomy: Case report and brief review

albassam

Alzaid

Alotaibi

et al. 2021

Clinical Case Reports

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“…Until a communication between the gastric tract and the pleural cavity is complete, the time required for fistula formation and the emergence of the first symptoms may vary considerably, ranging from a period of two months up to thirteen years [11]. The clinical presentation is often insidious, and the main symptoms include temperature and dyspnea [15], productive cough and recurrent pneumonia [11]; chest pain and dry cough [16]; abdominal pain [17], and septic shock [18]. The suspicion, identification, and treatment of GPF is crucial to avoid serious complications for the patient.…”

Section: Discussionmentioning

confidence: 99%

Late Gastropleural Fistula Following Bariatric Surgery: Case Report

Leg

Fad

et al. 2021

Asp Biomed Clin Case Rep

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Although bariatric surgery procedures represent well-established methods for sustained weight loss worldwide, an important number of postoperative complications can be expected in both restrictive and mixed procedures. Gastropleural fistulas (GPF) represent an extremely rare life-threatening complication following bariatric surgery. Defined as a pathological communication between the gastric tract and the pleural cavity, the establishment of an appropriate and timely diagnosis may be quite challenging for physicians. We report on a case of a 33-year-old woman, who underwent a bariatric sleeve procedure, who presented several episodes of pneumonia in different occasions postoperatively with undiagnosed causes. Three years postoperatively the patient was hospitalized for a more detailed investigation and underwent video segmentectomy unsuccessfully. GPF was diagnosed following the observation of nutritional supplement escaping through the chest drain. The patient was initially treated with different endoscopic techniques (argon glow plasma, and endoscopic balloon dilatation) for the closure of the GPF, but despite all attempts, she eventually progressed to total gastrectomy. Bariatric surgery patients suffering from recurrent episodes of pneumonia should raise the alert for the possibility of GPF.

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“…Published approaches include endoscopic techniques for fistula occlusion (e.g. fistula clipping, argon coagulation, fibrin glue, mesh application) [ 2 , 6 , 7 ], direct laparoscopic repair [ 2 , 8 ], and open repair using either an abdominal [ 2 ] or thoracic approach [ 9 ]. Classically an open approach via laparotomy was preferred, with a thoracotomy in cases with high-volume thoracic contamination [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

Delayed gastropleural fistula: a rare cause of a persistent pleural effusion after blunt force trauma

Chan

Keogh

Aucharaz

et al. 2021

Journal of Surgical Case Reports

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A gastropleural fistula (GPF) is a rare pathological connection between the stomach and pleural cavity. Diagnosis and treatment are frequently delayed due to the lack of specific clinical, laboratory and radiological findings. We describe a case of a 53-year-old gentleman who presented to our institution with respiratory sepsis and a massive haemopneumothorax on imaging. Uniquely, he was discharged a week prior after a splenectomy for a traumatic fall. Gut flora in the pleural fluid and a subsequent positive dye test suggested an aero-digestive connection. Repeat imaging revealed a fistula between stomach and the left pleural cavity through a ruptured diaphragm. He underwent an open sleeve gastrectomy and primary repair of the diaphragm. This is the first GPF in literature presenting in such a fashion. Although rare, a persistent effusion with a history of blunt thoracoabdominal trauma may herald a GPF, which, if not diagnosed promptly, may result in significant morbidity.

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Using the endoscopic overstitching device and fully covered esophageal stents for closure of a gastropleural fistula and repair of a deformed gastric sleeve

Cited by 8 publications

References 0 publications

Pediatric gastropleural fistula, a complication of sleeve gastrectomy: Case report and brief review

Pediatric gastropleural fistula, a complication of sleeve gastrectomy: Case report and brief review

Late Gastropleural Fistula Following Bariatric Surgery: Case Report

Delayed gastropleural fistula: a rare cause of a persistent pleural effusion after blunt force trauma

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