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Case Reports
. 2007 Oct;17(10):1408-10.
doi: 10.1007/s11695-007-9222-z.

Use of a Roux limb to correct esophagogastric junction fistulas after sleeve gastrectomy

Aniceto Baltasar  1 , Rafael Bou, Marcelo Bengochea, Carlos Serra, Luis Cipagauta
Affiliations
Case Reports

Use of a Roux limb to correct esophagogastric junction fistulas after sleeve gastrectomy

Aniceto Baltasar et al. Obes Surg. 2007 Oct.

Abstract

Laparoscopic sleeve gastrectomy (LSG) can be complicated, in the early postoperative course, by an esophagogastric junction (EGJ) leak with very serious consequences. A 48-year-old woman developed an EGJ leak 3 days after LSG surgery and was treated with conservative measures. Finally, 6 weeks after the original surgery, a Roux limb was brought to the EGJ and anastomosed side-to-end to the fistula. At the beginning, the Roux limb was the only functioning outlet and finally, 2 months later, both pathways (the gastric sleeve and the Roux-en-Y) are patent at 3 months after surgery. The Roux limb resolved a dangerous EGJ leak after a LSG.

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References

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    1. Obes Surg. 2006 Dec;16(12):1669-74 - PubMed
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