TY - JOUR
T1 - Gastric Fistula in the Chest After Sleeve Gastrectomy
T2 - a Systematic Review of Diagnostic and Treatment Options
AU - On behalf of the Global Bariatric Research Collaborative
AU - Sakran, Nasser
AU - Zakeri, Roxanna
AU - Madhok, Brijesh
AU - Graham, Yitka
AU - Parmar, Chetan
AU - Mahawar, Kamal
AU - Pouwels, Sjaak
N1 - Publisher Copyright:
© 2020, Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2021/1
Y1 - 2021/1
N2 - This study aimed to establish the optimal diagnostic and treatment algorithm for the management of gastric fistula in the chest (GFIC) after sleeve gastrectomy (SG) through a systematic review of published cases. A multi-database search was performed, which produced 1182 results, of which 26 studies were included in this systematic review. The initial presentation included subphrenic collections, leaks, or (recurrent) pneumonia with associated symptoms such as persistent cough, fever, and/or dyspnea. Computed tomography (CT) scan in combination with either upper gastrointestinal (UGI) series or an esophagogastroduodenoscopy (EGD) was used to adequately diagnose the fistulas. Initial treatment was either with clips and/or clips and stents that were placed endoscopically. When unsuccessful in the majority of the cases, the surgical treatment consisted of total gastrectomy and Roux-en-Y esophagojejunostomy in a laparoscopic or open fashion.
AB - This study aimed to establish the optimal diagnostic and treatment algorithm for the management of gastric fistula in the chest (GFIC) after sleeve gastrectomy (SG) through a systematic review of published cases. A multi-database search was performed, which produced 1182 results, of which 26 studies were included in this systematic review. The initial presentation included subphrenic collections, leaks, or (recurrent) pneumonia with associated symptoms such as persistent cough, fever, and/or dyspnea. Computed tomography (CT) scan in combination with either upper gastrointestinal (UGI) series or an esophagogastroduodenoscopy (EGD) was used to adequately diagnose the fistulas. Initial treatment was either with clips and/or clips and stents that were placed endoscopically. When unsuccessful in the majority of the cases, the surgical treatment consisted of total gastrectomy and Roux-en-Y esophagojejunostomy in a laparoscopic or open fashion.
KW - Bariatric surgery
KW - Gastro-bronchial fistula
KW - Gastro-pleural fistula
KW - Gastro-pulmonary fistula
KW - Sleeve gastrectomy
UR - http://www.scopus.com/inward/record.url?scp=85094644377&partnerID=8YFLogxK
U2 - 10.1007/s11695-020-05078-y
DO - 10.1007/s11695-020-05078-y
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C2 - 33123868
AN - SCOPUS:85094644377
SN - 0960-8923
VL - 31
SP - 357
EP - 369
JO - Obesity Surgery
JF - Obesity Surgery
IS - 1
ER -
