Gastrobronchial fistula following laparoscopic sleeve gastrectomy

Albin Abraham, Ravi Paul Singh Virdi, Dhyan Rajan, Jaspreet Singh, Paul Mustacchia, Javed Iqbal, Kaleem Rizvon

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

Acquired fistulas between the tracheobronchial tree and the gastrointestinal tract are rare but serious complications of laparoscopic sleeve gastrectomies with significant morbidity and mortality. With the rising popularity and widespread acceptance of bariatric surgery techniques, the occurrence of gastrobronchial fistulas is being increasingly recognised. We present the case of a 26-year-old woman who underwent laparoscopic sleeve gastrectomy for morbid obesity and presented later with a history of chronic productive cough. Upper gastrointestinal series showed the presence of a communicating fistula between the stomach and the lung, with extravasation of contrast into the lung. The aim of this paper is to highlight the importance of considering the diagnosis of a gastrobronchial fistula in cases of persistent respiratory infections in the postoperative period following bariatric surgery and to review its incidence, clinical manifestations and treatment.

Original languageEnglish (US)
JournalBMJ case reports
DOIs
StatePublished - 2012
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

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