Laparoscopic revision of Roux-En-Y gastric bypass for the treatment of a complex gastro-gastric fistula

Axel F Beskow, MD, Agustin Duro, MD, Roberto E Remolo, MD, Alfredo Amenabar, MD, Fernando G Wright, MD, Demetrio Cavadas, MD

Hospital Italiano de Buenos Aires

A gastro-gastric fistula is a relatively rare complication after a Roux-en-Y gastric bypass (RYGB) for morbid obesity. It generally presents with abdominal pain and weight gain. Its management usually requires a multidisciplinary approach, were interventional endoscopy and surgery are included. We present a laparoscopic resolution of a gastro-gastric fistula in an obese patient with a prior RYGB at another institution, who started with abdominal pain and weight regain 2 years after the surgery. Both endoscopic and laparoscopic treatment failed in the attempt of closing the fistula. We decided to perform a definitive surgical treatment by doing a laparoscopic revision with resection of the gastric remnant and re doing of the gastrojejunostomy. Laparoscopic revision surgery with remnant gastrectomy appears to be a safe and effective surgical procedure for patients with complex gastro-gastric fistulas after RYGB.

Session: Podium Presentation

Program Number: V030

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