A 42-year-old, BMI 42kg/m2 female, suffering from arterious hypertension underwent laparoscopic sleeve gastrectomy. Intraoperative indocyanine-green enhanced fluorescence imaging showed proper vascularization of the gastric tube (Figure 1). A barium swallow on second postoperative day showed no leak or stenosis (Figure 2). A gastric fistula at the EGJ appeared 5 days after surgery. The patient presented fever, abdominal pain, dispnea, leukocytosis and high values of CRP. A thoraco-abdominal computed tomography (CT) scan with oral contrast detected a gastric leak just below the EGJ supplying a left sub diaphragmatic collection extended all over the spleen
Gastric Leak by Staple-Line Rupture after Sleeve Gastrectomy for Morbid Obesity / F. Frattini, M. Lavazza, R. Delpini, S. Rausei, G. Dionigi. - In: ANNALS OF SURGERY AND PERIOPERATIVE CARE. - ISSN 2573-5314. - 2:2(2017), pp. 1026.1-1026.2.
Gastric Leak by Staple-Line Rupture after Sleeve Gastrectomy for Morbid Obesity
G. DionigiUltimo
2017
Abstract
A 42-year-old, BMI 42kg/m2 female, suffering from arterious hypertension underwent laparoscopic sleeve gastrectomy. Intraoperative indocyanine-green enhanced fluorescence imaging showed proper vascularization of the gastric tube (Figure 1). A barium swallow on second postoperative day showed no leak or stenosis (Figure 2). A gastric fistula at the EGJ appeared 5 days after surgery. The patient presented fever, abdominal pain, dispnea, leukocytosis and high values of CRP. A thoraco-abdominal computed tomography (CT) scan with oral contrast detected a gastric leak just below the EGJ supplying a left sub diaphragmatic collection extended all over the spleenFile | Dimensione | Formato | |
---|---|---|---|
1.pdf
accesso aperto
Tipologia:
Publisher's version/PDF
Dimensione
3.28 MB
Formato
Adobe PDF
|
3.28 MB | Adobe PDF | Visualizza/Apri |
Pubblicazioni consigliate
I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.