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. Dionigi
Ultimo
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 spleen
bariatric surgery
Settore MED/18 - Chirurgia Generale
2017
https://austinpublishinggroup.com/annals-surgery/fulltext/aspc-v2-id1026.php
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/992588
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