par Gkolfakis, Paraskevas;Bureau, Marc-Andre;Arvanitakis, Marianna 
;Devière, Jacques ;Blero, Daniel
Référence Gastrointestinal endoscopy clinics of North America, 55, 1, page (141-145)
Publication Publié, 2022-01
;Devière, Jacques ;Blero, Daniel Référence Gastrointestinal endoscopy clinics of North America, 55, 1, page (141-145)
Publication Publié, 2022-01
Article révisé par les pairs
| Résumé : | A 44-year-old woman underwent sleeve gastrectomy, which was complicated by a leak. She was treated with two sessions of endoscopic internal drainage using plastic double-pigtail stents. Her clinical evolution was favorable, but four months after the initial stent placement, she became symptomatic, and a gastrobronchial fistula with the proximal end of the stents invading the diaphragm was diagnosed. She was treated with antibiotics, plastic stents were removed, and a partially covered metallic esophageal stent was placed. Eleven weeks later, the esophageal stent was removed with no evidence of fistula. Inappropriate stent size, position, stenting duration, and persistence of low-grade inflammation could explain the patient's symptoms and provide a mechanism for gradual muscle rupture and fistula formation. Although endoscopic internal drainage is usually safe and effective for the management of post-laparoscopic sleeve gastrectomy leaks, close clinical and radiological follow-up is mandatory. |
