Acute perforation in a gastrojejunocolic fistula after a laparascopic Roux-en-Y gastric bypass: case report
Abstract Background Gastrojejunocolic fistulas are a rare type of fistulas after a laparascopic Roux-en-Y gastric bypass (LRYGB). They are known as a chronic complication. This case report is the first to describe an acute perforation in a gastrojejunocolic fistula after LRYGB. Case presentation A 6...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2023-03-01
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| Series: | Surgical Case Reports |
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| Online Access: | https://doi.org/10.1186/s40792-023-01620-z |
| _version_ | 1797863715606888448 |
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| author | Jos Velleman Benoit Masereel Paul Geyskens |
| author_facet | Jos Velleman Benoit Masereel Paul Geyskens |
| author_sort | Jos Velleman |
| collection | DOAJ |
| description | Abstract Background Gastrojejunocolic fistulas are a rare type of fistulas after a laparascopic Roux-en-Y gastric bypass (LRYGB). They are known as a chronic complication. This case report is the first to describe an acute perforation in a gastrojejunocolic fistula after LRYGB. Case presentation A 61-year-old woman with a history of a laparascopic gastric bypass was diagnosed with an acute perforation in a gastrojejunocolic fistula. A laparascopic repair was performed by closing the defect in the gastrojejunal anastomosis as well as the defect in the transverse colon. However, 6 weeks later, a dehiscence of the gastrojejunal anastomosis occured. This was reconstructed by an open revision of the gastric pouch and gastrojejunal anastomosis. Long-term follow up showed no recurrence. Conclusions Combining the findings of our case with other literature, a laparoscopic repair with wide resection of the fistula, a revision of the gastric pouch and gastrojejunal anastomosis as well as closing the defect in the colon seems to be the best approach in case of an acute perforation in a gastrojejunocolic fistula after LRYGB. |
| first_indexed | 2024-04-09T22:40:32Z |
| format | Article |
| id | doaj.art-7235ea4d860b4bbe9393d3c7f0f42c80 |
| institution | Directory Open Access Journal |
| issn | 2198-7793 |
| language | English |
| last_indexed | 2024-04-09T22:40:32Z |
| publishDate | 2023-03-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj.art-7235ea4d860b4bbe9393d3c7f0f42c802023-03-22T12:13:11ZengSpringerOpenSurgical Case Reports2198-77932023-03-01911410.1186/s40792-023-01620-zAcute perforation in a gastrojejunocolic fistula after a laparascopic Roux-en-Y gastric bypass: case reportJos Velleman0Benoit Masereel1Paul Geyskens2Department of Plastic, Reconstructive and Aesthetic Surgery, University Hospitals LeuvenDepartment of Abdominal Surgery, Sint-Trudo HospitalDepartment of Abdominal Surgery, Sint-Trudo HospitalAbstract Background Gastrojejunocolic fistulas are a rare type of fistulas after a laparascopic Roux-en-Y gastric bypass (LRYGB). They are known as a chronic complication. This case report is the first to describe an acute perforation in a gastrojejunocolic fistula after LRYGB. Case presentation A 61-year-old woman with a history of a laparascopic gastric bypass was diagnosed with an acute perforation in a gastrojejunocolic fistula. A laparascopic repair was performed by closing the defect in the gastrojejunal anastomosis as well as the defect in the transverse colon. However, 6 weeks later, a dehiscence of the gastrojejunal anastomosis occured. This was reconstructed by an open revision of the gastric pouch and gastrojejunal anastomosis. Long-term follow up showed no recurrence. Conclusions Combining the findings of our case with other literature, a laparoscopic repair with wide resection of the fistula, a revision of the gastric pouch and gastrojejunal anastomosis as well as closing the defect in the colon seems to be the best approach in case of an acute perforation in a gastrojejunocolic fistula after LRYGB.https://doi.org/10.1186/s40792-023-01620-zGastrojejunocolic fistulaAcute perforationLaparascopic Roux-en-Y gastric bypass |
| spellingShingle | Jos Velleman Benoit Masereel Paul Geyskens Acute perforation in a gastrojejunocolic fistula after a laparascopic Roux-en-Y gastric bypass: case report Surgical Case Reports Gastrojejunocolic fistula Acute perforation Laparascopic Roux-en-Y gastric bypass |
| title | Acute perforation in a gastrojejunocolic fistula after a laparascopic Roux-en-Y gastric bypass: case report |
| title_full | Acute perforation in a gastrojejunocolic fistula after a laparascopic Roux-en-Y gastric bypass: case report |
| title_fullStr | Acute perforation in a gastrojejunocolic fistula after a laparascopic Roux-en-Y gastric bypass: case report |
| title_full_unstemmed | Acute perforation in a gastrojejunocolic fistula after a laparascopic Roux-en-Y gastric bypass: case report |
| title_short | Acute perforation in a gastrojejunocolic fistula after a laparascopic Roux-en-Y gastric bypass: case report |
| title_sort | acute perforation in a gastrojejunocolic fistula after a laparascopic roux en y gastric bypass case report |
| topic | Gastrojejunocolic fistula Acute perforation Laparascopic Roux-en-Y gastric bypass |
| url | https://doi.org/10.1186/s40792-023-01620-z |
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