Gastropleural fistula after single anastomosis gastric bypass. A case report and review of the literature

Al-Shurafa, Haider A.; Alghamdi, Saleh A.; Albenmousa, Ali; Alolayan, Haifa; Al-Shurafa, Zahraa

doi:10.1016/j.ijscr.2017.03.035

Cited by 20 publications

(37 citation statements)

References 20 publications

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“…It has been found to be associated with chest-abdominal trauma or complications following operations involving the lungs, diaphragm or enteric organs such as lung resection or diaphragmatic hernia repair 15–17. In recent years, GPF from bariatric surgery-related complications in morbid obesity cases have become the most common cause of GPF in adults,18–20 while the main cause of this fistula in children is still from infection causes 21 22…”

Section: Discussionmentioning

confidence: 99%

Gastropleural fistula masquerading as chylothorax in a child with lymphoma

et al. 2019

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We report the case of an 8-year-old boy with diffuse large B cell lymphoma who developed a right-sided spontaneous pneumothorax with pleural effusion after recovery from septic shock. The pleural fluid was thought to be malignancy-associated chylothorax concomitant with complicated pleural effusion due to a milky-like appearance, a high level of triglycerides and Gram-negative bacteria staining in the fluid. He was put on total parental nutrition and octreotide for 2 weeks, but did not improve. The laboratory results also showed a persistent bacterial infection in the pleural fluid despite appropriate antibiotics. Eventually, a CT scan revealed a fistulous tract between the right pleural cavity and the stomach. Fistula repair was successful by right open thoracotomy with decortication. Even though the gastropleural fistula is a very rare condition in paediatric patients, the physician should consider this diagnosis in a patient who has an unusual presentation or refractory chylothorax-like pleural effusion.

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Section: Discussionmentioning

confidence: 99%

Gastropleural fistula masquerading as chylothorax in a child with lymphoma

et al. 2019

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“…The first case of gastropleural fistula was described by Markowttz and Herter in 1960 [5]. To date, multiple etiologies of gastropleural fistulas have been described in the literature; one of which is bariatric surgery [6, 7]. Sleeve gastrectomy has been particularly identified to be one of the causes accounting for the development of gastropleural fistulas [8].…”

Section: Discussionmentioning

confidence: 99%

Gastropleural Fistula as a Rare Complication of Gastric Sleeve Surgery: A Case Report and Comprehensive Literature Review

Alghanim

Alkhaibary

Alzakari

et al. 2018

Case Reports in Surgery

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Gastropleural fistula (GPF) is a rare, life-threatening complication of gastric sleeve surgery. GPF is an uncommon differential diagnosis to consider in a patient presenting with a picture of pneumonia. As such, GPF should be suspected in a patient with a history of nonresolving pneumonia who recently underwent gastric sleeve surgery. To the best of our knowledge, only eight cases of gastropleural fistulas after bariatric surgery have been reported in the literature. Herein, we report a case of gastropleural fistula after gastric sleeve surgery and review the pertinent literature. A gastropleural fistula is an exceedingly rare and life-threatening complication postbariatric surgery. Nonsurgical conservative management (total parenteral nutrition, percutaneous drainage, and antibiotics with endoscopic stenting) can be considered.

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“…Bariatric surgery, especially sleeve gastrectomy, may lead to rare but extremely severe pulmonary complications 9 . Early complications, like atelectasis or pulmonary embolism, are more common 10 .…”

Section: Discussionmentioning

confidence: 99%

“…Late complications, as in the case presented, including gastro-bronchial or gastro-pleural fi stulas, are described after sleeve gastrectomy 2,3 . Oesophageal-pleural fi stula implies the existence of a pathological communication between oesophagus and pleural cavity, and it usually leads to life-threatening complications 9 . Th e exact mechanism for these fi stulae's appearance is not clear, but it is believed to be related with some postoperative leaks, which lead to local abscesses formation and creation of a pathological tract between oesophagus/stomach and pleural cavity or a bronchus 9 .…”

Section: Discussionmentioning

confidence: 99%

“…It revealed the favourable evolution of lung parenchyma lesions, bilateral bronchopneumonia, interlobular septal thickening, right pleural eff usion, the persistence of pericarditis, the oesophageal stent in normal position, the appearance of a paraoesophageal collection of 2.5/2 cm, two mediastinal collections of whom an endoscopic closure using human fi brin and endoscopic clip was performed 12 . However, most of these patients were in need for further surgical intervention because, after few months, the conservative management was not enough for fi stula closure, and the symptoms reappeared 9 . For our patient, a fully covered self-expandable metal stent was placed, under endoscopic guidance, to cover the oesophageal mucosal defect.…”

Section: Case Reportmentioning

confidence: 99%

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The Labyrinth Behind an Acute Respiratory Failure

Ţigliş¹,

Hurmuzache²,

Bologa³

et al. 2018

Rev. Med. Mod.

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Introduction: Acute hypoxemic respiratory failure may have different causes. Case presentation: We present the case of a 42-year-old woman, with history of recent thyroidectomy and a late history of sleeve gastrectomy, who presented for acute dyspnoea. The chest X-ray revealed hydropneumothorax, and, therefore, an intercostals chest tube drainage was inserted. The evolution was unfavourable, with further respiratory status deterioration. A computed tomography of the thorax and abdomen was performed, that revealed a dilated thoracic oesophagus and stenosis of the esophagogastric junction, with lack of substance in the oesophageal wall and extravasation of oesophageal content in the posterior mediastinum, due to an oesophageal pleural fi stula. An oesophageal stent was inserted under endoscopic guidance and the patient underwent minim-invasive surgical interventions for evacuation of the mediastinal and pleural collections, with a favourable evolution. Conclusions: Acute respiratory failure can be the face of multiple conditions, some of these can be life threatening and in need for rapid detection and treatment.

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Gastropleural fistula after single anastomosis gastric bypass. A case report and review of the literature

Cited by 20 publications

References 20 publications

Gastropleural fistula masquerading as chylothorax in a child with lymphoma

Gastropleural fistula masquerading as chylothorax in a child with lymphoma

Gastropleural Fistula as a Rare Complication of Gastric Sleeve Surgery: A Case Report and Comprehensive Literature Review

The Labyrinth Behind an Acute Respiratory Failure

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