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Year : 2019  |  Volume : 3  |  Issue : 2  |  Page : 71

Gastropleural fistula post sleeve gastrectomy treated by gastric stent under fluoroscopy guidance


Department of Radiology, Security Forces Hospital Program, Riyadh, Saudi Arabia

Date of Web Publication19-Jul-2019

Correspondence Address:
Latefa Ahmed Alareek
P.O. Box 10247, Riyadh 11433
Saudi Arabia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/AJIR.AJIR_32_18

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How to cite this article:
Alareek LA, Alshammari MT, Al-Ghamdi SM. Gastropleural fistula post sleeve gastrectomy treated by gastric stent under fluoroscopy guidance. Arab J Intervent Radiol 2019;3:71

How to cite this URL:
Alareek LA, Alshammari MT, Al-Ghamdi SM. Gastropleural fistula post sleeve gastrectomy treated by gastric stent under fluoroscopy guidance. Arab J Intervent Radiol [serial online] 2019 [cited 2019 Aug 18];3:71. Available from: http://www.arabjir.com/text.asp?2019/3/2/71/263065



Gastropleural fistula (GPF) is a rare, yet serious pathological communication between the stomach and pleural cavity. Here, we report a case of GPF as a complication of bariatric sleeve gastrectomy treated with a covered stent.

A 40-year-old female presented 1 month following laparoscopic sleeve gastrectomy with fever, abdominal pain, and chronic nonspecific respiratory symptoms, including cough and shortness of breath.

Under general anesthesia and via transoral approach, esophagography confirmed the presence of left GPF [Figure 1]. A dedicated gastric self-expandable covered stent Niti-S™ (Taewoong Medical, Gyeonggi-Do, South Korea) was deployed to isolate the fistula [Figure 2]. The stent was removed 6 weeks later and esophagography showed no leakage [Figure 3].
Figure 1: Fluoroscopic image showing contrast leakage from the stomach into the left pleural cavity

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Figure 2: Fluoroscopic image poststent deployment demonstrating full coverage of the leaking site

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Figure 3: Follow-up esophagography poststent removal showed the absence of the fistulous tract

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Management of GPF often requires surgical interventions such as en bloc resection of the fistula, subtotal gastrectomy, and Roux-en-Y esophagojejunostomy reconstruction. This case shows successful healing of GPF using a covered stent after 6 weeks of dwell time.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.




    Figures

  [Figure 1], [Figure 2], [Figure 3]



 

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