The Arab Journal of Interventional Radiology

IR SNAPSHOT
Year
: 2019  |  Volume : 3  |  Issue : 2  |  Page : 71-

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


Latefa Ahmed Alareek, Mohammed T Alshammari, Saud M Al-Ghamdi 
 Department of Radiology, Security Forces Hospital Program, Riyadh, Saudi Arabia

Correspondence Address:
Latefa Ahmed Alareek
P.O. Box 10247, Riyadh 11433
Saudi Arabia




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;3:71-71


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 Sep 19 ];3:71-71
Available from: http://www.arabjir.com/text.asp?2019/3/2/71/263065


Full Text



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}{Figure 2}{Figure 3}

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.