Gastropleural fistula (GPF) is a rare pathological communication between the stomach and pleura. It may complicate sleeve gastrectomy (SG). An endoscopic application of OTSC can be used to manage GPF.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7981667PMC
http://dx.doi.org/10.1002/ccr3.3639DOI Listing

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Article Synopsis
  • Metabolic and bariatric surgery (MBS) is the top treatment for obesity, with laparoscopic sleeve gastrectomy (SG) being the most popular due to its ease and positive short-term results.* -
  • Despite these benefits, SG can lead to rare but serious complications such as splenic injuries, esophageal perforation, and other issues that surgeons may not be familiar with.* -
  • This review highlights the importance of recognizing and managing these rare complications after SG, emphasizing the need for education and resources for healthcare professionals.*
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Gastropleural fistulas are rare complications with significant mortality and morbidity. There are limited reports on the successful management of gastropleural fistulas with advanced endoscopic procedures. The following case of a 75-year-old woman with a history of recurrent pseudomyxoma peritonei secondary to ruptured low-grade appendiceal mucinous neoplasm status post cytoreductive surgery highlights the successful treatment of a gastropleural fistula with endoscopic suturing.

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Our objective was to assess the safety and efficacy of 3 tubes with or without covered esophageal stent placement for the management of gastro-mediastinal or gastro-pleural fistula. We retrospectively assessed the clinical data of 31 consecutive patients with gastro-mediastinal or gastro-pleural fistula treated by using a noninvasive treatment from February 2013 to July 2022. Patients received 3 tubes (jejunal feeding tube, gastrointestinal drainage tube and abscess drainage tube) with or without esophageal-covered stent placement.

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Key Clinical Message: Although gastro-pleural fistulas after bariatric surgeries are rare, they are life-threatening complications that should be suspected in patients who present with gastrointestinal or respiratory symptoms after bariatric surgery.

Abstract: Previous studies showed an incidence rate of 0.2%-0.

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