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Treatment of Gastrogastric Fistula after Roux-en-Y Gastric Bypass: Surgery Combined with Gastroscopy |
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| Authors: | Wilson Salgado Júnior Caroline Kalfa Pitanga Carla Nonino Borges José Ernesto dos Santos José Luiz Pimenta Módena Reginaldo Ceneviva |
| Affiliation: | 1.Department of Surgery and Anatomy,Faculty of Medicine of Ribeir?o Preto – University of S?o Paulo,Ribeir?o Preto,Brazil;2.Department of Internal Medicine, Nutrology Division,Faculty of Medicine of Ribeir?o Preto – University of S?o Paulo,Ribeir?o Preto,Brazil;3.Ribeir?o Preto,Brazil |
| Abstract: | A 53-year-old male who had previously undergone an open gastric bypass (Capella-Fobi) developed a gastrogastric fistula during the late postoperative course. Because he regained weight and had a stomal ulcer difficult to control, it was decided to submit him to revisional surgery. At laparotomy, a retrogastric approach plus gastroscopy permitted easy identification and closure of the fistula. The patient is doing well and losing weight after this reoperation. |
| Keywords: | Morbid obesity bariatric surgery Roux-en-Y gastric bypass gastrogastric fistula stomal ulcer reoperation endoscopy |
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