Close menu


Sunderland Repository records the research produced by the University of Sunderland including practice-based research and theses.

Gastric Fistula in the Chest After Sleeve Gastrectomy: a Systematic Review of Diagnostic and Treatment Options.

Sakran, Nasser, Zakeri, Roxanna, Madhok, Brijesh, Graham, Yitka, Parmar, Chetan, Mahawar, Kamal, Pouwels, Sjaak and On behalf of the Global Bariatric Research Collaborative, (2020) Gastric Fistula in the Chest After Sleeve Gastrectomy: a Systematic Review of Diagnostic and Treatment Options. Obesity surgery. ISSN 1708-0428

Item Type: Article


This study aimed to establish the optimal diagnostic and treatment algorithm for the management of gastric fistula in the chest (GFIC) after sleeve gastrectomy (SG) through a systematic review of published cases. A multi-database search was performed, which produced 1182 results, of which 26 studies were included in this systematic review. The initial presentation included subphrenic collections, leaks, or (recurrent) pneumonia with associated symptoms such as persistent cough, fever, and/or dyspnea. Computed tomography (CT) scan in combination with either upper gastrointestinal (UGI) series or an esophagogastroduodenoscopy (EGD) was used to adequately diagnose the fistulas. Initial treatment was either with clips and/or clips and stents that were placed endoscopically. When unsuccessful in the majority of the cases, the surgical treatment consisted of total gastrectomy and Roux-en-Y esophagojejunostomy in a laparoscopic or open fashion.

12784.pdf - Accepted Version
Available under License Creative Commons Attribution Non-commercial No Derivatives.

Download (221kB) | Preview

More Information

Additional Information: ** From PubMed via Jisc Publications Router ** History: received 07-07-2020; revised 15-10-2020; accepted 21-10-2020.
Uncontrolled Keywords: Bariatric surgery, Gastro-bronchial fistula, Gastro-pleural fistula, Gastro-pulmonary fistula, Sleeve gastrectomy
SWORD Depositor: Publication Router
Depositing User: Publication Router


Item ID: 12784
Identification Number:
ISSN: 1708-0428
Official URL:

Users with ORCIDS

ORCID for Nasser Sakran: ORCID iD
ORCID for Yitka Graham: ORCID iD

Catalogue record

Date Deposited: 12 Jan 2021 17:21
Last Modified: 29 Oct 2021 02:38


Author: Nasser Sakran ORCID iD
Author: Yitka Graham ORCID iD
Author: Roxanna Zakeri
Author: Brijesh Madhok
Author: Chetan Parmar
Author: Kamal Mahawar
Author: Sjaak Pouwels
Author: On behalf of the Global Bariatric Research Collaborative

University Divisions

Faculty of Health Sciences and Wellbeing > School of Nursing and Health Sciences

Actions (login required)

View Item View Item