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

[img] PDF
12784.pdf - Accepted Version
Restricted to Repository staff only until 21 October 2021.
Available under License Creative Commons Attribution Non-commercial No Derivatives.

Download (221kB)

Search Google Scholar


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.

Item Type: Article
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
Divisions: Faculty of Health Sciences and Wellbeing > School of Nursing and Health Sciences
SWORD Depositor: Publication Router
Depositing User: Publication Router
Date Deposited: 12 Jan 2021 17:21
Last Modified: 14 Jan 2021 11:45
ORCID for Nasser Sakran: ORCID iD
ORCID for Yitka Graham: ORCID iD

Actions (login required)

View Item View Item


Downloads per month over past year