A woman with cough: gastrobronchial fistula as a delayed complication of bariatric surgery. Case report and literature review

Published:November 18, 2013DOI:
      Bariatric surgery has become the treatment of choice for morbid obesity. This case report aims to increase awareness of the emergency physician of a possible presentation of a gastrobronchial fistula after bariatric surgery. Similar presentation may occur after esophageal or other upper abdominal surgery. Appropriate studies for diagnosis are contrast-enhanced abdominal computed tomography and upper gastrointestinal studies.
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        • Devbhandari M.
        • Jain R.
        • Galloway S.
        • et al.
        Benign gastro-bronchial fistula—an uncommon complication of esophagectomy: case report.
        BMC Surg. 2005; 5: 16
        • Doumit M.
        Gastropulmonary fistula after bariatric surgery.
        Can J Gastroenterol. 2009; 23: 215-216
        • Campos J.M.
        • Pereira E.F.
        • Evangelista L.F.
        • Siquera L.F.
        • Neto M.G.
        • Dib V.
        • et al.
        Gastrobronchial fistula after sleeve gastrectomy and gastric bypass: endoscopic management and prevention.
        Obes Surg. 2011; 21: 1520-1529
        • Schauer P.
        • Ikramuddin S.
        • Gourash W.
        • et al.
        Outcomes after laparoscopic Roux-en-Y gastric bypass for morbid obesity.
        Ann Surg. 2000; 232: 515-529
        • Mehran A.
        • Ukleja A.
        • Szomstein S.
        • et al.
        Laparoscopic partial gastrectomy for the treatment of gastropleural fistula.
        JSLS. 2005; 9: 213-215
        • O'Keefe P.
        • Goldstraw P.
        Gastropleural fistula following pulmonary resection.
        Thorax. 1993; 48: 1278-1279
        • Markowitz A.
        • Herter F.
        Gastro-pleural fistula as a complication of esophageal hiatal hernia.
        Ann Surg. 1960; 152: 129-134
        • Jha P.K.
        • Deiraniya A.K.
        • Keeling-Roberts C.S.
        • et al.
        Gastrobronchial fistula—a recent series.
        Interact CardioVasc Thorac Surg. 2003; 2: 6-8
        • Campos J.M.
        • Siqueira L.T.
        • Meira M.R.
        • et al.
        Gastrobronchial fistula as a rare complication of gastroplasty for obesity: a report of two cases.
        J Bras Pneumol. 2007; 33: 475-479