Midhat Abu Sneineh1*, Hasan Kais2
1 Hasharon campus, Rabin medical center, israel
2 Shamir medical center, israel
*Corresponding author: Midhat Abu Sneineh, Hasharon campus, Rabin medical center, israel.
Received: January 28, 2021
Accepted: February 01, 2021
Published: February 11, 2021
Citation: Midhat Abu Sneineh, Hasan Kais (2021) Gastro-gastric Fistula: A Rare Complication for One Anastomosis Gastric Bypass. Clinical Case Reports and Clinical Study, 2(2) ; DOI: 10.61148/2766-8614/JCCRCS/015
Copyright: : © 2021 Midhat Abu Sneineh, This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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History
A 68-year-old patient was referred to our institution electively (OAGB/MGB). In 2016, he underwent a laparoscopic (OAGB/MGB) (preoperative body mass index (BMI) was 41). . 8-months later, he presented to us with sudden upper abdominal pain, normal blood tests.CT was done that revealed free peritoneal air . He underwent a laparoscopic omentopexy for perforated ulcer at the anterior wall of the anastomosis. 7-months later, he had slight abdominal pain and heartburn that were partially responding to proton pump inhibitors. Gastroscopy was done and revealed gastro-gastric fistula.
The patient BMI now is 27 static for 6 months.
Discussion
The incidence of long-term bile reflux after OAGB/MGB has been reported to range from 0.4 to 4% [3, 4, 5, 6, 7, 8,].
Musella et al. and Carbajo and colleagues reported that all patients in their series were managed conservatively and none required surgical intervention for bile reflux [ 7, 8]. Other authors reported several patients requiring revisional surgeries for bile reflux. Noun and colleagues reported that 0.4% of their patients required conversion to RYGB for bile reflux while Bruzzi et al. reported a 1.6% conversion rate to RNY for bile reflux [5,].
Gastro-gastric fistula after primary MGB was never reported in the literature ,abdelrahman reported Gastro-gastric fistula after conversion operation from LASG to MGB
Conclusion
Gastro-gastric fistula is an unusual etiology of bile reflux after primary OAGB/MGB that was rarely reported in the literature.
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