Surgical Treatment of Gastric Fistula

August 05, 2015 7:45 pm

Chronic gastric leak or gastric fistula after Sleeve Gastrectomy or Duodenal Switch can be treated with a Roux En Y limb. This does not mean mean conversion to Roux En Y Gastric Bypass but use Roux En Y limb to drain the fistula.  In the case of a Duodenal Switch the Roux En Y limb could be taken from the biliopancreatic limb. The following are links to articles that describe this method of treatment. The early use of Roux limb as surgical treatment for proximal post sleeve gastrectomy leaks 2014 Roux-En-Y Fistulo-Jejunostomy as a salvage procedure in patients with post–sleeve gastrectomy fistula 2014 Use of Roux limb as remedial surgery for sleeve gastrectomy fistulas 2008