977 endoscopic vacuum therapy for esophageal post-megastent perforation.

We report a case of a 55 years-old female patient who underwent a sleeve gastrectomy due to class III obesity. She had a past medical history of a kidney transplant due to end-stage chronic kidney disease. Seven days after surgery after the bariatric procedure, the drain output increased suddenly and after ingestion of methylene blue, we could identify bluish output, suggesting gastric fistula. The patient was clinically stable so we decided for conservative treatment. We promptly put the patient on broad-spectrum antibiotics and NPO and referred her to Endoscopy unit for stent placement.

Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Vitor O. Brunaldi, Daniel Riccioppo, Diogo T. de Moura, Mauricio K. Minata, Fl ávio Hiroshi A. Morita, Rodrigo S. Rocha, Galileu F. Farias, Marco Aurélio Santo, Eduardo G. de Moura Tags: Oral abstract Source Type: research