A628 Roux-en Y Fistulojejunostomy will be a best option for refractory post-sleeve gastric leak; Video report and literature review

Laparoscopic sleeve gastrectomy became the most common procedure during the last few years, due to its simplicity and efficacy compared to gastric bypass. However, complications related to the gastric staple line can be even more serious. In case of refractory chronic fistula, definite surgical option such as total gastrectomy or Roux-en Y fistulojejunostomy(RYFJ) might be considered. Although RYFJ has been done in a limited case, the procedure showed very promising results with good success rate and minimal invasiveness.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research