Work

Management of secondary fistulas following bariatric surgery using endoscopic vacuum-assisted closure

Year: 2025

Type: article

Abstract: Obesity significantly impacts individuals' quality of life. Bariatric surgery, including vertical sleeve gastrectomy and gastric bypass, is effective for long-term weight loss but has increased post-bariatric complications like fistulas. We treated three patients with post-bariatric complications. Cases included a gastropleural fistula secondary to vertical sleeve gastrectomy and an esophagojejunal fistula secondary to Roux-en-Y gastric bypass. Endoscopic vacuum-assisted closure (EVAC) was used, applying continuous negative pressure via a polyurethane sponge connected to suction. The EVAC technique effectively managed complex post-bariatric fistulas, facilitating closure and improving outcomes. Patient selection and technical expertise are crucial for optimizing EVAC results. This innovative approach offers a promising solution for post-bariatric complications, enhancing recovery and quality of life.

Source: Journal of Surgical Case Reports

DOI: 10.1093/jscr/rjaf176

Authors: Alberto Michel Macareno, Johanna Betzabe Cobos Román, Niurky De La Rosa Villa, Ariana Medina Estrada, Isaac Esparza Estrada

Language: English

Topic: Bariatric Surgery and Outcomes

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,000

OpenAlex ID: W4409033299

FWCI: 0.892

Cites: 9

Cited by: 1

Related to: 10