Obesity Surgery

, Volume 13, Issue 3, pp 457–459 | Cite as

Excellent Weight Result after Roux-en-Y Gastric Bypass in Spite of Gastro-Gastric Fistula

  • Sven Gustavsson
  • Magnus Sundbom
Article

A male patient (age 37 years, BMI 38 kg/m2) underwent a revisional gastric bypass after failed gastric banding. Unfortunately he developed a leak from the proximal pouch and subsequently a gastro-gastric fistula between the pouch and the main stomach. He recovered fully and could eat and drink without any restriction. Repeat examination with x-ray and endoscopy revealed that the fistula remained widely open. Remarkably, the patient lost weight to a BMI of 27 kg/m2 (ie. lost 80% of his original excess body weight), thus challenging the widely held opinion that gastro-gastric fistulas inevitably lead to poor weight loss. In our patient the weight loss was stable for 2 years, when the fistula was closed surgically to avoid chronic proton pump inhibitor medication for stomal ulcer.

MORBID OBESITY BARIATRIC SURGERY GASTRIC BYPASS GASTRIC BANDING GASTRO-GASTRIC FISTULA ROUX-LIMB LEAKAGE STOMAL ULCER 

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Copyright information

© Springer 2003

Authors and Affiliations

  • Sven Gustavsson
    • Magnus Sundbom

    There are no affiliations available

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