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Management of Gastrointestinal Leaks and Fistula

  • Ninh T. Nguyen
  • Shaun C. DalyEmail author
Chapter
First Online:

Abstract

Bariatric operations involving gastrointestinal resection and/or reconstruction can be associated with gastrointestinal leaks and fistula. Common bariatric operations that can lead to development of gastrointestinal leaks include Roux-en-Y gastric bypass, sleeve gastrectomy, and the duodenal switch operation. Expeditious recognition and early institution of management for gastrointestinal leaks are keys to minimize the progression from systemic inflammatory response to eventual sepsis. Prompt management of gastrointestinal leak can also minimize the risk for development of a chronic fistula, which is often difficult to treat. This chapter reviews the etiologies of gastrointestinal leaks, common presenting signs and symptoms, diagnostic evaluation, and management of acute gastrointestinal leaks and chronic fistula.

Keywords

Sepsis Gastrointestinal leak Ischemia Toxicity Washout Stent 
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© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Surgery, Division of Gastrointestinal SurgeryUniversity of California, Irvine Medical CenterOrangeUSA

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