Gastro-gastric Fistula: Late Complication After Roux-en-Y Gastric Bypass

Introduction Gastro-gastric fistula is a rare complication after divided Roux-en-Y gastric by-pass. Video Content 52-year-old male with a BMI over 49 who underwent divided Roux-en-Y gastric by-pass presented with weight regain 2 years later and a type 2 gastro-gastric fistula. Laparoscopic revision, excision of the fistula with re-do of gastrojejunal anastomosis and remnant gastrectomy, was performed Conclusion Laparoscopic resolution is a technical challenge in this case due to the local inflammatory environment.

Automated summary

This article presents a case of complications of gastro-gastric fistula treated with laparoscopic resolution. The presence of a local inflammatory environment posed a technical challenge.