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- W2034170135 abstract "La gastrectomie longitudinale est une intervention validée en chirurgie bariatrique. La complication postopératoire la plus grave est la fistule gastrique. En cas d’échec de la prise en charge chirurgicale, certaines fistules deviennent chroniques et sont traitées par des procédures endoscopiques (endoprothèse, clips, colle biologique). Un traitement chirurgical radical à type de gastrectomie totale est indiqué après échec du traitement endoscopique interventionnel bien conduit. Cette réintervention est effectuée dans des conditions difficiles et les séquelles fonctionnelles ne sont pas négligeables. Une alternative à la gastrectomie totale est la réalisation d’une anastomose de l’orifice fistuleux sur une anse montée en Y. Nous rapportons le cas d’une patiente traitée par cette technique pour une fistule gastrique chronique. Sleeve gastrectomy, a new restrictive bariatric procedure, is being performed with increasing frequency for the treatment of morbid obesity. The most serious complication after this procedure is gastric fistula. If the fistula cannot be corrected with re-operative closure, conservative management of chronic gastric fistula includes external drainage, endoprosthesis, and fibrin glue tract obliteration. If these lesser approaches fail to control the fistula, total gastrectomy has been proposed as a radical surgical approach; this procedure is usually technically difficult and has significant functional consequences. Internal drainage of chronic gastric fistula by a Roux-en-Y gastrojejunostomy has been proposed as an alternative to radical gastric resection. We report the case of a patient successfully managed in this way." @default.
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- W2034170135 date "2010-02-01" @default.
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- W2034170135 title "Traitement d’une fistule chronique post-sleeve gastrectomie par une anse en Y" @default.
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- W2034170135 doi "https://doi.org/10.1016/j.jchirv.2010.02.007" @default.
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