Júnior Wilson Salgado, Pitanga Caroline Kalfa, Borges Carla Nonino, dos Santos José Ernesto, Módena José Luiz Pimenta, Ceneviva Reginaldo
Department of Surgery and Anatomy, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto-SP, Brazil.
Obes Surg. 2007 Jun;17(6):836-8. doi: 10.1007/s11695-007-9128-9.
A 53-year-old male who had previously undergone an open gastric bypass (Capella-Fobi) developed a gastrogastric fistula during the late postoperative course. Because he regained weight and had a stomal ulcer difficult to control, it was decided to submit him to revisional surgery. At laparotomy, a retrogastric approach plus gastroscopy permitted easy identification and closure of the fistula. The patient is doing well and losing weight after this reoperation.
一名53岁男性，此前接受过开放式胃旁路手术（卡佩拉-福比术式），术后晚期出现胃胃瘘。由于他体重回升且有难以控制的吻合口溃疡，决定对其进行翻修手术。剖腹手术时，采用胃后入路加胃镜检查可轻松识别并闭合瘘口。再次手术后，患者情况良好且体重减轻。
