Baltasar Aniceto, Bou Rafael, Bengochea Marcelo, Serra Carlos, Cipagauta Luis
The Surgical Service, Virgen de los Lirios Hospital, Alcoy, Alicante, Spain.
Obes Surg. 2007 Oct;17(10):1408-10. doi: 10.1007/s11695-007-9222-z.
Laparoscopic sleeve gastrectomy (LSG) can be complicated, in the early postoperative course, by an esophagogastric junction (EGJ) leak with very serious consequences. A 48-year-old woman developed an EGJ leak 3 days after LSG surgery and was treated with conservative measures. Finally, 6 weeks after the original surgery, a Roux limb was brought to the EGJ and anastomosed side-to-end to the fistula. At the beginning, the Roux limb was the only functioning outlet and finally, 2 months later, both pathways (the gastric sleeve and the Roux-en-Y) are patent at 3 months after surgery. The Roux limb resolved a dangerous EGJ leak after a LSG.
腹腔镜袖状胃切除术（LSG）在术后早期可能会出现并发症，即食管胃交界（EGJ）漏，后果非常严重。一名48岁女性在LSG手术后3天发生EGJ漏，并接受了保守治疗。最终，在初次手术后6周，将一段Roux袢提至EGJ并与瘘管进行端侧吻合。起初，Roux袢是唯一发挥功能的出口，最终，2个月后，两条通路（胃袖状部和Roux-en-Y）在术后3个月均保持通畅。一段Roux袢解决了LSG术后危险的EGJ漏。
