A Thoracoabdominal Approach for Gastrobronchial Fistula Repair Post Complicated Laparoscopic Sleeve Gastrectomy (LSG) | Insight Medical Publishing

Laparoscopic sleeve gastrectomy (LSG) is a restrictive procedure without the malabsorptive component present in other bariatric procedures. It involves resection of twothirds of the stomach to provide increased satiety and decreased appetite. During the laparoscopic sleeve gastrectomy (LSG), about 75% of the stomach is removed leaving a narrow gastric “tube” or “sleeve”. No intestines are removed or bypassed during the sleeve gastrectomy. The LSG takes one to two hours to complete. A sleeve gastrectomy is a purely restrictive procedure. Here, we report the case of a 36-year-old woman who underwent a LSG procedure, complicated by a GBF that was managed through a thoracoabdominal approach.