Combined Laparoscopic and Thoracoscopic Management of Gastrobronchial Fistula Developed Early After Laparoscopic Sleeve Gastrectomy: A Video Presentation

Metabolic bariatric surgeries (MBS) have gained widespread popularity as effective treatments for obesity and its related comorbidities. According to the 8th International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) global registry report, laparoscopic sleeve gastrectomy (LSG) is the most commonly performed procedure, accounting for 60.4% of cases, followed by Roux-en-Y gastric bypass (RYGB) at 29.5%, and one-anastomosis gastric bypass (OAGB) at 4.3%.
One of the most serious postoperative complications is the occurrence of leaks or fistulas. Gastric leaks have been reported in 2.4% of cases following LSG. Such leaks can result in subphrenic abscesses, which may progress to more severe complications, including pulmonary abscesses or gas-trobronchial fistulas (GBFs).