Laparoscopic management of chronic pouch fistula after a leak following staple line dehiscence after laparoscopic revision of a dilated pouch following Roux-en-Y gastric bypass.


A super-obese male underwent laparoscopic gastric bypass. The gastric pouch dilated, with weight gain. The pouch was revised, followed by a leak, tracking through left diaphragm. Eventually, fistulotomy with debridement was necessary, followed by uneventful recovery. 
DOI: 10.1007/s11695-007-9270-4


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