ArticleObesity surgery2018
Surgical Management of Gastrogastric Fistula After Roux-en-Y Gastric Bypass: 10-Year Experience.
Article in Obesity surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.
- Remnant Gastrectomy and Gastric Bypass: A Systematic Review of Indications and Outcomes of Resectional Gastric Bypass.Obesity surgery · 2024Pooled it
- Article
- Resectional Roux-en-Y Gastric Bypass Versus Standard Roux-en-Y Gastric Bypass: Impact of Concomitant Gastric Remnant Resection on Postoperative Complications and Weight Loss Outcomes in a High-Volume Center.Journal of metabolic and bariatric surgery · 2026Article
- Case Series: Endoscopic ultrasound-directed transgastric ERCP in liver transplant recipients with Roux-en-Y gastric bypass.Frontiers in transplantation · 2026Article
- Double duty: using a PEG tube to address gastrogastric fistula and biliary drainage in a patient after Roux-en-Y.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2025Article
- Complications of Metabolic and Bariatric Surgery for the Gastroenterologist: A Comprehensive Review.Gastroenterology & hepatology · 2025Article
- Challenges of Revisional Metabolic and Bariatric Surgery: A Comprehensive Guide to Unraveling the Complexities and Solutions of Revisional Bariatric Procedures.Journal of clinical medicine · 2024Review
- Experience of Robotic Complex Revisional Bariatric Surgery in a High-Volume Center.Obesity surgery · 2023Article
- Operative technique for a successful laparoscopic en-bloc resection of gastrogastric fistula following roux-en-Y gastric bypass.Journal of surgical case reports · 2023Article
- Endoscopic closure versus surgical revision in the management of gastro-gastric fistula following Roux-en-Y gastric bypass.Endoscopy international open · 2023Article
- Turnkey algorithmic approach for the evaluation of gastroesophageal reflux disease after bariatric surgery.Gastroenterology report · 2023Review
- Endoscopy in surgery.Frontiers in gastroenterology (Lausanne, Switzerland) · 2023Article
- "Orphaned" Stomach-An Infrequent Complication of Gastric Bypass Revision.Journal of clinical medicine · 2022Article
- A novel endoscopic technique for closure of two gastro-gastric fistulas in a single session using an endoscopic helix tacking device.Endoscopy · 2022Article
- Endoscopic closure versus surgical revision in the management of gastrogastric fistula after Roux-en-Y gastric bypass.iGIE : innovation, investigation and insights · 2022Article
- Intraoperative Patterns of Gastric Microperfusion During Laparoscopic Roux-en-Y Gastric Bypass.Obesity surgery · 2022Article
- Article
- Indocyanine Green Fluorescence Angiography During Laparoscopic Bariatric Surgery: A Pilot Study.Frontiers in surgery · 2022Article
- Three Signs of a Shortcut: Gastrogastric Fistula Permitting Simple Roux-en-Y Endoscopic Retrograde Cholangiopancreatography.ACG case reports journal · 2021Article
- Endoscopic Evaluation and Management of Late Complications After Bariatric Surgery: a Narrative Review.Obesity surgery · 2021Review
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGastrogastric fistula (GGF) occurs in 1-6% of patients who undergo Roux-en-Y gastric bypass (RYGB) for morbid obesity. The pathophysiology may be related to gastric ischemia, fistula, or ulcer.
objectivesThe purposes of the study are to describe the principles of management and to review the literature of this uncommon complication.
settingThe setting of this study is University Hospital, France. MATERIALS AND
methodsWe conducted a retrospective review of all patients' records with a diagnosis of GGF after RYGB between January 2004 and November 2014.
resultsDuring the study period, 1273 patients had RYGB for morbid obesity. Fifteen patients presented with a symptomatic GGF (1.18%). The average interval from surgery to presentation was 28 months (22-62). A history of marginal ulcer or anastomotic leak was present in nine patients (60%). The most common presentation was weight regain (80%), followed by pain (73.3%). Two types of fistulas were identified, an exclusively GGF (high) and a gastro-jejuno-gastric fistula (low). High GGF, frequently associated with dilatation of the gastric pouch, was treated by a sleeve of the pouch and sleeve resection of the remnant stomach (nine patients). Low GGF was treated with gastric resection coupled with a revision of the gastrojejunal anastomosis (six patients). All patients were treated laparoscopically with no conversion to laparotomy. The average length of postoperative hospital stay was 5.2 days (range 3-10).
conclusionGGF after RYGB is a rare complication. Its pathophysiology remains unclear. Surgical management is the definitive treatment.
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