The successful repair of a Gastrogastric fistula following laparoscopic Roux-Y Gastric Bypass via the transgastric approach is presented.
Laparoscopically the stomach was pulled up to the abdominal wall and a gastrotomy was performed. The endoscope was inserted. Transorally a wire was passed thru the fistula into the gastric remnant. Clips to close the fistula were unsuccessful. A second Trocar was placed into the abdomen/gastric remnant. The gastrogastic fistula was successfully closed using an endostitch device. A stapler was used to close the two gastrotomies.
The transgastric repair of a gastrogastric fistula is safe and can be recommended as a treatment for gastrogastric fistulae.