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CHRONIC SLEEVE GASTRECTOMY LEAK CONVERTED TO ESOPHAGOJEJUNOSTOMY AFTER FAILED ENDOSCOPIC TREATMENTS
Yalini Vigneswaran^*2, Christopher G. Chapman¹, Mustafa Hussain^2
1Gastroenterology, University of Chicago, Chicago, IL; ²Surgery, University of Chicago, Chicago, IL

Here we describe endoscopic and ultimate operative management of a chronic leak after sleeve gastrectomy. Initially treated with multiple endoscopic therapies including dilations of distal stenosis, stentings and over-the scope clips. Yet due to persistent fistula output, dysphagia and chronic intravenous nutrition, we proceeded to an operation with the intent of performing either a fistula jejunostomy, gastric bypass or esophagojejunostomy. Upon exploration, the stomach was extensively scared, thickened and inflamed with friable tissue around the fistula site. Thus any revision of the stomach was excluded and we resected the diseased stomach and proceeded with an esophagojejunostomy.

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