Bariatric surgery not only offers the best treatment for obesity but also for its associated co-morbidities. Among the bariatric procedures, the most performed one is laparoscopic sleeve gastrectomy. Laparoscopic Roux-en-Y Fistulojejunostomy (RYFJ) serves as a good surgical option to treat persistent fistula post-sleeve after the failure of endoscopic and radiological treatment. It is technically highly challenging and should be performed by expert bariatric surgeons at specialized centers. The essential criterion is careful patient selection.
The surgery should only be considered in patients with adequate nutritional status and after the failure of well-conducted endoscopic management. Additionally, obesity can also lead to a higher incidence of ventral hernia. In such cases, bariatric surgery combined with intraperitoneal onlay mesh repair (IPOM) is the safest solution. Want to know…
