Laparoscopic sleeve gastrectomy (LSG) is the most common bariatric surgery worldwide. While morbidity and mortality are low, rare, and serious complications such as gastrobronchial fistula (GBF) can occur.
Case Report:
A 41-year-old female with a history of hypertension, hyperlipidemia, and a significant smoking history underwent LSG and initially recovered well. Twenty-one months postsurgery, she presented with a GBF that led to septic shock. Initial endoscopic treatment failed, and she eventually underwent a partial gastrectomy and esophagojejunostomy with Roux-en-Y reconstruction.
Discussion:
The delayed presentation of GBF in this patient underscores the need for bariatric surgeons to be vigilant for atypical and late-onset symptoms. Factors contributing to this delayed GBF development may include the patient’s smoking history, malnutrition, concurrent hiatal hernia repair, and malnutrition. This case underscores the importance of vigilant postoperative follow-up to prevent and address such complications early. Further research is needed to better understand the risk factors and management strategies for delayed GBF presentations to improve patient outcomes.
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