Gastropleural Fistula as a Rare Complication of Gastric Sleeve Surgery: A Case Report and Comprehensive Literature Review

Table 1

Summary of the reported cases of gastropleural fistula in the literature.

No.	1st author	Age	♀/♂	Presentation	Duration to fistula after bariatric surgery	Management	Outcome
1	Jiramethee [14]	61	F	Worsening dyspnea & fever	2 months	Not available	Successful repair of the dehiscence
2	Garcia-Quintero [7]	24	F	Recurrent pneumonia, fever, and cough	11 months	Laparoscopic robotic-assisted esophagogastrectomy with Roux-en-Y reconstruction	Stenosis of the esophagojejunal anastomosis after 4 months
3	Garcia-Quintero [7]	57	M	Cough, hemoptysis, & flank pain	13 years	Partial gastrectomy, resection of the gastropleural fistula, hiatal hernia repair, & decortication	Discharged after 4 days, with an uneventful follow-up
4	Ghanem [15]	43	M	Abdominal pain	6 months	Enteric stent insertion to cover the fistula opening	Resolution of the fistula after two months, symptom-free after 5 months
5	Al-Shurafa [6]	37	F	Dry cough, chest pain, & dyspnea	2 years	Excision of the fistula & repair of the diaphragmatic defect	Discharged home in an excellent condition
6	Nguyen [8]	41	M	Presented for revisional surgery	9 months	Side-to-side esophagojejunostomy & jejunojejunostomy	Well after 5 months
7	Ladd [16]	25	F	Recurrent pneumonia	2 months	Over-the-scope clip at the gastric opening & endoscopic approach	Discharged 2 days postoperatively
8	Andrawes [17]	54	F	Septic shock	11 years	Endoscopic suturing & esophageal stent placement	Resolution of the fistula after 6 months
9	Present case	24	M	Productive cough, dyspnea, & recurrent pneumonia	9 months	Total parenteral nutrition, percutaneous drainage, & antibiotics with endoscopic stenting	Discharged in a stable condition with antibiotics and pain killers