Abstract
Female patient with 50 years, from Mexico City, with history of mellitus diabetes, hypertension and exploratory laparotomy with right ooforectomy and intestinal resection, with superobesity diagnosis, that complete preoperative protocol with normal laboratories and gabinet studies before surgery. She was programed for gastric sleeve, this procedure was done with an incidental perforation of de gastroesophagic union, 10 day after this event presented, fistula, gastric twist and strictures, so we decided revision surgery and conversion to gastric bypass.
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