Abstract
This is a case of a 46 years old male presented with acute cholangitis 2 years after laparoscopic cholecystectomy for cholecystolithiasis. He underwent biliary drainage and common bile duct (CBD) exploration for multiple stones at 2017. A year later, he presented with a recurrent acute cholangitis associated with choledocholithiasis and dilatation of left hepatic bile duct. Cholangiogram revealed that there is contract flowing to the stomach from the CBD, showing a choledochogastric fistula. Exploratory laparotomy was performed with CBD exploration with extraction of multiple stones, choledochoscopy and hepatojejunostomy. Insertion of PTC drain over a guidewire passed through a fistulous opening into the stomach. We decided on conservative management for fistula tract to heal.
Highlights
The frequency of weight-loss surgeries is increasing
The treatment of a female patient with gastric cancer after sleeve gastrectomy was the reason to review the literature about the incidence and etiology of gastric cancer following bariatric surgery
In addition to one own case 3 further patients with gastric carcinoma after sleeve gastrectomy are reported in the literature (Table 1) [1, 2, 3]
Summary
The frequency of weight-loss surgeries is increasing. After bariatric procedures postoperative complications and a variety of symptoms may occur. Malignancies after bariatric surgery are rare, but accurate quantification is not available. The treatment of a female patient with gastric cancer after sleeve gastrectomy was the reason to review the literature about the incidence and etiology of gastric cancer following bariatric surgery
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