F赤stula gastrobrˋnquica como complicaˋˋo rara de gastroplastia para obesidade: relato de dois casos

作者：Campos; Josemberg Marins; Siqueira; Luciana Teixeira de; Meira; Marconi Roberto de Lemos; Ferraz; alvaro Antnio Bandeira; Ferraz; Edmundo Machado; Guimares; Murilo Jose de Barros

来源：Jornal Brasileiro de Pneumologia, 2007.

DOI：10.1590/S1806-37132007000400018

• fistula
• lung abscess
• subphrenic abscess
• obesity [surgery]
• endoscopy.

gastrobronchial fistula is a rare condition as a complication following bariatric surgery. the management of this condition requires the active participation of a pulmonologist, who should be familiar with aspects of the main types of bariatric surgery. herein, we report the cases of two patients who presented recurrent subphrenic and lung abscess secondary to fistula at the angle of his for an average of 19.5 months. after relaparotomy was unsuccessful, cure was achieved by antibiotic therapy and, more importantly, by stenostomy and endoscopic dilatation, together with the use of clips and fibrin glue in the fistula. these pulmonary complications should not be treated in isolation without a gastrointestinal evaluation since this can result in worsening of the respiratory condition, thus making anesthetic management difficult during endoscopic procedures.