{
  "abstract": "Laparoscopic sleeve gastrectomy (LSG) is among the most common metabolic bariatric procedures, but staple-line leak occurs in 1%–3% of cases and may evolve into chronic fistula. Gastrocolic fistula is rare and lacks standardized treatment. We describe a 44-year-old woman (body mass index 43 kg/m2) who developed a late staple-line leak 7 months after LSG that progressed to a gastrocolic fistula, with mega-stent-related pressure necrosis of the transverse colon as the proximate mechanism. After failed conservative and endoscopic management, laparoscopic revision was performed: adhesiolysis, proximal gastric resection, primary repair of the 4-cm colonic defect with omental patch, and Roux-en-Y esophagojejunostomy with anterior cruroplasty. The patient was discharged on postoperative day 15 and remained asymptomatic through 12 months, with intact anastomoses and no recurrence. Unlike previously reported proximal, near-total, or total gastrectomies, the distal antrum and pylorus were preserved. Laparoscopic revision is feasible and effective for this complex complication after LSG.",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": "case report",
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "name": "Oktyabr Teshaev"
    },
    {
      "name": "Nozim Jumaev"
    },
    {
      "name": "Ziyoda Muminova"
    },
    {
      "name": "Irina Lim",
      "orcid": "0009-0003-4124-8897"
    },
    {
      "name": "Jafar Zafarovich Juraev",
      "orcid": "0009-0006-9890-3858"
    },
    {
      "name": "Azam Bobabekov"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/ab0p0t6g07qjh.bib",
  "cited_by": 0,
  "doi": "10.1093/jscr/rjag928",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13731780/",
  "id": "ab0p0t6g07qjh",
  "issns": [
    "2042-8812"
  ],
  "landing_url": "https://doi.org/10.1093/jscr/rjag928",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "AcademicSubjects/MED00910"
    ],
    [
      "heading",
      "Case Report"
    ],
    [
      "heading",
      "jscrep/010"
    ],
    [
      "openalex",
      "2746|Bariatric Surgery and Outcomes"
    ]
  ],
  "openalex": "W7223227277",
  "pdf_url": "https://academic.oup.com/jscr/article-pdf/2026/10/rjag928/72371500/rjag928.pdf",
  "pmcid": "PMC13731780",
  "pmid": "42984732",
  "published": "2026-10-22",
  "publisher": "Oxford University Press",
  "ris": "https://research.draconitic.com/paper/ab0p0t6g07qjh.ris",
  "sources": [
    {
      "first_seen": "2026-11-08T12:21:54Z",
      "native_id": "PMC13731780",
      "source": "pmc",
      "url": "https://doi.org/10.1093/jscr/rjag928"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Bariatric Surgery and Outcomes",
      "subfield": "surgery"
    }
  ],
  "title": "Pylorus-preserving laparoscopic proximal gastric resection with Roux-en-Y esophagojejunostomy for late gastrocolic fistula after sleeve gastrectomy",
  "title_text": "Pylorus-preserving laparoscopic proximal gastric resection with Roux-en-Y esophagojejunostomy for late gastrocolic fistula after sleeve gastrectomy",
  "type": "peer-reviewed",
  "updated_at": "2026-11-08T12:21:54Z",
  "url": "https://research.draconitic.com/paper/ab0p0t6g07qjh",
  "venue": "Journal of Surgical Case Reports",
  "versions": []
}