PMC7448858_01
Barium swallow showing the passage of contrast to the remnant
stomach
0102-6720-abcd-33-02-e1509-gf1.jpg
PMC7448858_01_0102-6720-abcd-33-02-e1509-gf1.jpg
f1
A barium swallow confirmed recurrence of the fistula (Figure 1), and gastroscopy showed a large fistulous opening measuring 15-20 mm, not feasible for endoscopic intervention.
Resizing of the gastric pouch and resection of the GGF
0102-6720-abcd-33-02-e1509-gf2.jpg
PMC7448858_01_0102-6720-abcd-33-02-e1509-gf2.jpg
f2
She, therefore, underwent a laparoscopic repair whereby the GJA was first taken down, followed by excision of the lateral edge of the gastric pouch and medial edge of gastric remnant (Figure 2).