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One rare, serious postoperative problem is gastrobronchial fistula, which poses diagnostic and management challenges because of subtle presentation and nonspecific respiratory symptoms. A 36-year-old woman developed recurrent bronchopulmonary infections, with imaging confirming a GBF from 2017. Endoscopic stenting failed due to migration, requiring complex surgical repair, after which recovery was uneventful.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/case-report-gastro-bronchial-fistula-complicating-a-sleeve-gastrectomy-from-a-glimmer-of-hope-to-a-plight-version-1/407855/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/case-report-gastro-bronchial-fistula-complicating-a-sleeve-gastrectomy-from-a-glimmer-of-hope-to-a-plight-version-1/407855.png","ImageObject",300,407,{"name":92,"@type":93},"Stanley","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":39},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What complication does the case report focus on after sleeve gastrectomy?","Question",{"text":112,"@type":113},"The report focuses on a gastrobronchial fistula complicating sleeve gastrectomy. It is presented as rare but potentially life-threatening.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How did the diagnosis and management progress in the described patient?",{"text":117,"@type":113},"After recurrent bronchopulmonary infections, imaging in 2017 revealed a fistula connecting the gastric remnant to the bronchial tree. Initial endoscopic stenting failed due to migration, and definitive surgery required complex adhesiolysis and tension-free fistulojejunal anastomosis.",{"name":119,"@type":110,"acceptedAnswer":120},"Why is gastrobronchial fistula challenging to diagnose after bariatric surgery?",{"text":121,"@type":113},"Diagnosis is often delayed because respiratory symptoms can be nonspecific and insidious. 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Despite its benefits, howver, it may result in severe complications. One rare but serious postoperative issue is the development of a gastrobronchial fistula (GBF), a condition with a challenging diagnosis and management pathway due to its insidious nature.  \nCase Presentation  \nWe report the case of a 36-year-old woman who underwent sleeve gastrectomy in 2015. The early postoperative course was complicated by a gastric fistula that was managed with double pigtail stents. Subsequently, the patient developed recurrent bronchopulmonary infections, and imaging in 2017 revealed a GBF connecting the gastric remnant to the bronchial tree. Initial endoscopic management with stenting failed because of migration. Definitive surgical management involved complex adhesiolysis and creation of tension-free fistulajejunal anastomosis. Postoperative recovery was uneventful, and the patient remains asymptomatic.  \nDiscussion  \nGastrothoracic fistula post-bariatric surgery is a rare but potentially life-threatening complication. Their development is often linked to the  \nOpen Peer Review  \n\n| Approval Status  |  |\n| --- | --- |\n| 1 | 2 |\n| version 2\u003Cbr>(revision)\u003Cbr>08 Dec 2025\u003Cbr>version 1  \u003Cbr>view view\u003Cbr>19 Sep 2025 |  |\n\n1. Mohamed Hany, Alexandria University, Alexandria, Egypt  \n2. Vusal Aliyev, Alibey Hospital, Istanbul, Turkey  \nAny reports and responses or comments on the  \narticle can be found at the end of the article.  \ninsufficient treatment of early gastric leaks or collections. Diagnosis is frequently delayed owing to nonspecific respiratory symptoms. Endoscopic approaches have show limited success, and surgical management, often complex, is frequently necessary. Multidisciplinary strategies, including endoscopic and surgical options, are vital for achieving favorable outcomes.  \nConclusion  \nGastrobronchial fistulas represent a diagnostic and therapeutic challenge following sleeve gastrectomy. A high index of suspicion, long-term follow-up, and tailored multidisciplinary approach are essential for effective management and resolution. Awareness of this rare complication should prompt early detection and intervention to reduce the morbidity and mortality.  \nKeywords  \nsleeve gastrectomy, gastrobronchiol fistula, bariatric surgery  \nCorresponding author: Mseddi Mohamed Ali ([mseddibaka@gmail.com](mseddibaka@gmail.com))  \nAuthor roles: Mourad A: Data Curation, Validation; Ahmed A: Supervision; Rakia S: Supervision, Validation; Mohamed Ali M: Writing – Original Draft Preparation, Writing – Review & Editing; Chaima Y: Validation; Bechir BR: Supervision; Amal A: Supervision; Karim S:  \nSupervision; Rami G: Supervision; Brahim G: Supervision; Karim S: Supervision; Mohamed BS: Validation, Visualization Competing interests: No competing interests were disclosed.  \nGrant information: The author(s) declared that no grants were involved in supporting this work.  \nCopyright: © 2025 Mourad A et al. This is an open access article distrib","cbCaivgTTuyPvZI6","https://ap.wps.com/l/cbCaivgTTuyPvZI6","pdf",1006901,13,"English","# Abstract\n## Background\n## Case Presentation\n## Discussion\n## Conclusion\n# Introduction\n## Obesity and rationale for bariatric surgery","[{\"question\":\"What complication does the case report focus on after sleeve gastrectomy?\",\"answer\":\"The report focuses on a gastrobronchial fistula complicating sleeve gastrectomy. It is presented as rare but potentially life-threatening.\"},{\"question\":\"How did the diagnosis and management progress in the described patient?\",\"answer\":\"After recurrent bronchopulmonary infections, imaging in 2017 revealed a fistula connecting the gastric remnant to the bronchial tree. Initial endoscopic stenting failed due to migration, and definitive surgery required complex adhesiolysis and tension-free fistulojejunal anastomosis.\"},{\"question\":\"Why is gastrobronchial fistula challenging to diagnose after bariatric surgery?\",\"answer\":\"Diagnosis is often delayed because respiratory symptoms can be nonspecific and insidious. Endoscopic approaches may show limited success, so multidisciplinary strategies including surgical management are frequently needed.\"}]","Case Report: Gastro-bronchial fistula complicating a sleeve gastrectomy - from a glimmer of hope to a plight - version 1 | PDF",1790576484,33]