1. Refractory complex gastrobroncho-cutaneous fistula after laparoscopic sleeve gastrectomy: a novel technique for endoscopic management 
Emad Abdallah, M.D., Hosam Hamed, M.D., Mohamed Fikry, M.S. 
Surgery for Obesity and Related Diseases 
Volume 12, Issue 8, Pages e63-e67 (September 2016)
DOI: /j.soard
Copyright © 2016 American Society for Bariatric Surgery Terms and Conditions

2. Fig. 1
Oral contrast study showing the gastrobroncho-cutaneous fistula.
Surgery for Obesity and Related Diseases  , e63-e67DOI: ( /j.soard )
Copyright © 2016 American Society for Bariatric Surgery Terms and Conditions

3. Fig. 2
Highlights of the technique of endoscopic insertion of Sengstaken-Blakemore (SB) tube after repositioning of the migrated stent: (A) Migrated stent; (B) Stent repositioning with rat-tooth forceps; (C) Holding the tip of SB tube after its retrieval from the mouth after nasal insertion to position it in the alimentary tract; (D) Securing the tip of SB tube in the duodenum; (E) Inflation of gastric balloon of SB tube in the antrum distal to the stent; (F) Inflation of the esophageal balloon of SB tube within the stent.
Surgery for Obesity and Related Diseases  , e63-e67DOI: ( /j.soard )
Copyright © 2016 American Society for Bariatric Surgery Terms and Conditions

4. Fig. 3
Oral contrast study after placement of SB tube within the fully covered, self-expanding stent: (A) Before pulling up the Sengstaken-Blakemore (SB) tube to seal the leakage under fluoroscopic guidance; (B) After proper positioning and inflation of esophageal balloon; (C) After removal of SB tube.
Surgery for Obesity and Related Diseases  , e63-e67DOI: ( /j.soard )
Copyright © 2016 American Society for Bariatric Surgery Terms and Conditions

5. Fig. 4
Oral contrast study showing complete healing of the gastrobroncho-cutaneous fistula with free flow of contrast distally to the duodenum, with no distal stricture.
Surgery for Obesity and Related Diseases  , e63-e67DOI: ( /j.soard )
Copyright © 2016 American Society for Bariatric Surgery Terms and Conditions