Abstract
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Leakage after sleeve gastrectomy is the cornerstone for most of its related morbidity and mortality.
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Gastrocolic fistula is a rare complication resulting from chronic leak after laparoscopic sleeve gastrectomy.
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A high index of suspicion is important in detection of rare complications including gastrocolic fistula.
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Complete laparoscopic resection of gastrocolic fistula is preferred.
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Gastrectomy might be the definitive surgery.
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Re-do bariatric surgery should be only done by an expert bariatric surgeon with multidisciplinary team in a specialized center.