Introduction: recently, dramatically increased numbers of bariatric procedures worldwide are followed by an increased incidence of revision surgeries, due to complications or failures. Objectives: To evaluate the role of laparoscopic gastric bypass in the treatment of gastroesophageal reflux disease after sleeve gastrectomy. Methods: A morbid obese, female patient, 55 years old, BMI 39 kg/m2, with concomitant HTA, hyperinsulinemia and 3 cm, non-complicated hiatal hernia, was operated in 2013 by laparoscopic sleeve gastrectomy (LSG) and concomitant hiatal hernia repair by posterior cruroplasty. 30 months afterwards a resolution of obesity and comorbidity was obtained, with BMI of 25.7 kg/m2. Meantime, symptomatic, persistent gastroesophageal reflux disease, resistant to medical treatment, with radiological confirmed hiatal hernia, was registered. Results: we present the video of laparoscopic conversion of gastric sleeve to R-en-Y gastric bypass (GBP), with concomitant revision of the posterior cruroplasty. An important improvement of the patient’s symptoms was achieved 3 months postoperatively, with suspension of medical therapy, maintained one year after intervention. Conclusions: conversion in GBP is actually the best option of treatment in case of reflux disease after LSG.

Conversion to gastric bypass and revision of cruroplasty due to persistent gastroesophageal reflux disease after initial sleeve gastrectomy and cruroplasty / Boru, EUGENIU CRISTIAN; Termine, Pietro; DE ANGELIS, Francesco; Iossa, Angelo; Avallone, Marcello; Guida, Anna; Ciccioriccio, MARIA CHIARA; Silecchia, Gianfranco. - In: OBESITY SURGERY. - ISSN 0960-8923. - STAMPA. - Volume 27:1 supplement(2017), pp. 918-918. ((Intervento presentato al convegno IFSO 2017 22nd World Congress tenutosi a Londra nel 29.08-02.09.2017.

Conversion to gastric bypass and revision of cruroplasty due to persistent gastroesophageal reflux disease after initial sleeve gastrectomy and cruroplasty

Cristian, Boru
Project Administration
;
Pietro, Termine
Membro del Collaboration Group
;
Francesco De Angelis,;Angelo, Iossa
Membro del Collaboration Group
;
Marcello, Avallone
Membro del Collaboration Group
;
Chiara, Ciccioriccio
Membro del Collaboration Group
;
Gianfranco, Silecchia
Supervision
2017

Abstract

Introduction: recently, dramatically increased numbers of bariatric procedures worldwide are followed by an increased incidence of revision surgeries, due to complications or failures. Objectives: To evaluate the role of laparoscopic gastric bypass in the treatment of gastroesophageal reflux disease after sleeve gastrectomy. Methods: A morbid obese, female patient, 55 years old, BMI 39 kg/m2, with concomitant HTA, hyperinsulinemia and 3 cm, non-complicated hiatal hernia, was operated in 2013 by laparoscopic sleeve gastrectomy (LSG) and concomitant hiatal hernia repair by posterior cruroplasty. 30 months afterwards a resolution of obesity and comorbidity was obtained, with BMI of 25.7 kg/m2. Meantime, symptomatic, persistent gastroesophageal reflux disease, resistant to medical treatment, with radiological confirmed hiatal hernia, was registered. Results: we present the video of laparoscopic conversion of gastric sleeve to R-en-Y gastric bypass (GBP), with concomitant revision of the posterior cruroplasty. An important improvement of the patient’s symptoms was achieved 3 months postoperatively, with suspension of medical therapy, maintained one year after intervention. Conclusions: conversion in GBP is actually the best option of treatment in case of reflux disease after LSG.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1033331
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