Revision of Roux Y Gastric Bypass for Bile Reflux: Roux Lengthening and Toupet Fundoplication

Daniel Moon, MD, Cyrus Moon, MD, Ruby Gatschet, MD, Saber Ghiassi, MD, Keith Boone, MD, Kelvin Higa, MD

University of California San Francisco – Fresno Medical Education Program. Advanced Laparoscopic Surgery Associates, Fresno, California

45 year old woman status post Roux Y gastric bypass for morbid obesity 6 years prior. Multiple readmissions for abdominal pain, nausea, bilious emesis, reflux symptoms. Imaging non-contributory. EGD showed bile in roux limb only. Manometry grossly normal but some incomplete relaxation. Medical therapy ineffective. Roux limb lengthening and fundoplication agreed on for surgical treatment.

Video describes this procedure, and management of intraoperative bleeding episode.

Session: Video ChannelDay 2

Program Number: V070

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