Enrique Arias, MD, Luis Martinez, MD, Angel Henriquez, MD. INTERLAP
Case Presentation: A 31-year-old female had a gastric plication for morbid obesity treatment 5 years ago in another institution, her initial BMI was 40 kg/m2. During a year she lost 30 kg and had a BMI of 28 kg/m2. 18 months after the surgery she started to regain weight, and her final BMI was 42 kg/m2. Laparoscopic conversion to a RYGBP was performed, a 50ml gastric pouch was created and gastric remnant was left with good irrigation. Mesenteric and Petersen defects were closed using a not absorbable suture, and she was discharged from the hospital 48 hours after the surgery. 3 days after hospital discharge she suffered from 24 hours of abdominal pain and vomits and was readmitted into the hospital. X ray didn't show any abnormality, and the endoscopy reported no obstruction in GY junction, during her hospital stay she presented tachycardia and her abdominal pain persisted, so a diagnostic laparoscopy was indicated, during surgery gastric remnant dilation without dilation of biliopancreatic limb was found, after decompression of gastric remnant we identified an adhesion of omentum to the gastric remnant causing remnant rotation and a type of gastric volvulus. Resection of gastric remnant was done and the patient had uneventfully recovered
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 93779
Program Number: V240
Presentation Session: Video Loop Day 2
Presentation Type: VideoLoop