Kais A Rona, MD, Hector M Morales, Christopher Ducoin, MD. Tulane University School of Medicine
Sleeve gastrectomy is the most common bariatric procedure performed in the United States. Recent literature has demonstrated a non-negligible rate of worsened gastroesophageal reflux symptoms and even de-novo reflux following sleeve gastrectomy. There are technical aspects of a sleeve gastrectomy that may help preserve the body's natural anti-reflux mechanisms. Less is known about the approach for sleeve gastrectomy in a patient who has undergone a previous fundoplication for reflux. We believe that preservation of the wrap would be important in this patient population given the theoritically higher risk of reflux following sleeve gastrectomy. In this video we demonstrate a sleeve gastrectomy technique in which the wrap is preserved in a patient with a previous history of Heller myotomy with Dor fundoplication.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 94168
Program Number: V330
Presentation Session: Video Loop Day 3
Presentation Type: VideoLoop