Michelle Estrada, MD, Adel Alhaj Saleh, MD, MRCS, Amir H Aryaie, MD, FACS. Texas Tech University Health Sciences Center
- 48-year-old morbidly obese female with 2-year history of worsening shortness of breath and chest tightness
- Associated dysphagia, vomiting, heartburn, and inability to lay flat.
- Episodic right upper quadrant pain.
- Referred to surgery by Thoracic surgeon after a large paraesophagealhernia was found on chest CT
Medical and Surgical History:
- Obesity, BMI 40
- Hashimoto’s disease
- Cesarean Section
- Barrett’s esophagus
- Large paraesophagealhernia
CT scan Findings:
- Largeparaesophagealhernia and multiple gall stones.
- Laparoscopic cholecystectomy
- Laparoscopic paraesophagealhernia repair with Bio mesh
- Laparoscopic Roux-en-Y gastric bypass for morbid obesity and as an anti-reflux procedure
- Upper GI series on post-operative day 1 was negative for extravasation and started on clear bariatric diet
- Discharged on post-operative day 2
- Recovering well on 1-week and 6-week post-op visits.
- Laparoscopic cholecystectomy, paraesophagealhernia repair and gastric bypass can be done safely and simultaneously
- The gastric bypass served as a weight loss and anti-reflux procedure.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 96050
Program Number: V166
Presentation Session: Video Loop Day 1
Presentation Type: VideoLoop