Aqeel Ashraf, BMedSc, BMBCh1, Haytham Alkhayat, FACS2, Khalid Alsharaf, FACS2, Mohammad Jamal, MBChBHons, MEd, FRCSC, FACS, FASMBS3. 1McGill University, Resident in General Surgery, 2Mubarak Al-Kabeer Hospital, Kuwait, 3Kuwait University, Faculty of Medicine
Laparoscopic sleeve gastrectomy (LSG) is gaining prominence as it became the most frequent bariatric procedure performed. In 2015, LSG accounted for more than 50 percent of all bariatric procedures carried out in the United States.
Post sleeve gastrectomy stenosis is a rather uncommon complication that can present acutely or chronically. Etiologies of such entity can be functional, due to edema or a hematoma at the staple line for instance, or related to the surgical technique. Management can be conservative or via interventions including, endoscopic balloon dilatation, seromyotomy and definitely through a roux-en-y gastric bypass.
In this video, we present a rather complicated case of a patient who developed a stricture post laparoscopic sleeve gastrectomy. This was managed with a gastric sermyotomy and was complicated with perforation, in which a gastro-gastrostomy was performed. The patient then developed severe acid reflux as a result of narrowing at the site of the gastro-gastrostomy. This video outlines a definitive management of such complicated case with a laparoscopic roux-en-y gastric bypass.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 94821
Program Number: V393
Presentation Session: Video Loop Day 4
Presentation Type: VideoLoop