Cigdem Benlice, MD, Heath J Antoine, MD, Philip R Schauer, MD. Cleveland Clinic Foundation
Our patient is a 58-year-old female with morbid obesity and a BMI of 41. Her past medical history was significant for hypertension, diabetes, and obstructive sleep apnea. She had initially undergone an open vertical banded gastroplasty and cholecystectomy in 2002 followed by two bowel obstructions requiring resections of small bowel and two open ventral hernia repairs. On initial EGD, she was found to have a disrupted vertical staple line from the original vertical banded gastroplasty with an intact banded area. Though initially intending to convert her to a Roux En Y Gastric Bypass, there were extensive adhesions throughout the abdomen and between loops of small bowel, which led us to convert her to a sleeve gastrectomy. The procedure was technically challenging, but ultimately the patient did well and was discharged home safely.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 88486
Program Number: V117
Presentation Session: Friday Exhibit Hall Theater (Non CME)
Presentation Type: EHVideo