Laparoscopic gastric seromyotomy and conversion to Roux-en-Y gastric bypass for management of proximal stricture after vertical sleeve gastrectomy

Ashish Padnani, MD1, John Harvey, MD1, Darshak Shah, MD2. 1Mount Sinai St. Luke’s Hospital, 2Mount Sinai Hospital

Laparoscopic vertical sleeve gastrectomy (LSG) is the most common bariatric surgery performed nationwide. With more LSGs being performed, more number of patients with strictures are being seen. Stricture at the proximal sleeve is uncommon. Managament of proximal stricture could be very challenging.

We describe a case of stricture at proximal sleeve that was managed by endoscopic guided laparoscopic gastric seromyotomy and conversion to Roux-en-Y gastric bypass. The above mentioned procedure is a very effective method for treating stricture at proximal sleeve.

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