Laparoscopic Nissen Fundoplication with a Lap Band Placement: Two Procedures in a Unique Surgey for Treatment for Obesity and Severe Reflux Disease

Gildo O Passos Jr, MD, Diego Laurentino Lima, MD, Yukie C Konishi, Juscielle S Barros, Ingrid L V. Rodrigues, G L Carvalho, PhD. University of Pernambuco, Faculty of Medical Sciences.

 OBJECTIVE: To demonstrate 2 procedures in association during a unique surgery: Adjstable Laparoscopic Banding and Nissen Fundoplication with the purpose of less aggressive loss weight and antireflux correction at the same patient.

RESULTS: Two patients with body mass index above 40kg/m2 and with a severe reflux disease was selected for the surgical treatment. A Laparoscopic Nissen Fundoplication is performed classically covering the distal esophagus and proximal stomach. By the same opening retrogastric space, beyond the fundoplication, the adjustable band is pulled through the tunnel, and a sufficient stomach between the fundoplication and the band is left to create a 30mL reservoir. The discharge from the hospital was after an overnight. The patients had standard weight loss for the adjustable gastric banding and got better of the symptoms of severe reflux disease.

CONCLUSION: Laparoscopic Gastric Banding with Nissen Fundoplication has showed to be executable and effective in those 2 cases. Although, it is necessary further contribution using more patients to firmly demonstrate those benefits.

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