Ryan Broderick, MD, Arielle Lee, MD, Rebeca Dominguez, MD, Tokio Matsuzaka, MD, Kai Neki, MD, Joslin Cheverie, MD, Bryan J Sandler, MD, Garth R Jacobsen, MD, Karl-Hermann Fuchs, MD, Santiago Horgan, MD. University of California San Diego
The case presented is the surgical management of a chronic marginal ulcer. The patient had a previously untreated marginal ulcer that was not known to be perforated, but at time of laparoscopic redo gastric bypass an abscess cavity and anastomotic breakdown was encountered. The gastric pouch was only able to be dissected free after mobilization of the remnant stomach, leading to devascularization of both. Reconstruction was performed with subtotal gastrectomy, resection of the gastric pouch, and esophagojejunostomy. The key steps in a complex redo gastric bypass are highlighted.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 94316
Program Number: V067
Presentation Session: Exhibit Hall Theater Video Session II
Presentation Type: EHVideo
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