Amy L Holmstrom, MD, Ryan J Campagna, MD, Stephen F Chiu, MD, Ezra N Teitelbaum, MD, MEd. Northwestern Memorial Hospital
The patient is a 61 year old woman who had undergone a robotic converted to open paraesophageal hernia repair with Nissen fundoplication at an outside hospital in 2016. Following this surgery, she experienced severe epigastric pain, dysphagia, regurgitation, and 50 lbs weight loss. She was found to have a low fundoplication with the wrap formed around the body of the stomach and iatrogenic gastroparesis.
This video shows her reoperation, consisting of laparoscopic paraesophageal hernia repair, takedown of the low Nissen with conversion to Toupet fundoplication, and pyloroplasty. Dense adhesions between the transverse colon, liver, and stomach were encountered. Takedown of a low fundoplication, paraesophageal hernia repair with esophageal mobilization, and construction of a Toupet around the esophagus are shown. A Heineke-Mikulicz pyloroplasty is performed to treat her iatrogenic gastroparesis.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 93660
Program Number: V072
Presentation Session: Foregut III
Presentation Type: Video