Luis F Zorrilla-Nunez, MD, Raul Rosenthal, MD, Kandace Kichler, MD, Ramarao Ganga, MD, Samuel Szomstein, MD, Emanuele Lo Menzo, MD, PhD. Cleveland Clinic Florida
This is the case of a 64 year old female who underwent laparoscopic LINX device placement at an outside facility for Gastroesophageal Reflux Disease (GERD) with esophagitis approximately eight months prior to presentation at our office. Her symptoms did not improve after device implantation. On preoperative workup, an EGD revealed a hiatal hernia as well as a large amount of retained food within the stomach, which prompted a gastric emptying study that revealed delayed gastric emptying. Here we show her laparoscopic LINX device removal, reclosure of the diaphragmatic hiatus, Nissen fundoplication, and Heineke-Mikulicz pyloroplasty for her GERD and gastroparesis. In the procedure we identified both vagal nerves to be intimately involved and scarred in with the previous LINX device. She recovered well.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 87159
Program Number: V029
Presentation Session: Foregut Videos Session
Presentation Type: Video