William R Shepard, DO1, Emily Speer, MD2, Valerie Halpin, MD1, Christy M Dunst, MD2, Lee L Swanstrom, MD2, Kevin M Reavis, MD2. 1Legacy Good Samaritan, 2Oregon Clinic
This video presents a 71 year old female with a history of laparoscopic adjustable gastric band several years prior, who presented with symptoms of intermittent obstruction and reflux due to the development of a paraesophageal hernia and posterior band slippage. She underwent a successful repair of paraesophageal hernia and band removal with an adjunctive Collis gastroplasty due to foreshortened esophagus and posterior partial fundoplication. As this patient likely had some evidence of hiatal hernia on initial operation, this case would support the recommendation to diligently assess for the presence of hiatal hernia and provide the appropriate repair when performing bariatric surgery. Recognizing and repairing these defects at the time of initial surgery may reduce the need for reoperation.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 88290
Program Number: V084
Presentation Session: Thursday Exhibit Hall Theater (Non CME)
Presentation Type: EHVideo