Morgan D Floyd, Kent R Van Sickle, MD. UTHSCSA
We present a case of surgical treatment for complex gastroparesis using a robotic-assisted approach.
The patient is a 57 y.o woman with Type II Diabetes referred to our institution following a laparoscopic nissen fundoplicaiton and hiatal hernia repair with biologic mesh. Her chief complaints were dysphagia, nausea, vomiting food intolerance and had experienced a 20 lb weight loss postoperatively.
After extensive workup, studies revealed diabetic vs. post-surgical gastroparesis. The decision was made to perform a robotic-assisted Heineke-Mikulicz pyloroplasty and placement of a gastric electrical stimulator.
The patient had an uncomplicated recovery with gradual resolution of her symptoms upon follow up.