Robotic-Assisted Heineke-Mikulicz Pyloroplasty and Gastric Electrical Stimulation Therapy for Diabetic and Post-Surgical Gastroparesis: A Case Report

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. 

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