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Robotic gastric band removal and gastrocolic fistula repair

Maher Ghanem, MD, FACS, Ghaith Al-Qudah, MD, Samuel Shaheen, MD, FACS. Central Michigan University

Purpose/Value: Robotic surgery is a feasible and safe option for a wide variety of minimally invasive surgical interventions that would otherwise require an extensive open approach. This case is an example of the diversity of techniques that can be done robotically.

Case Presentation: A 42 year-old male presented with a history of morbid obesity, status post laparoscopic gastric band insertion eight years prior to presentation. He complained from abdominal pain, and his work-up including endoscopy and colonoscopy revealed that the gastric band was eroding into the stomach and colon.

Procedure: After being counseled on the importance of surgical repair, the patient agreed to the procedure and was taken to the operating room. Intra-operatively, the gastric band was found to be eroding into three hollow organs; stomach, small bowel, and colon. A robotic gastric band removal with repair of the stomach, with open partial small bowel resection and colon repair were performed. The patient recovered well post-operatively and was eventually started on clear liquids on the ninth post-operative day.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 92211

Program Number: V302

Presentation Session: Video Loop Day 3

Presentation Type: VideoLoop

39

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