TY - JOUR
T1 - A418 - Vertical Banded Gastroplasty to Roux-en-Y Gastric Bypass
AU - Quigley, Jeffrey
AU - Garcia, Manuel
AU - Keeth, Stephanie
AU - Srikureja, Daniel
AU - Kannappan, Aarthy
AU - Michelotti, Marcos
AU - Wu, Esther
AU - Scharf, Keith
PY - 2017/10/1
Y1 - 2017/10/1
N2 - Introduction: Vertical-banded Gastrosplasty {VBG} was popular in 1980's. Patients with chronic vomiting, abdominal pain, weight regain still seek revision to Roux-en-Y (RNY) gastric bypass or Sleeve gastrectomy. Objectives: To demonstrate the technical feasibility and the challenges of laparoscopic conversion of VBG to RNY gastric bypass. Methods: Laparoscopic principles was followed frominitial planning to the introduction of first trocar and continued in each important aspect of the progression of the surgery until the completion. Results: The post operative radiological evaluation of the gastric pouch and gastrojejunostomy [GJ] showed good flow of the contrast in the lumen without obstruction or leak. Patient did subsequently develop GJ stenosis and underwent multiple [three] endoscopic stent dilatations before complete resolution of symptoms. Conclusion: Laparoscopic conversion of VBG to RNY gastric bypass is a very technically demanding procedure. Patients should be made aware of higher rate of conversion to an open procedure. The outcome are significantly better than most other revisional surgeries.
AB - Introduction: Vertical-banded Gastrosplasty {VBG} was popular in 1980's. Patients with chronic vomiting, abdominal pain, weight regain still seek revision to Roux-en-Y (RNY) gastric bypass or Sleeve gastrectomy. Objectives: To demonstrate the technical feasibility and the challenges of laparoscopic conversion of VBG to RNY gastric bypass. Methods: Laparoscopic principles was followed frominitial planning to the introduction of first trocar and continued in each important aspect of the progression of the surgery until the completion. Results: The post operative radiological evaluation of the gastric pouch and gastrojejunostomy [GJ] showed good flow of the contrast in the lumen without obstruction or leak. Patient did subsequently develop GJ stenosis and underwent multiple [three] endoscopic stent dilatations before complete resolution of symptoms. Conclusion: Laparoscopic conversion of VBG to RNY gastric bypass is a very technically demanding procedure. Patients should be made aware of higher rate of conversion to an open procedure. The outcome are significantly better than most other revisional surgeries.
UR - http://linkinghub.elsevier.com/retrieve/pii/S1550728917305191
UR - https://www.mendeley.com/catalogue/18607b76-274b-360a-b838-835d255c0c3e/
U2 - 10.1016/j.soard.2017.09.111
DO - 10.1016/j.soard.2017.09.111
M3 - Meeting abstract
VL - 13
SP - S50
JO - Surgery for Obesity and Related Diseases
JF - Surgery for Obesity and Related Diseases
IS - 10
ER -