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Laparoscopic Roux-en-Y gastric bypass redo after sleeve gastrectomy associated with intrathoracic sleeve migration

L Marx, MD S Tzedakis, MD HA Mercoli, MD S Perretta, MD, PhD D Mutter, MD, PhD, FACS J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Jan 2015;15(01). URL: http://websurg.com/doi/vd01en4367

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  • 2015-01-13
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Sleeve gastrectomy is a standard procedure in bariatric surgery nowadays. However, common contraindications involve the presence of gastroesophageal reflux and hiatal hernia. Here, we present the case of a morbidly obese female patient with a past surgical history of a Nissen fundoplication reversed in 2012 because of dysphagia. A sleeve gastrectomy had been performed 2 years ago complicated by an intrathoracic migration and gastric twist as discovered in the preoperative control followed by dysphagia, reflux, and vomiting. A conversion to a Roux-en-Y gastric bypass has been decided upon.