Robot-assisted revision of stenotic gastrojejunostomy after laparoscopic Roux-en-Y gastric bypass
Epublication WebSurg.com, May 2013;13(05). URL: http://websurg.com/doi/vd01en3927
This video presents the case of a 37-year-old woman who benefited from a laparoscopic Roux-en-Y gastric bypass with circular gastrojejunal anastomosis one year ago. An anastomotic stenosis rapidly occurred. It was managed conventionally by several endoscopic balloon dilatations without any stable results. It was found legitimate to offer the patient a revision of the gastrojejunostomy. Prior to performing the reintervention, a nasojejunal tube was placed in order to improve the patient’s enteral nutrition. Surgery consisted in the resection of the existing gastrojejunostomy and in the tailoring of a new manual anastomosis using the da Vinci™ robotic Surgical System. The postoperative outcome was uneventful. The patient no longer reports any dysphagia 3 months postoperatively.