Laparoscopic Roux-en-Y gastric bypass redo after sleeve gastrectomy associated with intrathoracic sleeve migration
Epublication WebSurg.com, Jan 2015;15(01). URL: http://websurg.com/doi/vd01en4367
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.