Laparoscopic gastric bypass after open vertical banded gastroplasty
Epublication WebSurg.com, Mar 2016;16(03). URL: http://websurg.com/doi/vd01en4627
This video shows a laparoscopic reintervention after an open vertical banded gastroplasty in a 51-year-old woman presenting with untreatable gastroesophageal reflux disease (GERD). GERD originated from gastric remnant outlet obstruction. For that reason, we decided to perform a laparoscopic Roux-en-Y gastric bypass. First, very intense adhesions of the greater omentum and the stomach to the parietal peritoneum and the left lobe of the liver are dissected. The gastric remnant is dissected in order to transect it proximally to the stenotic, banded segment. A Roux-en-Y gastric bypass with a 50cm alimentary limb using the OrVil™ orogastric tube and the DST Series™ EEA™ 25mm circular stapling device is performed.