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surgical intervention video

4e intervention anti-reflux chez un patient avec un IMC de 35 : déconnexion gastro-œsophagienne et gastrojéjunostomie


We present an esophagogastric disconnection and Roux-en-Y gastrojejunostomy as the fourth antireflux procedure in an obese patient with recurrent severe GERD despite high-dose PPI therapy. After previous Nissen fundoplications and a redo procedure with a partial posterior fundoplication, the patient now presented with an intrathoracic migration of the posterior fundoplication. In these complex redo scenarios in conjunction with a high BMI, the strategy of esophagogastric disconnection and Roux-en-Y reconstruction similarly to obesity surgery is increasingly being used.

Fourth antireflux procedure in a patient with a BMI of 35: esophagogastric disconnection and Roux-en-Y gastrojejunostomy  

Четвёртая антирефлюксная операция у пациента с ИМТ 35: разделение желудка и пищевода и гастроеюностомия по Ру


We present the case of a recurrent intrathoracic herniation after Nissen fundoplication for GERD and redo procedure with Crurasoft® mesh crural reinforcement for recurrent GERD and intrathoracic migration. The patient had a BMI of 36 and presented with recurrent GERD and regurgitations. Intraoperatively, considering the patient’s BMI and extensive tissue scarring due to the previous mesh repair, a Roux-en-Y gastrojejunostomy is privileged over a redo Nissen fundoplication.

Roux-en-Y gastrojejunostomy for severe GERD and recurrent intrathoracic herniation after mesh reinforced reoperation

Gastrojéjunostomie pour RGO sévère et hernie intrathoracique récidivante après renforcement prothétique


Гастроеюностомия по Ру по поводу по поводу ГЭРБ и повторной внутридиафрагмальной грыжи после вторичной пластики 


Incision diaphragmatique de relaxation lors d'une reprise pour hernie para-œsophagienne récidivante


Диафрагмальный разрез во время повторного вмешательства по поводу рецидивной парапищеводной грыжи


We present the case of a recurrence after paraesophageal hernia repair, necessitating a diaphragmatic relaxing incision for crural repair in a redo intervention for posterior gastric herniation and intrathoracic migration.

Diaphragmatic relaxing incision during redo intervention for recurrent paraesophageal hernia 

We present the case of a female patient who had undergone a Nissen-Rossetti fundoplication for GERD and a redo procedure including Gore-Tex® mesh reinforcement for intrathoracic migration. She then presented with recurrent GERD, regurgitations, chest pain, and dysphagia due to a recurrent hiatal hernia and slipped fundoplication. 

Esophagogastric disconnection for recurrent intrathoracic migration and slippage following multiple interventions in a patient with a BMI of 26 

Разделение желудка и пищевода по поводу рецидивной внутригрудной миграции и соскальзывания в результате множественных вмешательств у пациента с ИМТ 26


Déconnexion gastro-œsophagienne pour migration et glissement intrathoracique récidivant suite à de multiples interventions chez un patient avec un IMC de 26


Migration intrathoracique récidivante : gastroplastie selon Collis Nissen et réparation des piliers avec feutres en téflon


Повторная внутригрудная миграция: операция по Коллис-Ниссену и круропластика


We present a Collis gastroplasty and Nissen fundoplication procedure with pledgeted crural repair for a patient with recurrent intrathoracic migration of the antireflux mechanism after 2 previous fundoplications. 

Recurrent intrathoracic migration: Collis Nissen and pledgeted crural repair

В центре внимания - хирургия верхних отделов желудочно-кишечного тракта: повторные процедуры после неудачных операций по поводу хиатальной грыжи и ГЭРБ


Focus sur la chirurgie des voies digestives supérieures : reprises chirurgicales après échecs des traitements anti-reflux et hernie hiatale


Focus on Upper GI Surgeries: Redo Procedures after Failures of Hiatal Hernia and GERD treatments