Journal
OBESITY SURGERY
Volume 31, Issue 7, Pages 3382-3383Publisher
SPRINGER
DOI: 10.1007/s11695-021-05382-1
Keywords
Bariatric surgery; Revisional surgery; Laparoscopic gastric plication; Laparoscopic greater curvature plication; Roux en Y gastric bypass; Gastric plication conversion
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The study demonstrates that conversion to RYGB is a safe and effective option for treating inadequate weight loss and recurrence of GERD symptoms after LGP.
Purpose Laparoscopic gastric plication (LGP) is a relative new bariatric procedure with a high revision rate, mostly to sleeve gastrectomy. There are few reported cases of conversion to Roux-en-Y gastric bypass (RYGB). The purpose of this video was to show the feasibility and safety, as well as the main technical aspects, of a laparoscopic conversion of gastric plication to RYGB. Materials and methods A 40-year-old morbidly obese woman with a previous LGP, consulted for insufficient weight loss, weight regain, and gastroesophageal reflux disease (GERD) symptoms, and was converted to RYGB. Results Surgical technique included lysis of adhesions between the stomach and the greater omentum, take down of the plication, partial gastrectomy of the devascularized fundus and body and conversion to RYGB. At 30 months, she has achieved a total weight loss (TWL) of 42.43% with no GERD symptoms recurrence. Conclusion Conversion to RYGB is a safe and effective option to treat weight recidivism and GERD after LGP.
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