NDLI: Laparoscopic Conversion of One Anastomosis Gastric Bypass to a Standard Roux-en-Y Gastric Bypass

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Laparoscopic Conversion of One Anastomosis Gastric Bypass to a Standard Roux-en-Y Gastric Bypass

Content Provider	Paperity
Author	Amor, Imed Ben Debs, Tarek Gugenheim, Jean Kassir, Radwan Munifi, Abdullah Al Piche, Thierry Petrucciani, Niccolo
Abstract	IntroductionOne anastomosis gastric bypass (OAGB) demonstrated results similar to traditional Roux-en-Y procedures [1, 2, 3], in terms of weight loss and resolution of obesity-related comorbidities. The main controversy regarding OAGB is the concern for an association between biliary alkaline gastritis and esophageal or gastric cancer raised by some studies [4].MethodsWe present the case of a 51-year-old woman with a BMI of 41 kg/m2 who underwent a laparoscopic OAGB in 2014. One year later, she consulted for recurrent heartburns. An upper GI endoscopy showed pouchitis and bile reflux in the esophagus. Medical treatment of gastroesophageal reflux disease was ineffective. We decided to convert the OAGB to a Roux-en-Y gastric bypass (RYGB).ResultsIn this video, we show how to revise an OAGB to treat chronic bile reflux, by converting the procedure to a standard RYGB. The intervention starts by restoring the normal anatomy of the small bowel, with the resection of the gastrojejunal anastomosis, which was located at 250-cm du Treitz’s ligament. Then, the gastric pouch is created. A standard Roux-en-Y gastric bypass is performed.ConclusionsThe resection of the gastrojejunal anastomosis allows fashioning the Roux-en-Y limb with the classical measures. This technique allows a conversion to a standard RYGB and is effective in treating the biliary reflux.
Starting Page	1398
Ending Page	1398
File Format	HTM / HTML
ISSN	09608923
DOI	10.1007/s11695-017-2646-1
Issue Number	5
Journal	Obesity Surgery
Volume Number	27
e-ISSN	17080428
Language	English
Publisher	Springer US
Publisher Date	2017-03-16
Access Restriction	Open
Subject Keyword	Gastroesophageal reflux Surgical technique Mini gastric bypass Conversion Omega loop gastric bypass Roux-en-y gastric bypass
Content Type	Text
Resource Type	Article
Subject	Nutrition and Dietetics Endocrinology, Diabetes and Metabolism Surgery

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