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Laparoscopic Conversion of Gastric Plication to Roux-en-Y Gastric Bypass

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Abstract

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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References

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Authors and Affiliations

  1. Department of General Surgery, Hospital Italiano de Buenos Aires, Juan D. Perón 4190, C1199ABD, Buenos Aires, Argentina

    Agustin Duro, Santiago Corradetti, Virgina M. Cano Busnelli, Fernando G. Wright & Axel F. Beskow

Authors
  1. Agustin Duro
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  2. Santiago Corradetti
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  3. Virgina M. Cano Busnelli
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  4. Fernando G. Wright
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  5. Axel F. Beskow
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Corresponding author

Correspondence to Agustin Duro.

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Informed Consent

Informed consent was obtained from the individual participant included in the study.

Human and Animal Rights

All procedures performed were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Competing Interests

The authors declare no competing interests.

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Duro, A., Corradetti, S., Cano Busnelli, V.M. et al. Laparoscopic Conversion of Gastric Plication to Roux-en-Y Gastric Bypass. OBES SURG 31, 3382–3383 (2021). https://doi.org/10.1007/s11695-021-05382-1

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  • DOI: https://doi.org/10.1007/s11695-021-05382-1

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