Abstract
Background
Stomal stenosis is common following high gastric reduction or vertical banded gastroplasty for obesity. Open and laparoscopic approaches for reversal can be problematic due to expected adhesions from previous surgery.
Methods
A technical description of a novel approach for reversal of stomal stenosis following high gastric reduction is provided. This minimally invasive technique combines both “trans-gastric” and “endoscopic” principles for intraluminal reversal via a single port site incision.
Results
We describe our early experience in eight cases with this technique, highlighting its advantages and discussing potential pitfalls to be avoided to maximise its use and efficiency. It appears to be simple, safe and widely applicable.
Conclusions
The single port trans-gastric, laparo-endoscopic technique provides a simple and effective minimally invasive method of reversing gastric stapling procedures without the need for extensive adhesiolysis.
Similar content being viewed by others
References
Jamieson AC. Why the operation I prefer is the modified long vertical gastroplasty. Obes Surg. 1993;3(3):297–301.
Tevis S, Garren MJ, Gould JC. Revisional surgery for failed vertical-banded gastroplasty. Obes Surg. 2011;21(8):1220–4.
Marsk R, Jonas E, Gartzios H, et al. High revision rates after laparoscopic vertical banded gastroplasty. Surg Obes Relat Dis. 2009;5(1):94–8.
van Gemert WG, van Wersch MM, Greve JW, et al. Revisional surgery after failed vertical banded gastroplasty: restoration of vertical banded gastroplasty or conversion to gastric bypass. Obes Surg. 1998;8(1):21–8.
Bird PA, Jamieson AC. Functional laparoscopic reversal of a long gastroplasty. ANZ J Surg. 1997;67(10):734–5.
Thoreson R, Cullen JJ. Indications and results of reversal of vertical banded gastroplasty (VBG). J Gastrointest Surg. 2008;12(11):2032–6.
Froyen J, Rosseland AR, Helsingen N. Endoscopic diathermy incision in the treatment of stoma obstruction after gastroplasty for obesity. Endoscopy. 1985;17(3):91–3.
Conflict of Interest
All authors certify having no disclosures, grants or commercial interests.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Aly, A., Sweeney, T., Michell, I. et al. Single Port Trans-gastric Reversal of High Gastric Reduction. OBES SURG 24, 483–486 (2014). https://doi.org/10.1007/s11695-013-1170-1
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11695-013-1170-1