OAGB as revisional surgery after laparoscopic sleeve gastrectomy in a patient with hiatal hernia and intrathoracic stomach

Ferrer-Márquez, Manuel; Maturana-Ibáñez, Vanesa; Bellón-López, Marta; Ruíz de la Cuesta, Emilio

doi:10.1016/j.cireng.2022.06.051

ISSN: 2173-5077

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Vol. 101. Issue 3.

Pages 216 (March 2023)

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DOI: 10.1016/j.cireng.2022.06.051

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OAGB as revisional surgery after laparoscopic sleeve gastrectomy in a patient with hiatal hernia and intrathoracic stomach

BAGUA como cirugía de revisión tras gastrectomía vertical en paciente con hernia hiatal y estómago intratorácico

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Manuel Ferrer-Márqueza,b,

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manuferrer78@hotmail.com

Corresponding author.

, Vanesa Maturana-Ibáñezc, Marta Bellón-Lópezc, Emilio Ruíz de la Cuestac

a Unidad de Cirugía Bariátrica (Obesidad Almería), Hospital Mediterráneo, Almería, Spain

b Unidad de Cirugía Bariátrica, Hospital Universitario Torrecárdenas, Almería, Spain

c Unidad de Cirugía Bariátrica, Hospital Vistahermosa, Alicante, Spain

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The number of revisional bariatric surgeries has increase substantially over the last decade, especially due to complications or inadequate results after laparoscopic sleeve gastrectomy.

We present the case of a 43-year-old patient with a history of sleeve gastrectomy performed 12 years earlier (BMI 43 kg/m2). After surgery, the patient lost weight (nadir BMI 30.1 kg/m2), but later regained weight. At the time of our assessment, he presented a BMI of 35.7 kg/m2 (%TWL: 23.8%), together with de novo gastroesophageal reflux and a hiatal hernia with intrathoracic stomach (tubular).

During surgery, the diaphragm crura were dissected and closed, and the anastomosis was converted to a gastric bypass.

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