Laparoscopic Roux-en-Y Stomach Bypass Improves Gastroesophageal Reflux

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Laparoscopic Roux-en-Y Gastric Bypass for Severe Gastroesophageal Reflux After
Vertical Banded Gastroplasty

Vertical banded gastroplasty (VBG) is sometimes associated with complications such as pouch obstruction, dilatation, and gastroesophageal reflux. This occasionally requires surgical revision, in many cases to a Roux-en-Y gastric bypass (RYGBP).

Case Report

A 47-year-old woman with severe obesity developed severe symptoms of stenosis of the pouch outlet and gastroesophageal reflux 15 years after Vertical banded gastroplasty. Laparoscopic conversion to a RYGBP was performed. At 9-month follow-up, she lost an additional 32 kg and had complete resolution of her reflux.

Conclusion

In this patient, laparoscopic re-operative Roux-en-Y gastric bypass produced additional weight loss, and improved gastroesophageal reflux that occurred many years after having a Vertical banded gastroplasty. Laparoscopic conversion of a Vertical banded gastroplasty to Roux-en-Y gastric bypass is feasible, and may confer the benefits of other minimally invasive abdominal procedures to this high-risk patient group.

Source:
Bloomberg RD, Urbach DR. Minimally Invasive Surgery Program, Toronto Western Hospital, Department of Surgery, University of Toronto, Toronto, ON, Canada. 2002

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Laparoscopic or open bariatric surgery, such as gastric banding or bypass is not an easy solution to morbid obesity and weight loss. It is a serious surgical procedure, involving health risks. To produce lasting weight loss it requires a long-term patient commitment to eating a healthy diet and following a regular program of physical exercise. Life-long use of nutritional supplements may also be necessary. So, before deciding, discuss your options fully with your doctor. © 2003-2008 Bariatric-Surgery.Info - Terms - Contact - Information - Resources - Add URL