Open AccessBypass en Y-de-Roux sobre una funduplicatura de Nissen
Author(s) -
Matias Turchi,
Felipe E. Fiolo,
Maria Elena Tosti,
José I. Paladini,
Nicolás Laborda Sirabo,
Priscilla V. López
Publication year - 2019
Publication title -
revista argentina de cirugía/revista argentina de cirugía
Language(s) - English
Resource type - Journals
eISSN - 2250-639X
pISSN - 0048-7600
DOI - 10.25132/raac.v111.n1.1394.es
Subject(s) - medicine , nissen fundoplication , contraindication , gerd , roux en y anastomosis , surgery , gastric bypass , reflux , body mass index , laparoscopy , weight loss , general surgery , obesity , disease , alternative medicine , pathology
Roux-en-Y gastric bypass (RYGB) effectively treats both obesity and gastroesophageal reflux disease (GERD). Unfortunately, some patients finally present for bariatric surgery have previously undergone Nissen fundoplication due to GERD. Conversion to EYGB after Nissen fundoplication is safe and effective, but is associated with greater morbidity and longer operative time and hospital stay. A 50-year-old female patient with a body mass index (BMI) of 40.4 kg/m2 was evaluated for bariatric surgery. She had a history laparoscopic Nissen fundoplication seven years before. We report a case of laparoscopic take-down of Nissen fundoplication and conversion to RYGB. A previous fundoplication is not a contraindication for laparoscopic RYGB. These procedures should be performed by well-trained surgeons and laparoscopic approach should be the method of choice.