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Updated: Jul 14, 2026

Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer
Published on: October 31, 2025
[Laparoscopic reoperative sleeve gastrectomy]
Carlos Serra1, Aniceto Baltasar, Nieves Pérez
1Servicio de Cirugía General, Hospital Virgen de los Lirios, Alcoy, Alicante, Spain.
Introduction:
Laparoscopic sleeve gastrectomy (LSG) was developed after the laparoscopic duodenal switch (LDS) procedure and is increasingly indicated in the treatment of morbid obesity. The main indication for LSG is LDS in patients with superobesity.
Material And Method:
We describe the need to perform laparoscopic reoperative sleeve gastrectomy (LRSG) during LDS due to dilatation of the gastric remnant in two patients in our series. One of the patients had regained weight and the other showed insufficient final weight loss.
Results:
In both patients, LRSG was technically simple and without postoperative complications. Both patients began to lose weight again.
Conclusions:
Gastric tube dilation is one of the causes of insufficient weight loss in LDS. To correct this dilatation, LRSG is sufficient, with excellent outcomes and low morbidity.
