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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Related Experiment Video

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Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer
05:30

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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.

Cirugia Espanola
|June 21, 2007
PubMed
Summary

Laparoscopic reoperative sleeve gastrectomy (LRSG) can effectively correct gastric remnant dilation after laparoscopic duodenal switch (LDS), leading to renewed weight loss in patients with insufficient results.

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Published on: March 20, 2017

Area of Science:

  • Bariatric surgery
  • Gastroenterology
  • Surgical innovation

Background:

  • Laparoscopic sleeve gastrectomy (LSG) is a common bariatric procedure, often indicated after laparoscopic duodenal switch (LDS) for superobesity.
  • Gastric remnant dilation can occur post-LDS, potentially leading to insufficient weight loss or weight regain.
  • Revisional bariatric surgery is sometimes necessary to address complications or suboptimal outcomes.

Observation:

  • This case series describes two patients who underwent laparoscopic reoperative sleeve gastrectomy (LRSG) during LDS.
  • The indication for LRSG was gastric remnant dilation, resulting in weight regain in one patient and insufficient weight loss in another.
  • LRSG was performed to address the dilated gastric remnant and improve weight management outcomes.

Findings:

  • Laparoscopic reoperative sleeve gastrectomy (LRSG) was technically straightforward in both cases.
  • No postoperative complications were observed following the LRSG procedures.
  • Both patients experienced renewed weight loss after the revision surgery.

Implications:

  • Gastric tube dilation is a recognized cause of suboptimal results after LDS.
  • LRSG appears to be a safe and effective solution for correcting gastric remnant dilation.
  • This approach offers excellent outcomes and low morbidity for patients requiring revision after LDS.