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Laparoscopic Conversion of Gastric Plication to Roux-en-Y Gastric Bypass
Agustin Duro1, Santiago Corradetti2, Virgina M Cano Busnelli2
1Department of General Surgery, Hospital Italiano de Buenos Aires, Juan D. Perón 4190, C1199ABD, Buenos Aires, Argentina. agustin.duro@hospitalitaliano.org.ar.
Obesity Surgery
|March 30, 2021
Summary
Laparoscopic gastric plication (LGP) can be safely converted to Roux-en-Y gastric bypass (RYGB) for patients experiencing insufficient weight loss or GERD. This bariatric surgery revision offers an effective solution for weight regain and associated symptoms.
Area of Science:
- Bariatric surgery
- Gastrointestinal surgery
- Minimally invasive procedures
Background:
- Laparoscopic gastric plication (LGP) is a bariatric procedure with a high revision rate.
- Conversions from LGP to Roux-en-Y gastric bypass (RYGB) are infrequently reported.
- Indications for LGP revision include insufficient weight loss, weight regain, and GERD.
Observation:
- A case study of a 40-year-old morbidly obese woman previously treated with LGP.
- The patient presented with insufficient weight loss, weight regain, and GERD symptoms.
- The patient underwent laparoscopic conversion to RYGB.
Findings:
- The surgical technique involved lysis of adhesions, takedown of plication, partial gastrectomy, and RYGB.
- At 30 months post-conversion, the patient achieved 42.43% total weight loss.
- The patient experienced complete resolution of GERD symptoms without recurrence.
Implications:
- Laparoscopic conversion of LGP to RYGB is a feasible and safe bariatric surgery option.
- RYGB is an effective treatment for weight recidivism and GERD following LGP.
- This procedure offers a viable revision strategy for bariatric surgery patients.
