Video shows a case of 36-year old female with BMI of 43. Patient underwent open Roux-en-Y gastric by pass in 2006. She presented with epigastric pain and weight regain two years after the surgery. She showed gasto-gastric fistula in diagnostic imaging. Video shows two laparoscopic revisions of the gastic by pass for treatment of the fistulas. Video by Axel F Beskow, MD, Agustin Duro, MD, Roberto E Remolo, MD, Alfredo Amenabar, MD, Fernando G Wright, MD, Demetrio Cavadas, MD
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