This video was part of the Video Loop during the SAGES 2020 Virtual Meeting. Topic: Bariatric GASTRIC BYPASS REVERSAL TO SLEEVEGASTRECTOMY FOR HYPOGLYCEMIA. Ramon Vilallonga, Amador Garcia, Enric Caubet, Oscar Gonzalez, Montse Adell, Marc Perez, Carlos Petrola, Jose Manuel Fort, Manel Armengol. Hospital Universitary Vall d'Hebron
INTRODUCTION:
Conversion to sleeve gastrectomy in order to maintain some restrictive component is a choice for hypoglycemia.
METHODS:
We present a video of a conversion with technical aspects,
RESULTS:
We performed a 5 portlaparoscopic approach. After counting the small bowel limbs, the Roux limb was preserved. Then the proximal ending of the pouch was resected and the excluded stomach was prepared for the new gastro-gastric anastomosis. As the patient is planned to be converted for SG, fundectomy of the excluced stomach was performed.
CONCLUSIONS:
It is a challenging procedure but effective in order to deal with this complication.
related terms: Hypoglycemia, clinical training surgery, bariatric surgery video cases, Ramon Vilallonga, Amador Garcia, Enric Caubet, Oscar Gonzalez, Montse Adell, Marc Perez, Carlos Petrola, Jose Manuel Fort, Manel Armengol, laparosopic surgery, Roux limb, gastro gastric anastomosis, Fundectomy, stomach fundectomy
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