A case of laparoscopic revision surgery 30 years after vertical banded gastroplasty for morbid obesity.
Yasunori MatsumotoShinichiro IidaMasayuki KanoHiroshi SuitoHideki HayashiKoichi HayanoYoshihiro KurataRyota OtsukaYumiko TakahashiHisahiro MatsubaraPublished in: Asian journal of endoscopic surgery (2024)
As the number of bariatric and metabolic surgeries being performed is increasing, the importance of revision surgeries is escalating. In this report, we describe a case of revision surgery performed 30 years after vertical banded gastroplasty (VBG), including a review of the surgical techniques. The patient was a male in his 50s who had previously undergone VBG for morbid obesity (body mass index of 72.6 kg/m 2 ), resulting in gradual weight loss. Twenty-eight years later, reflux symptoms due to stenosis of the mesh area developed. Despite conservative treatment, the symptoms recurred, and aspiration pneumonia developed. Gastrojejunal and Y-anastomoses were performed laparoscopically. Postoperatively, the patient progressed well with no weight regain. In revision surgery, it is essential to accurately assess the patient's pathophysiology, as the surgical technique must consider improvement in symptoms, risk of weight regain, and the need for observation of the residual stomach.
Keyphrases
- weight loss
- bariatric surgery
- total knee arthroplasty
- gastric bypass
- body mass index
- minimally invasive
- roux en y gastric bypass
- weight gain
- coronary artery bypass
- total hip arthroplasty
- case report
- obese patients
- physical activity
- surgical site infection
- type diabetes
- glycemic control
- insulin resistance
- robot assisted
- intensive care unit
- percutaneous coronary intervention
- ultrasound guided
- high fat diet induced
- atrial fibrillation
- skeletal muscle
- acute coronary syndrome
- community acquired pneumonia