Laparoscopic Gastrogastrostomy – An Alternative Procedure for Stenosis after Sleeve Gastrectomy

• DOI: 10.4103/jbs.jbs_5_24
• Publication Date: 2024-05-24T11:00:10Z
• Authors: Melanie Mercado; Sam Alhayo; Michael Talbot
• Keywords: Sleeve gastrectomy; Gastric banding

Abstract Introduction: Reflux symptoms associated with stenosis after laparoscopic sleeve gastrectomy can occur secondary to anatomical abnormality including mechanical and axial deviation, commonly occurring mid-sleeve. Treatment options include endoscopic intervention, dilatation, stenting, myotomy, surgical revision, Roux-en-Y gastric bypass (RYGB) being preferred by many. In this case series, we report six patients who have undergone gastrogastrostomy (GG) for propose as a possible alternative appropriately selected symptomatic angularis stenosis. Patients Methods: Medical records underwent GG treatment of persistent reflux due were reviewed. All preoperatively investigated endoscopy abdominal three-dimensional computed tomography. Hiatal hernia esophageal dilation excluded. After further consultation, proceeded GG. Results: Complete resolution was reported in three patients, Visick score 1, while the other significantly improved symptoms. Postoperative body mass index remained similar prerevision baseline. There no postoperative complications. Conclusion: Revision RYGB is effective but be challenging potential long-term nutritional deficiencies For stenosis, simpler revisional procedure that has shown adequate initial outcomes short or anticipated complications series. persisting could undergo subsequent if needed.