Robotic conversion of SG to RYGBP + gastrectomy of the remnant stomach due to severe GERD
Posted in Lectures on 4 December 2020
Anna Curell, MD
José M. Balibrea, MD, PhD
Gastrointestinal Surgery Department
Hospital Clínic de Barcelona, Spain
Gastroesophageal reflux (GERD) is currently regarded as one of the main medical complications after sleeve gastrectomy (SG). Pre- and postoperative diagnostic studies in obese patients to diagnose preexisting and de novo GERD are still a matter of controversy.
Conversion to Roux-en-Y gastric bypass (RYGBP) is considered the gold standard for treating severe GERD despite optimal medical treatment.
In this video we present a conversion of SG to RYGBP using the DaVinci Xi robotic platform for severe GERD in a patient with a BMI of 30 Kg/m2. Preoperative esophago-gastro-duodenoscopy revealed gastric mucosal atrophy, which was confirmed in the pathology report. It was decided to also perform a gastrectomy of the remnant stomach.