Yalini Vigneswaran, MD, MS, Sergio Toledo, Victoria Lyo, Andrea M Stroud, Farah Husain. Oregon Health & Science University
Management of patients with gastric stenosis after sleeve gastrectomy can be challenging due to varying efficaciousness of revisional therapies. Here we show video of a laparoscopic seromyotomy as treatment for sleeve stenosis. Important technique includes evaluating the sleeve with endoscopic insufflation when performing the myotomy. Relieving both the stenosis and the associated sleeve twisting that occurs with insufflation may be key in allowing for return to normal motility of the sleeve postoperatively. We believe laparoscopic seromyotomy of the incisural stenosis is a promising revisional technique for patients with sleeve gastrectomy stenosis that should be included in the algorithm prior to revision to gastric bypass. This technique is a low risk procedure and can allow for continued weight loss with sleeve gastrectomy despite initial failure.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 92544
Program Number: V380
Presentation Session: Video Loop Day 4
Presentation Type: VideoLoop