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Laparoscopic gastric bypass for stenosis after laparoscopic sleeve gastrectomy : a case report Hidenori HARUTA 1 , Yoshinori HOSOYA 1 , Toru ZUIKI 1 , Kentaro KURASHINA 1 , Naohiro SATA 1 , Yoshikazu YASUDA 1 1Clinical Institute of Digestive Disease Surgical Branch, Jichi Medical University Keyword: 腹腔鏡下スリーブ状胃切除術 , 狭窄 , Revision surgery pp.555-560
Published Date 2013/9/15
DOI https://doi.org/10.11477/mf.4426100988
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A 40-year old woman with diabetes mellitus, hypertension, hyperlipidemia, and fatty liver, underwent laparoscopic sleeve gastrectomy for morbid obesity (BMI 37.1kg/m2). The third firing of the linear stapler(Endo GIATM Duet TRSTM) failed, necessitating re-stapling at the inner side of the failed staple line. Intraoperative endoscopy showed no abnormalities. After discharge, she was unable to tolerate solid food. Stenosis caused by twisting of the stomach at the site of re-stapling was seen on upper-GI imaging and endoscopy. Endoscopic balloon dilation did not relieve the stenosis, and laparoscopic gastric bypass was performed. The postoperative course after surgical revision was uneventful, resulting in weight loss and cure of comorbidities. Gastric stenosis after laparoscopic sleeve gastrectomy has been reported in about 1% of patients. We report successful treatment of a patient with gastric twisting and stenosis after sleeve gastrectomy by laparoscopic gastric bypass.


Copyright © 2013, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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