A BENIGN PYLORIC STRICTURE CAUSING GASTRIC OUTLET OBSTRUCTION REQUIRING LAPAROSCOPIC JABOULAY PYLOROPLASTY
Michael Zaskey*, Matthew A. Heard, Natalie Dixon, Edward Gray
Surgery, East Tennessee State University, Johnson City, TN
The Jaboulay pyloroplasty is a well described procedure but has been a less common choice for pyloroplasty in recent years. We present that it is a safe and well tolerated form of stricturoplasty completed laparoscopically in appropriate patients. The patient is an 84 year old female with known hiatal hernia who was found to have organoaxial volvulus. She had a robotic hiatal hernia repair with Dor fundoplication. UGI was repeated due to worsening nausea and showed minimal gastric emptying. EGD showed fibrosis and narrowing of the pylorus and first portion of the duodenum. After discussion, we proceeded with laparoscopic Jaboulay which the patient tolerated well without complication.
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