SUBTOTAL GASTRECOMY FOR GERD IN A PATIENT WITH MULTIPLE PRIOR ANTI-REFLUX OPERATIONS
Robert Acho, Christopher DuCoin, Timothy Nehila, Kristie Labib*
Surgery, University of South Florida, Tampa, FL
We present a case of refractory gastroesophageal reflux disease in patient with four previous anti-reflux operations. The patient is a 34-year-old female with a history of cystic fibrosis. Surgical history includes two Toupe fundoplication's, a Nissen fundoplication and an open hiatal hernia repair with gastropexy. Preoperative work up was consistent with gastroesophageal reflux disease. We took the patient to the operating room for a subtotal gastrectomy with a Roux-en-Y reconstruction. The abdomen and hiatus were hostile leading to a difficult dissection. The patient did well post operatively.
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