TECHNICAL DETAILS AND EARLY RESULTS OF MODIFIED LAPAROSCOPIC SLEEVE GASTRECTOMY WITH HIATAL HERNIA REPAIR AND TOUPET FUNDOPLICATION
Guilherme D. Mazzini*, Jennifer Salluzzo, Guilherme M. Campos
Virginia Commonwealth University Medical Center, Richmond, VA
Patients with clinically severe obesity and GERD have better GERD outcomes with a laparoscopic gastric bypass (LRYGB) when compared to a laparoscopic sleeve gastrectomy (LSG). However, some patients with GERD may have a contraindication to undergo LRYGB and modifications to LSG to include an anti-reflux fundoplication have been used to allow offering a LSG to patients with GERD. In this video we present the key technical aspects of a modified LSG with hiatal hernia repair, a partial posterior 270o fundoplication, and initial clinical results in 15 patients. Long-term GERD outcomes and potential advantages of a partial fundoplication added to an LSG are still under scrutiny.
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