Roux-en-Y gastric bypass for obesity after Belsey-Mark IV for large hiatus hernia and intrathoracic stomach, in combination with gastroesophageal reflux disease

Autor: Filip Haenen, Thierry Lafullarde, Ben Gys, Tobie Gys
Rok vydání: 2016
Předmět:
Zdroj: Acta Chirurgica Belgica. 116:175-177
ISSN: 0001-5458
DOI: 10.1080/00015458.2015.1128209
Popis: Background: Obesity is an increasing problem worldwide; patients who remain obese after non-surgical interventions are potential candidates for surgical intervention. Laparoscopic Roux-en-Y gastric bypass (RYGB) has proven its effects on excess weight loss and its positive effect on comorbidities and also, on reflux correction.Case report: Our patient, a 53-year-old male, with a BMI of 45 kg/m2 and type 2 diabetes, underwent a Belsey-Mark IV procedure in another center because of a large hiatus hernia and intrathoracic stomach, in combination with gastroesophageal reflux disease (GERD). He consulted at our center concerning his morbid obesity. After a positive preoperative evaluation a RYGB was performed with an uneventful postoperative course.Conclusion: RYGB is a safe and feasible procedure to perform after a Belsey-Mark IV procedure. To our knowledge, this is the first and only report of a RYGB after a Belsey-Mark IV procedure. There were no intra-operative complications and 18 months follow-up...
Databáze: OpenAIRE