Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Obesity Surgery
Published in: Obesity Surgery 7/2021

01-07-2021 | Bariatric Surgery | Multimedia Article

Laparoscopic Conversion of Gastric Plication to Roux-en-Y Gastric Bypass

Authors: Agustin Duro, Santiago Corradetti, Virgina M. Cano Busnelli, Fernando G. Wright, Axel F. Beskow

Published in: Obesity Surgery | Issue 7/2021

Login to get access

Abstract

Purpose

Laparoscopic gastric plication (LGP) is a relative new bariatric procedure with a high revision rate, mostly to sleeve gastrectomy. There are few reported cases of conversion to Roux-en-Y gastric bypass (RYGB). The purpose of this video was to show the feasibility and safety, as well as the main technical aspects, of a laparoscopic conversion of gastric plication to RYGB.

Materials and methods

A 40-year-old morbidly obese woman with a previous LGP, consulted for insufficient weight loss, weight regain, and gastroesophageal reflux disease (GERD) symptoms, and was converted to RYGB.

Results

Surgical technique included lysis of adhesions between the stomach and the greater omentum, take down of the plication, partial gastrectomy of the devascularized fundus and body and conversion to RYGB. At 30 months, she has achieved a total weight loss (TWL) of 42.43% with no GERD symptoms recurrence.

Conclusion

Conversion to RYGB is a safe and effective option to treat weight recidivism and GERD after LGP.
Appendix
Available only for authorised users
Literature
1.
Talebpour M, Motamedi SM, Talebpour A, et al. Twelve year experience of laparoscopic gastric plication in morbid obesity: development of the technique and patient outcomes. Ann Surg Innov Res. 2012;6:7.CrossRef
2.
Zerrweck C, Rodriguez JG, Aramburo E, et al. Revisional surgery following laparoscopic gastric plication. Obes Surg. 2017;27(1):38–43.CrossRef
3.
Albanese A, Prevedello L, Verdi D, et al. Laparoscopic gastric plication: an emerging bariatric procedure with high surgical revision rate. Bariatr Surg Pract Patient Care. 2015;10(3):93–8.CrossRef
Metadata
Title
Laparoscopic Conversion of Gastric Plication to Roux-en-Y Gastric Bypass
Authors
Agustin Duro
Santiago Corradetti
Virgina M. Cano Busnelli
Fernando G. Wright
Axel F. Beskow
Publication date
01-07-2021
Publisher
Springer US
Published in
Obesity Surgery / Issue 7/2021
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-021-05382-1

Other articles of this Issue 7/2021

Obesity Surgery 7/2021 Go to the issue

Brief Communication

Real-World Experience of Intragastric Balloons for Obesity: Insights from the FDA Manufacturer and User Facility Device Experience (MAUDE) Database

Letter to the Editor

Videolaryngoscopy Versus Direct Laryngoscopy for Patients with Obesity Requiring Tracheal Intubation: a Meta-analysis

Multimedia Article

EUS-guided Anastomosis Complication in a Patient with Roux-en-Y Gastric Bypass: Dehiscence of the Surgical Anastomosis During Endoscopic Mucosal Resection Across EUS-guided Jejunum-gastric Anastomosis with Lumen Apposing Metal Stent

Original Contributions

Iron Deficiency – Not Only a Premenopausal Topic After Bariatric Surgery?

Brief Communication

Impact of COVID-19 Lockdown on Short-term Weight Loss in a Single Italian Institution

Original Contributions

Adverse Neonatal and Obstetric Outcomes in a 20-year Brazilian Retrospective Cohort of Pregnancies after Bariatric Surgery