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Obesity Surgery

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17-02-2023 | Endoscopy | Multimedia Article

The Surgical Technique of Primary Modified Fundoplication Using the Excluded Stomach with Simultaneous Gastric Bypass

Author: Oral Ospanov

Published in: Obesity Surgery | Issue 4/2023

Abstract

Purpose

The aim of this work is to demonstrate a new concept of the surgical technique “FundoRing” for the prevention of acid and bile reflux esophagitis after gastric bypass.

Materials and Methods

A laparoscopic surgical technique of gastric bypass simultaneous with combined upper total and lower left partial fundoplication. This described case is a participant in an ongoing randomized clinical trial.

Results

The patient was without complications and was discharged on the third postoperative day. Delta BMI was 14 kg/m² (38–24) at the 1-year follow-up. The patient did not have heartburn or bile reflux esophagitis after surgery. Evaluation of the mucosa of the esophagus by upper endoscopy after each of the 3 follow-up visits demonstrated that reflux esophagitis had resolved. Intraoperative fluorescence imaging technologies (NIR/ICG) (IMAGE1 S™ Rubina®) were to determine the quality of blood supply—no violation of the blood supply to the fundoplication wrap of the gastric pouch was detected. A CT scan clearly shows a fundoplication ring around the esophagus (two-thirds) and the upper part of the gastric pouch (one-third).

Conclusion

The surgical technique of primary modified fundoplication using the excluded stomach with simultaneous gastric bypass is feasible.

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Title: The Surgical Technique of Primary Modified Fundoplication Using the Excluded Stomach with Simultaneous Gastric Bypass
Author: Oral Ospanov
Publication date: 17-02-2023
Publisher: Springer US
Keywords: Endoscopy
Esophagitis
Gastric Fundoplication
Gastric Fundoplication
Published in: Obesity Surgery / Issue 4/2023
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-023-06505-6

Keynote Webinar | Spotlight on Diet and Diabetes

Springer Medicine

The Surgical Technique of Primary Modified Fundoplication Using the Excluded Stomach with Simultaneous Gastric Bypass

Abstract

Purpose

Materials and Methods

Results

Conclusion

Keynote Webinar | Spotlight on Diet and Diabetes

Springer Medicine

Abstract

Purpose

Materials and Methods

Results

Conclusion

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