Emergent Laparoscopic Recurrent Paraesophageal Hernia Repair After A Roux-En-Y Gastric Bypass

As the number of patients increase who have previously undergone a laparoscopic Roux-en-Y Gastric Bypass (LRYGB) for morbid obesity, so does the amount of late complications associated with this procedure. The presence of GERD after bypass surgery is a very challenging disease process for the bariatric surgeon. Although the LRYGB is the procedure of choice for obese patients with severe reflux, where do we go if the patient develops reflux after the LRYGB. Some have advocated performing a Toupet or a Dor-like wrap using the remnant stomach with little evidence that it works.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research