A237 Laparoscopic conversion to Roux en Y Gastric Bypass and Ligamentum Teres Cardiopexy for Gastroesophageal and Bile Reflux after Sleeve Gastrectomy

Subtle aberrations in the post-sleeve stomach may result in severe gastroesophageal and bile reflux. Cardiopexy of the stomach with the ligamentum teres, initially described in 1964 by Pedinielli, has been used to reinforce the lower esophageal sphincter and hinders mediastinal retraction of the stomach. However, diversion of duodenal contents is required for definitive treatment of bile reflux. The presented video depicts a case of 37 year-old female presenting with frequent regurgitation and reflux refractory to medical therapy 5 years after laparoscopic sleeve gastrectomy.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research