Roux-en-Y Gastro-jejunostomy for Complex Leak After the “Nissen” Variant of Sleeve Gastrectomy

ConclusionThe adjunction of a posterior fundoplication may have contributed to the multiple and complex occurrence of SGL. Having an ill-vascularized redundant fundus may have increased ischemia of the GE junction. Moreover, it is more difficult to perform endoscopic treatment in a plicated and sleeved stomach as well.
Source: Obesity Surgery - Category: Surgery Source Type: research