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Laparoscopic Roux-en-Y gastric bypass after open Nissen fundoplication

M Vix, MD B Dallemagne, MD F Costantino, MD J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Jul 2010;10(07). URL: http://websurg.com/doi/vd01en3018

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  • 2010-07-15
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Although laparoscopic revision of antireflux procedures when performing a RYGB is feasible, it presents some technical problems such as dissection of Nissen wrap and identification of anatomical landmarks. This is the case of a 50-year-old female patient who underwent a laparoscopic converted to open Nissen fundoplication 10 years ago. Her gastroesophageal reflux was healed. However, she put on weight. Her current BMI is 45. The patient asks for a bariatric procedure.