Stapling Through a Bougie During Sleeve Gastrectomy in a Superobese Patient-a Video Vignette.

ABSTRACT:

Purpose

Bariatric-metabolic surgery in superobese patients (BMI > 50 kg/m²) is very challenging indeed with little room for error. In many cases, a two-step procedure is required, since more complex primary bariatric procedures can be technically demanding and bearing a relevant risk for the patient. At our institution, laparoscopic sleeve gastrectomy (SG) is the preferred primary procedure, followed by a conversion to either SADI-S or Roux-en-Y gastric bypass (RYGB) after initial weight loss is achieved [1, 2]. This video aims at demonstrating the conversion from primary SG to RYGB due to an adverse event in a 45-year-old superobese female patient (weight, 170 kg; BMI, 73 kg/m²).

Methods

An intraoperative laparoscopic video has been anonymized and edit

SUBMITTER: Bichler C 

PROVIDER: S-EPMC7467964 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature