Laparoscopic management of pathologic gastroesophageal reflux after sleeve gastrectomy using the magnetic sphincter augmentation (MSA) device-a Video Vignette.

ABSTRACT:

Purpose

The development of gastroesophageal reflux disease (GERD) has been shown to be not infrequent after laparoscopic sleeve gastrectomy (LSG). Management may vary from medical therapy to Roux-en-Y gastric bypass (RYGB) conversion. Magnetic sphincter augmentation (MSA) device has been shown to be a promising option with excellent results. The purpose of this video was to demonstrate the laparoscopic management of post-LSG GERD with MSA device implant.

Materials and methods

An intraoperative video has been edited to demonstrate the MSA device placement after LSG for the treatment of pathologic GERD.

Results

The procedure started with the lysis of the perigastric adhesions to free the distal esophagus circumferentially. The posterior vagus nerve was identified, and a

SUBMITTER: Bona D 

PROVIDER: S-EPMC8986733 | biostudies-literature | 2022 May

REPOSITORIES: biostudies-literature