Journal article

Single Port Trans-gastric Reversal of High Gastric Reduction

Ahmad Aly, Thomas Sweeney, Ian Michell, Kiat Lim



BACKGROUND: Stomal stenosis is common following high gastric reduction or vertical banded gastroplasty for obesity. Open and laparoscopic approaches for reversal can be problematic due to expected adhesions from previous surgery. METHODS: A technical description of a novel approach for reversal of stomal stenosis following high gastric reduction is provided. This minimally invasive technique combines both "trans-gastric" and "endoscopic" principles for intraluminal reversal via a single port site incision. RESULTS: We describe our early experience in eight cases with this technique, highlighting its advantages and discussing potential pitfalls to be avoided to maximise its use and efficiency..

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