Ligamentum Teres Cardiopexy as a Late Alternative for Gastroesophageal Reflux Disease in a Patient with Previous Reversal of Gastric Bypass to Sleeve Gastrectomy and Hiatal Hernia Repair

Ramon Vilallonga, Sergi Sanchez-Cordero, Piero Alberti, Ruth Blanco-Colino, Amador Garcia Ruiz de Gordejuela, Enric Caubet, Oscar Gonzalez, Renato Roriz-Silva, Manel Armengol, José Manuel Fort

Research output: Contribution to journalArticleResearch

2 Citations (Scopus)

Abstract

© 2019, Springer Science+Business Media, LLC, part of Springer Nature. An important percentage of the patient, undergoing primary or revisional bariatric surgery after sleeve gastrectomy, presents symptomatic gastroesophageal reflux disease (GERD). When and how surgical reinforcement of the lower esophageal sphincter should be performed to prevent acid reflux is still controversial. Here, we describe laparoscopic ligamentum teres cardiopexy, a surgical technique that reinforces the lower esophageal sphincter and restores its competence with a new valve, in patients with the previous conversion of gastric bypass to sleeve gastrectomy and hiatal hernia repair. We present the surgical technique performed on a patient with initial gastric bypass who underwent sleeve gastrectomy for hypoglycemia and hiatoplasty for severe GERD. Persistent GERD requested to undergo ligamentum teres cardiopexy. Ligamentum teres cardiopexy combined with the closure of the gastric crus is a late alternative treatment for GERD in patients with previous sleeve gastrectomy and hiatal hernia.
Original languageEnglish
JournalObesity Surgery
DOIs
Publication statusPublished - 1 Jan 2019

Keywords

  • Bariatric surgery
  • Gastroesophageal reflux
  • Gastropexy
  • Ligamentum teres
  • Morbid obesity
  • Reversal
  • Sleeve gastrectomy

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