Skip to main content
SpringerLink
Log in

Single Port Trans-gastric Reversal of High Gastric Reduction

  • How I Do It
  • Published:
Obesity Surgery Aims and scope Submit manuscript

Abstract

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. It appears to be simple, safe and widely applicable.

Conclusions

The single port trans-gastric, laparo-endoscopic technique provides a simple and effective minimally invasive method of reversing gastric stapling procedures without the need for extensive adhesiolysis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

  1. Jamieson AC. Why the operation I prefer is the modified long vertical gastroplasty. Obes Surg. 1993;3(3):297–301.

    Article  PubMed  Google Scholar 

  2. Tevis S, Garren MJ, Gould JC. Revisional surgery for failed vertical-banded gastroplasty. Obes Surg. 2011;21(8):1220–4.

    Article  PubMed  Google Scholar 

  3. Marsk R, Jonas E, Gartzios H, et al. High revision rates after laparoscopic vertical banded gastroplasty. Surg Obes Relat Dis. 2009;5(1):94–8.

    Article  PubMed  Google Scholar 

  4. van Gemert WG, van Wersch MM, Greve JW, et al. Revisional surgery after failed vertical banded gastroplasty: restoration of vertical banded gastroplasty or conversion to gastric bypass. Obes Surg. 1998;8(1):21–8.

    Article  PubMed  Google Scholar 

  5. Bird PA, Jamieson AC. Functional laparoscopic reversal of a long gastroplasty. ANZ J Surg. 1997;67(10):734–5.

    Article  CAS  Google Scholar 

  6. Thoreson R, Cullen JJ. Indications and results of reversal of vertical banded gastroplasty (VBG). J Gastrointest Surg. 2008;12(11):2032–6.

    Article  PubMed  Google Scholar 

  7. Froyen J, Rosseland AR, Helsingen N. Endoscopic diathermy incision in the treatment of stoma obstruction after gastroplasty for obesity. Endoscopy. 1985;17(3):91–3.

    Article  CAS  PubMed  Google Scholar 

Download references

Conflict of Interest

All authors certify having no disclosures, grants or commercial interests.

Author information

Authors and Affiliations

  1. Upper GI & Bariatric Unit, Austin Hospital, Level 8, Lance Townsend Building, 145 Studley Road, Heidelberg, VIC, 3084, Australia

    Ahmad Aly, Thomas Sweeney, Ian Michell & Kiat Lim

Authors
  1. Ahmad Aly
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Thomas Sweeney
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ian Michell
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Kiat Lim
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ahmad Aly.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Aly, A., Sweeney, T., Michell, I. et al. Single Port Trans-gastric Reversal of High Gastric Reduction. OBES SURG 24, 483–486 (2014). https://doi.org/10.1007/s11695-013-1170-1

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11695-013-1170-1

Keywords

Search

Navigation