RNY to GJ-S performed by Dr. Dillemans.
Technique Description:
Clinical Background
1. Reduction of herniated intra-thoracic pouch
2. Gastrojejunal sleeve resection
3. Cruroplasty
4. Modified Nissen Fundoplication
5. Sugerman-type distalisation
Technique Description
Learning Points:
During Gastrojejunal Sleeve Resection it is important to exclude the old stapler line to avoid Ischemia and leakage at the level of the stapler line
Upgrade cartridge when tissue is thicker to prevent leaks
Modified Nissen is a good technical solution to avoid recurrence of hiatal hernia on top of the cruroplasty
Modified Nissen Fundoplication
Pexia of the Nissen wrap to the crus is an additional technique to avoid recurrence of hiatal hernia
Share it with your network and help spread clinical knowledge.
