title: Laparoscopic Roux-en-Y gastric bypass for severe gastroesophageal reflux after vertical banded gastroplasty.
abstract: BACKGROUND
  Vertical banded gastroplasty (VBG) is sometimes associated with complications such as pouch obstruction, dilatation, and gastroesophageal reflux. This occasionally requires surgical revision, in many cases to a Roux-en-Y gastric bypass (RYGBP).
  
  
  METHODS
  A 47-year-old woman with severe obesity developed severe symptoms of stenosis of the pouch outlet and gastroesophageal reflux 15 years after VBG. Laparoscopic conversion to a RYGBP was performed. At 9-month follow-up, she lost an additional 32 kg and had complete resolution of her reflux.
  
  
  CONCLUSIONS
  In this patient, laparoscopic re-operative RYGBP produced additional weight loss, and improved gastroesophageal reflux that occurred many years after having a VBG. Laparoscopic conversion of a VBG to RYGBP is feasible, and may confer the benefits of other minimally invasive abdominal procedures to this high-risk patient group.
authors.affiliation: Minimally Invasive Surgery Program, Toronto Western Hospital, Department of Surgery, University of Toronto, Toronto, ON, Canada.
authors.forename: Richard D
authors.initials: RD
authors.lastname: Bloomberg
authors.forename: David R
authors.initials: DR
authors.lastname: Urbach
mesh_terms: D000713:Anastomosis, Roux-en-Y; D001458:Bandages / Q000009:adverse effects*; D005260:Female; D015390:Gastric Bypass; D005764:Gastroesophageal Reflux / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D015391:Gastroplasty / Q000009:adverse effects*; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D009767:Obesity, Morbid / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D012720:Severity of Illness Index