Reconstruction of the gastric passage by a side-to-side gastrogastrostomy after failed vertical-banded gastroplasty: a case report.
BACKGROUND
Vertical-banded gastroplasty, a technique that is commonly performed in the treatment of morbid obesity, represents a nonadjustable restrictive procedure which reduces the volume of the upper stomach by a vertical stapler line. In addition, a textile or silicone band restricts food passage through the stomach.


METHODS
A 71-year-old woman presented with a severe gastric stenosis 11 years after vertical gastroplasty. We describe a side-to-side gastrogastrostomy as a safe surgical procedure to restore the physiological gastric passage after failed vertical-banded gastroplasty.


CONCLUSIONS
Occasionally, restrictive procedures for morbid obesity cannot be converted into an alternative bariatric procedure to maintain weight control. This report demonstrates that a side-to-side gastrogastrostomy is a feasible and safe procedure.
Department of Visceral and Transplantation Surgery, University Hospital Zurich, Raemistrasse, Zürich, Switzerland. christopher.soll@usz.ch
Christopher
C
Soll
Markus K
MK
Müller
Stefan
S
Wildi
Pierre-Alain
PA
Clavien
Markus
M
Weber