title: Revision of vertical banded gastroplasty complicated by a large para-esophageal hernia.
abstract: Patients who have undergone bariatric surgery and present with upper abdominal symptoms pose a diagnostic and management challenge. This is a case report of a 53-year-old lady who presented a number of years after vertical banded gastroplasty with upper abdominal pain and weight gain. Radiological investigation demonstrated a large para-esophageal hernia including the stapled area of the stomach, but with a staple-line dehiscence. She successfully underwent repair of the hiatus hernia and conversion to a Roux-en-Y gastric bypass resulting in resolution of the abdominal pain and weight loss.
authors.affiliation: Royal Hallamshire Hospital, Glossop Road, Sheffield S10 2JF, UK. manskhan@doctors.org.uk
authors.forename: Mansoor
authors.initials: M
authors.lastname: Khan
authors.forename: Fred
authors.initials: F
authors.lastname: Lee
authors.forename: Roger
authors.initials: R
authors.lastname: Ackroyd
mesh_terms: D000328:Adult; D005260:Female; D015390:Gastric Bypass; D015391:Gastroplasty / Q000009:adverse effects* / Q000379:methods; D006551:Hernia, Hiatal / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D009767:Obesity, Morbid / Q000150:complications / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology; D011247:Pregnancy; D012086:Reoperation; D013270:Stomach / Q000000981:diagnostic imaging* / Q000601:surgery; D017792:Surgical Stapling; D013529:Surgical Wound Dehiscence; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D015431:Weight Loss