title: Single port trans-gastric reversal of high gastric reduction.
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.
authors.affiliation: Upper GI & Bariatric Unit, Austin Hospital, Level 8, Lance Townsend Building, 145 Studley Road, Heidelberg, VIC, 3084, Australia, aaly@bigpond.com.
authors.forename: Ahmad
authors.initials: A
authors.lastname: Aly
authors.forename: Thomas
authors.initials: T
authors.lastname: Sweeney
authors.forename: Ian
authors.initials: I
authors.lastname: Michell
authors.forename: Kiat
authors.initials: K
authors.lastname: Lim
mesh_terms: D050110:Bariatric Surgery / Q000009:adverse effects*; D005260:Female; D015391:Gastroplasty / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000601:surgery*; D061646:Operative Time; D016896:Treatment Outcome