Laparoscopic Total Reversal of Gastric Bypass

Ziad Awad, MD, FACS; Michel Gagner, MD; Camilo Boza, MD; Luca Milone, MD

Product Details
Product ID: ACS-2473
Year Produced: 2006
Length: 8 min.


Metabolic bone disease is a potential complication of gastric bypass procedure. We present the case of a 58 year old with a 5 year history of a non-healing right hip fracture. She underwent a gastric bypass in 1985, and it was revised in 1988. The patient was on TPN for 6 months. Laparoscopic reversal of gastric bypass is performed; the Roux limb is disconnected from the gastric pouch; the gastro-gastrostomy is constructed with an EEA 25 mm circular stapler. The enteroenterostomy is disconnected from the bilio-pancreatic limb (BP) side and the continuity of the small bowel is restored with stapled anastamosis. The Patient recovery was uneventful. Postoperative upper GI study was satisfactory. Laparoscopic Reversal of a gastric bypass is warranted in symptomatic bone disease that does not respond to conservative medical treatment.