Management of Severe Gastroparesis with Sleeve Gastrectomy: A New Approach
Rebeca V. Dominguez-Profeta, MD; Arielle M. Lee, MD; Kai Neki, MD; Ryan C. Broderick, MD; Robert Cubas, MD; Karl-Hermann Fuchs, MD; Joslin N. Cheverie, MD; Bryan J. Sandler, MD, FACS; Garth R. Jacobsen, MD, FACS; Santiago Horgan, MD, FACS
Product Details |
Product ID: |
ACS-5847 |
Year Produced: |
2019 |
Length: |
6 min. |
MANAGEMENT OF SEVERE GASTROPARESIS WITH SLEEVE GASTRECTOMY. A NEW APPROACH: Symptomatic and refractory severe delayed gastric emptying are challenging to manage, in part due to the absence of a standardized protocol. Various surgical approaches including pyloroplasty, partial gastrectomy, and gastric pacemaker placement have been described in the literature. We present two patients referred for symptomatic gastroparesis with complete oral intolerance and significant weight loss secondary to vagus nerve injury during previous foregut surgery: Revisional Nissen fundoplication and lap band removal, successfully treated with sleeve gastrectomy.