R9Q7AZG796 Performance of A Robotic Assisted Laparoscopic Sleeve Gastrectomy in a Patient With Prior Open Loop Duodenojejunostomy for Duodenal Atresia

Document Type

Abstract

Publication Date

6-1-2025

Abstract

Ellen Pekar University of Pennsylvania; John Fam Tower Health/Drexel University Introduction: A 45 yo female with a history of duodenal atresia repair presented to the bariatric surgery service with a BMI of 47.44. The patient previously underwent an aborted laparoscopic sleeve gastrectomy at an outside hospital. Method: Preoperative EGD obtained. Loop configuration noted in the first portion of the duodenum with two lumens leading into segments of small bowel. UGI obtained confirming a loop configuration. Decision was made to undergo sleeve gastrectomy. Access obtained in the RUQ with 5mm Optiview trocar. Two 8 mm ports placed in the left lateral abdomen. 12 mm port placed supraumbilically. 8 mm port placed in the right lateral abdomen. Extensive adhesiolysis performed taking down gastric, hepatic, and omental adhesions. Liver retracted with a Stratafix. 5 cm from pylorus measured out. Short gastric vessels ligated with a Harmonic. Moderate sized hiatal hernia primarily repaired. •0 Fr Visi G tube placed. Sleeve created with firing of one blue load and several white loads on a Sureform stapler. Results: Patient doing well postoperatively with 26 lb weight loss 2 weeks after surgery. A month out from surgery she continues to do well. Conclusion: It is safe and feasible to perform a robotic laparoscopic sleeve gastrectomy in a patient with prior open loop duodenojejunostomy.

Publication Title

Surgery for Obesity and Related Diseases

Volume

21

Issue

6 Supplement

First Page

S110

Last Page

S111

Comments

American Society for Metabolic and Bariatric Surgery (ASMBS) Annual Meeting 2025 held 2025-04-12 to 2025-04-15 in Chicago, IL, USA.

Link to Full Text

Open Access

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