Modified Sleeve Gastrectomy Combined with Laparoscopic Rossetti Fundoplication and Vascularization Assessment with Indocyanine Green
Modified Sleeve Gastrectomy Combined with Laparoscopic Rossetti Fundoplication and Vascularization Assessment with Indocyanine Green
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DOI：
10.1007/s11695-019-03970-w
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发表时间：
2019-09-01
期刊：
影响因子：
2.9
通讯作者：
Uccelli, Matteo
中科院分区：
文献类型：
--
作者：
Olmi, Stefano;David, Giulia;Uccelli, Matteo
目的病态肥胖是胃食管反流的关键危险因素;本研究的目的是描述改良腹腔镜Rossetti胃底折叠术治疗与胃食管反流相关的病态肥胖的技术。方法本文是一部关于手术技术的视频/动态文稿。我们报告了一例38岁的患者，因与术前上消化道内镜检查时的GERD症状伴A级食管炎相关的病态肥胖（BMI 43 kg/m2）转诊至我院，多年来每日接受PPI治疗。患者计划接受腹腔镜袖状胃切除术联合Rossetti胃底折叠术。结果术中、术后均顺利。一年后，BMI为27.9 kg/m2，在临床和内镜随访中显示没有食管炎，需要任何PPI治疗。结论改良袖状胃切除术联合腹腔镜Rossetti胃底折叠术是一种安全、有效的手术方式，可替代胃旁路术治疗肥胖GERD。
Aim Morbid obesity is a key risk factor for gastroesophageal reflux; the aim of this study is to describe the technique of modified laparoscopic Rossetti fundoplication to treat morbid obesity related to GERD. Methods This is a video/dynamic manuscript on operative technique. We present the case of a 38-year-old patient referred to our institution for morbid obesity (BMI 43 kg/m2) related to GERD symptoms with grade A esophagitis at the preoperative upper gastro intestinal endoscopy and in daily therapy with PPI since years. The patient was scheduled for a laparoscopic sleeve gastrectomy combined with Rossetti fundoplication. Results Intraoperative and postoperative course were uneventful. One year later, the BMI is 27.9 kg/m(2) and at clinical and endoscopic follow-up demonstrates absence of esophagitis and any PPI therapy is needed. Conclusion The modified sleeve gastrectomy combined with laparoscopic Rossetti fundoplication seems to be a safe, effective procedure and a suitable alternative to gastric bypass in obese patients with GERD.