sleeve post nissen fundoplication

[mila1013 0]

Dr Jossart,

For clarification a fundoplication would have to be reversed (taken down, or the correct terminology) before a sleeve could be performed? Is there any instance in which a fundoplication would not be reversed prior to a sleeve? Is this reversal a difficult process, (location, procedure etc) and requires a high level of revisionary skills in order to be successful? Thank you in advance for your time.

Mila

Edited September 7, 2010 by mila1013

[dr. nestor 0]

<br />Dr Jossart,<br /> <br />For clarification a fundoplication would have to be reversed (taken down, or the correct terminology) before a sleeve could be performed? Is there any instance in which a fundoplication would not be reversed prior to a sleeve? Is this reversal a difficult process, (location, procedure etc) and requires a high level of revisionary skills in order to be <font color="#323232"><font face="Verdana">successful? </font></font> Thank you in advance for your time.<br /> <br />Mila<br />

<br /><br /><br />

dr jossart my name is dr nestor. I have a patient who i made a fundoplication nissen 2 years ago for a severe reflux. then she gain a lot of weight and a few months ago I made a sleeve gastric on her not touching de nissen. I made the gastrectomy on the side the fundoplication, and was successful. Let me tell you that I never cut de short gastric vessels during the fundoplication, so I did not had the necesity to reverse the nissen. and the patient lossed a lot of weight and never appears the reflux again. whats your opinion thanks.