Intraoperative pouch stricture during laparoscopic one-anastomosis gastric bypass: case report, salvage description and follow-up
We read with interest the paper by Godina et al.  dealing with a possible complication and its solution in a patient who underwent one-anastomosis-gastric bypass (OAGB). However, as for all surgical procedure, OAGB can be affected by intraoperative complication, that a surgeon should know, to avoid them and/or to treat them effectively.
We report a case of an intraoperative pouch stricture occurring during laparoscopic OAGB and its intraoperative management with a new salvage technique for stomach integrity.
Case presentation and management
A 47-year-old obese female (110 kg, BMI 49) with initial type 2 diabetes mellitus (T2DM, blood glucose 142 mg/dL, HbA1c 6.8 g/dL, managed with metformin 500 mg/bid) and obstructive sleep apnea syndrome (OSAS) underwent bariatric surgery. Pre-operative upper endoscopy and high-resolution manometry (HRM) were within normal limits; impedance-pH monitoring documented a presence of mild gastro-esophageal reflux, so OAGB was indicated.
Compliance with ethical standards
Conflict of interest
Authors declare no conflict of interest related to the subject of this study.
Research involving human participants and/or animals
All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (Institutional and National) and with the Helsinki Declaration of 1964 and later version.
For this type of study formal consent is not required.
- 1.Godina M, Nagliati C, Menegon P, Caruso V (2017) Emergency laparoscopic conversion from mini/one anastomosis gastric bypass to modified Roux-en-Y-gastric bypass due to acute bleeding from a recurrent marginal ulcer. Updates Surg. https://doi.org/10.1007/s13304-017-0435-y (Epub ahead of print) PubMedGoogle Scholar