Laparoscopic Toupet Fundoplication Utilizing the Remnant Stomach for Treatment of GERD After Roux-en Y Gastric Bypass: How I Do It

Abstract

Roux-en Y gastric bypass (RYGB) is an alternative to fundoplication in patients with concurrent obesity and gastroesophageal reflux disease (GERD). However, up to 25% of bypassed patients continue to have GERD. When medical management in this population fails, laparoscopic fundoplasty using the remnant stomach is a viable option. This video describes our approach to this procedure.

Keywords

GERD RYGB fundoplication Toupet foregut

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