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. 2025 Aug 6.
doi: 10.1007/s11695-025-08069-z. Online ahead of print.

Conversion of a Failed Vertical Banded Gastroplasty to One-Anastomosis Gastric Bypass in a Case with Gastro-gastric Fistula and Mesh Complication: A Multimedia Article

Mohamed Hany  1   2   3 , Mohamed H Zidan  4   5   6 , Mona S Youssef  4   7   5 , Anwar Ashraf Abouelnasr  4   7   5 , Nour Zayed  4   6 , Mohamed Ibrahim  4   7   8 , Aly Elbahrawy  9 , Bart Torensma  10
Affiliations

Conversion of a Failed Vertical Banded Gastroplasty to One-Anastomosis Gastric Bypass in a Case with Gastro-gastric Fistula and Mesh Complication: A Multimedia Article

Mohamed Hany et al. Obes Surg. .

Abstract

A 56-year-old female presented with recurrent weight gain (RWG) and vomiting, 10 years after open VBG. Imaging and endoscopy revealed an anatomically distorted pouch, two staple line dehiscences, and a gastro-gastric fistula (GGF). Multiple revisional options were evaluated. Due to the presence of mesh and anatomical limitations, a decision was made to perform a one-anastomosis gastric bypass (OAGB) below the mesh, guided by a calibration tube passed through the area of disruption. Laparoscopic OAGB was performed with a 150-cm biliary limb and a 3-cm gastrojejunostomy. Intraoperative leak testing was negative. The patient had an uneventful recovery and was discharged on postoperative day 3. At 18-month follow-up, she achieved a weight of 74 kg (body mass index (BMI) 25.4 kg/m2), with complete symptom resolution and normal laboratory parameters.

Keywords: Gastro-gastric fistula; Mesh complication; One-anastomosis gastric bypass; Revisional metabolic bariatric surgery; Vertical banded gastroplasty.

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Conflict of interest statement

Declarations. Conflict of interest: The authors declare no competing interests. Ethical Approval: All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional and national research committee and the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards. Consent to Participate: The patient provided written and oral informed consent.

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References

    1. Mason EE, Doherty C, Cullen JJ, Scott D, Rodriguez EM, Maher JW. Vertical gastroplasty: evolution of vertical banded gastroplasty. World J Surg. 1998;22(9):919–24. https://doi.org/10.1007/s002689900495 . - DOI - PubMed
    1. Eckhout GV, Willbanks OL, Moore JT. Vertical ring gastroplasty for morbid obesity. Five year experience with 1,463 patients. Am J Surg. 1986;152(6):713–6. https://doi.org/10.1016/0002-9610(86)90455-1 . - DOI - PubMed
    1. Schouten R, Wiryasaputra DC, van Dielen FM, van Gemert WG, Greve JW. Long-term results of bariatric restrictive procedures: a prospective study. Obes Surg. 2010;20(12):1617–26. https://doi.org/10.1007/s11695-010-0211-2 . - DOI - PubMed - PMC
    1. Athanasiadis DI, Monfared S, Choi JN, Selzer D, Banerjee A, Stefanidis D. Vertical banded gastroplasty revision to gastric bypass leads to effective weight loss and comorbidity and dysphagia symptom resolution. Obes Surg. 2020;30(9):3453–8. https://doi.org/10.1007/s11695-020-04587-0 . - DOI - PubMed
    1. Noun R, Zeidan S, Riachi E, Abboud B, Chalhoub V, Yazigi A. Mini-gastric bypass for revision of failed primary restrictive procedures: a valuable option. Obes Surg. 2007;17(5):684–8. https://doi.org/10.1007/s11695-007-9119-x . - DOI - PubMed

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