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Description keyboard_arrow_down
RNY to GJ-S performed by Dr. Dillemans.

Technique Description:

  • 1. Reduction of herniated intra-thoracic pouch
  • 2. Gastrojejunal sleeve resection
  • 3. Cruroplasty
  • 4. Modified Nissen Fundoplication
  • 5. Sugerman-type distalisation


Learning Points:

  • During Gastrojejunal Sleeve Resection it is important to exclude the old stapler line to avoid Ischemia and leakage at the level of the stapler line
  • Upgrade cartridge when tissue is thicker to prevent leaks
  • Modified Nissen is a good technical solution to avoid recurrence of hiatal hernia on top of the cruroplasty
  • Modified Nissen Fundoplication
  • Pexia of the Nissen wrap to the crus is an additional technique to avoid recurrence of hiatal hernia
Faculty keyboard_arrow_down
Dr. Bruno Dillemans Bariatric and abdominal surgeon, Chief of staff of the Department of General Surgery AZ Sint-Jan Bruges-Ostend AV Bariatric Surgery
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