BACKGROUND: Roux-en-Y gastric bypass (RYGB) may be a better option for morbidly @entity28 @entity1 with @entity354 ( @entity354 ) for long-term reflux control. It is recommended after fundoplication if a @entity1 is morbidly @entity28 with @entity354 with failed fundoplication or if bariatric surgery is planned with a prior successful fundoplication (Kim et al., Am Surg 80(7):696-703, 2014; Kambiz Zainabadi, Surg Endosc. 22(12):2737-40, 2008). Complete takedown of the wrap to avoid stapling over the fundoplication creating an obstructed, septated pouch is needed (Kambiz Zainabadi, Surg Endosc. 22(12):2737-40, 2008). The aim of this video was to demonstrate the technical aspect of dissection and undo of Nissen's fundoplication followed by performance of a RYGB in a morbidly @entity28 @entity1 with @entity354 with prior successful Nissen's fundoplication opting for bariatric surgery after a year. METHODS: We present a case of a 50-year-old @entity1 with a BMI of 36.14 with previous laparoscopic Nissen's fundoplication for severe @entity354 (controlled after surgery) and a prior laparoscopic intraperitoneal onlay mesh repair who presented for bariatric surgery 1  year after fundoplication. She was successfully treated by laparoscopic undo of the fundoplication with RYGB. RESULTS: In this multimedia high-definition video, we present step-by-step the laparoscopic undo of a Nissen's fundoplication followed by RYGB. The procedure included lysis of all adhesions between the liver and the stomach, dissection of the diaphragmatic crura, complete takedown of the wrap, repair of the @entity357 , creation of a gastric pouch, creation of an antecolic Roux limb, gastrojejunal @entity254 , and jejuno-jejunal @entity254 . CONCLUSION: Laparoscopic RYGB after fundoplication in morbidly @entity28 @entity1 with @entity354 is a technically difficult but feasible option.

Laparoscopic Undo of Fundoplication with Roux-en-Y Gastric Bypass in a Morbidly Obese XXXX with Prior Nissen's Fundoplication: A Video Report.

@entity1 :: ('9606', 'Species') :: ['woman', 'patients', 'patient'] @entity28 :: ('MESH:D009765', 'Disease') :: ['obese'] @entity254 :: ('MESH:C563598', 'Disease') :: ['anastomosis'] @entity357 :: ('MESH:D006551', 'Disease') :: ['hiatal hernia'] @entity354 :: ('MESH:D005764', 'Disease') :: ['gastroesophageal reflux', 'GERD']
@entity1 :: (9606,Species) :: ['Patient']
