BACKGROUND: The revisional surgery for @entity1 with inadequate @entity353 after biliopancreatic diversion with duodenal switch (BPD/DS) is controversial. It has not yet been determined whether a common channel should be shortened or gastric pouch volume reduced. Since the revision of the distal anastomosis remains technically difficult and associated with possible complications, we turned our attention to the reduction of @entity356 . This operation is more feasible and potential complications are less probable. @entity1 AND METHOD: We present the case of a 47-year-old @entity1 with a life-long history of morbid @entity28 . She was operated on in January 2000 with a laparoscopic BPD/DS with 100 ml gastric pouch, 150 cm of alimentary limb and 100 cm of common channel. Before this operation, her weight was 170 kg, with BMI 64 kg/m(2). She lost most of her excess weight within 17 months after surgery and was regaining weight at 77 kg and BMI 29 kg/m(2). Upper GI series showed a markedly dilated gastric pouch. Her second surgery consisted of a laparoscopic sleeve partial gastrectomy along the greater curvature using endo GIA staplers with @entity291 pericardium for reinforcement of the stapler line. RESULTS: No @entity260 occurred. The @entity1 was discharged on the first postoperative day. Significant further @entity353 was noted, and at 10 months after surgery, her weight is 61 kg with BMI 22. CONCLUSION: A repeat laparoscopic gastric sleeve resection was performed for inadequate @entity353 after BPD/DS, and resulted in further @entity353 .

Laparoscopic reoperative sleeve gastrectomy for poor XXXX after biliopancreatic diversion with duodenal switch.

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'patient', 'PATIENT'] @entity353 :: ('MESH:D015431', 'Disease') :: ['weight reduction', 'weight loss'] @entity28 :: ('MESH:D009765', 'Disease') :: ['obesity'] @entity260 :: ('MESH:D011183', 'Disease') :: ['postoperative complications'] @entity291 :: ('9913', 'Species') :: ['bovine'] @entity356 :: ('MESH:D013274', 'Disease') :: ['gastric sleeve volume']
@entity353 :: (MESH:D015431,Disease) :: ['weight loss']
