LAPAROSCOPIC REVISION OF GASTRIC REMNANT LEAK FOLLOWING MINI/ONE ANASTOMOSIS GASTRIC BYPASS (MGB/OAGB)

Background: This is the clinical case of a 22 y.o. woman presenting with a number of early postoperative complications following a Mini/One anastomosis gastric bypass (MGB/OAGB). Methods: As shown in the video, the laparoscopic revision of the surgical procedure is carried out. A thorough exploration of the abdominal cavity is performed, the leak source is detected and an enlarged resection of the gastric fundus is made. Results: The patient was discharged in good conditions from hospital on postoperative day eight (POD 8) following the revisional procedure. Conclusions: Following any gastric bypass procedure, in the suspicion of a leak, both the gastro-jejunal anastomosis of the alimentary tract and the excluded stomach with the biliary limb, must be carefully checked. Early swallow contrast CT scan may provide false negative results for leak especially when originating from the excluded stomach.