Abstract

A common late complication of vertical banded gastroplasty (VBG) is outlet obstruction at the level of the band. One option for relieving the obstructive symptoms is to take down the VBG using an endolumenal stapling technique. We present a case of an intraoperative complication with a failed staple-line during laparoscopic VBG reversal. Intraoperative management of this complication includes distal gastrectomy with a Billroth II reconstruction.

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