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Revision of a Sleeve Gastrectomy or RNY

Posted On : August 31, 2015

These are examples of two types of patients referred to us for revision surgery.

The first example is a gastric bypass that we revise to the duodenal switch operation. The upper GI series after the revision, shows a “banana shaped” stomach, the pyloric valve and the duodo-ilesotomy anatomosis component of the duodenal switch.

Normal DS
post op RNY to DS revision Upper GI film

The second example, images noted below, is that of a sleeve revised to the duodenal switch – both operations done at different institution. Note how the stomach is not a “banana shaped” and more like a funnel with a narrowing at the bottom of the stomach- a stricture.

Screen Shot 2015-08-26 at 7.51.43 PM
Funnel Sleeve Gastrectomy with stricture
Screen Shot 2015-08-26 at 7.48.10 PM
Red overlay showing the desired Sleeve shape

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