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The patient is a 45-year-old female who underwent a laparoscopic adjustable gastric banding about 10 years ago. Her original body mass index (BMI) was 48 and she went down to as low as 38. She was seen at this institution about 2 years ago for band adjustment and despite multiple adjustments, her BMI maintained around 38, and more recently went up to 40. The team discussed the option of conversion to a Roux-en-Y gastric bypass. Additionally, her diabetes is getting worse and is relying on 2 medication for diabetes. She also has hypertension.
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Ninh Nguyen, MD Chief of Gastrointestinal Surgery Chair, Department of Surgery UC Irvine Medical Center
Welcome to University of California Irvine medical center. My name is Dr. Ninh Nguyen. I am the chief of gastrointestinal surgery and also the chair for the department of surgery here. Let me discuss with you about a case that we’re about to do right now. The patient is a 45 year old female who underwent a laparoscopic adjustable gastric banding about 10 years ago at an outside institution. Her original body mass index was 48 and she went down to as low as 38. She was seen at our institution, about two years ago for band adjustment. And despite, multiple adjustment, her BMI is maintained around 38, but more recently it actually went up to 40. So this is about 10 years out and we discussed about the option of conversion to a Roux-en-Y gastric bypass. Indication also is because of her diabetes is, is getting worse. She continues to rely on two medications for diabetes and she also has hypertension. So if you’re ready, we’ll plan to proceed. The procedure is conversion of a laparoscopic adjustable gastric banding to a Roux-en-Y gastric bypass.
So this patient had band was placed like a decade ago at an outside institution. So we’ll plan to remove the band and convert to our gastric bypass
So where do you think here, that’s reasonable. And you don’t want to go too high? Yeah. Yeah. The JJ would be technically difficult, you know, if you go too high, all you do is twist like three 60 do the three 60 for the button right here. Little bit more. Okay. Okay.
Okay. Well, we’ll take reverse ?? now.
Okay. Let’s do this. Okay. Ready? Come on in. Right there. Up there, but here, go for it. Yeah, yeah, yeah. Right there.