G.Skrekas MD - Laparoscopic undo of gastric plication.mp4

[ruijsribeiro1]

CONGRATULATIONS BY YOUR EXCELENT VIDEO. MAY I ASK YOU IF, IN THE END, DO YOU PERFORM A BLUE TEST TO DETECT ANY PERFOTATION ?

RUI RIBEIRO (LISBOA)

[GeorgeSkrekas]

Dear friend

This is obviously a misunderstanding. In my personal experience of 160 gastric plications that I have done between 2008-2011, the undo rate was 3 cases out of 160 surgeries, ie (<1.8%). Our final conclusions and comments about gastric plication surgery are to be published in the "Obesity Surgery" in the very near future. Stay alert.

Thank you - Dr. G. Skrekas

[jmahermcvhvcuedu]

Suggest some restraint. There's been three done by this obviously skilled surgeon with a 33% revision rate. One would expect the same number of revisions in three or four hundred bypasses.

[fahdabi]

Excellent undo procedure, first posted on the net i think.

Could you find the cause of the obstruction? too tight plication? Narrow antral plication?

Thank you Dr.Skrekas

[GeorgeSkrekas]

The abdominal CT scan revealed a remarkable swelling of the gastric walls and an encapsulated fluid collection inside the inverted gastric dome which caused obstruction of the gastric lumen. The conservative treatment with iv TPN, Albumin, Antacic, Antiemetics and antibiotics was unsuccessful.

Kind regards

G. Skrekas MD

[GeorgeSkrekas]

Thank you for your compliments. This is the first plication undo from the three i have done so far. In this case the problem was the excessive plication and persistent gastric edema which got worsening by malnutrition.

This patient had an extremely large gastric fundus in the original surgery. Obstructive symptoms rapidly worsened at the third postoperative month. At that time the patient was in severe hypoalbuminemia after an excessive -32​kilos- weight loss.