A 55-year-old male patient had undergone laparoscopic gastric bypass for morbid obesity (BMI 40.8 kg/m2) in 2014. After two years of follow-up (37.72% TWL), he reported episodes of postprandial syncope, which was refractory to all treatment and of undefined etiology.
Because of his poor evolution, weight of 71 kg associated with malnutrition, and poor quality of life, our multidisciplinary committee decided that gastric bypass reversal surgery should be performed after preoperative nutritional optimization.
The laparoscopic approach added complexity to a technically demanding surgery due to significant adhesions in the area of the gastric pouch. No postoperative complications were observed, and the patient initiated oral tolerance with no recurrence of the symptoms.
