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Inicio Cirugía Española (English Edition) Reversal of gastric bypass due to repetitive syncope
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Vol. 101. Núm. 2.
Páginas 127 (febrero 2023)
Vol. 101. Núm. 2.
Páginas 127 (febrero 2023)
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Reversal of gastric bypass due to repetitive syncope
Reversión de bypass gástrico por síncopes de repetición
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Rosa Martí Fernández, Ricardo Gadea Mateo
Autor para correspondencia
rgadeamateo@gmail.com

Corresponding author.
, María Lapeña Rodríguez, Mireia Bauzà Collado, Raquel Alfonso Ballester, Norberto Cassinello Fernández, Joaquin Ortega Serrano
Universidad de Valencia, Hospital Clínico de Valencia, Valencia, Spain
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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.

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