Laparoscopic Conversion of Single-Anastomosis Duodenal Switch (SADI-S) to Roux-en-Y Gastric Bypass With Concurrent Paraesophageal Hernia Repair for Refractory Biliary Reflux and Paraesophageal Hernia

Zachary M Wargel; Timothy W Ritchie; Emanuel Shapera; Andrew A Wheeler

doi:10.7759/cureus.36205

Laparoscopic Conversion of Single-Anastomosis Duodenal Switch (SADI-S) to Roux-en-Y Gastric Bypass With Concurrent Paraesophageal Hernia Repair for Refractory Biliary Reflux and Paraesophageal Hernia

Cureus. 2023 Mar 15;15(3):e36205. doi: 10.7759/cureus.36205. eCollection 2023 Mar.

Authors

Zachary M Wargel¹, Timothy W Ritchie¹, Emanuel Shapera², Andrew A Wheeler¹

Affiliations

¹ Bariatric Surgery, University of Missouri School of Medicine, Columbia, USA.
² Surgery, Sharp Grossmont Hospital, La Mesa, USA.

Abstract

Single-anastomosis duodenal switch (SADI-S) is effective for weight loss with low reported rates of complications. Bile reflux into the stomach or esophagus is an uncommonly reported complication but can lead to significant symptoms for patients suffering from this complication. Concurrent paraesophageal hernia can exacerbate the symptoms of biliary reflux gastritis. We present a case report describing the management of biliary reflux gastritis with concurrent paraesophageal hernia, our decision-making process, and technical pearls and possible pitfalls.

Keywords: biliary reflux; complications; paraesophageal hernia; revisional surgery; sadi-s.

Publication types

Case Reports