Background

Roux-en-Y gastric bypass (GBRY) remains one of the most common bariatric procedures performed in the United States, its excellent weight loss results and safety associated with relevant co-morbid condition resolution rates contribute to its broad implementation. Even though discomforts and complications are prevalent, in most cases they are manageable; nonetheless, specific intractable nausea, chronic pain, cachexia and severe dumping syndrome are rare and may require a GBRY conversion. It is known that patients who re-established the normal anatomy of the digestive tract will have a significant weight regain; reason why a conversion to sleeve gastrectomy (SG) is proposed as a method for addressing severe GBRY complications as well as weight loss management. This video session has an educational purpose and demonstrates the techniques used in an entirely robotic GBRY to SG conversion.