Background

We present a 56-year-old female with class III obesity, BMI 45, who presented to our bariatric clinic for surgical weight loss evaluation. Her comorbidities include gastroesophageal reflux disease, hypertension, and high cholesterol. In 1996 she underwent an open vertical banded gastroplasty. She initially lost 90 kilograms and maintained that weight loss for several years. In the years prior to her revisional surgery she regained the majority of that weight and developed significant gastroesophageal reflux disease. A preoperative upper endoscopy was significant for a 16 cm gastric pouch proximal to the band and short segment Barrett’s esophagus, negative for dysplasia. We performed a robotic conversion of vertical banded gastroplasty to gastric bypass. She had an unremarkable post-operative course and was discharged on post-operative day 1. She was progressing well at her first post-operative appointment.