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Ligamentum Teres Cardiopexy for GERD *after* the sleeve

I just recently found out that there is a surgical procedure that might be helpful for those of us who have a hiatal hernia and GERD after the sleeve to repair the problem without having to convert to an RNY. It is called "Cardiopexy with Ligamentum Teres" (basically they wrap part of a ligament from your liver around the esophagus to reinforce the lower esophageal sphincter)
Here is a recent article that discusses this technique if any of you want to show it to your doctor and get their thoughts.
https://www.americanjournalofsurgery.com/article/S0002-9610(20)30814-X/fulltext#gr2
And here is a video of a surgery performing it:
https://www.youtube.com/watch?v=t_SbDqhueRU

Have any of you had this done, or at least been able to talk to your surgeon about it? It seems like this is not yet being done widely, so I would welcome any info any of you have about it. If you have had this done or know someone who did, what were their results like? Thanks!

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  • KateinMichigan
    KateinMichigan

    Me too! I've also spoken with Dr. Jossart in California who has done many hiatal hernia (HH) repairs post sleeve for those with GERD. This sounds perfect for you. He said he's done 125+ repairs with a

  • I am so glad that you mentioned that Dr. Jossart is experienced in dealing with this issue. I will need to look into that. Did you have to make an appointment with his office staff to talk to him? I

  • KateinMichigan
    KateinMichigan

    Hi Sleeved K, I am seeing Dr.Hawasli who wrote the article on the 15th of April 2021. It seems old - so it'll be interesting to see what he says. I'll let you know.https://www.sciencedirec

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  • 1 month later...
1 hour ago, Alicia crihfield said:

I know this post is old but I'm scheduled to have this surgery July 5th! I'm beyond miserable and had the modified duodenal switch January of this year. The same surgeon who did my weightloss surgery is doing my upcoming surgery.

This is the first I have heard of this procedure. Please update and let us know how it works. Wishing you the Best of luck on your procedure and a speedy recovery.

6 hours ago, Alicia crihfield said:

I know this post is old but I'm scheduled to have this surgery July 5th! I'm beyond miserable and had the modified duodenal switch January of this year. The same surgeon who did my weightloss surgery is doing my upcoming surgery.

I am so excited for you!!!! Mine worked wonders!!!!!!

5 hours ago, ShoppGirl said:

This is the first I have heard of this procedure. Please update and let us know how it works. Wishing you the Best of luck on your procedure and a speedy recovery.

I am 2 month post op this surgery and doing wonderful!!!!!

I am so glad to hear it’s still going well after 2 months! As you off the PPI’s?

Edited by KateinMichigan

6 hours ago, Bariatricwarrior said:

I am 2 month post op this surgery and doing wonderful!!!!!

Thank you for the info. Please continue to post updates from time to time if you think about it.

  • 3 weeks later...

Can you please reach out to me? I had the ligamentum teres wrap cardioplexy surgery July 5th and I can't get through the day without pain meds. I was told it's spasms from the wrap. I'm in extreme pain and they did the scan to see if anything was leaking or incisions had been damaged. I really need to speak to someone who has been through this surgery and can tell me what the recovery should be like. When I went to the ER, they had not seen anyone with this surgery! I'm at a loss. 479 276 4928.

Hello Alicia, I am so sorry you are in pain! Have you reached out to your surgical team? I did not have pain after mine just abdominal swelling and am doing really well and am 3 months post op. Mine was also way more invasive than just the wrap. I will say you have to be careful at first when you are chewing etc because yes when you are healing you swell inwards. And things may feel “stuck” on the wrap . I was on liquids for 3 weeks after. You are still fresh post op. Definitely give yourself some space and grace it does take time to heal . Usually most swelling is gone by 6 weeks. If you need to take your pain meds take them. I will say the spasm thing is normal and will go away in time

I had this surgery and more of my stomach taken out. I had Modified duodenal switch in January of this. I guess a part is my stomach was damaged. So, part of my new stomach was removed. I was told soft foods and yes still very painful. Perhaps liquid only would be better. I actually have reached out several times. My pain meds were changed and I was told the pain is due to spasms. Not much else has been said. I did go to the ER, but again no one had seen this surgery. I'm actually only the 4th person my surgical team has performed this surgery on. When I had asked about recovery I was told to take it very easy, which I have. I've been on leave since July 5th. Thank you so much for responding!!! I just don't know anyone who has had this surgery and it's been very difficult.

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