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Rev Med Inst Mex Seguro Soc

March 2024

Instituto Mexicano del Seguro Social, Centro Médico Nacional de Occidente, Hospital de Especialidades, Unidad de Investigación Médica Biomédica No. 02. Guadalajara, Jalisco, México.

Background: RYDG is the second most prevalent bariatric operation worldwide in terms of surgical treatment for the management of obesity and its comorbidities; however, one of its complications is the development of Petersen's space hernia. Currently there is no specific cause for their development since, based on studies published worldwide, they have an unpredictable behavior in each individual.

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  • Robotic distal gastrectomy (RDG) with Billroth I (BI) reconstruction is enhanced by the Intracorporeal Triangular Anastomotic Technique (INTACT), which aims to minimize ischemic areas and improve surgical consistency and safety.
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Obesity Surgery Clinic: Dr. Francisco Aguilar-Espinosa, Department of General Surgery of the General Hospital of Zone 21, Mexican Institute of Social Security, Morelos 426, 47600, Tepatitlan, Jalisco, Mexico.

Reports of pancreatic pseudocyst drainage during metabolic bariatric surgery are extremely rare. Our patient is a 38-year-old female suffering from obesity grade IV and presents a persistent symptomatic pancreatic pseudocyst 8 months after an episode of acute biliary pancreatitis. After an extensive evaluation and considering other treatment options, our multidisciplinary team and the patient decided to perform a one-stage procedure consisting of laparoscopic cystogastrostomy, cholecystectomy, and one-anastomosis gastric bypass.

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