Background

We present a video of a new procedure initially described in Brazil by Sergio Santoro and now being validated in France by a national prospective randomized study still ongoing. It combines a sleeve gastrectomy and a Roux-en-Y bypass by performing a gastro ileal anastomosis. As the duodenum remains intact, food is able to progress either via the bypass or the original route, so as to benefit from the effects of malabsorption while minimizing protein and vitamin deficiencies. We report the case of a 28-year-old woman with a BMI of 54 kg/m2. The procedure was performed with robotic assistance using Medtronic's HUGO platform. Postoperative recovery was straightforward.