A5273 LAPAROSCOPIC CONVERSION OF SLEEVE GASTRECTOMY TO RNY GASTRIC BYPASS FOR INTRACTABLE FUNCTIONAL NAUSEA AND PO INTOLERANCE Yagnik Pandya 1 ; Darius Ameri 2 ; 1 MetroWest Medical Center, Framingham, MA, Binghamton NY; 2 MetroWest Medical Center, Framingham, MA, Natick Ma Background: Nausea and emesis after sleeve gastrectomy without an anatomical cause is rare. Symptoms requiring parenteral nutirtion and excessive weight loss from such nausea is also rare. This video represents the laparoscopic conversion of sleeve gastrectomy to RNY gastric bypass as a treatment option. This video also demonstrates our technique of conversion from a sleeve to RNY gastric bypass. Methods: 62 yr old female with BMI of 41 underwent laparo- scopic sleeve gastrectomy for morbid obesity. A 40 Fr Bougie was used to size the gastric sleeve. Patient was discharged to home on post operative day 3, tolerating a Bariatric liquid diet. 3 weeks post op she started complaining of nausea and intolerance to PO liquids. After failing oral anti-emetic therapy an UGI study was obtained which did not reveal any abnormalities with the sleeve anatomy. No stenosis or angulations were seen. Contrast passage into the duodenum was normal, without delay. She continued to have nausea and needed several ER visits for IV hydration. An upper endoscopy confirmed UGI findings of normal sleeve anatomy, without stenosis or angulations. Some gastric polyps were excised. She continued to have nausea and needed TPN. She lost 80% of EBW in 5 months post operatively and had extreme fatigue. It was decided to proceed with revision of sleeve gastrectomy to RNY gastric bypass. The procedure was completed laparoscopically and an antecolic/ antegastric RNY gastric bypass was performed. Results: Post operatively she tolerated a full liquid bariatric diet without any complaints of nausea or vomitng. She subsequently tolerated a soft bariatric diet.On her 6 week follow up, there was no more nausea and her weight loss stabilized. Conclusion: Intractable nausea and vomiting after a sleeve gastrectomy, without any anatomical cause, is rare. Conversion to RNY gastric bypass is a treatment option. A5274 LONG-TERM (11þ YEARS) OUTCOMES IN WEIGHT, PATIENT SATISFACTION, COMORBIDITIES- AND GASTRO-ESOPHAGEAL REFLUX TREATMENT AFTER LAPAROSCOPIC SLEEVE GASTRECTOMY Gustavo Arman 1 ; Jacques Himpens 2 ; 1 Dendermonde Dendermonde; 2 Vinderhoute Background: 410 years outcomes for sleeve gastrectomy (LSG) have not yet been documented. Objectives: retrospective analysis of 11þ years outcomes of isolated LSG: progression of weight, patient satisfaction and evolution of comorbidities and gastro-esophageal reflux disease (GERD) treatment. Methods: chart review þ personal interview in consecutive patients who underwent primary isolated LSG between November 2001 and June 2003. Results: Of the 110 consecutive patients, complete follow-up data was available in 65 (59.1%). Mean follow-up was 11.7  0.4 years. Two patients had died of non-procedure related causes. Twenty (31.7%) patients underwent 21 re-operations related to the LSG: 14 conversions (10 to Duodenal Switch (DS), and 4 to Roux-en-Y gastric bypass (RYGB)) and 3 re-sleeve procedures for weight issues, and 2 conversions (RYGB) and 2 hiatal hernia repairs for GERD. Consequently, 16 patients were converted to another than the sleeve anatomy, while 47 (74.6%) individuals kept the simple sleeve construction. In this latter group % of excess body mass index loss (%EBMIL) at 11þ years was 62.5%, versus 81.7%( p¼0.015) in the former group. Mean %EBMIL for the entire cohort was 67.4%. At 11þ years postoperatively, 30 patients versus 28 preoperatively required treatment for comorbid- ities. None of the 7 patients who preoperatively suffered from GERD were cured by the LSG procedure. Nine additional patients developed de novo GERD. Overall satisfaction rate was 8 (IQR 2) on a scale of 0-10. Conclusion: isolated LSG provides a long-term %EBMIL of 62.5%. When conversion to another construction is deemed necessary weight loss is significantly better. Patient satisfaction score remains good despite unfavorable GERD outcomes. A5275 LONG-TERM RESULTS IN SLEEVE GASTRECTOMY Matias Sepulveda 1 ; Gonzalo Castillo 2 ; Raul Lynch 2 ; 1 Hospital Dipreca, Santiago region metropolitan; 2 Hospital Dipreca, Santiago Santiago Background: Sleeve gastrectomy (SG) has become a good alternative as a primary bariatric surgical technique. Weight loss is adequate in the short term, although long term results can be disappointing. The objective of this study is to present weight loss results of SG after seven years. Methods: Retrospective series. Excess weight loss (EWL%) of patients who underwent SG between 2008 and 2011 is reported. Lineal regression was used to determine preoperative variables with weight risk regain. Results: 131 patients met the inclusion criteria. 76.3% were female. Mean preoperative BMI was 34.4 kg/m 2 . Mean operative time was 88.6 minutes. Follow-up at 5, 6 and 7 years was 80.2%, Poster Presentations / Surgery for Obesity and Related Diseases 12 (2016) S76–S232 S223