1. A bariatric surgeon is performing a laparoscopic conversion of VBG to RYGB. The preoperative UGI.

1. A bariatric surgeon is performing a laparoscopic conversion of VBG to RYGB. The preoperative UGI study shows a vertical staple line dehiscence (near the stomal region) as well as complete stomal stenosis. He creates a gastric pouch 4 cm from the gastroesophageal junction and above the Marlex Lap-Band, with thick tissue staples (4.8 mm) fired medial to the vertical staple line. What is the NEXT best course of action during the surgery? A. Do a gastrogastrostomy to drain the distal pouch. B. No additional step needed C. Remove the Marlex Lap-Band. D. Do a partial gastrectomy.

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