Revision of Roux-En-Y Gastric Bypass to Sleeve Gastrectomy and Hiatal Hernia Repair
Ruby Gatschet, MD, Cyrus Moon, MD, Saber Ghiassi, MD, MPH, Keith Boone, MD, Kelvin Higa, MD Advanced Lapascopic Surgery Associates, UCSF Fresno In this video, we present the conversion of a Roux-en-Y gastric bypass to a sleeve gastrectomy. The patient is a 39 year-old woman who initially underwent laparoscopic Roux-en-Y gastric bypass in 2001. A… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic Management of Port Site Richter’s Hernia Following Gastric Bypass.
Michel Gagner, MD, Davit Sargsyan, MD, Moataz Bashah, Mohammed Al Kuwari, MD, Mohammed Rizwan, MD Hamad General Hospital, Doha, Qatar We present a case of port site Richter’s hernia following gastric bypass successfully managed laparoscopically. A 28 year old lady with BMI of 44 without comorbidities underwent laparoscopic Roux-en-Y antecolic gastric bypass with stapled anastomosis… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Slipped Band with Necrotic stomach requiring conversion to a roux en y esophagojejunostomy.
Rana C Pullatt, MD, FACS, Shaina Eckhouse, MD Medical University of South Carolina This is a case that highlights the pitfalls of Medical Tourism in Bariatric Surgery. The patient had a band placed in Mexico 5 years ago and had no follow up and minimal weight loss. Patient had never been seen by an accredited… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic management of gastric bypass pouch stricture after paraesophageal hernia repair with mesh
Pablo Marin, MD, Miguel Lamota, MD, Abraham Betancourt, MD, Carolina Ampudia, MD, Abraham Abdemur, MD, Emanuele Lo Menzo, MD, Samuel Szmostein, MD, Raul Rosenthal, MD Bariatric and Metabolic Institute, Section of Minimally Invasive Surgery, Cleveland Clinic Florida Introduction: Laparoscopic paraesophageal hernia repair (LPEHR) is associated with a high recurrence rate. Repair with mesh lowers recurrence… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic SPIDER sleeve gastrectomy: description of technique.
Michel Gagner, MD, Davit Sargsyan, MD, Moataz Bashah, MD, Mohammed Al Kuwari, MD, Mohammed Rizwan Hamad General Hospital, Doha, Qatar In this video we present a laparoscopic sleeve gastrectomy performed with SPIDER surgical system. SPIDER is a laparoscopic platform of flexible instruments introduced into the abdomen through a single port. We start the procedure with… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Gastrojejunal revision, Nissen over Bypass for Reflux and Marginal Ulceration
Cyrus Moon, MD, Kelvin Higa, MD, FACS, FASMBS, Keith Boone, MD, FACS, FASMBS, Saber Ghiassi, MD, MPH, FACS Advanced Laparoscopic Surgical Associates This video outlines the operation performed on a 51F with history of previous RYGB, who had been suffering from chronic reflux symptoms despite maximal medical management and risk factor avoidance. Endoscopy revealed a… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
GIST Resection Followed by Gastric Bypass
Cyrus R Moon, MD, Keith Boone, MD, FACS, FASMBS, Saber Ghiassi, MD, MPH, FACS, Kelvin Higa, MD, FACS, FASMBS Advanced Laparoscopic Surgical Associates This video outlines operative treatment of a 43 year old female that was found to have a submucosal gastric mass below the gastroesophageal junction on preoperative screening endoscopy for bariatric surgery. Due… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Revision of Roux Y Gastric Bypass for Bile Reflux: Roux Lengthening and Toupet Fundoplication
Daniel Moon, MD, Cyrus Moon, MD, Ruby Gatschet, MD, Saber Ghiassi, MD, Keith Boone, MD, Kelvin Higa, MD University of California San Francisco - Fresno Medical Education Program. Advanced Laparoscopic Surgery Associates, Fresno, California 45 year old woman status post Roux Y gastric bypass for morbid obesity 6 years prior. Multiple readmissions for abdominal pain,… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic Cholecystectomy and Choledochoduodenostomy After Roux-En-Y Gastric Bypass
Christopher DuCoin, MD, Rena Moon, MD, Andre Teixeira, MD, Muhammad Jawad, MD, FACS Department of Bariatric Surgery, Orlando Regional Medical Center, Orlando, Florida, USA History of Present Illness: 61 year old female who presented to outside hospital with 4 day history of right upper quadrant abdominal pain, right shoulder pain, nausea, vomiting, and low grade… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic Total Gastrectomy for the Treatment of a Chronic Fistula After Sleeve Gastrectomy: the Last Resource
Hector Romero-Talamas, MD, Andrea Zelisko, MD, Kevin El-Hayek, MD, Matthew Kroh, MD, FACS Cleveland Clinic Endoscopic treatment with the placement of a stent is rapidly becoming the procedure of choice for the management of postoperative fistulas after sleeve gastrectomy. Nonetheless, a small percentage of patients do not respond. The laparoscopic total gastrectomy is a safe… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Feasibility of Laparoscopic Repair of Symptomatic Hiatal Hernia Following Roux-y Gastric Bypass
Amy Neville, MD, Olivier Court, MD, Nicolas Christou, MD, PhD, Sebastian Demyttenaere, MD McGill University Health Centre, Montreal QC, Canada Obesity is a recognized risk factor for hiatal hernia and an estimated 15% of morbidly obese patients have a symptomatic hiatal hernia. As such, it is not uncommon to encounter a hiatal hernia at the… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Elective Repair of a Massive Internal Hernia Following Roux-y Gastric Bypass
Amy Neville, MD, Sebastian Demyttenaere, MD, Nicolas Christou, MD, PhD, Olivier Court, MD McGill University Health Centre, Montreal QC, Canada The estimated incidence of internal hernia following Roux-Y gastric bypass is 2-5%. Acute incarceration of an internal hernia, a dreaded complication, may result in significant loss of small bowel and carries a mortality of 1-2%.… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic conversion of Gastric Plication to Sleeve Gastrectomy
Eric Ahnfeldt, DO, Monica Dua, MD, Philip Schauer, MD Cleveland Clinic This video demonstrates an interesting case of laparoscopic conversion of gastric plication to sleeve gastrectomy with the key procedural steps discussed. The patient initially underwent greater curve plication for weight loss, however her BMI reached a plateau and EGD demonstrated dilation of the gastric… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic Repair of Gastrobronchial Fistula After Sleeve Gastrectomy
Tushar Samdani, MD, Pratibha Vemulapalli, MD Montefiore Medical Center Gastrobronchial fistula is a very rare complication of sleeve gastrectomy. We present an interesting video showing laparoscopic repair of gastrobronchial fistula after sleeve gastrectomy in a 26 year old female. Patient had pneumonia which led to diagnosis of fistula. Patients symptom recurred after conservative management and… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic Conversion from Roux en Y Gastric Bypass to Loop Duodenal Switch for Weight Regain
Mitchell Roslin, MD, Brian Mitzman, MD North Shore LIJ/Lenox Hill Hospital We present a case of an African American female who underwent a laparoscopic roux en y gastric bypass nine years previously. She initially went from a weight of 380 pounds down to approximately 200 pounds. She presented to us after regaining a large portion… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity