Laparoscopic Gastrojejunostomy Revision and Takedown of Gastrogastric Fistula
Sahil Gambhir, MD, James Nguyen, MD, Shaun Daly, MD, Brian R Smith, MD, Ninh T Nguyen, Marcelo W Hinojosa, MD. University of California Irvine Medical CenterINTRODUCTION: Although a gastrogastric fistula formation after a Roux-en-Y gastric bypass (RYGB) remains infrequent, the complications including weight gain remain prominent. METHODS: This is 60 year old male with a… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic Cholecystectomy, Paraesophageal Hernia Repair, and Roux-en-y Gastric Bypass
Michelle Estrada, MD, Adel Alhaj Saleh, MD, MRCS, Amir H Aryaie, MD, FACS. Texas Tech University Health Sciences CenterCase Background: 48-year-old morbidly obese female with 2-year history of worsening shortness of breath and chest tightness Associated dysphagia, vomiting, heartburn, and inability to lay flat. Episodic right upper quadrant pain. Referred to surgery by Thoracic surgeon… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
HETEROTOPIC PANCREAS DISCOVERED DURING SLEEVE GASTRECTOMY
Nancy Panko, MD1, Gerrit Dunford, MD2, Kenneth Copperwheat, DO2, Rami Lutfi, MD2. 1Houston Northwest Medical Center, 2Saint Joseph HospitalIntroduction: Heterotopic pancreas is rare, with few reports in the literature. We describe a patient undergoing bariatric surgery with an incidentally discovered gastric mass. After resection, this mass proved to be heterotopic pancreas. Case: Patient is a… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
BARIATRIC SURGERY IN A PATIENT WITH SEVERE CONGENITAL INTESTINAL ABNORMALITIES
Robert J Conrad, MD, Nicole R Laferriere, MD, Miriam L Brazer, MD, Dylan M Russell, MD, Chan W Park, MD, FACS, Robert B Lim, MD, FACS. Tripler Army Medical CenterIntroduction: We present a case in which we performed a laparoscopic sleeve gastrectomy and cholecystectomy, in a patient with intestinal malrotation and a common bile duct anterior… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
THE MODIFIED TRANS-GASTRIC ENDOSCOPIC RENDEZVOUS TECHNIQUE: REMOVAL OF A NON-ADJUSTABLE GASTRIC BAND
Connal Robertson-More, MD1, Kieran Purich, MD2, Jerry T Dang, MD2, Aliyah Kanji, MD2, Shahzeer Karmali, MD, MPH2. 1University Hospitals Coventry and Warwickshire NHS Trust, 2University of AlbertaBackground: The non-adjustable gastric band was developed by Marcel Molina in 1980 for the treatment of severe obesity. Although demonstrating short term success, this gastric segmentation procedure has generally… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Laparosopic Resection of Candy Cane after Roux-En-Y Gastric Bypass
Michelle Estrada, MD, Theophilus Pham, MBA, Adel Alhaj Saleh, MD, MRCS, Amir Aryaie, MD, FACS. Texas Tech University Health Sciences CenterCase Background 49-year-old female with 1-year history of worsening epigastricpain Pain characterized as constant, dull and squeezing, worsened by oral intake, especially of meat and leafy vegetables Associated nausea, vomiting, choking that is worse at night… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Jejunojejunostomy Intussusception after Laparoscopic Roux-en-Y Gastric Bypass
Andrew M Martin, MD, Brandon M Smith, MD, John G Zografakis, MD. Summa Health System/NEOMEDThis video presentation demonstrates the work up, diagnosis, and treatment of a patient with history of Laparoscopic Roux-En-Y gastric bypass who presents with a retrograde jejunal intussusception of the common channel. This particular patient had LRYGB with jejunojejunal anastomosis created using… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
A rare cause of post-operative small bowel obstruction following laparoscopic Roux-En-Y Gastric Bypass surgery
Alph Emmanuel, MD, S. Julie-Ann Lloyd, MD, PhD, Bestoun H Ahmed, MD, FACS, FASMBS. University of Pittsburgh Medical Center, PASmall bowel obstruction following laparoscopic Roux-en-Y gastric bypass surgery is an uncommon complication with reported incidence of 1.5 to 5 %. The most common causes are internal hernia, roux limb stricture and adhesions causing 89% of… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Treatment of Refractory GERD: Conversion of Sleeve Gastrectomy and Dor Fundoplication to Gastric Bypass
Crystal Alvarez, DO, Maher Musleh, MD, FACS, Juan Carlos Quispe, MD, Esther Wu, MD, Panicha Kittipha, MSN, RN, Daniel Srikureja, MD, Jeffrey Quigley, DO, Marcos Michelotti, MD, FACS, Keith Scharf, DO, FACS, FASMBS, Aarthy Kannappan, MD. Loma Linda University Medical CenterOur patient is a 50 year old female with a complicated bariatric surgery history who… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
LAPAROSCOPIC REVERSAL OF ROUX-EN-Y GASTRIC BYPASS: ROUX TO REMNANT NEO-GASTROJEJUNOSTOMY
Maria C Fonseca, MD, Coney Bae, MD, Camila Ortiz-Gomez, MD, Joel S Frieder, MD, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS, Samuel Szomstein, MD, FACS, FASMBS, Raul J Rosenthal, MD, FACS, FASMBS. Cleveland Clinic FloridaA 52-year-old active smoker with a history of Roux-en-Y gastric bypass (RYGB) 15 years prior presents with recalcitrant diarrhea, weight loss… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Gastric remnant volvulus after conversion of Gastric Plication to RYGBP
Enrique Arias, MD, Luis Martinez, MD, Angel Henriquez, MD. INTERLAPCase Presentation: A 31-year-old female had a gastric plication for morbid obesity treatment 5 years ago in another institution, her initial BMI was 40 kg/m2. During a year she lost 30 kg and had a BMI of 28 kg/m2. 18 months after the surgery she started to… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic Roux-en-Y Gastric Bypass in the Setting of Unknown Malrotation
Elisabeth Wynne, MD, Shahroz Fatima, BS, Shaina R Eckhouse, MD. Washington University School of MedicineMalrotation of the small bowel is a rare finding that affects 1 out of 6,000 births. Over 90% are diagnosed right at birth, and as such, it is rare to identify in adults. Only a few case studies exist in the… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Removal of an adjustable gastric band that eroded into the liver
Kais A Rona, MD, Milton Tyler, Christopher Ducoin, MD. Tulane University School of MedicineThe adjustable gastric band has fallen out of favor secondary to high complication rates. Postoperative complications such as band slippage and erosion are not uncommon. In this video we demonstrate the laparoscopic removal of a gastric band that had eroded into the… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic sleeve gastrectomy: Medial to lateral approach
Usah Khrucharoen, Yen-Yi Juo, Yijun Chen, Erik Dutson. UCLAWhile no significant difference in weight-loss efficacy or safety has been demonstrated between a medial-to-lateral and a lateral-to-medial approach for laparoscopic sleeve gastrectomy, our institutional experience of over 900 patients suggested several technical advantages of the medial-to-lateral approach. In the current video, we seek to demonstrate the… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Incidental Paraduodenal Hernia During Laparoscopic Gastric Bypass
Caitlin Polistena, MD, Diego Camacho, MD, FACS. Montefiore Medical CenterThis is the case of an incidentally found left paraduodenal hernia during elective laparoscopic gastric bypass surgery. The patient is a 52 year old man with no prior history of intra-abdominal surgery who underwent multidisciplinary workup for bariatric surgery and was found to be an adequate… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity