ENDOSCOPIC T-TUBE PLACEMENT FOR THE MANAGEMENT OF STAPLE LINE LEAK AFTER LAPAROSCOPIC SLEEVE GASTRECTOMY
Andrew R Luhrs, MD, A. Daniel Guerron, MD, Dana Portenier, MD. Duke University Health SystemBackground: Laparoscopic sleeve gastrectomy (LSG) is the most commonly performed bariatric procedure world-wide, consisting of nearly 50% of all procedures performed1. Despite increased adoption and utilization of LSG, staple line leak (SLL) remains a troublesome complication with significant morbidity and mortality. SLL… Continue Reading
Laparoscopic Sleeve Gastrectomy using the Standard Clamp Technique
Arianne T Train, DO, MPH, Steven D Schwaitzberg, MD, MA, Aaron B Hoffman, MD. The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical SciencesIntroduction: Sleeve gastrectomy recently surpassed gastric bypass as the most commonly performed bariatric procedure worldwide, however there remains potential for a large degree of variation in technique and… Continue Reading
Revisional Bariatric Surgery for Weight Regain and Eroded Mesh Following Previous Open Roux-en-Y Gastric Bypass
Julie A Stortz, MD, Russell B Hawkins, MD, Alexander L Ayzengart, MD, MPH, Jeffrey E Friedman, MD. University of FloridaBackground: Revisional bariatric surgery has become increasingly prevalent due to the rising number of bariatric procedures to treat morbid obesity. Here we describe a case in which a patient required reoperation following Roux-en-Y gastric bypass (RYGB)… Continue Reading
REVISIONAL RYGB: REMNANT GASTRECTOMY, RE-DO GASTROJEJUNOSTOMY, AND CLOSURE OF GASTRO-GASTRIC FISTULA
Rene Aleman, MD, Mauricio Sarmiento-Cobos, MD, Kandace Kichler, MD, Matthew Lange, MD, Federico Serrot, MD, Samuel Szomstein, MD, FACS, FASMBS, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS, Raul J Rosenthal, MD, FACS, FASMBS. Cleveland Clinic FloridaRevisional surgery after primary RYGB in the presence of a gastro-gastric fistulae requires surgical repair with or without remnant gastrectomy.… Continue Reading
Robotic Heller Myotomy and Roux-en-y Gastric Bypass
Zeyad Loubnan, MD, Elissa Davila-Shiau, BA, Manish Parikh, MD, Akuezunkpa Ude Welcome, MD. NYU School of MedicineThis is a video of a 31 year old male with achalasia and severe obesity (Body Mass Index = 41). The patient reported a history of endoscopic balloon dilation 20 years prior and was having recurrent dysphagia. Manometry confirmed… Continue Reading
A Rare Finding During Sleeve Gastrectomy: Concurrent repair of diaphragmatic hernia during sleeve gastrectomy and hiatal hernia repair
Amlish B Gondal, MD, Matthew E Mobily, MD, MPH, Mahsaw Motlagh, BA, Iman Ghaderi, MD, MSc, MHPE. University of ArizonaIn this video, we present a case of concurrent repair of diaphragmatic hernia during sleeve gastrectomy and hiatal hernia repair. The patient is a 36-year-old male with morbid obesity (BMI 44.8 kg/m2, and weight of 316… Continue Reading
Laparoscopic Redo Gastric Bypass for Chronic Marginal Ulcer: You Never Know What You’re Going to Get
Ryan Broderick, MD, Arielle Lee, MD, Rebeca Dominguez, MD, Tokio Matsuzaka, MD, Kai Neki, MD, Joslin Cheverie, MD, Bryan J Sandler, MD, Garth R Jacobsen, MD, Karl-Hermann Fuchs, MD, Santiago Horgan, MD. University of California San DiegoThe case presented is the surgical management of a chronic marginal ulcer. The patient had a previously untreated marginal… Continue Reading
LAPAROSCOPIC ESOPHAGOJEJUNAL ANASTOMOTIC STRICTUROPLASTY AFTER PROXIMAL GASTRECTOMY FOR CHRONIC SLEEVE LEAK
Rene Aleman, MD, Maria C Fonseca, MD, Cristian A Milla Matute, MD, Joel S Frieder, MD, Federico Serrot, MD, Samuel Szomstein, MD, FACS, FASMBS, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS, Raul J Rosenthal, MD, FACS, FASMBS. Cleveland Clinic FloridaStenosis is an important postoperative complication with an incidence rate of 0.7-4%. We present the case… Continue Reading
Laparoscopic Enteropexy for Intussusception at Roux-en-Y Anastomosis
Christopher L Kalmar, MD, MBA, Tananchai A Lucktong, MD, FACS. Virginia Tech CarilionRoux-en-Y gastric bypass is the most commonly performed bariatric procedure in the world. Jejunojenual intussusception after RYGB at the enteroenterostomy is a rare but potentially serious complication requiring timely radiographic diagnosis. For presentations without necrosis, surgical therapy with laparoscopic enteropexy of all limbs… Continue Reading
Endoscopic Gastrojejunal Revision (Transoral Outlet Reduction) for Persistent Hypoglycemia after Gastric Bypass
Eliza A Conaty, BS, Stephanie M Novak, MA, Rod Avitia, Bailey Su, MD, John G Linn, MD, Michael B Ujiki, MD. NorthShore University HealthSystemThis video is a case study of an endoscopic gastrojejunal revision (EGJR) done for persistent postoperative hypoglycemia. The patient is a 61 year old female, who had undergone Roux-en-Y Gastric Bypass twelve… Continue Reading
- Topic:
- Metabolic / Obesity
Robotic-Assisted Laparoscopic Reversal of Silastic Ring Gastric Bypass (Fobi pouch)
Usah Khrucharoen, Yen-Yi Juo, Andrew Scott, Yijun Chen, Erik Dutson. UCLAStenosis of the gastrojejunal anastomosis is a rare complication of Silastic ring-reinforced gastric bypass, a highly effective weight-loss procedure with a low morbidity profile. The stenosis may be partly attributable to chronic inflammation of the non-expandable Silastic ring, which seeks to partly restore physiologic functions… Continue Reading
- Topic:
- Metabolic / Obesity
Laparoscopic Reversal of Single Anastomosis Gastric Bypass (Mini-Gastric Bypass / Omega Loop Gastric Bypass) to Sleeve Gastrectomy
Usah Khrucharoen, Ian T Macqueen, Yijun Chen, Erik Dutson. UCLAIn this video, we demonstrated laparoscopic reversal of Single Anastomosis Gastric Bypass (Mini-Gastric Bypass / Omega Loop Gastric Bypass) to sleeve gastrectomy in patient who was TPN dependent due to severe malnutrition and dysphagia. Patient had a history of undergoing sleeve gastrectomy followed by revisional procedure to single anastomosis… Continue Reading
- Topic:
- Metabolic / Obesity
REVISIONAL GASTRIC BYPASS
Ricardo Nascimento, MD, Darlan M Kestering Medeiros, MD, Jaime Cesar M Gelosa Souza, MD, Luiz Henrique M Locks Corrêa, MD, Matheus M Pacheco Dos Reis, MD. HNSCIt is now generally accepted that bariatric surgery is the most effective therapy for morbid obesity. During the last decade, there has been an accelerated growth in the number… Continue Reading
- Topic:
- Metabolic / Obesity
Conversion of endoscopic sleeve gastroplasty to laparoscopic Roux-en-Y gastric bypass
Melissa M Beitner, MBBS, Jinlin Lin, MBBS, FRCS, George H Hopkins, MBBS, FRACS. Royal Brisbane and Women's Hospital, AustraliaThis video shows a conversion to laparoscopic Roux-en-Y gastric bypass with handsewn gastrojejunostomy and on table endoscopy in a patient with failed weight loss after endoscopic sleeve gastroplasty.Presented at the SAGES 2017 Annual Meeting in Houston, TX.Abstract… Continue Reading
- Topic:
- Metabolic / Obesity
Laparoscopic revision of RYGB complicated by large symptomatic gastrogastric fistula.
Matthew D Burstein, MD, PhD, Essa M Aleassa, MBBS, MSc, Philip R Schauer, MD. Cleveland Clinic FoundationA 32 YO F with prior LRYGB complicated by large symptomatic gastrogastric fistula, who underwent laparoscopic revision of her GJ anastomosis with GGF takedown.Presented at the SAGES 2017 Annual Meeting in Houston, TX.Abstract ID: 95603Program Number: V147Presentation Session: Revisional Bariatrics/Foregut… Continue Reading
- Topic:
- Metabolic / Obesity