The Use of a T-tube to Manage Leak After Sleeve Gastrectomy
Matthew Y Lin, MD, Ankit Sarin, MD, Stanley J Rogers, MD, Andrew M Posselt, MD, Jonathan T Carter, MD. University of California, San Francisco Abstract: Laparoscopic sleeve gastrectomy is gaining momentum as an alternative option to Roux-en-y gastric bypass in bariatric surgery. Post-operative leaks, albeit rare (~4%), can be quite devastating. While it is widely… Continue Reading
- Topic:
- Metabolic / Obesity
Gastrectomy and Roux-en-Y Esophagojejunostomy for Gastric Necrosis After Gastric Band Slippage
Jason F Richardson, MD, Ninh T Nguyen, MD. University of California Irvine Medical Center A video demonstration of a gastrectomy and Roux-en-Y esophagojejunostomy performed in a patient who developed gastric necrosis after gastric band slippage. Radiologic review, endoscopic evaluation, gastric band removal, gastric resection, and reconstruction are featured in this video. Session Number: SS08… Continue Reading
- Topic:
- Metabolic / Obesity
Laparoscopic Band and Gastric Imbrication (ilap)
Armando Ramirez, MD, Guy Voeller, MD, George Woodman, MD. University of Tennessee Health Science Center, Memphis The Lap Band is an effective weight loss procedure. Coupled with an imbrication of the fundus and body of the stomach, weight loss results may be enhanced. This is accomplished by reducing gastric capacity and promoting early satiety.… Continue Reading
- Topic:
- Metabolic / Obesity
Revision of Roux-en-Y Gastric Bypass to Sleeve Gastrectomy for Reactive Hypoglycemia
Saber Ghiassi, MD MPH, Benjamin Shadle, MD, Keith Boone, MD FACS, Kelvin Higa, MD FACS. University of California, San Francisco, Fresno Severe reactive hypoglycemia following gastric bypass is a rare late complication that typically presents 1-5 years after surgery. Hypoglycemia results from an exaggerated insulin response to a glucose load. Etiology may include the… Continue Reading
- Topic:
- Metabolic / Obesity
Laparoscopic Repair of Hiatal Hernia With Dor Fundoplication After Sleeve Gastrectomy in a Patient With Intractable GERD and Retained Gastric Body
Andre Teixeira, MD MBA MPH, Carolina Ampudia, MD, Samuel Szomstein, MD FACS FASMBS, Raul Rosenthal, MD FACS FASMBS. Cleveland Clinic Florida Introduction: Sleeve gastrectomy is one of the newest procedures and one of the fastest growing surgeries in the bariatric armamentarium. Technical details of the sleeve are important and failure to adhere to strict… Continue Reading
- Topic:
- Metabolic / Obesity
Laparoscopic Management of Gi Bleed From Penetrating Ulcer After RYGB
Jun Levine, MD, David Lee, MD, Ronald Ross, MDBS, Koji Park, MD, Julio Teixeira, MD FACS. St Luke's Roosevelt Hospital Center, NY 33 y/o woman s/p RYGB was found to have G-G fistula causing an ulcer which eroded anteriorly to the liver, posteriorly to pancreas and into the splenic artery causing massive UGI bleed.… Continue Reading
- Topic:
- Metabolic / Obesity
Retrograde Intussusception After Roux-en-Y Gastric Bypass
Saber Ghiassi, MD MPH, Daniel Moon, MD, Keith Boone, MD FACS, Kelvin Higa, MD FACS. University of California, San Francisco, Fresno Retrograde or antiperistaltic intussusception is a very rare complication of Roux-en-Y gastric bypass. It involves intussusception of the distal bowel into the proximal bowel almost exclusively at or near the jejunojejunostomy. This video… Continue Reading
- Topic:
- Metabolic / Obesity
Revisional Bariatric Surgery: From Sleeve Gastrectomy to Robotic-Assisted Gastric Bypass
M Masrur, MD, F Gheza, MD, D Calatayud, MD PhD, S D'ugo, MD, F M Bianco, MD, E F Elli, MD FACS. Division of General, Minimally Invasive and Robotic Surgery, Department of Surgery, University of Illinois at Chicago, Chicago, Illinois, USA. IntroductionThe laparoscopic sleeve gastrectomy (LSG) is used as an effective procedure for morbid… Continue Reading
- Topic:
- Metabolic / Obesity
Laparoscopic Revision of Roux-en-Y Gastric Bypass: Resection of Gastrojejunal Anastomosis, Trimming Gastric Pouch, and a Proximal Remnant Gastrectomy
Abraham Fridman, MD, Rena Moon, MD, Samuel Szomstein, MD FACS FASMBS, Raul Rosenthal, MD FACS FASMBS. Cleveland Clinic Florida Introduction: Bariatric surgery is becoming more popular and widespread throughout the world, and long-term complications are being diagnosed more frequently. The surgical management that is often necessary should be handled in highly specialized and experienced… Continue Reading
- Topic:
- Metabolic / Obesity
Sinistroposition: True Left-sided Gallbladder. a Rare Condition in a Common Operation. a Series of Three Cases
Patrick R Reardon, MD, Amanda Parker, MD, Michele A Riordon, MD, Vadim Sherman, MD, Brian J Dunkin, MD. The Methodist Hospital Department of Surgery; Methodist Institute for Technology, Innovation, and Education Houston, Texas 77030 Introduction: Sinistroposition of the gallbladder (SPG), is a very rare anatomic variant. Between September of 2005 and June of 2009… Continue Reading
- Topic:
- HPB
Robotic Liver Hemangioma Resection. Fluorescent Identification of Microhemangiomas With the Near-infrared Technique.
David Calatayud, MD PhD, Luca Milone, MD, Stefano D'ugo, MD, Federico Gheza, MD, Mario Masrur, MD, Paolo Raimondi, MD, Enrique F Elli, MD, Francesco M Bianco, MD, Subashini Ayloo, MD, Pier C Giulianotti, MD FACS. University of Illinois at Chicago Medical Center Indocyanine green can be used as a fluorescent agent by means the… Continue Reading
- Topic:
- HPB
Two Birds With Five Trocars: Laparoscopic Pancreaticoduodenectomy and Right Hemicolectomy
Rebecca Kowalski, MD, Niket Sonpal, MD, Jennifer Montes, MD, Paresh C Shah, MD FACS. Lenox Hill Hospital, Northshore-LIJ Health System, Hofstra Medical School, New York, NY We present a 54 year-old-woman who presented with a pancreatic duct obstruction due to a mass in the head of the pancreas with bulky adenopathy in the right… Continue Reading
- Topic:
- HPB
Laparo-endoscopic Single Site (less) Distal Pancreatectomy and Splenectomy
Sharona B Ross, MD, Franka Co, BS, Harold Paul, BS, Kenneth Luberice, BS, Edward Choung, MD, Alexander S Rosemurgy, MD. University of South Florida & Tampa General Medical Group This video is of a Laparo-Endoscopic Single Site (LESS) distal pancreatectomy and splenectomy undertaken on a 62 year old gentlemen diagnosed with pancreatic adenocarcinoma Laparo-Endoscopic… Continue Reading
- Topic:
- HPB
Laparoscopic Lateral Pancreaticojejunostomy
Daanish Kazi, DO, Maurice Arregui, MD. St. Vincent's Hospital Indianapolis Indiana Video submission for a case study of a 55 year old man with chronic calcific alcoholic pancreatitis with recalcitrant abdominal pain. Pain was due to pancreatic duct obstruction from intraductal stones leading to a dialated pancreatic duct. ERCP provided temporary relief of pain. … Continue Reading
- Topic:
- HPB
Laparoscopic Roux En Y Hepaticojejunostomy After Bismuth IV Bile Duct Injure
Augusto C Tinoco, PhD, Luciana El-kadre, PhD, Livia Rodrigues, MD, Renam Tinoco, PhD. HOSPITAL SÁO JOSE DO AVAI A young female patient, 35 years old, arrived at the Emergency Room with severe jaundice and a history of 3 months of laparoscopic cholecistectomy in another service and a laparotomy days after. She was submitted to… Continue Reading
- Topic:
- HPB