Bilateral Retroperitoneal Endoscopic Adrenalectomy
Jamie Oh, MD, Alberto Vitela, MD, Roger Tatum, MD, FACS, Edgar Figueredo, MD, FACS. University of WashingtonThe patient is a 58 yo male MEN 2A syndrome presenting with bilateral pheochromocytomas. He had previously undergone a parathyroidectomy for hyperparathyroidism, and in undergoing a CT scan for a hip injury, he was found to have adrenal masses.… Continue Reading
- Topic:
- Minimally Invasive Other
Endoscopic Thyroidectomy: The Dawn of New Era ?
Ajay H Bhandarwar, MS, FMAS, FIAGES, FAIS, FICS, FBMS, Amarjeet E Tandur, MS, Girish D Bakhshi, MS, MRCS, DNB, FCPS, MNAMS, FMAS, FIAGES, Amol Wagh, MS, FMAS, FIAGES, FAIS, FICS, FBMS, FLCS, Eham L Arora, MS, DNB, Shekhar Jadhav, MS, Jalbaji P More, MS, Jai Rathore, MBBS, Priyanka Saha, MBBS, Soumya Chatnalkar, MBBS. Grant Government… Continue Reading
- Topic:
- Minimally Invasive Other
Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA).
Kojo Wallace, MD, Amy Rosenbluth, MD, William Inabnet, MD, Aida Taye, MD. Mount Sinai St. Luke's and WestVideo presentation of a "Left Hemithyroidectomy using the Transoral Endoscopic Thyroidectomy Vestibular Approach" (TOETVA). The patient underwent resection of a isthmus mass with involvement of the left thyroid lobe.Presented at the SAGES 2017 Annual Meeting in Houston, TX.Abstract… Continue Reading
- Topic:
- Minimally Invasive Other
Utilization of Normal Saline injection in Tissue Planes to Facilitate Safe Tissue Dissection in Laparoscopic Surgery
Ghaith Khair, MD, FACS, Andrea Zaw, MD, Kuldeep Singh, MD, FACS, FASMBS, MBA. St agnes hospitalBackground: Lysis of adhesions though almost is routinely done in surgery, is neither routine nor benign procedures. It is fraught with injury to structures, intestines, infected wounds and fistula formation, with or without sepsis. Methods: A video clip describing normal saline injection… Continue Reading
- Topic:
- Minimally Invasive Other
Carbon Dioxide as a Method to Prevent Operating Room Fires
Jason M Samuels, MD1, Heather Carmichael, MD1, Krzystof J Wikiel, MD2, Thomas N Robinson, MD, MS2, Teresa S Jones, MD2, Edward L Jones, MD2. 1University of Colorado, 2Denver Veterans Affairs Medical CenterThis video explores the utilization of carbon dioxide delivery via a smoke evacuation pencil as an operating room (OR) fire mitigation strategy. OR fires… Continue Reading
- Topic:
- Minimally Invasive Other
Laparoscopic Approach to Intussusception After Roux-en-Y Gastric Bypass
Selwan D Barbat, MD, Abdelrahman A Nimeri, MD, FACS, FASMBS, Timothy S Kuwada, MD, FACS, FASMBS, Keith S Gersin, MD, FACS, FASMBS. Carolinas Weight Management & Wellness CenterBackground: Intussusception after Roux-en-Y gastric bypass is a rare, but critical event that has an incidence of 0.1 to 0.3%. There have been only a few case series… Continue Reading
- Topic:
- Metabolic / Obesity
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
Single Port Laparoscopic Trans-gastric Removal of Eroded Gastric Band
Amanda Roberts, MD, Abdelrahman Nimeri, MD, FACS, FASMBS, Keith Gersin, MD, FACS, FASMBS, Timothy Kuwada, MD, FACS, FASMBS. Carolinas Weight ManagementLap bands gained popularity and were very commonly used in the treatment of morbid obesity in the early 2000s. While it has been found to be a very safe procedure, the lap band has unique risks,… 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
LAPAROSCOPIC REVERSAL OF VERTICAL BANDED GASTROPLASTY
Jin Sol Oh, MD, Saurabh Khandelwal, MD. University of Washington, Seattle, WAVertical banded gastroplasty (VBG) was first described by Mason in 1982. As a restrictive procedure, it consisted of creating a gastric pouch with vertical stapling and pouch outlet encircled with polypropylene mesh or silastic ring. Once popular in 80s and 90s, VBG has been… Continue Reading
- Topic:
- Metabolic / Obesity
COMBINED LAPAROSCOPIC AND ENDOSCOPIC TREATMENT OF GASTROGASTRIC FISTULA AFTER OPEN ROUX-EN-Y GASTRIC BYPASS WITH VASCULAR ASSESSMENT WITH INDOCYANINE GREEN.
Romina Pena, MD, Ainitze Ibarzábal, MD, Dulce Momblán, MD, Víctor Turrado, MD, Josep Llach, MD, PhD, Antonio M Lacy, MD, PhD, FASCRS, Hon. Hospital Clínic32-year old woman with history an open RYGB in 2006, complicated with anastomotic leak and stenosis. Patient had an initial and minimum weight of 170 Kg (BMI 60) and 73 Kg… Continue Reading
- Topic:
- Metabolic / Obesity
Dual Strictures and Unexpected Mesh: The Challenges of Revision Bariatric Surgery
Arielle M Lee, MD, Rebeca Dominguez, MD, Tokio Matsuzaki, MD, PhD, Kai Neki, MD, Ryan C Broderick, MD, Robert Cubas, MD, Joslin N Cheverie, MD, Bryan J Sandler, MD, Garth R Jacobsen, MD, Santiago Horgan, MD. UC San DiegoIn patients with morbid obesity, management with bariatric surgery is the gold standard for sustained weight loss.… Continue Reading
- Topic:
- Metabolic / Obesity
Conversion Of A Sleeve Gastrectomy To A Roux En Y Gastric Bypass In A Patient With Intestinal Non-Rotation
Nader Hanna, MD, Boris Zevin, MD, PhD. Queen's University, Kingston, OntarioIntestinal non-rotation is part of a wider spectrum of a malrotation congenital abnormality and its incidence is around 0.5%. It is usually discovered incidentally during investigation of unrelated pathology. We present a case of laparoscopic conversion from a sleeve gastrectomy to a Roux-en-Y gastric bypass… 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
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