Bariatric Postoperative Fistula: A Life-saving Endoscopic Procedure
Giorgio Baretta, PhD, Joao Henrique Lima, PhD, Josemberg Campos, PhD, Manoel Galvao Neto, MSc. Vita Batel Hospital - Department of Bariatric Advanced Endoscopy. Background: Fistula after batiatric surgery occurs in 0,8% to 7% with high incidence of mortality, reoperations and long hospital stay. Some reasons are well-described such as distal obstruction: stenosis of the anastomosis,… Continue Reading
Complications of Laparoscopic Transgastric ERCP in Patients with Roux-en-Y Gastric Bypass
Kevin L Grimes, MD, Kirpal Singh, MD, Maurice E Arregui, MD. St. Vincent Hospital. Introduction As more patients undergo Roux-en-Y gastric bypass, the population with altered anatomy continues to increase. This presents a challenge when duodenal access is required for ERCP. One technique, first described by Peters & Gagne in 2002, is laparoscopic transgastric ERCP.… Continue Reading