Percutaneous endoscopic gastrostomy (PEG) tube placement has become one of the mainstays for enteral nutrition in patients unable to tolerate oral feedings. Complications related to PEG tube placement are typically minor, however, major complications have been reported. One unique complication related to PEG placement involves the placement of the PEG transcolonic. Treatment strategies for managing transcolonic PEG placement vary as it is a rare complication and have not been well studied.
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The Objective of this video is to present how a complex case of a Bismuth-Strasberg E2 biliary injury with an associated biliperitoneum was resolved with a pure laparoscopic two-stage approach starting at postoperative day 10. The surgical team involved in this case has over 10 years of advanced HBP laparoscopic experience.
Case: A 56-year-old female to whom a laparoscopic converted to open cholecystectomy for acute cholecystitis was performed. The patient was discharged at postoperative day 3
This is a video presentation of the repair of a large band slip into a giant paraesophageal hernia. Performance of this complex operation requires the utilization of both advanced Bariatric and Esophageal Surgery techniques. There is a paucity of videos demonstrating cases of this kind.
Background
Paraesophageal hernias (PHH) constitute approximately 5% of all hiatal hernias. Surgical management of a symptomatic PHH requires reduction of the stomach, closure of the hiatus and fundoplication. Gastric ischemia is a rare complication and difficult to manage. Prevention is the key, however a strategy must be in place if this devastating injury occurs.
This video highlights the finding of gastric ischemia, intraoperative decision-making and subsequent management.
Method
An 80-
BACKGROUND. Endoscopic Plication by POSE (Primary Obesity Surgery Endoluminal) procedure is a new endoscopic restrictive procedure. It may be indicated in patients with Grade I or II Obesity. Short term results are promising, but long term results and its efficacy in morbid obese patients it is unknown.
METHODS. This video shows two failure of weight loss after a POSE procedure in morbid obese patients. We show how a revisional bariatric surgery either to Roux-en-Y Gastric Bypass (RYGB) or Sl