Laparoscopic Roux-en-Y gastric bypass (LRYGB) is the most common bariatric surgical procedure performed in the United States. Small bowel obstruction following LRYGB is a common complication often caused by adhesions, internal hernias, or obstruction at the gastrojejunal or jejuno-jejunal anastomosis.We present a case report of a 38 year old Caucasian female, 36 week gestation, who […]
Background Laparoscopic splenectomy has become the surgical procedure of choice in the therapy of various hematologic diseases. Portal vein thrombosis (PVT) is a well known complication of splenectomy, but the true incidence is not well established with several reports of up to 50% incidence. Massive splenomegaly is considered a risk factor for developing post operative […]
Introduction: The purpose of this study was to prospectively examine the impact of technical factors during percutaneous endoscopic gastrostomy (PEG) tube placement on the development of subsequent peritonitis. Determination of whether BMI or nutritional status were independent risk factors for the development of this complication were secondary endpoints.Methods: All patients undergoing PEG tube placement in […]
Introduction: Few studies have been designed to assess the performance of laparoscopic surgical staplers. This study analyzes the effect of staples and staple height on tissue perfusion. Methods: Staple lines created on live porcine small bowel segments using laparoscopic surgical staplers were tested for perfusion using visible light spectroscopy to assess tissue oxygenation. Perfusion measurements […]
Background: Given the frequent presence of multiple comorbidities, obese patients undergoing laparoscopic gastric bypass are at risk for perioperative complications. We hypothesized that patients with gastroesophageal reflux disease (GERD), obstructive sleep apnea (OSA), and asthma would have higher rates of pneumonia.Methods: We retrospectively analyzed 343 laparoscopic gastric bypass patients, operated on at a single institution […]