The need for exploration of a patient who has had a Biliopancreatic Diversion with Duodenal Switch (BPD-DS) may present a challenge to surgeons who are not familiar with the procedure. We present a systematic approach to identification and reduction of internal hernia in a patient with BPD-DS.
Introduction: Intestinal malrotation is a congenital anomaly that results from inadequate rotation of the midgut during fetal development between weeks 5 and 12 of gestation. The incidence is 1 every 6000 live births. We present a case of intestinal malrotation incidentally found during gastric bypass surgery.
Description of contents: This was a 35 yo male, with BMI 43, referred to our clinic for the treatment of obesity. He did not have any comorbidities, and his past surgical history was nega
Background
Intestinal malrotation (IM) occurs once in every 500 births. It can be a challenging situation to deal with while doing an anastomotic bariatric procedure, especially because it is discovered during the preoperative work-up of a bariatric patient. We describe a totally robotic duodenal switch (DS) performed for a patient in whom IM was detected intra-operatively.
Methods
The patient was 68 year old with a body mass index of 45 kg/m2. On initial laparoscopic survey, the cecum and te
The timing of the onset of dysphagia post Roux-en-Y gastric bypass usually helps determine the cause and therefore the treatment of the dysphagia. Dysphagia arising immediately after the procedure is usually due to edema and resolves spontaneously. When it begins 1-3 days after surgery, a mechanical reason should be suspected and treated. When the patient takes fluids for a week, is advanced to a soft diet but then develops dysphagia, the most common cause is stenosis. The dysphagia is diagnosed
Background: We present the case of a 47 year old female who underwent a gastric band in 2008. She was unsuccessful with her weight loss goals, and was converted to a roux en y gastric bypass in 2013. Unfortunately, she soon after developed PO intolerance and nausea. She was diagnosed with a severe stricture at her gastrojejeunal anastamosis. After failing nearly twenty balloon dilitations, she was referred to our bariatric center.
Methods: We first attempted non-operative management of the pati