The Vertical Banded gastroplasty (VBG) was a completely restrictive alternative to the Roux-En-Y gastric bypass (RYGB). It involved a gastric pouch formed from a non-divided staple line with a distal restrictive silastic band. Unfortunately, up to 40-60% of patients that underwent this operation developed chronic dysphagia from an obstructing silastic band placed at the distal end of the gastric pouch. Many of these patients benefit from conversion of their VBG to a RYGB to address both their m
Introduction: Chronic gastric leak after sleeve gastrectomy is one the most insidious complications in bariatric surgery. Multimodal treatment using endoscopic, surgical and interventional radiology approaches is often necessary. A gastric leak progresses rarely into a gastro-colic fistula and usually occurs when initial control of the leak is not achieved. The aim of this video is to show a minimally invasive laparoscopic treatment for a chronic fistula between the gastric antrum and transverse
This is a case of a 65 y/o morbidly obese female with severe acid reflux requiring high dose PPI. We elected to perform SIPS, paraesophageal hernia repair with mesh and Nissen fundoplication on her. She lost 40% of her excess weight with resolution of reflux by 6 months.
Here we present the technique, SIPS with LF that provides substantial weight loss with GERD resolution.
INTRODUCTION: Minimally invasive (MI) esophagectomy presents proven benefits over the open approach. Nevertheless postoperative leaks and chylothorax still remain an important cause of morbidity and mortality. The optimal treatment for esophago-gastric anastomotic leaks is controversial with minimally invasive techniques, especially self-expandable metallic stents (SEMS) gaining popularity. Chylothorax after esophagectomy also remains a challenging clinical problem with a mortality rate reaching
Laparoscopic low anterior resection (LAR) for rectal cancer is a challenging surgery in morbidly obese male patients. Transanal minimally invasive surgery (TAMIS) is a flexible access platform developed in 2009 to gain mobility over the transanal endoscopic microsurgery (TEM) platform. A new hybrid approach combines laparoscopic and TAMIS views to accomplish a down-to-up mesorectum dissection with enhanced visibility. TAMIS allows for rectal transection having the tumour under direct vision and