Presented by Matthew Jeffrey Martin at the AAST Joint Panel: Acute Care Surgery held during the 2017 SAGES Annual Meeting in Houston, TX on Thursday, March 23, 2017
Keyword(s): AAST, abdomen, abdominal pain, abscess, ACS, acute care surgeon, acute care surgery, acute pain, anastomosis, anastomotic leak, anatomy, antibiotics, ASMBS, band, band removal, band slippage, bariatric emergencies, bariatric surgeon, bariatric surgery, blood supply, Bougie, buckle, bypass complication, collaboration, combat, continuity, contrast, damage control, diagnostic workup, dissection, distal, distal obstruction, drug abuse, E.D., edematous bowel, EGD, elective surgery, emergency department, emergent, emesis, endoscopic treatment, esophagojejunostomy, exploration, extravasation, exudate, feeding, female, fever, fistula, fluid, fluoro study, fluoroscopic study, free air, free fluid, fundus, gastric pressure, gastric remnant, gastroenterologist, gastroesophageal junction, gastrogastrostomy, gastrointestinal spillage, gastrojejunostomy, gastrostomy tube, GEJ, general surgeon, GJ, GT, handsewn, hemorrhage, herniation, history, hypnotic gastric band, ICU, ileocecal valve, incisura, inflamed bowel, instability, intensive care unit, internal hernia, ischemic, jejunostomy, JJ, LAGB, laparoscopic adjustable gastric band, laparoscopic sleeve gastrectomy, lesser curve, Ligament of Treitz, LSG, mechanical, minimally invasive surgeon, MIS surgeon, mobilization, mucosa, nasogastric decompression, nasogastric tube, nausea, necrotic, NG decompression, NGT, NPO, O.R., obesity, obstructive symptoms, omentum, operating room, oversew, pain, PE, perc drain, percutaneous drain, peritonitis, planned take back, plicate, pneumatosis, post pyloric, pouch, pregnant, primary repair, proximal staple line, pulmonary embolism, pulmonary symptoms, reconstruction, remnant, resect, resuscitation, revise, right hemicolectomy, Roux limb, SBO, sepsis, SIRS, sleeve, sleeve leak, small bowel obstruction, small bowel resection, small bowel transplant, spine, staple, stent, stomach, stricture, surgical exploration, symptoms, T-tube, TAC, tachycardia, temporary abdominal closure, temporary closure, thigh, trauma surgeon, trocar, upper abdomen, washout, wide local drainage, x-ray
Bariatric damage control principles–1:32
Algorithm–2:30
LAGB–2:43
Band slippage–3:13
Emergency surgery–4:20
Band removal–4:53
Damage control approach–6:22
Necrotic stomach–7:06
LSG–8:17
Top 3 early concerns–8:39
Sleeve leak. Now what?–9:45
Control the leak–10:22
Definitive repair for sleeve leak–12:00
Gastric bypass emergencies–12:51
Gastric bypass leak sites & imaging options–13:10
Paradigm shift for GB leak–13:41
JJ anastomotic leak–14:23
Other considerations–14:59
Principles of post-bypass SBO–15:51
Bariatric DCS–16:55
Summary–19:32