The Bypass or Lap Band Patient with Vomiting: Strictures and Slips

 

Presented by Raul J. Rosenthal, MD FACS FASMBS at the SAGES 2014 Annual Meeting; Bariatric and Pediatric Emergencies for the non-Pediatric, non-Bariatric Surgeon


When was the operation?–50 sec
typical pt presentation–3:15
typical pt exam–4:11
initial management–5:29
imaging workup–5:52
imaging pitfalls–6:15
imaging pearls of wisdom–6:43
late onse


Keyword(s): 2-0 Silk, ABD, abdominal pain, abdominal wall, ABX, alimentary tract, amylase, anastomosis, atelectasis, bariatric emergencies, bariatric surgeon, barium, bileopancreatic limb, bleeding, bowel, BP, CBC, cholangitis, cholecystitis, clinical management, closed suction drain, CT scan, decompensation, dehydration, differential dx, dilation, drain, drainage, duodenal switch, early obstruction, edematous, emergency decompression, enterotomy, epigastric pain, esophogram, extravasation, feeding access, feeding tube, fever, fluid resuscitation, Foley catheter, free air, free fluid, gastric pouch, gastric remnant, GB pt, hypovolemia, hypoxia, imaging, imaging pitfalls, impending feeling of doom, inflammation, initial management, intermittent pain, internal hernia, intestinal perf, intussusception, IV access, IV contrast, jejunostomy, JP drain, KUB, lap gastric bypass, lap re-exploration, lap surgery, leak, liver, marginal ulcer, mesentery, mesocolic tunnel herniation, misdiagnosis, morphine, N&V, nephrolithiasis, nervousness, NGT, non-bariatric surgeon, non-pediatric surgeron, NSAIDs, observation, omental patch, open surgery, oxygen saturation, pancreatitis, PE, pediatric emergencies, pelvis, peritoneum, peritonitis, Petersen defect, physical exam, plain film, post-bypass pain, proximal anastomosis, purulence, remnant staple line, resection, respiratory rate, retrocolic, retrospective study, RYGB, s/p, salem sump drain, SB, sepsis, smoking, spontaneous resolution, stomach, stomach decompression, strangulation, Surgical Endoscopy, sutures, sweating, swirl sign, symptomatic internal hernias, T&S, tachycardia, trauma access, UGI, UTI, VBG, VS, VTE, water-soluble contrast, workup

Video Uploaded By:
Raul Rosenthal
Uploaded on
01/20/2014
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