Treatment of Refractory GERD: Conversion of Sleeve Gastrectomy and Dor Fundoplication to Gastric Bypass
Crystal Alvarez, DO, Maher Musleh, MD, FACS, Juan Carlos Quispe, MD, Esther Wu, MD, Panicha Kittipha, MSN, RN, Daniel Srikureja, MD, Jeffrey Quigley, DO, Marcos Michelotti, MD, FACS, Keith Scharf, DO, FACS, FASMBS, Aarthy Kannappan, MD. Loma Linda University Medical CenterOur patient is a 50 year old female with a complicated bariatric surgery history who… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
LAPAROSCOPIC REVERSAL OF ROUX-EN-Y GASTRIC BYPASS: ROUX TO REMNANT NEO-GASTROJEJUNOSTOMY
Maria C Fonseca, MD, Coney Bae, MD, Camila Ortiz-Gomez, MD, Joel S Frieder, MD, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS, Samuel Szomstein, MD, FACS, FASMBS, Raul J Rosenthal, MD, FACS, FASMBS. Cleveland Clinic FloridaA 52-year-old active smoker with a history of Roux-en-Y gastric bypass (RYGB) 15 years prior presents with recalcitrant diarrhea, weight loss… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Gastric remnant volvulus after conversion of Gastric Plication to RYGBP
Enrique Arias, MD, Luis Martinez, MD, Angel Henriquez, MD. INTERLAPCase Presentation: A 31-year-old female had a gastric plication for morbid obesity treatment 5 years ago in another institution, her initial BMI was 40 kg/m2. During a year she lost 30 kg and had a BMI of 28 kg/m2. 18 months after the surgery she started to… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic Roux-en-Y Gastric Bypass in the Setting of Unknown Malrotation
Elisabeth Wynne, MD, Shahroz Fatima, BS, Shaina R Eckhouse, MD. Washington University School of MedicineMalrotation of the small bowel is a rare finding that affects 1 out of 6,000 births. Over 90% are diagnosed right at birth, and as such, it is rare to identify in adults. Only a few case studies exist in the… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Removal of an adjustable gastric band that eroded into the liver
Kais A Rona, MD, Milton Tyler, Christopher Ducoin, MD. Tulane University School of MedicineThe adjustable gastric band has fallen out of favor secondary to high complication rates. Postoperative complications such as band slippage and erosion are not uncommon. In this video we demonstrate the laparoscopic removal of a gastric band that had eroded into the… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic sleeve gastrectomy: Medial to lateral approach
Usah Khrucharoen, Yen-Yi Juo, Yijun Chen, Erik Dutson. UCLAWhile no significant difference in weight-loss efficacy or safety has been demonstrated between a medial-to-lateral and a lateral-to-medial approach for laparoscopic sleeve gastrectomy, our institutional experience of over 900 patients suggested several technical advantages of the medial-to-lateral approach. In the current video, we seek to demonstrate the… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Incidental Paraduodenal Hernia During Laparoscopic Gastric Bypass
Caitlin Polistena, MD, Diego Camacho, MD, FACS. Montefiore Medical CenterThis is the case of an incidentally found left paraduodenal hernia during elective laparoscopic gastric bypass surgery. The patient is a 52 year old man with no prior history of intra-abdominal surgery who underwent multidisciplinary workup for bariatric surgery and was found to be an adequate… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Successful Laparoscopic Sleeve Gastrectomy After Severe Pancreatitis
Kenneth Copperwheat, DO, Gerrit Dunford, MD, Patrick Sowa, MD, Rami Lutfi, MD, FACS, FASMBS. St. Joseph Hospital, ChicagoHere we present a video case report of a successful laparoscopic sleeve gastrectomy after a case of severe pancreatitis requiring deviation from standard operative technique. During the index operation, upon dissection into the lesser sac, we unexpectedly encountered… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Reversal of One Anastomosis Gastric Bypass for Malnutrition
Sarfaraz Baig, MS, FRCS. Belle Vue ClinicMalnutrition is one of the concerns after a One Anastomosis Gastric Bypass(OAGB). Most of the times it can be managed with high protein supplementation and close supervision and follow up. However, sometimes it becomes necessary to reverse the surgery to restore nutrition. The important steps are a division of… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Hiatal Hernia Repair + Gastric Bypass Using a Magnetic Retractor
Rafael Luengas, MD1, Gerardo Davalos, MD2, Ramon Diaz, MD2, Daniel A Guerron, MD2. 1Hospital de La Florida - Chile, 2Duke UniversityThe main procedures performed in bariatric surgery are the bypass, sleeve and the duodenal switch. The presence of Hiatal hernia during the preoperative patient assessment can change our decision when it comes to choosing the… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Gastric Band Erosion Over Bypass
S. Julie-Ann Lloyd, MD, PhD, Alph J Emmanuel, MD, Bestoun H Ahmed, MD, FACS, FASMBS. University of Pittsburgh Medical CenterIntroduction: The estimated two-year failure rate of Roux-en-Y gastric bypass of up to 15% is primarily due to diet non-compliance versus impaired gastric restriction. The latter may result from fistula formation between the remnant and pouch… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic reduction of jejunojejunostomy intussusception after Roux-en-Y gastric bypass
Rana M Higgins, MD, Jon C Gould, MD, Tammy L Kindel, MD, PhD. Medical College of WisconsinA 36 year-old morbidly obese female underwent a laparoscopic Roux-en-Y gastric bypass. Her BMI at the time of surgery was 53 kg/m2. She continued smoking and subsequently developed a marginal ulcer, for which she had a revisional gastrojejunostomy performed… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Retro-Roux Biliopancreatic Limb: A Case Report and Technique For Repair
Joseph Greene, MD, MBA, Hamid Pourshojae, DO, Nain Rajev, Amir Moazzez, MD. Inova Fair Oaks HospitalThrough this case we describe the importance of jejunojejunostomy laterality relative to the Petersen's defect of the Roux alimentary limb during laparoscopic Roux-en-Y gastric bypass surgery. When the jejunojejunostomy is constructed on the right side with the biliopancreatic limb entering… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic Enterolithotomy for Gallstone Ileus Seven Months after Laparoscopic Sleeve Gastrectomy
Aaron L Sabbota, MD, PhD1, Huy Hoang, MD2, Amy Yetasook, MD1, Keith Boone, MD1, Pearl Ma1, Kelvin Higa, MD1. 1ALSA Medical Group, Fresno Heart and Surgical Hospital, 2UCSF Fresno Department of SurgeryGallstone ileus is a rare cause of small bowel obstruction. This pathology is more common in elderly patients and is associated with considerable morbidity… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Gastric Sleeve Following Dor Fundoplication
Kais A Rona, MD, Hector M Morales, Christopher Ducoin, MD. Tulane University School of MedicineSleeve gastrectomy is the most common bariatric procedure performed in the United States. Recent literature has demonstrated a non-negligible rate of worsened gastroesophageal reflux symptoms and even de-novo reflux following sleeve gastrectomy. There are technical aspects of a sleeve gastrectomy that… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity