Introduction: Single Incision Laparoscopic Surgery (SILS) offers improved cosmesis for patients and may also result in shorter hospital length of stay. However, this approach is infrequently reported as a means of performing ileo-colonic resection for complicated ileo-colonic Crohn’s disease.
Method: Video presentation highlighting the technical approaches that may facilitate the use of SILS in the setting of complicated ileo-colonic Crohn’s disease.
Results: This presentation outlines the use
Introduction: Marginal ulcers (MUs) occur in approximately 1% of patients after bariatric surgery, especially Roux-en-Y gastric bypass. Rarely, MUs are refractory to maximal medical management and may require operative intervention.
Presentation of case: We present the case of a 32-year-old woman with intractable MUs after Roux-en-Y gastric bypass, refractory to maximal medical management. A recent upper endoscopy showed erosive gastritis, esophagitis, and three bleeding MUs, which required bl
In order to mitigate the dreadful complication of a sleeve gastrectomy leak we have altered the classic dissection to performing a medial to lateral technique whereby significantly decreasing the risk of devascularization and thermal injury to the proximal stomach near the gastroesophageal junction as referenced by the literature as the most common area for leak. In addition, we perform a chemical pyloroplasty using botulism toxin to decrease intragastric pressure and allow for easier gastric e
Patient is a 77 year old female who presented with epigastric pain that radiated to her back. Pre-Operative work-up revealed a large fat-containing Morgagni hernia. A tension free mesh closure is shown in this video.
Background: A video presentation of J.W a 41-year-old Caucasian woman former morbidly obese who underwent laparoscopic Roux-en-Y gastric bypass in 2004. She lost a significant amount of body weight since but has regained some back the last few years. She presented with a nearly 10-year history of left upper quadrant abdominal pain, nausea and bilious vomiting. She had also experienced a nearly disabling dysphagia. Her diagnostic work-up unveiled a sizeable gastro-gastric fistula (GGF). The patie