Introduction
The laparoscopic adjustable gastric band (LAGB) procedure is commonly used in obese patients (BMI >35) to aid in weight loss. Complications of the LAGB are well documented and are now being seen with increasing frequency within the outpatient setting and emergency departments. We describe a rare presentation of a gastric band erosion-migration resulting in an unusual gastro-duodenal fistula that presented with both a diagnostic and operative challenge.
Case History
A 39 year ol
Background:
Surgeon’s experience is associated with a decreased rate of iatrogenic common bile duct injury during cholecystectomy. Practicing general surgeons adopt robotic surgery using training opportunities such as weekend courses, videos, hands-on conferences, and traveling proctors with varying success. This study is aimed to study robotic cholecystectomy outcomes in surgeon’s early experience.
Methods:
This is a retrospective review of prospectively collected data between December 2012
Introduction
Laparoscopic sleeve gastrectomy (LSG) is gaining acceptance as the preferred option for treating obesity. The risk of leak and subsequent fistula after a sleeve gastrectomy still present significant concerns in clinical practice. Considerable debate persists in the management and treatment of leaks after LSG. This current series present unusual fistulas post LSG and their surgical management.
Methods
The series presents chronic leaks that have progressed into fistulas. Three fist
Introduction: We present a case of a patient with a history of achalasia and subsequent repair who presented with recurrent episodes of retrograde gastroesophageal intussusception. Retrograde gastroesophageal intussusception (RGEI) is a rare cause of gastrointestinal obstruction in which all layers of the stomach invaginate into the esophagus. There are few case reports of RGEI in the published literature. Risk factors include long mesenteric gastric attachments, repeated episodes of increased a
INTRODUCTION- We have earlier reported non-inferiority & potential patient reported outcomes (PRO) related benefits of avoiding energized dissection (ED) in laparoscopic cholecystectomy (LC). We undertook a better designed study to evalute the impact of ED on the PROs following LC.
METHODS AND PROCEDURES -An open ended triple blind randomized study of consecutive unselected consenting candidates for day care LC. Randomization by external research coordinators ( blind to peri-operative observat