Gallbladder disease can be confounding with diverse manifestations. Cholecysto-enteric fistula has an incidence of < 1%, with or without a contracted gallbladder. Cholecystocolonic fistula is stated to be about 20% of all cholecysto enteric fistula. They are challenging due to a higher risk of complications from recurrent inflammation causing fibrosis in the calot's triangle and an almost 10% risk of ductal injury. I report a case of Laparoscopic repair of cholecystocolic fistula and a concomita
OBJECTIVES: To assess the optimal distance between the pylorus and the beginning of the section of Laparoscopic Sleeve Gastrectomy (LSG), evaluating its effects on food tolerance, body composition and quality of life.
MATERIAL AND METHODS: A prospective randomized study with two intervention groups, according the section from pylorus (3 and 8 cm). Body composition measured by bioelectrical impedance, food tolerance (Suter test) and quality of life (Moorehead – Ardelt Quality of Life Questionnai
Objective of the Technique
In 1994, we devised percutaneous trans-esophageal gastro-tubing (PTEG) as an alternative to percutaneous endoscopic gastrostomy (PEG). Because this PTEG procedure, which we now refer to as standard PTEG, is a non-endoscopic surgical procedure, it was understood as a minimally invasive procedure that could be used for seriously ill patients who could not undergo the PEG procedure. We have performed this standard PTEG procedure in 207 patients. Beginning in 2003, we beg
Introduction
The revision of a failed laparoscopic adjustable gastric banding (LAGB) has become a common scenario in bariatric surgery. The international literature highlights a high morbidity with the conversion of a LAGB to a LSG in one surgical time.
The main objective of this study is to evaluate the results of the conversion in one surgical time of a failed LAGB to LSG.
Method
Prospective case series based on analysis of a database of 1605 patients, between April 2006 and March 2014.
Background: Laparoscopic sleeve gastrectomy (LSG) has become a popular weight loss procedure in recent years. With the high prevalence of gastroesophageal reflux disease (GERD) among the morbidly obese post-operative changes in GERD symptoms are of concern. Studies evaluating these changes so far have been conflicting. The aim of this study was to evaluate changes in GERD symptoms after LSG using GERD-HRQL questionnaire.
Methods: Data was prospectively collected on 125 patients undergoing LSG