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V4
Surgery for Obesity and Related Diseases 3 (2007) 345–347
VIDEO SESSION 2007 V1.
FIRST HUMAN EXPERIENCE WITH AN ENDOSCOPIC DUODENAL-JEJUNAL BYPASS SLEEVE. Leonardo Rodriguez, MD; Munir Alamo, MD; Percy Brante, MD; Galvao Neto, MD1; Almino Ramos, MD1; Michael E Tarnoff, MD2 1Centro de Cirug de la Obesidad, Hospital DIPRECA, Santi, Santiago, Chile; 1Gastro Obeso Center, Sao Paulo, Brazil; 2Department of Surgery, Tufts-New England Medical Center, Boston, MA This video illustrates the key steps in the first human endoscopic delivery and retrieval of a duodenal jejunal bypass sleeve. The presentation also highlights the concept behind this novel device. The program utilizes a combination of animation as well as digital endoscopic and real time fluoroscopy video. PII: S1550-7289(07)00379-6 V2.
NOVEL APPROACH TO SMA SYNDROME AFTER GASTRIC BYPASS SURGERY. David Buchin, MD; Ashutosh Kaul, MD; Thomas Cerabona, MD; Edward Yatco, MD; Alesander Rakhlin, MD Westchester Medical Center, Valhalla, NY Duodenal obstruction by Superior Mesenteric Artery (SMA) is a rare, misdiagnosed vomiting syndrome in patients after gastric bypass surgery. The rapid weight loss and malnutrition are factors that contribute to this syndrome. In this case presentation, we present a novel surgical approach to a patient after gastric bypass. The patient presented with typical features of SMA syndrome. The diagnosis was established with CT scan and Gastrograffin® follow-through. The patient had a long blind limb of her biliopancreatic limb which we anastomosed to the first portion of the duodenum, relieving the obstruction. PII: S1550-7289(07)00380-2 V3.
LAPAROSCOPIC HIATAL HERNIA AND RE-SLEEVE GASTRECTOMY FOR GERD AFTER DUODENAL SWITCH. Manish Parikh, MD; Michel Gagner, MD, FACS Weill College of Medicine of Cornell University, New York, NY Hiatal hernia is frequently seen in the bariatric population. It is often associated with severe reflux that can lead to decreased quality of life and even weight regain. We present a 49 year-old female who underwent laparoscopic duodenal switch in 2001 (BMI 55 kg/m2) and recently complained of severe reflux and
weight regain. Preoperative CT revealed the presence of a hiatal hernia containing the upper sleeve. This video demonstrates the laparoscopic repair of her hiatal hernia (including reduction of the incarcerated sleeve) and re-sleeve gastrectomy. Hiatal hernias can be successfully repaired after a sleeve gastrectomy with return of the esophago-gastric junction into the abdominal cavity. Re-sleeve can be performed to reduce acid production and provide further restriction for additional weight loss. If the lower esophageal sphincter is incompetent, endoluminal techniques may be required because there is inadequate gastric tissue for fundoplication. PII: S1550-7289(07)00381-4 V4.
LAPAROSCOPIC REPAIR OF GASTROPERICARDIAL FISTULA AFTER OPEN GASTRIC BYPASS. Daniel J Gagne, MD; Pavlos K Papasavas, MD; Thomas Birdas, MD; Jason Lamb, MD; Philip F Caushaj, MD West Penn Hospital, Pittsburgh, PA A 43 year old woman with a BMI of 51 kg/m2 underwent an open Roux-en-Y gastric bypass at another hospital. Post-operatively she was evaluated several times for left shoulder pain, chest pain, and abdominal pain. She was transferred to our hospital after presenting with chest pain, a syncopal episode, and cardiac tamponade. CT scans demonstrated a gastropericardial fistula from her bypassed gastric remnant. The video demonstrates the laparoscopic takedown of the gastropericardial fistula. PII: S1550-7289(07)00382-6 V5.
LAPAROSCOPIC ADJUSTABLE BASKET BAND: EXPERIENCE ON 100 PATIENTS. Antonio A Catona, MD; Giovanni G Morone, MD; Rubina R Ruggiero, MD; Luigi L La Manna, MD; Samuel Tata S.T. Ngnitejeu, MD; Cristina C Sampiero General and Mininvasive Surgical Division IRCCS, Pavia, Italy Background: Despite the great success and popularity of adjustable gastric banding (AGB) in Europe, some concerns exist about the high rate of long-term complications. The most frequent of these complications is gastric pouch dilatation. Patients who don’t feel a sense of fullness may fill the proximal gastric pouch with a large amount of food causing an enlargement of the stomach above the band. The onset can be chronic or acute and in many cases requires reoperation. Methods: Since June 2005 we implanted 100 Basket Bands (BB), a new adjustable gastric band with a soft silicone mesh
1550-7289/07/$ – see front matter © 2007 American Society for Bariatric Surgery. All rights reserved.
VIDEO SESSION 2007 V1.
FIRST HUMAN EXPERIENCE WITH AN ENDOSCOPIC DUODENAL-JEJUNAL BYPASS SLEEVE. Leonardo Rodriguez, MD; Munir Alamo, MD; Percy Brante, MD; Galvao Neto, MD1; Almino Ramos, MD1; Michael E Tarnoff, MD2 1Centro de Cirug de la Obesidad, Hospital DIPRECA, Santi, Santiago, Chile; 1Gastro Obeso Center, Sao Paulo, Brazil; 2Department of Surgery, Tufts-New England Medical Center, Boston, MA This video illustrates the key steps in the first human endoscopic delivery and retrieval of a duodenal jejunal bypass sleeve. The presentation also highlights the concept behind this novel device. The program utilizes a combination of animation as well as digital endoscopic and real time fluoroscopy video. PII: S1550-7289(07)00379-6 V2.
NOVEL APPROACH TO SMA SYNDROME AFTER GASTRIC BYPASS SURGERY. David Buchin, MD; Ashutosh Kaul, MD; Thomas Cerabona, MD; Edward Yatco, MD; Alesander Rakhlin, MD Westchester Medical Center, Valhalla, NY Duodenal obstruction by Superior Mesenteric Artery (SMA) is a rare, misdiagnosed vomiting syndrome in patients after gastric bypass surgery. The rapid weight loss and malnutrition are factors that contribute to this syndrome. In this case presentation, we present a novel surgical approach to a patient after gastric bypass. The patient presented with typical features of SMA syndrome. The diagnosis was established with CT scan and Gastrograffin® follow-through. The patient had a long blind limb of her biliopancreatic limb which we anastomosed to the first portion of the duodenum, relieving the obstruction. PII: S1550-7289(07)00380-2 V3.
LAPAROSCOPIC HIATAL HERNIA AND RE-SLEEVE GASTRECTOMY FOR GERD AFTER DUODENAL SWITCH. Manish Parikh, MD; Michel Gagner, MD, FACS Weill College of Medicine of Cornell University, New York, NY Hiatal hernia is frequently seen in the bariatric population. It is often associated with severe reflux that can lead to decreased quality of life and even weight regain. We present a 49 year-old female who underwent laparoscopic duodenal switch in 2001 (BMI 55 kg/m2) and recently complained of severe reflux and
weight regain. Preoperative CT revealed the presence of a hiatal hernia containing the upper sleeve. This video demonstrates the laparoscopic repair of her hiatal hernia (including reduction of the incarcerated sleeve) and re-sleeve gastrectomy. Hiatal hernias can be successfully repaired after a sleeve gastrectomy with return of the esophago-gastric junction into the abdominal cavity. Re-sleeve can be performed to reduce acid production and provide further restriction for additional weight loss. If the lower esophageal sphincter is incompetent, endoluminal techniques may be required because there is inadequate gastric tissue for fundoplication. PII: S1550-7289(07)00381-4 V4.
LAPAROSCOPIC REPAIR OF GASTROPERICARDIAL FISTULA AFTER OPEN GASTRIC BYPASS. Daniel J Gagne, MD; Pavlos K Papasavas, MD; Thomas Birdas, MD; Jason Lamb, MD; Philip F Caushaj, MD West Penn Hospital, Pittsburgh, PA A 43 year old woman with a BMI of 51 kg/m2 underwent an open Roux-en-Y gastric bypass at another hospital. Post-operatively she was evaluated several times for left shoulder pain, chest pain, and abdominal pain. She was transferred to our hospital after presenting with chest pain, a syncopal episode, and cardiac tamponade. CT scans demonstrated a gastropericardial fistula from her bypassed gastric remnant. The video demonstrates the laparoscopic takedown of the gastropericardial fistula. PII: S1550-7289(07)00382-6 V5.
LAPAROSCOPIC ADJUSTABLE BASKET BAND: EXPERIENCE ON 100 PATIENTS. Antonio A Catona, MD; Giovanni G Morone, MD; Rubina R Ruggiero, MD; Luigi L La Manna, MD; Samuel Tata S.T. Ngnitejeu, MD; Cristina C Sampiero General and Mininvasive Surgical Division IRCCS, Pavia, Italy Background: Despite the great success and popularity of adjustable gastric banding (AGB) in Europe, some concerns exist about the high rate of long-term complications. The most frequent of these complications is gastric pouch dilatation. Patients who don’t feel a sense of fullness may fill the proximal gastric pouch with a large amount of food causing an enlargement of the stomach above the band. The onset can be chronic or acute and in many cases requires reoperation. Methods: Since June 2005 we implanted 100 Basket Bands (BB), a new adjustable gastric band with a soft silicone mesh
1550-7289/07/$ – see front matter © 2007 American Society for Bariatric Surgery. All rights reserved.