Fig. 30.1 Roux-en-Y gastric bypass, gastrojejunostomy Fig. 30.2 Roux-en-Y gastric bypass, jejuno-jejunostomy Sleeve Gastrectomy The sleeve gastrectomy is a purely restrictive procedure, although resection of the fundus of the stomach…
Symptom Weight Loss (kg) Dysphagia Regurgitation Chest Pain Score 0 None None None None 1 <5 Occasional Occasional Occasional 2 5–10 Daily Daily Daily 3 >10 With every meal With…
Fig. 6.1 Position of the patient. (Reprinted with permission © Springer Nature [6]) Trocar Placement Five 10-mm ports are used for the procedure. The first port is placed about 14…
Pathophysiology of GERD Lean patients Obese patients TLESR Worse esophageal clearance (hyposalivation) Hiatal hernia Lower TP (obstructive sleep apnea) Higher AP (increased waist circumference and BMI) Higher TDPG Acid pocket…
Fig. 20.1 Types of surgical failure of Nissen fundoplication (Image reused with permission © Lippincott-Raven [10]) In this chapter, we will review the anatomic and physiologic evaluation of patients with…
Fig. 8.1 Upper GI demonstrating epiphrenic diverticulum and esophageal dysmotility in a patient with type II achalasia It is often difficult to distinguish between symptoms of an ED and the…
!DOCTYPE html> © Springer Nature Switzerland AG 2020M. G. Patti et al. (eds.)Foregut Surgeryhttps://doi.org/10.1007/978-3-030-27592-1_31 31. Evaluation and Treatment of the Patient Who Is Regaining Weight A. Daniel Guerron1 and Ranjan Sudan1, 2 (1) Department of Surgery,…
!DOCTYPE html> © Springer Nature Switzerland AG 2020M. G. Patti et al. (eds.)Foregut Surgeryhttps://doi.org/10.1007/978-3-030-27592-1_28 28. Laparoscopic Duodenal Switch Michel Gagner1, 2, 3, 4 (1) Herbert Wertheim School of Medicine, FIU, Miami, FL, USA (2)…
!DOCTYPE html> © Springer Nature Switzerland AG 2020M. G. Patti et al. (eds.)Foregut Surgeryhttps://doi.org/10.1007/978-3-030-27592-1_25 25. Bariatric Surgery: Clinical Presentation and Evaluation Marco Di Corpo1, Francisco Schlottmann2, 1 and Marco G. Patti3, 4 (1) Department of Surgery, University of…
!DOCTYPE html> © Springer Nature Switzerland AG 2020M. G. Patti et al. (eds.)Foregut Surgeryhttps://doi.org/10.1007/978-3-030-27592-1_24 24. Importance of a Multidisciplinary Approach for Bariatric Surgery Richard Thompson1 and Timothy M. Farrell1 (1) Department of Surgery, University of North Carolina,…
