Abdominal Key

Early complications • Gastric leak • Gastric fistula • Bleeding • Obstruction/stricture Late complications • GERD • Nutrient deficiencies Gastric Leak (GL) Leaks are the most concerning and potentially life-threatening…

Fig. 1. Use of lateral transfer device to move patient on and off operating table. During surgery, we use a supine position with legs together and arms abducted. The patient…

Essential equipment recommendations •Inpatient units (floor, ICU, PACU) •Wide beds  Standard to 440 lb  Automated/adjustable to full sitting position  Built-in scale  Low air loss mattress  Lifting/transferring equipment  Wide commodes  Wide…

Fig. 1. Sleeve gastrectomy and beginning of duodenal switch: patient and team’s positioning. Trocars’ Positioning The following six abdominal trocars are placed: a 10 mm trocar (T1) 20 cm distal…

(1) Department of Surgery, University of Virginia Health Systems, Charlottesville, VA, USA   Electronic supplementary material: Supplementary material is available in the online version of this chapter at 10.​1007/​978-1-4939-1637-5_​27. Videos…

Source Year No. of patients Mean BMI (kg/m2) Prevalence of pathologic findings on endoscopy (%) Madan et al. [10] 2004 102 48.2 91.0 Loewen et al. [8] 2008 448 48.6…

Fig. 1. BIB® (reproduced with permission of Apollo Endosurgery, Austin, TX). The BIB® is made of a transparent silicone elastomer, resistant to corrosion by gastric acid. It has a self-sealing…

1. Analyze deformity and patient 2. Be efficient in design and execution 3. Excise excess as much as possible transversely 4. Position incisions favorably, and respect scars 5. Focus on…

Fig. 1. Normal postoperative esophagram. If the esophagram shows delayed emptying, the normal clinical progression is for increased swelling to occur over 48 h. These patients can usually swallow their…