Primary Endoluminal Techniques for Weight Loss
1998 2002 2004 2008 2013 2018 US morbidly obese population BMI >40 7.0% 8.9% 9.8% 10.3% 10.6% 11.3% US obese population, BMI >35 with comorbidities (millions) 9.1% 11.7% 14.1%…
Endoscopic Management of Post-Bariatric Foreign Bodies: Dysfunctional Sutures, Staples, and Bands
Fig. 13.1 (a) Stomal stenosis in Roux-en-Y Gastric Bypass (RYGB) patient, approximately 8 mm in diameter. (b) Through-the-scope balloon dilation of stomal stenosis (images provided with permission to reproduce by…
Endoscopic Therapy for Weight Regain After Bariatric Surgery
Fig. 18.1 The gastrojejunal anastomosis (a) is circumferentially injected with sodium morrhuate (b); it is seen here 3 months postprocedure (from Woods KE, Abu Dayyeh BK, Thompson CC. Endoscopic post-bypass…
Surgical Management of Obesity: Surgical Procedures, Preoperative Evaluation, and Patient Selection
Fig. 5.1 Vertical banded gastroplasty LAGB is the latest variation of the gastric restriction procedures (Fig. 5.2). Its success is a combination of two innovations: the development of an inert…
Endoscopy Unit Considerations
All endoscopy facilities Facilities catering to obese patients A properly trained endoscopist with appropriate privileges to perform specific gastrointestinal endoscopic procedures The facility should comply with the standards of the…
Rare Complications
Fig. 17.1 The Roux-en-Y gastric bypass. The stomach is staple divided creating a very small gastric pouch and the remnant fundus. The small intestine is divided at a short distance…
Accessing the Pancreatobiliary Limb and ERCP
Fig. 12.1 Illustration of the biliopancreatic diversion with duodenal switch Fortunately, the later procedure is rare and not typically encountered by the endoscopist. Successful ERCP in patients with BPD/DS has…
Normal Postsurgical Anatomy
Fig. 7.1 Roux-en-Y gastric bypass Modifications to be aware of on endoscopy include the presence of a loop instead of a Roux gastrojejunostomy, whether the gastric bypass is divided or…
Nutritional Management of the Bariatric Patient: Diets and Deficiencies
Roux-en-Y gastric bypass Biliopancreatic diversion ± duodenal switch Year 1: every 3–6 months; then annually Year 1: every 3 months; then every 3–6 months thereafter CBC, plts, electrolytes, glucose CBC,…
Basic Postoperative Management of the Bariatric Patient
Fig. 6.1 Laparoscopic adjustable gastric banding The band functions as a restrictor or high-pressure zone that is placed distally to the GE junction. When the procedure is successful, the patient…
