Natural History of Cirrhosis
Fig. 2.1 Schematic diagram of the stages of cirrhosis. The compensated patient has no ascites, variceal hemorrhage, encephalopathy or jaundice. The main stratifying factors are the presence or absence gastroesophageal…
Management of Postsurgical Leaks and Fistulae
Endoscopic clipping devices QuickClip2™, Olympus America Resolution® Clip, Boston Scientific TriClip, Cook Medical Endoscopic suturing devices EndoCinch™, BARD StomaphyX®, EndoGastric Solutions The Eagle Claw, Olympus T-tags, Ethicon Endo-Surgery Purse string-suturing…
Imaging the Bariatric Patient
Fig. 20.1 CT scan of a 280 Ib 43-year-old man. Despite the excessive subcutaneous and intraperitoneal fat tissues, if the patient can fit on the scanner and proper imaging protocols…
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…
