Band Prolapse: Diagnosis and Management
Fig. 16.1 A normally positioned gastric band with an 8 o’clock to 2 o’clock orientation and passage of oral contrast Fig. 16.2 (a) φ (phi) angle is measured to determine…
Hemorrhage after Bariatric Surgery: Evaluation and Management
Fig. 5.1 Most common sites of bleeding after gastric bypass. © Cleveland Clinic, with permission Extraluminal bleeding can less commonly present as late bleeding, in some cases up to several…
Post-Gastric Bypass Hypoglycemia: Diagnosis and Management
Factors affecting glucose regulation Author Journal Calorie restriction/Negative energy balance Lips [65] Isbell [66] Lingvay [67] Laferrere [33] Swarbrick [68] Clin Endocrinol, 2014 Diabetes Care, 2010 Diabetes Care, 2013 J…
Food Intolerance in the Sleeve Patient: Prevention, Evaluation, and Management
Diagnosis Test Treatment Esophageal spasm Upper GI Hyoscyamine, lorazepam Cardiospasm Upper Gi Hyoscyamine, lorazepam Stasis esophagitis Endoscopy PPI Regurgitant esophagitis Endoscopy Dietary counseling Esophageal ulcer Endoscopy PPI Gastritis Endoscopy PPI…
Marginal and Peptic Ulcers: Prevention, Diagnosis, and Management
Fig. 11.1 Scintigraphic image showing parietal cell burden, the acid pocket, in the cardia in a healthy individual. Reprinted with permission from Beaumont H, Bennink RJ, de Jong J, Boeckxstaens…
Introduction and Overview of Current and Emerging Operations
Fig. 1.1 Roux-en-Y gastric bypass (RYGB) In 1994, Wittgrove and Clark performed the first laparoscopic Roux-en-Y gastric bypass (LRYGB) . The proximal anastomosis was created using a circular stapler, with…
Optimizing Perioperative Management: Perioperative Care and Protocols to Prevent and Detect Early Complications
Fig. 3.1 Development of a hematoma anterior to the stomach following a laparoscopic sleeve gastrectomy The second location of postoperative bleeding is intraluminal. Again, it occurs most commonly along staple…
Gastrointestinal Obstruction in the Bypass Patient
Fig. 12.1 Stomal stenosis on endoscopy. With permission from Go MR, Muscarella P, 2nd, Needleman BJ, Cook CH, Melvin WS. Endoscopic management of stomal stenosis after Roux-en-Y gastric bypass. Surg…
Anesthesia for the Bariatric Patient: Optimizing Safety and Managing Complications
Fig. 2.1 American Society of Anesthesiologists Difficult Airway Algorithm [64] © Wolters Kluwer with permission 2.3 Intubation The ASA recommends components of a preoperative airway physical exam [7]. Table 2.1…
Thromboembolic Disease in the Bariatric Patient: Prevention, Diagnosis, and Management
Fig. 4.1 Intrinsic and extrinsic coagulation pathways In 1856, Virchow (Fig. 4.2) proposed a triad of events leading to venous thrombosis. He proposed that stasis of blood flow, hypercoagulability of…
