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…

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…

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…

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,…

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…

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…

Fig. 8.1 Endoscopic view of gastrojejunal anastomosis of RYGB patient who developed overt GI bleeding on the second postoperative day. A visible vessel (arrow) is seen Fig. 8.2 Endoscopic view…

Fig. 10.1 Endoscopic view of a marginal ulcer (image provided courtesy of Christopher C. Thompson, MD, MSc, Brigham and Women’s Hospital, Harvard Medical School) Incidence and Predisposing Factors The incidence…