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…
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…
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%…
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…
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…
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…
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,…
