Early complications • Gastric leak • Gastric fistula • Bleeding • Obstruction/stricture Late complications • GERD • Nutrient deficiencies Gastric Leak (GL) Leaks are the most concerning and potentially life-threatening…
Fig. 1. Use of lateral transfer device to move patient on and off operating table. During surgery, we use a supine position with legs together and arms abducted. The patient…
Essential equipment recommendations •Inpatient units (floor, ICU, PACU) •Wide beds Standard to 440 lb Automated/adjustable to full sitting position Built-in scale Low air loss mattress Lifting/transferring equipment Wide commodes Wide…
Fig. 1. Sleeve gastrectomy and beginning of duodenal switch: patient and team’s positioning. Trocars’ Positioning The following six abdominal trocars are placed: a 10 mm trocar (T1) 20 cm distal…
(1) Department of Surgery, University of Virginia Health Systems, Charlottesville, VA, USA Electronic supplementary material: Supplementary material is available in the online version of this chapter at 10.1007/978-1-4939-1637-5_27. Videos…
Fig. 1. BIB® (reproduced with permission of Apollo Endosurgery, Austin, TX). The BIB® is made of a transparent silicone elastomer, resistant to corrosion by gastric acid. It has a self-sealing…
Source Year No. of patients Mean BMI (kg/m2) Prevalence of pathologic findings on endoscopy (%) Madan et al. [10] 2004 102 48.2 91.0 Loewen et al. [8] 2008 448 48.6…
1. Analyze deformity and patient 2. Be efficient in design and execution 3. Excise excess as much as possible transversely 4. Position incisions favorably, and respect scars 5. Focus on…
Fig. 1. Elevated cerebrospinal fluid (CSF) pressure prior to, and significant (p < 0.001) decrease 34 ± 8 months following, gastric surgery for severe obesity associated with pseudotumor cerebri (Sugerman et al. [9], with…
Fig. 1. Normal postoperative esophagram. If the esophagram shows delayed emptying, the normal clinical progression is for increased swelling to occur over 48 h. These patients can usually swallow their…
