Supramesocolic Approach to Roux-en-Y Gastric Bypass when Standard Inframesocolic Approach Is Not Feasible
ConclusionThe supramesocolic approach to a Roux-en-Y Gastric Bypass is a safe and effective technique when an inframesocolic approach proves difficult. (Source: Obesity Surgery)
Source: Obesity Surgery - September 30, 2020 Category: Surgery Source Type: research

Antireflux Mucosectomy Band (ARM-b) in Treatment of Refractory Gastroesophageal Reflux Disease After Bariatric Surgery
AbstractLaparoscopic sleeve gastrectomy has become the most commonly used bariatric surgery worldwide. However, there are a proportion of patients who present with a refractory GERD after this procedure. In these patients, when surgical conversion to RYGPB is not possible or declined, we propose to describe the results of an endoscopic antireflux mucosectomy band (ARM-b) technique in 6 LSG patients with refractory GERD. The technical feasibility was 100%; 5 out of 6 patients had a clinical response with a reduction of the GERD-HRQL score of>  50%. Two patients had adverse events: one esophageal stricture and one ...
Source: Obesity Surgery - September 30, 2020 Category: Surgery Source Type: research

Obesity and COVID-19: ACE 2, the Missing Tile
(Source: Obesity Surgery)
Source: Obesity Surgery - September 30, 2020 Category: Surgery Source Type: research

Prader-Willi Syndrome: Role of Bariatric Surgery in Two Adolescents with Obesity
(Source: Obesity Surgery)
Source: Obesity Surgery - September 30, 2020 Category: Surgery Source Type: research

Indications, Operative Technique and Outcomes of Revisional Operations Following One Anastomosis Gastric Bypass: a Systemic Review
(Source: Obesity Surgery)
Source: Obesity Surgery - September 30, 2020 Category: Surgery Source Type: research

Laparoscopic Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy: Surgical Technique
AbstractThis video shows a case of a 57-year-old female patient with morbid obesity who underwent a laparoscopic single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S). (Source: Obesity Surgery)
Source: Obesity Surgery - September 30, 2020 Category: Surgery Source Type: research

Correction to: The Procedureless Elipse Gastric Balloon Program: Multicenter Experience in 1770 Consecutive Patients
This article was originally published electronically on the publisher ’s internet portal on May 5, 2020 without open access. (Source: Obesity Surgery)
Source: Obesity Surgery - September 30, 2020 Category: Surgery Source Type: research

Reentry to Metabolic and Bariatric Surgery During the COVID19 Pandemic
We present a tiered approach to restart MBS during the COVID19 pandemic once the peak of new cases has passed or the curve of new COVID19 cases has flattened. (Source: Obesity Surgery)
Source: Obesity Surgery - September 30, 2020 Category: Surgery Source Type: research

Ketamine and Magnesium: a Successful Combination for Bariatric Surgery
(Source: Obesity Surgery)
Source: Obesity Surgery - September 30, 2020 Category: Surgery Source Type: research

Surgical Management of Small Intestinal Bacterial Overgrowth After Roux-en-Y Gastric Bypass
ConclusionSIBO may be responsible for postoperative chronic diarrhea in RYGB patients, possibly in the long term, and it is often misdiagnosed. Primary treatment is conservative with appropriate dietary measures, antibiotics, and probiotics but surgical management can be very effective in selected patients presenting with failure of prolonged medical treatment and an anatomic abnormality. (Source: Obesity Surgery)
Source: Obesity Surgery - September 30, 2020 Category: Surgery Source Type: research

Why Choosing the Roux-en-Y Gastric Bypass in a Morbid Obese with a History of a Failed Nissen Fundoplication Is Not a Dogma
(Source: Obesity Surgery)
Source: Obesity Surgery - September 30, 2020 Category: Surgery Source Type: research

Single-Session Endoscopic Ultrasound-Directed Transgastric ERCP ( “EDGE”) in a Bariatric Patient with Pancreatic Mass and Biliary Obstruction
AbstractThis video case report presents a patient with an invasive pancreatic mass and a history of Roux-en-Y gastric bypass surgery who underwent single-session endoscopic ultrasound-directed transgastric ERCP for tissue sampling and biliary stenting with subsequent maintenance of the newly established gastrogastrostomy. The demonstrated technique enables spectrum of endoscopic interventions in gastric bypass patients by facilitating a direct endoscopic passage through the reconnected stomach. Importantly, the method carries a risk of weight regain by essentially reversing the bypass. However, this can be an actual desire...
Source: Obesity Surgery - September 30, 2020 Category: Surgery Source Type: research

Simple Trick for Placement of the Robotic Single-Site Device in Obese Patients
ConclusionIt is a simple, fast, and low-cost method, allowing more safety to patient and comfort for the surgeon. (Source: Obesity Surgery)
Source: Obesity Surgery - September 30, 2020 Category: Surgery Source Type: research

Central Retinal Vein Occlusion after Gastric Bypass Surgery
(Source: Obesity Surgery)
Source: Obesity Surgery - September 30, 2020 Category: Surgery Source Type: research

Implications of Bariatric Surgery in Patients with Familial Adenomatous Polyposis Requiring Proctocolectomy with Ileal Pouch Anal Anastomosis
(Source: Obesity Surgery)
Source: Obesity Surgery - September 30, 2020 Category: Surgery Source Type: research

Circular Stapled Laparoscopic Oesophagojejunal Anastomosis for Treating Large Gastrojejunal Leak After Conversion of Sleeve Gastrectomy to Roux-en-Y Gastric Bypass
AbstractAfter Roux-en-Y gastric bypass, leaks from gastro-jejunostomies represent serious morbidity. Situations where large defects develop on small gastric pouches present particular surgical challenges. Here, we report the case of a 43-year-old female who presents with a large gastric leak after conversion of sleeve gastrectomy to Roux-en-Y gastric bypass due to staple lines having crossed. The aim of thisvideo is to present the management of gastrojejunal leak after Roux-en-Y gastric bypass and technical features of circular stapled laparoscopic oesophagojejunal anastomosis. (Source: Obesity Surgery)
Source: Obesity Surgery - September 30, 2020 Category: Surgery Source Type: research

Perforated Marginal Ulcer in a COVID-19 Patient. Laparoscopy in these Trying Times?
(Source: Obesity Surgery)
Source: Obesity Surgery - September 30, 2020 Category: Surgery Source Type: research

Gastric Occlusion due to the Intragastric Balloon Displacement in the Era of Coronavirus Disease-19 (COVID-19) Pandemic, Operative Management: a Case Report
(Source: Obesity Surgery)
Source: Obesity Surgery - September 30, 2020 Category: Surgery Source Type: research

Totally Laparoscopic Transgastric Resection of a Gastric Submucosal Fibrolipoma and Concomitant Sleeve Gastrectomy in a Morbidly Obese Patient
ConclusionConcomitant transgastric resection of submucosal benign lesions during laparoscopic sleeve gastrectomy represents both a safe and feasible surgical approach in morbidly obese patients. Preoperative work-up is of great importance in order to assess the benign nature of the lesion. (Source: Obesity Surgery)
Source: Obesity Surgery - September 30, 2020 Category: Surgery Source Type: research

Biography: Karen Flanders, MSN, ARNP, CBN
(Source: Obesity Surgery)
Source: Obesity Surgery - September 30, 2020 Category: Surgery Source Type: research

Really Totally Robotic SADI-S in a Patient with Extreme Morbid Obesity and Non-Reducible Umbilical Hernia: Case Report
ConclusionsRobotic platforms can significantly minimize the difficulty of bariatric surgery, allowing one-stage procedures in patients with extreme obesity that could require two-stage procedures in a laparoscopic approach. (Source: Obesity Surgery)
Source: Obesity Surgery - September 15, 2020 Category: Surgery Source Type: research

A Combined Laparoscopic and Endoscopic Approach for an Early Gastric Perforation Secondary to Intragastric Balloon: Endoscopic and Surgical Skills with Literature Review
(Source: Obesity Surgery)
Source: Obesity Surgery - September 2, 2020 Category: Surgery Source Type: research

Really Totally Robotic SADI-S in a Patient with Extreme Morbid Obesity and Non-Reducible Umbilical Hernia: Case Report
ConclusionsRobotic platforms can significantly minimize the difficulty of bariatric surgery, allowing one-stage procedures in patients with extreme obesity that could require two-stage procedures in a laparoscopic approach. (Source: Obesity Surgery)
Source: Obesity Surgery - September 2, 2020 Category: Surgery Source Type: research

Preventing Nausea and Vomiting After Bariatric Surgery: Is the Apfel Risk Prediction Score Enough to Guide Prophylaxis?
AbstractPostoperative nausea and vomiting (PONV) is a frequent side effect in patients undergoing bariatric procedures. The simplified Apfel score is an attractive and frequently used tool to assess PONV risk in the general surgical population. Despite applying the recommendations based on the Apfel risk prediction score, several studies show that up to 82% of patients undergoing metabolic and bariatric surgery suffer from PONV in the PACU. A combination of multiple antiemetic drugs of different pharmacologic classes targeting a variety of receptors in addition to an intraoperative opioid-free TIVA technique should be cons...
Source: Obesity Surgery - September 2, 2020 Category: Surgery Source Type: research

Bariatric Surgery in the Setting of Liver Cirrhosis with Portal Hypertension: the Confection and Particularities of Roux-en-Y Gastric Bypass in a High-Risk Patient
ConclusionRYGB is a feasible option in selected patients with morbid obesity and cirrhosis. These patients ideally should be managed in centers having experience in bariatric surgery and hepatology. (Source: Obesity Surgery)
Source: Obesity Surgery - September 2, 2020 Category: Surgery Source Type: research

Stapling Through a Bougie During Sleeve Gastrectomy in a Superobese Patient —a Video Vignette
ConclusionWhen performing a bariatric-metabolic surgery in superobese patients, an extended skill level is required to provide a solution, should anything go wrong. Therefore, we suggest bariatric-metabolic surgery in superobese patients to be performed solely and specifically at high-volume centres. (Source: Obesity Surgery)
Source: Obesity Surgery - September 2, 2020 Category: Surgery Source Type: research

Are Patients Suffering from Severe Obesity Getting a Raw Deal During COVID-19 Pandemic?
(Source: Obesity Surgery)
Source: Obesity Surgery - September 2, 2020 Category: Surgery Source Type: research

Laparoscopic Roux-en-Y Gastric Bypass After Nissen Fundoplication Preserving Wraps Integrity
(Source: Obesity Surgery)
Source: Obesity Surgery - September 2, 2020 Category: Surgery Source Type: research

Sleeve Gastrectomy and Gastric Cancer: Is It Really Rare?
(Source: Obesity Surgery)
Source: Obesity Surgery - September 2, 2020 Category: Surgery Source Type: research

Vertebral Artery Dissection After Sleeve Gastrectomy: a Case Report
(Source: Obesity Surgery)
Source: Obesity Surgery - September 2, 2020 Category: Surgery Source Type: research

Jejuno-Jejunal Intussusception after Roux-en-Y Gastric Bypass
ConclusionRetrograde intussusception is a rare late complication after RYGB which is becoming more and more relevant due to increasing procedure volumes. Retrograde peristalsis by ectopic pacemakers could be identified as a cause. Segmentectomy appears to be the best treatment of choice. (Source: Obesity Surgery)
Source: Obesity Surgery - September 2, 2020 Category: Surgery Source Type: research

Massive Hemothorax Due to Intrathoracic Herniation of the Gastric Remnant After Roux-en-Y Gastric Bypass with Concurrent Hiatal Hernia Repair
(Source: Obesity Surgery)
Source: Obesity Surgery - September 2, 2020 Category: Surgery Source Type: research

Necrosis of the Nissen-Sleeve Gastrectomy (N-SG) Wrap
ConclusionWrap necrosis is a life-threatening complication after N-SG. This case is shared to raise awareness of this complication. This was successfully managed by prompt laparoscopy and wrap resection. Ideally such complications should be referred to experts or centers with high volume of bariatric surgery. (Source: Obesity Surgery)
Source: Obesity Surgery - September 2, 2020 Category: Surgery Source Type: research

Herpes Zoster as a Rare Etiology of Abdominal Pain After Sleeve Gastrectomy: a Case Report
(Source: Obesity Surgery)
Source: Obesity Surgery - September 2, 2020 Category: Surgery Source Type: research

Deep Brain Stimulation in the Nucleus Accumbens for Binge Eating Disorder: a Study in Rats
AbstractBinge eating disorder (BED), with its compulsive and addictive components, may often underlie weight regain after gastrointestinal bariatric surgeries. BED is therefore considered an exclusion criterion for these surgeries. Anecdotal reports suggest that deep brain stimulation (DBS) is an effective treatment for addictive disorders with, similar to BED, pathological changes in cerebral reward circuitry. We therefore assessed effect of DBS of the nucleus accumbens (NAC) in a rat model of BED. Twenty-one male obesity prone Wistar rats with DBS electrodes placed in NAC subregions were subjected to a binge eating proto...
Source: Obesity Surgery - September 2, 2020 Category: Surgery Source Type: research

Biography: Hector Rolando Herrera Cabral —“Relearn What Has Already Been Learned”
(Source: Obesity Surgery)
Source: Obesity Surgery - September 2, 2020 Category: Surgery Source Type: research

Laparoscopic Management of Internal Hernia After One Anastomosis Gastric Bypass (OAGB)
We present a video of the laparoscopic management of an IH that occurred after an OAGB. The patient was a 49-year-old female who had undergone a laparoscopic revisional OAGB 2  years previously after a failed laparoscopic adjustable gastric banding. She was referred to our Unit for recurrent postprandial colicky pain. She lost a total of 50 kg and her body mass index (BMI) dropped from 38 to 19 kg/m2. A CT scan with intravenous contrast showed a swirl of the mesentery around the superior mesenteric artery, without small bowel obstruction. A laparoscopic exploration was performed, confirming the suspicion of ...
Source: Obesity Surgery - September 2, 2020 Category: Surgery Source Type: research

Laparoscopic Roux-en-Y Gastric Bypass After Nissen Fundoplication Preserving Wraps Integrity
(Source: Obesity Surgery)
Source: Obesity Surgery - September 2, 2020 Category: Surgery Source Type: research

Correction to: Evaluation of Liver Function Tests and Risk Score Assessment to Screen Patients for Significant Liver Disease Prior to Bariatric and Metabolic Surgery
The name of author Anthony Antypas was misspelled in the original article. It is correct here. (Source: Obesity Surgery)
Source: Obesity Surgery - September 2, 2020 Category: Surgery Source Type: research

Correction to: Massive Hemothorax Due to Intrathoracic Herniation of the Gastric Remnant After Roux-en-Y Gastric Bypass with Concurrent Hiatal Hernia Repair
The references were incorrectly ordered during production. (Source: Obesity Surgery)
Source: Obesity Surgery - September 2, 2020 Category: Surgery Source Type: research

Correction to: Weight Regain After Gastric Plication: Reoperative Sleeve Gastrectomy or Roux-en-Y Gastric Bypass? —Analysis of 116 Consecutive Cases
In the original article the name of author Luigi Prisco was incorrect. It is correct here. (Source: Obesity Surgery)
Source: Obesity Surgery - September 2, 2020 Category: Surgery Source Type: research

COVID-19 and Obesity —the Management of Pre- and Post-bariatric Patients Amidst the COVID-19 Pandemic
(Source: Obesity Surgery)
Source: Obesity Surgery - July 23, 2020 Category: Surgery Source Type: research

Surgical Management of a Chronic Sleeve Gastrocolic Fistula with Near Total Gastrectomy and Roux-en-Y Reconstruction
ConclusionLeak after sleeve gastrectomy can be difficult to manage. Chronic leaks do not respond well to non-operative management. Partial gastrectomy with Roux-En-Y reconstruction is a technically challenging option with good results. (Source: Obesity Surgery)
Source: Obesity Surgery - July 23, 2020 Category: Surgery Source Type: research

A Unique Presentation of COVID-19 in a Patient Post Sleeve Gastrectomy
(Source: Obesity Surgery)
Source: Obesity Surgery - July 23, 2020 Category: Surgery Source Type: research

Roux-en-Y Gastro-jejunostomy for Complex Leak After the “Nissen” Variant of Sleeve Gastrectomy
ConclusionThe adjunction of a posterior fundoplication may have contributed to the multiple and complex occurrence of SGL. Having an ill-vascularized redundant fundus may have increased ischemia of the GE junction. Moreover, it is more difficult to perform endoscopic treatment in a plicated and sleeved stomach as well. (Source: Obesity Surgery)
Source: Obesity Surgery - July 23, 2020 Category: Surgery Source Type: research

Late Gastropleural Fistula after the Management of Laparoscopic Sleeve Gastrectomy Leakage
AbstractOne of the rare but serious complications of laparoscopic sleeve gastrectomy (LSG) with significant morbidity and mortality is gastropleural fistula (GPF). Here, we present a 34-year-old woman who underwent LSG. Due to leakage in the proximal site of the stapler line and splenic artery erosion into the site of leakage after 1  month, splenectomy and drainage catheter insertion was done. Three months later, she presented with dyspnea, fever, and lung abscess, GPF was diagnosed, and Roux-en-Y fistulo-jejunostomy was done. After 10 days, her clinical condition improved, but the patient expired due to hemorrh...
Source: Obesity Surgery - July 23, 2020 Category: Surgery Source Type: research

Fistulojejunostomy for Chronic Fistula After Sleeve Gastrectomy
AbstractThe most dreadful complication after sleeve gastrectomy (SG) is staple line leak. Its rate varies between 1 and 2%. With the development of interventional endoscopy, its treatment is currently fairly standardized and allows healing in the majority of cases without revisional surgery. However, if endoscopic treatment fails, surgical treatment becomes unavoidable. Fistulojejunostomy is a surgical option in the management of chronic fistula after SG. Laparoscopic fistulojejunostomy in a patient with chronic fistula after SG is difficult but feasible. This procedure allows complete healing and nutritional recovery in t...
Source: Obesity Surgery - July 23, 2020 Category: Surgery Source Type: research

Behavioral Food Addiction During Lockdown: Time for Awareness, Time to Prepare the Aftermath
(Source: Obesity Surgery)
Source: Obesity Surgery - July 23, 2020 Category: Surgery Source Type: research

Letter to the Editor Re: Sera of Obese Type 2 Diabetic Patients Undergoing Metabolic Surgery Instead of Conventional Treatment Exert Beneficial Effects on Beta Cell Survival and Function: Results of a Randomized Clinical Study
(Source: Obesity Surgery)
Source: Obesity Surgery - July 23, 2020 Category: Surgery Source Type: research

Correction to: Clinical Practice Guidelines for Childbearing Female Candidates for Bariatric Surgery, Pregnancy, and Post-Partum Management after Bariatric Surgery
In the original article, due to an XML tagging error the name of V éronique Taillard was omitted from the list of members of the French Study Group for Bariatric Surgery and Maternity (the BARIA-MAT Group). The correct list is as follows: (Source: Obesity Surgery)
Source: Obesity Surgery - July 23, 2020 Category: Surgery Source Type: research