Multimedia Library
Laparoscopic reduction of small bowel intussusception in a 33-week pregnant gastric bypass patient: surgical technique and review of literature
Intussusception is a rare etiology of bowel obstruction in adults and accounts for 1–3% of those cases. It is associated with an underlying mass such as a tumor or polyp in >80% of patients [1–4]. In gastric bypass patients, intussusception is an uncommon complication [5,6]. The common channel distal to the jejunojejunostomy is the usual site of intussusceptions. The direction of intussusception can be either antegrade or retrograde, but most reported cases are retrograde in nature. The probable etiology can include the presence of an ectopic pacemaker causing retrograde peristalsis.Size really does matter—role of gastrojejunostomy in postoperative weight loss
Although the published data have clearly related the size of the gastrojejunostomy anastomosis to the subsequent likelihood of a stricture, a correlation between the anastomosis size and postoperative weight loss has not previously been described.Intussusception after laparoscopic Roux-en-Y gastric bypass
Roux-en-Y gastric bypass (RYGB) has become one of the preferred surgical options for morbid obesity and has been proved effective [1,2]. Laparoscopic RYGB was first introduced by Wittgrove et al. [3] in 1994. Laparoscopic RYGB remains a challenging procedure because of postoperative complications associated with high morbidity and mortality. We describe 1 case of intussusception after laparoscopic RYGB.Gastric bypass for severe obesity: Approaches and outcomes
Bariatric surgery has experienced unprecedented growth in the United States during the last 10 years [1]. Compared with the late 1980s and early 1990s, when approximately 15,000 bariatric operations were performed each year, in 2003 more than 100,000 bariatric operations were performed in the United States. This growth in bariatric surgery, the fastest-growing major operation in the United States, can be explained by 3 factors: (1) the 4-decades-old epidemic of obesity, (2) steadily improving outcomes for several bariatric operations, and (3) the introduction of laparoscopic bariatric surgery with improved perioperative outcomes.
