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A new technique for intracorporeal liver retraction in laparoscopic surgery
Liver retraction near the esophagogastric junction during bariatric surgery is necessary to provide the surgeon with a clear view of the operative site. The use of conventional retraction requires an additional incision, which leads to a scar and pain.Endoscopic neogastrogastrostomy in a postgastric bypass patient by application of an endoscopic antegrade–retrograde rendezvous technique
The patient, a 45-year-old woman, initially underwent Roux-en-Y gastric bypass for morbid obesity. Three years later, it was complicated by a gastrojejunostomy ulcer with perforation requiring local repair. Additional complications with ischemic bowel and subsequent surgical revisions resulted in complete gastric outlet obstruction. A venting gastrostomy tube was placed in the gastric pouch, and a feeding gastrostomy tube was surgically placed in the gastric remnant. After some time, the patient strongly expressed her desire to eat orally.Laparoscopic banded-Roux-en-Y gastric bypass
Also known as a vertical banded gastroplasty Roux-en-Y gastric bypass or transected banded gastric bypass, banded Roux-en-Y gastric bypass consists of a standard gastric bypass procedure with the addition of a nonadjustable band distal to the gastro-esophageal junction but proximal to the gastro-jejunostomy [1–3]. Interest in performing this laparoscopically started because of the sustained weight lost noted after the open procedure when patients were followed-up for two to three years. It is believed that the gastrojejunal anastomosis dilates after two to three years and the concomitant loss of restriction leads to weight gain in the long term [2].
