- We herein describe the technical key steps in undertaking a laparoscopic Roux-en-Y gastric bypass (LRYGB) in a patient with a left ventricular assist device (LVAD).
- Hiatal hernia (HH) found at the time of sleeve gastrectomy (SG) should be repaired during the index operation. Crural repair with SG provides control of gastroesophageal reflux disease (GERD) and weight loss . We report the case of a woman who had a SG with concomitant repair of HH, who then presented with symptoms of dysphagia, nausea, and reflux 64 months postoperatively.
- A 48-year-old woman had undergone placement of a laparoscopic adjustable gastric band (LAGB) 5 years ago at another facility. Her preoperative weight was 138 kg, with a body mass index (BMI) of 52 kg/m2. A year later, she developed a subcutaneous port site infection. The port was removed at that time, but the band was left in place. She subsequently presented with generalized peritonitis and underwent exploratory laparotomy without removal of the gastric band. She was referred to us after she was found to have an eroded band on esophagogastroduodenoscopy (EGD) done for evaluation of chronic abdominal pain.
- A 60-year-old woman who had undergone distal Roux-en-Y gastric bypass at our institution 9 years earlier presented after an 8-year absence with chronic diarrhea that had been disturbing her quality of life for the year before presentation. Her prebypass body mass index had been 65 kg/m2. She had received a 150-cm common channel constructed at the bypass. Her present weight was about 81 kg. She was having 3–4 watery bowel movements daily. She had used antidiarrheal agents, tried avoiding lactose, had undergone repeated colonoscopies, and had been treated with antibiotics by her primary care physician; all to no avail.
- A 38-year-old woman had undergone laparoscopic adjustable gastric banding at an outside facility in July 2007. Her preoperative weight was 135 kg; her current weight was 108 kg. Her last fill was 13 months before presentation. She presented with a 3-day history of abdominal pain and fever, and diarrhea for 1 day. An abdominal computed tomography scan revealed intense inflammation of the omentum around the band tubing. Esophagogastroscopy confirmed the diagnosis of band erosion. She was treated with antibiotics and had her band removed 1 month later.