- Obesity has become an epidemic in the United States and around the world. At the same time, we are seeing an aging of human populations both nationally and globally. The U.S. Census Bureau projects that the percentage of the population aged ≥65 years will increase from 13.7% in 2012 to 16.8% in 2020 to 20.3% in 2030 . This trend holds true on the global scale with 8.5% of the world population being ≥65 years in 2015, and expected to nearly double to 16.7% in 2050. From 2011 to 2014 the obesity rate in the U.S.
- A 53-year-old woman presented with an acute abdomen 15 months after laparoscopic Roux-en-Y gastric bypass for morbid obesity. The patient had been treated by her primary care physician for anastomotic marginal ulcer with proton pump inhibitors. An abdominal computed tomography scan demonstrated intraperitoneal air in the area of the lesser omentum and above the liver without abscess. The video  demonstrates the mobilization of the remnant stomach and duodenum for possible sites of perforation.