- The question of whether pure metabolic surgery could be used in nonobese patients with type 2 diabetes has been considered. The objective of this study was to assess the comparative effects of the Billroth I (BI) and Billroth II (BII) reconstruction methods on remission of type 2 diabetes in nonobese patients undergoing subtotal gastrectomy for cancer.
- The number of laparoscopic Roux-en-Y gastric bypass (LRYGB) cases performed annually in the United States has significantly increased. With the increased number of laparoscopic cases in bariatric surgery, LRYGB has become one of the most technically demanding operations performed in minimally invasive surgery .
- Laparoscopic sleeve gastrectomy (LSG) has become a frequently used surgical treatment of morbid obesity. Complications such as stricture resulting in gastric outlet obstruction are rare but require early recognition and treatment. We present a case of acute gastric outlet obstruction in a patient who had undergone LSG and was successfully treated with Roux-en-Y gastric bypass (RYGB).
- The current laparoscopic mini-gastric bypass is a modification of the classic loop gastric bypass described by Mason and Ito . The original Mason and Ito loop gastric bypass consisted of a loop of proximal jejunum that was anastomosed to a small horizontal pouch of 100–150 cm3. The modification, as reported by Rutledge  and Rutledge and Walsh , consisted of a long, narrow, vertical gastric tube along the lesser curvature of the stomach that was connected to a loop of small bowel approximately 200 cm from the ligament of Treitz in an antecolic fashion.
- We present the case of a 47-year-old man who had undergone uneventful antecolic antegastric laparoscopic Roux-en-Y gastric bypass (LRYGB) in June 2002 for super morbid obesity. Ten months later, laparoscopic reduction of an internal hernia at the jejunojejunostomy was performed for an acute small bowel obstruction. Three months later, he underwent laparoscopic gastric pouch trimming for failure of weight loss, epigastric pain, marginal ulceration, and an increasing ability to tolerate larger food volumes with pouch dilation.