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The foregut theory as a possible mechanism of action for the remission of type 2 diabetes in low body mass index patients undergoing subtotal gastrectomy for gastric cancer
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.Stapling of orogastric tube during gastrojejunal anastomosis: an unusual complication after conversion of sleeve gastrectomy to laparoscopic Roux-en-Y gastric bypass
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 [1].Laparoscopic conversion of sleeve gastrectomy to Roux-en-Y gastric bypass for acute gastric outlet obstruction after laparoscopic sleeve gastrectomy for morbid obesity
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).Laparoscopic conversion of distal mini-gastric bypass to proximal Roux-en-Y gastric bypass for malnutrition: case report and review of the literature
The current laparoscopic mini-gastric bypass is a modification of the classic loop gastric bypass described by Mason and Ito [1]. 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 [2] and Rutledge and Walsh [3], 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.Laparoscopic management of chronic gastric pouch fistula after laparoscopic gastric bypass
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.
