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Malrotation—an unexpected finding at laparoscopic Roux-en-Y gastric bypass: a video case report
Laparoscopic Roux-en-Y gastric bypass (LRYGB) is 1 of the most common procedures performed for severe obesity. Incidental anatomic abnormalities found at surgery are uncommon and can require an alternative operative approach. We present a video case report of a patient incidentally found to have midgut congenital malrotation at LRYGB.Damage of gastric band and resulting loss of restriction after minor abdominal trauma
Laparoscopic adjustable gastric banding (LAGB) is a safe and effective modality of weight loss surgery performed in >100,000 operations worldwide [1]. We present a case in which a gastric band was damaged after minor nonpenetrating trauma to the abdomen.Laparoscopic repair of internal hernia during pregnancy after Roux-en-Y gastric bypass
Laparoscopic Roux-en-Y gastric bypass as a treatment of severe obesity has increased dramatically in the past decade, and most of the patients have been women [1,2]. The health risks experienced by obese women during pregnancy can be reduced by the weight loss induced by bariatric surgery [3–5], but these patients are at risk of bariatric surgical complications during their pregnancies. Women who have undergone Roux-en-Y gastric bypass for morbid obesity are at risk of internal hernias, intussusception, and small bowel obstruction during pregnancy, which can lead to maternal and/or fetal death [6].Laparoscopic placement of an adjustable gastric band in a super-super obese patient with situs inversus
Situs inversus, the rare genetic condition characterized by right–left transposition of the viscera, affects 1/5000 to 1/10,000 individuals [1]. Despite the low prevalence of this condition and the difficult anatomic considerations, several reports have been published of successful laparoscopic bariatric operations in patients with situs inversus, including sleeve gastrectomy, Roux-en-Y gastric bypass, and adjustable gastric banding [2–6]. These reports have highlighted the difficulty in performing laparoscopic operations on patients with mirror image anatomy.Laparoscopic adjustable gastric banding
Laparoscopic adjustable gastric banding (LAGB) brings several unique aspects to bariatric surgery. It has provided a very safe, effective, reversible, and adjustable system that is widely applicable. The first human LAGB procedure, using the Lap-Band system (INAMED Health, Santa Barbara, CA), was performed on September 1, 1993 [1]. Since then, more than 130,000 Lap-Band devices have been placed, and more than 100 peer-reviewed reports on its use have been published. The extent of the literature on the outcomes of LAGB surgery is comparable (and, in certain aspects, superior) to that on alternative bariatric surgery.
