101 Despite being a relative newcomer to surgery, videola-paroscopy, also known as operative or therapeutic laparoscopy) has ignited a revolution in the surgical approach where it has been utilized for virtually every surgically addressed pathological entity. 1 Videolaparoscopic surgery has the predominant means of performing many common surgical procedures. Operative laparoscopy has largely pr...

Morbid obesity has become a global epidemic during the 20th century. Until now bariatric surgery is the only effective treatment for this disease leading to sustained weight loss and improvement of comorbidities. The sleeve gastrectomy is becoming a promising alternative for the gold standard the gastric bypass and it is gaining popularity as a stand-alone procedure. The effect of the laparosco...

Methods: Patient’s ≥18 years of age who had laparoscopic bariatric surgery between January 2006 and December 2013were identified from the optum clinformatics administrative claims database. Patients who were identified as having had Laparoscopic Adjustable Gastric Banding (LAGB), Gastric Bypass (LRYGB), or Sleeve Gastrectomy (LSG), were matched to medically-managed patients (controls) based on ...

Most bariatric procedures are now performed laparoscopically. Here, we describe a case of incidental oesophageal leiomyoma found during laparoscopic Roux-en-Y gastric bypass (LRYGB). To our knowledge, this is the first such case reported. Our patient was admitted for an elective LRYGB. She had no upper gastrointestinal symptoms, and therefore did not undergo preoperative oesophagogastroduodenos...

BACKGROUND An adverse event in laparoscopic bariatric surgery that has not received much scrutiny involves tube/probe stapling or suturing during gastrectomy or gastroenterostomy. METHODS A retrospective analysis was performed using a questionnaire sent to all bariatric surgeons (n = 43) in Israel. RESULTS Eight surgeons reported on 17 cases in which intraoperative nasogastric/orogastric tu...

With over 600 million people being obese, and given the scientific demonstration of the advantages of surgical treatment, bariatric surgery is on the rise. The promising long-term results in terms of weight loss, and particularly in relation to comorbidities and the control/cure rate, mean that the number of procedures performed in all countries remains high. However, the risk of potentially co...

Introduction: We report a case of benign biliary stricture in a 62-year-old woman after a laparoscopic Roux-en-Y gastric bypass with remnant gastrectomy as a result of morbid obesity and villous adenoma of the gastric antrum. Case Description: The patient’s clinical presentation was intermittent biliary-type pain. On admission, no remarkable physical findings were observed, but a dilated common...

BACKGROUND Anastomotic stenosis, leak, and hemorrhage are common stapler-related complications of laparoscopic Roux-en-Y gastric bypass. In May 2007, we transitioned from a 25-mm diameter, 4.8-mm-height circular stapler to a 25-mm, 3.5-mm-height circular stapler. We hypothesized that the staple height would be associated with a decreased incidence of perioperative complications. METHODS The r...

BACKGROUND Many patients experience postoperative nausea and vomiting (PONV). Preoperative treatment with carbohydrate solutions seems to improve the course after different types of surgery. This study was undertaken to investigate the potential value of different models for preoperative hydration/nutrition, in addition to our ERAS (enhanced recovery after surgery) protocol. METHODS Ninety no...

HYPOTHESIS Patient characteristics and comorbidities, payer type, and operative technique (laparoscopic vs open) predict the risk of gastrointestinal (GI) tract leak in patients with morbid obesity undergoing gastric bypass. DESIGN Retrospective database analysis. SETTING Nationwide Inpatient Sample. PATIENTS Between January 1, 2006, and December 31, 2008, patients who underwent open or l...