Patients with a Roux-en-Y gastric bypass may be challenging diagnostic and therapeutic dilemmas for gastroenterologists and endoscopists due to anatomic considerations. Pancreaticobiliary limb pathology is particularly difficult to diagnose from standard endoscopic approaches as it often requires double balloon enteroscopy. Percutaneous access and gastrostomy placement into the gastric remnant,...

10-40% of Roux-en-Y gastric bypass (RYGB) patients regain significant weight after Roux-en-Y gastric bypass surgery due to dilation of the pouch and/or the gastrojejunal (GJ) anastomosis. Traditional revision surgery is associated with significant morbidity (e.g. post-anastomotic GJ leak) where less invasive endoluminal procedures may represent safer alternatives. The present article reports a ...

Gastric and colon interposition are the commonly used in esophageal operations. In this report, Two jejunal esophageal interposition cases are presented. In the first patient, a free jejunal interposition graft was used to re-establish swallowing route in a patient who suffered severe esophageal and gastric chemical burn, and failure of colon interposition graft. The second patient had a leak o...

Total laparoscopic-assisted radical gastrectomy and the jejunal Roux-en-Y anastomosis were performed to treat cancer of the upper gastric body and fundic region. In the case of open anastomosis during total laparoscopic-assisted radical gastrectomy, an incision of 6-8 cm would be required due to the need for placing the stapler anvil. If using the Roux-en-Y procedure, however, the incision coul...

Choledochal cysts are uncommon developmental anomalies involving intrahepatic and extrahepatic biliary ducts, and their immediate complete excision is recommended to prevent chronic inflammatory and malignant changes. A diagnosis of a congenital type 1C choledochal cyst was made in an 8-year-old female patient admitted to the emergency unit with complaints of severe upper abdominal pain and vom...

outcomes of stapled and hand-sewn Roux-en-Y intestinal anastomoses in childhood.
 Materials Methods: At a university hospital, the records children who underwent roux-en-Y anastomosis between December 2007 2014 were reviewed. The data compared according to technique used (stapled versus hand-sewn).
 Results: A total 52 patients had undergone anastomosis. All biliary atresia or choledo...