Roux-en-Y gastric bypass (RYGB) is a fairly routine surgical procedure for treating patients with morbid obesity. Since postoperative upper gastrointestinal bleeding (GI) is uncommon and etiologies in these patients can be variable, investigation and treatment can be difficult in the post-surgical patient. We report a case of a 65 year-old female, post Roux-en-Y bariatric surgery who presented ...

INTRODUCTION Roux-en-Y gastric bypass is increasingly performed in the United States. In addition, liver transplantation and other complex hepatobiliary surgeries are increasingly performed with creation of a Roux-en-Y hepaticojejunostomy. Consequently, endoscopists more frequently need to carry out endoscopic procedures in patients with Roux-en-Y anatomy. MATERIALS AND METHODS The present ar...

Introduction. We describe a case of gastrojejunal anastomosis perforation after gastric bypass on a patient with underlying pancreatic cancer. Case Description. A 54-year-old female with past surgical history of gastric bypass for morbid obesity and recent diagnosis of unresectable pancreatic cancer presents with abdominal pain, peritonitis, and sepsis. Computerized axial tomography scan shows ...

m h a r orbid obesity is increasing exponentially in the US. pproximately 33.3% of Americans were obese in 1991, ersus 25.4% in 1976. Currently, 54.5% of Americans re overweight, with a body mass index 25. Diet and xercise are implemented initially, they usually fail after years. In response to this epidemic, surgical therapies or morbid obesity have evolved. There are several diferent weight l...

A 38-year-old female presented with acute onset epigastric abdominal pain and vomiting. Surgical history included gastric bypass surgery 8 years prior and cesarean delivery. The patient was in severe distress, afebrile, had significant epigastric tenderness with guarding, normal bowel sounds, and no distention or masses. Results for white blood cell count, serum chemistry panel, anion gap, urin...

BACKGROUND After Roux-en-Y gastric bypass (RYGB), a substantial number of patients do not achieve successful long-term weight loss. In cases of loss of restriction, the application of an adjustable gastric band ("salvage banding") over the gastric pouch, or gastrojejunostomy, could prevent weight regain or increase weight loss. The objective of this literature review is to provide an overview o...

BACKGROUND Laparoscopic gastric bypass (Lap-RYGB) is an increasingly common procedure performed for severe obesity. Internal hernias are a potential problem associated with Lap-RYGB, and little is known about the clinical presentation and the diagnostic accuracy of this potentially serious complication. METHODS A retrospective review of 1,000 retrocolic Lap-RYGB was performed to identify thos...