BACKGROUND Advanced gastric cancer in the lower third of the stomach often results in stricture of the gastric cavity and digestive symptoms. Gastrojejunostomy has been suggested to improve such symptoms, and the advent of new anticancer agents for gastric cancer has improved the response rate of the disease, which makes it possible to perform R0 gastrectomy in part of patients with stage IV ga...

Gastro-gastric fistula is a communication between the gastric remnant and gastric pouch. It is a rare complication of Roux-en-Y gastric bypass. It is caused by anastomotic leak, marginal ulcers, distal obstruction or erosion from foreign body. In this case report, we are presenting a successful laparoscopic repair of gastro-gastric fistula in a patient who presented with weight gain after initi...

BACKGROUND Banded-gastric bypass is a highly effective bariatric procedure, yet the possibility of band erosion remains a significant drawback. Surgical removal of eroded bands may be associated with significant morbidity. In this study, we assess the efficacy and safety of a solely peroral endoscopic approach for the management of eroded bands in patients with a banded-gastric bypass. MATERI...

Problems of obesity and its accompanying metabolic disorders remain relevant throughout the world are due to an increased risk disability early mortality in patients with this pathology. Currently, bariatric surgery is recognized as most effective treatment for morbid obesity. Of exceptional importance not only technical features operation, but also a full preoperative examination. The occurren...

Weight loss after gastric bypass surgery can typically amount to 30–50 kg the first year and is generally well maintained, with only slight regain over several years. Gastric bypass started to replace jejunoileal bypass procedure in the 1970s (1), as the latter caused too many serious adverse events. At that time, weight loss was attributed to the restriction of food intake caused by the reduce...

BACKGROUND We have read the letter by Bhoyrul et al. in response to our recently published article "Safety and effectiveness of bariatric surgery: Roux-en-Y gastric bypass is superior to gastric banding in the management of morbidly obese patients". We strongly disagree with the content of the letter. RESULTS AND DISCUSSION Bhoyrul et al. base their letter mostly on low level evidence such as...

Gastric cancer in the excluded stomach after Roux-en-Y gastric bypass is a rare finding and most reported diagnoses are made via surgery. Endoscopic access to the excluded stomach is difficult, even with balloon-assisted enteroscopy. We present the case of a 74-year-old woman with malignant gastric outlet obstruction of the excluded stomach, 41 years after Roux-en-Y gastric bypass. Minimally in...