Over 90% of patients with inoperable carcinoma of the pancreas are successfully palliated by endoscopic retrograde cholangiopancreatography and stent insertion. Treatment of the residual 10% of patients often entails a laparotomy, which is difficult to justify when median survival of these patients is only 150 days. Laparoscopic biliary and gastric bypass offers a less invasive alternative than...

OBJECTIVE The objective of the study is to evaluate the effect of gastric banding, gastric bypass and sleeve gastrectomy on medium to long-term diabetes control in obese participants with type 2 diabetes mellitus. RESEARCH DESIGN AND METHODS Matched cohort study using primary care electronic health records from the UK Clinical Practice Research Datalink. Obese participants with type 2 diabete...

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 ...

Abstract Bariatric Surgery has become a routine elective operation offered to patients with obesity (BMI >30) and related diseases. The UK national registry (NBSR) publishes data from record bariatric surgeries. Aim We compare one service’s outcomes the of NBSR- Third Report 2020. Outcomes; 30-day mortality complications, length stay (LOS), 1-year weight loss for Gastric Sleeve (GS) Roux...

Treatment of gastric leaks met new challenges with sleeve gastrectomy, as exclusive bariatric surgery1. Mistakenly seen as simpler, many inexperienced surgeons in laparoscopic and bariatric surgery began its use in patients. Was recognized that these fistulas are difficult to treat requiring multiple endoscopic treatments, reoperation and gastric resection2,3,4. Using the same principle of sept...