Gastric bypass patients are at risk for small-bowel obstruction secondary to adhesions, internal hernias, intussusception and volvulus. Most gastric bypass patients do not present with classic obstructive symptoms. We present a rare case of concurrent intussusception and volvulus in a woman with previous history of internal hernia following laparoscopic Roux-en-Y gastric bypass surgery.

BACKGROUND Bariatric surgery is widely performed to induce weight loss. OBJECTIVE The objective was to examine changes in vitamin status after 2 bariatric surgical techniques. DESIGN A randomized controlled trial was conducted in 2 Scandinavian hospitals. The subjects were 60 superobese patients [body mass index (BMI; in kg/m(2)): 50-60]. The surgical interventions were either laparoscopic ...

Abdominal contouring procedures are frequently performed following massive weight loss after a Roux-en-Y gastric bypass. This last procedure can be associated with late complications like the development of internal hernias (e.g., Petersen hernia). The purpose this article is to present case hernia complete abdominoplasty. A 42-year-old female presented emergency department acute abdominal pain...

INTRODUCTION Obesity is related with higher incidence of gastroesophageal reflux disease. Antireflux surgery has inadequate results when associated with obesity, due to migration and/or subsequent disruption of antireflux wrap. Gastric bypass, meanwhile, provides good control of gastroesophageal reflux. OBJECTIVE To evaluate the technical difficulty in performing gastric bypass in patient...

BACKGROUND Obesity is an important risk for pathological gastroesophageal reflux. AIM To assess the effects of gastric bypass on obese subjects with erosive esophagitis. PATIENTS AND METHODS Sixty two morbid obese subjects (aged 16 to 70 years, 41 females) with erosive esophagitis at the moment of surgery were studied. These patients were subjected to a gastric bypass with gastric resection...

BACKGROUND Roux-en-Y gastric bypass performed laparoscopically remains the gold standard in bariatric surgery. The role of robot-assisted laparoscopic Roux-en-Y gastric bypass has not been clearly defined. METHODS We present 80 consecutive cases of robot-assisted laparoscopic Roux-en-Y gastric bypass performed at a single institution. Mechanics, early outcomes, and learning curve are evaluate...

© 1999 Kaiser Foundation Health Plan of Washington. All Rights Reserved. . Back to Top Kaiser Foundation Health Plan of Washington Clinical Review Criteria Bariatric Surgery  Adjustable gastric banding, Laparoscopic or Open (Lap Band)  EndoGastric Solutions Stomaphy XTM Endoluminal Fastener  Gastric Bypass for GERD  Gastric Electrical Stimulator  Intragastric Balloons  Laparoscopic Sleeve...

Post-gastric bypass hypoglycemia is characterized by postprandial with pancreatic islet-cell hypertrophy in patients who have undergone a bariatric surgery and may be prone to due NAFLD, obesity, impaired insulin glucagon secretion.We present the case of 44-year-old obese woman NAFLD underwent Roux-en-Y gastric years later presented severe hypoglycemia. She was diagnosed endogenous hyperinsulin...

Obesity is a growing health problem in most parts of the world. Currently only proven long term effective treatment of obesity is bariatric surgery. Roux & Y gastric bypass together with sleeve gastrectomy are the most employed surgical techniques with acceptable metabolic and surgical complication rates. In this paper we would like to present an unexpected complication of Roux & Y gastric bypa...