Surgical Perspective
Retrograde Intussusception (RINT): One Group’s Experience and Ideas
Introduction Retrograde intussusception, known in our bariatric office as RINT, is also called reverse intussusception or antiperistaltic intussusception. Retrograde describes the direction the bowel intussuscepts—from distalto proximal (Figure 1). The much more common is operistaltic or antegrade intussusception, where the bowel intussuscepts from proximal to distal, is seen in children and adults. Antegrade intussusception is [...]
The Evidence for Staple Line Buttress Material
Ariel U. Spencer, MD; Thomas H. Magnuson, MD, FACS; Hien Nguyen, MD; Kimberley E. Steele, MD, FACS; Anne O. Lidor, MD, FACS; and Michael A. Schweitzer, MD, FACS. From The Johns Hopkins Medical Institutions, Baltimore, Maryland Introduction Staple line buttress material—either absorbable or permanent—is widely used in bariatric surgery. While many surgeons have anecdotal experience [...]
Treatment of Leaks After Sleeve Gastrectomy
by Jacques Himpens, MD; Giovanni Dapri, MD; and Guy-Bernard Cadière, MD, PhD Dr. Himpens and Dr. Dapri are from St. Blasius Hospital Dendermonde and St. Pierre Hospital, Brussels, Belgium. Dr. Cadière is from St. Pierre Hospitial, Brussels, Belgium Introduction In Europe, sleeve gastrectomy (SG) is swiftly replacing adjustable band gastroplasty (ABG) as the most commonly [...]
SAGES 2009 Panel Report: Best Practices for the Surgical Treatment of Obesity
by Jon Gould, MD, and Daniel Jones, MD Dr. Gould is Associate Professor of Surgery at University of Wisconsin School of Medicine and Public Health. Dr. Jones is Associate Professor of Surgery at Harvard Medical School. This article is a summary of a panel sponsored by the Society of American Gastrointestinal and Endoscopic Surgeons.
Ventral Hernias in the Bariatric Patient
by David S. Wernsing, MD, FACS Assistant Professor of Surgery, University of Pennsylvania, Pennsylvania Hospital, Philadelphia, Pennsylvania INTRODUCTION The management of primary and incisional abdominal wall hernias continues to evolve from the early days of primary hernia repair. There has been progress in the surgical approach to hernias with application of minimally invasive surgical techniques [...]
Bariatric Surgery in Patients with Liver Cirrhosis and Portal Hypertension
by Juan Camilo Barreto, MD; Michael G. Sarr, MD; and James M. Swain, MD All from the Division of Gastroenterologic and General Surgery, Mayo Clinic, Rochester, Minnesota. The Problem Cirrhosis is an unexpected finding at the time of bariatric surgery in about 1 to 2 percent of the patients undergoing elective bariatric surgery. The surgeon [...]
Intussusception after Roux-en-Y Gastric Bypass in a Pregnant Patient
by Daniel J. Rosen, MD; Shirlee Jaffe, MD; Lawrence Cutler, MD; Alfons Pomp, MD All from Departments of Obstetrics and Gynecology and Surgery New York Presbyterian Hospital, Weill Cornell Medical College ABSTRACT Intussusception is a rare complication of Roux-en-Y gastric bypass, and can present a difficult diagnostic challenge in the pregnant patient. We describe a [...]
Laparoscopic Sleeve Gastrectomy
By Ismael Court, MD; Omar Bellorin, MD; Fernando Dip, MD; Christopher DuCoin, MD; Samuel Szomstein, MD, FACS; and Raul J. Rosenthal, MD, FACS All from the Bariatric & Metabolic Institute, Section of Minimally Invasive Surgery, Cleveland Clinic Florida, Weston, Florida Key words: Bariatric surgery, laparoscopy, morbid obesity, Roux-en-Y gastric bypass, sleeve gastrectomy Introduction Surgery has [...]
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