Surgical complications included 15 cases of gastric pouch
or esophageal dilatations that were treated conservatively with temporary band deflation, and seven cases of gastric slippage that required laparoscopic repositioning.
Surgeons make a roughly 20-mL gastric pouch
and bring up a link of jejunum for a Roux-en-Y anastomosis.
USGI) announced today that leading experts presented clinical evidence showing that its EndoSurgical Operating System(TM) (EOS) enables surgeons and physicians to use an incisionless technique to reduce the size of the gastric pouch
and stoma in patients who've regained weight after initial success with gastric bypass.
On evaluation, some gastric bypass patients show no or very slow emptying of contrast agent from the gastric pouch
to the Roux limb of the jejunum, while others show fast emptying.
6) The procedure involved the creation of a small gastric pouch
with a volume of 20 mL, which is isolated from the remainder of the stomach.
Surgeons then performed a standard RNY with one important modification: Instead of creating the 30-cc gastric pouch
typical in bariatric surgery, they fashioned a much smaller pouch--just 5-10 cc--in order to divert acid.
The LAP-BAND VG System is an adjustable, inflatable silicone band that is laparoscopically placed around the upper portion of the stomach, creating a small gastric pouch
that limits the amount of food the stomach will hold at any time.
Virtual three-dimensional computed tomography assessment of the gastric pouch
following laparoscopic Roux-Y gastric bypass.
However, due to the small gastric pouch
, voluminous emesis is rarely encountered .
3-8) Patients who undergo LB may develop device-related complications (10%), esophageal or gastric pouch
dilation (2% to 5%), band erosion into the stomach (2%), gastric slippage (4% to 6%), pulmonary embolism (0.
This is achieved by increasing the size of the gastric pouch
, compared to gastric bypass, and by allowA[degrees] ing the pouch to drain into the intestine freely (compared to sleeve gastrectomy).
The LAP-BAND System is an inflatable silicone band that is placed laparoscopically around the upper portion of the stomach, creating a small gastric pouch