Patient Selection in One Anastomosis/Mini Gastric Bypass-an Expert Modified Delphi Consensus.

Purpose: One anastomosis/mini gastric bypass (OAGB/MGB) is up to date the third most performed obesity and metabolic procedure worldwide, which recently has been endorsed by ASMBS. The main criticisms are the risk of bile reflux, esophageal cancer, and malnutrition. Although IFSO has recognized this procedure, guidance is needed regarding selection criteria.

The first survey addressing patients with BMI over 50: a survey of 789 bariatric surgeons.

Background: Bariatric surgery in patients with BMI over 50 kg/m is a challenging task. The aim of this study was to address main issues regarding perioperative management of these patients by using a worldwide survey.

Methods: An online 48-item questionnaire-based survey on perioperative management of patients with a BMI superior to 50 kg/m was ideated by 15 bariatric surgeons from 9 different countries.

Esophageal Erosion of Adjustable Gastric Band, Endoscopic Solution of an Unreported Complication.

Although laparoscopic adjustable gastric band (LAGB) placement appears as a safe and reproducible procedure, serious complications can occur. We present a patient with fever, dysphagia, epigastric pain, and port site inflammation. Esophagogastroduodenoscopy and computed tomography (CT) scan diagnosed esophageal erosion of the gastric band.

Roux-en-Y to One Anastomosis Gastric Bypass Conversion: Description of a Novel Technique.

Roux-en-Y gastric bypass (RYGB) remains among the most widely performed bariatric procedures. A significant decline in its indication has been observed due to weight regain and reappearance of comorbidities. Moreover, the lack of effective therapeutic alternatives after failure justifies why other techniques are more frequently chosen.

Transgastric large-organ extraction: the initial human experience.

Introduction: In laparoscopy, it often is the case that port sites are enlarged for specimen extraction. This leads to higher risk of trocar site complications, such as infection or incisional hernia. Natural orifice surgery (NOTES) is beneficial for minimizing these complications, and this is emphasized when the extracted specimen is of large volume.