Publications by authors named "Luis Fernando Evangelista"
Gastrobronchial fistula (GBF) is a serious complication following bariatric surgery, whose treatment by thoracotomy and/or laparotomy involves a high morbidity rate. We present the outcomes of endoscopic management for GBF as a helpful technique for its healing process. This is a multicenter retrospective study of 15 patients who underwent gastric bypass (n = 10) and sleeve gastrectomy (n = 5) and presented GBF postoperatively (mean of 6.
View Article and Find Full Text PDFSmall erosion of adjustable gastric band: endoscopic removal through incision in gastric wall.
Surg Laparosc Endosc Percutan Tech
December 2010
The erosion of a laparoscopic adjustable gastric band (LAGB) can cause pain that is not controlled by analgesics. In such cases, early endoscopic removal may be indicated, but only when gastric penetration is greater than 50%. We report the case of a patient with severe shoulder pain due to a small area of LAGB erosion, which was treated with early endoscopic removal through an incision in the gastric wall.
View Article and Find Full Text PDFBackground: Silastic rings are used in gastric bypass procedures for the treatment of obesity, but ring slippage may lead to gastric pouch outlet stenosis (GPOS). Conventional management has been ring removal through abdominal surgery.
Objective: To describe a novel, safe, minimally invasive, endoscopic technique for the treatment of GPOS caused by ring slippage after gastric bypass.
Background: Vertical sleeve gastrectomy (VSG) is a surgical technique that involves resection of a significant portion of the stomach. This surgery is sometimes associated with gastric leaks, which can be difficult to treat. The present study reports findings from laparoscopic greater curvature plication (LGCP), which is an alternative bariatric procedure similar to VSG but without the need for gastric resection.
View Article and Find Full Text PDFArticle Synopsis
- The study focused on the complications of laparoscopic adjustable gastric banding, particularly intragastric erosion, and the outcomes of endoscopic band removal over five years at multiple centers in Brazil.
- A total of 82 patients with band erosion were analyzed, revealing an average BMI drop from 43.2 kg/m² pre-surgery to 31.8 kg/m² at erosion diagnosis, with symptoms like pain and infection reported in some cases.
- The endoscopic procedure was successful in 95% of cases, with most bands removed in one session, indicating that endoscopic removal is a safe and effective primary option for managing this complication.
We describe the case of early band migration that developed into intraabdominal infection treated by natural orifice translumenal endoscopic surgery. A 40-year-old man was seen 4 years after gastric band placement. He complained of epigastric pain and fever.
View Article and Find Full Text PDFArticle Synopsis
- Migration of the adjustable gastric band (AGB) can result in serious complications, though it typically doesn't require urgent treatment unless life-threatening.
- A case study described a 30-year-old patient who experienced severe symptoms, including fainting and internal bleeding, due to the band eroding into the stomach 13 months after placement.
- Emergency treatment included resuscitation and an endoscopic procedure to cut and remove the band, leading to recovery with no further bleeding in the following year; this highlights the need for careful monitoring and follow-up for patients with AGB.