By Mervyn Deitel (auth.), Michael Korenkov (eds.)
The expanding incidence of weight problems in lots of international locations signifies that it's going to now be thought of a virus. it truly is widely known that weight problems raises the chance of quite a few life-threatening stipulations, together with middle illness, diabetes, and high blood pressure. Bariatric surgical procedure is frequently the simplest technique to deal with such morbid weight problems. however, whereas a number of bariatric techniques were proposed, so far criteria were missing. during this publication, prime specialists from world wide talk about all points of bariatric surgical procedure and current their very own favorite types of surgeries using informative illustrations. Technical nuances are conscientiously defined, and particular consciousness is dedicated to capability issues and the way to prevent them. The services of the authors and the diversity of concepts thought of be sure that either trainees in bariatric surgical procedure and skilled surgeons will locate this publication to be a useful resource of data and suggestions of their day-by-day work.
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Extra info for Bariatric Surgery: Technical Variations and Complications
It is essential that the placer comes out accurately at this point. The placer is then pushed through (Fig. 37). 5 cm of the end of the placer is visible then a larger band size is selected. The band is primed with normal saline and the end of the tubing is cut at an oblique angle before introducing it into the abdomen through the 15-mm port. The tubing is then threaded through the eye of the placer. 31 Fig. 37 The tip of the placer is seen in the angle of His. 5 cm of the end of the placer is visible then a larger band size is selected Fig.
If the right crus cannot be identified and the parsflaccida pathway cannot be used, the perigastric approach is chosen as the very last option. Early Postoperative Complications After Gastric Banding Injuries of the backside of the stomach can occur with the perigastric approach. The number of stomach perforations has been reduced drastically by following the pars-flaccida pathway. 23 A perforation of the esophagus can occur with either technique. It is often discovered only postoperatively, with grave consequences for the patient.
Prevention: These complications can be avoided by choosing the pars-flaccida approach and “established” band brands, such as the Lap-band or the SAGB. Management: After diagnosing band migration, the band must be removed. This is followed by another bariatric procedure to avoid excessive weight gain. If this is to be done in one operation, there are in our opinion two possibilities: a distal gastric bypass and the duodenal switch, because the operation field is far away from the migration site.
Bariatric Surgery: Technical Variations and Complications by Mervyn Deitel (auth.), Michael Korenkov (eds.)