Background. Many institutions mandate preoperative weight loss prior to bariatric surgery. This study examines the correlation between preoperative weight change and postoperative success following laparoscopic Roux-en-Y gastric bypass. Methods. We retrospectively studied the correlation between change in BMI before surgery and change in BMI postoperatively, using linear regression analyses and...

Effective weight loss and reduction in comorbidities has been convincingly demonstrated with bariatric surgery. Concerns regarding increased perioperative complications and poor results have led to a reluctance to offer such surgery to older patients. We performed a systematic review and meta-analysis of the published evidence for those in the ≥55-year age group. An electronic search was conduc...

Conventional laparoscopic Roux-en-Y gastric bypass (LRYGB) is a gold standard for bariatric surgery, but the procedure requires five to seven incisions for placement of multiple trocars and thus may produce less-than-ideal cosmetic results. We have developed a new approach, single-incision transumbilical LRYGB (SITU-LRYGB) to treat morbid obesity. We compared the surgical results and patient sa...

Background In the complex field of treating severe obesity, motivation is receiving increased attention. This explorative study aims to highlight what influences the preferences of severely obese patients deciding for either gastric bypass surgery or lifestyle treatment. Methods Patients awaiting laparoscopic gastric bypass were presented with an 18 week inpatient lifestyle programme alternativ...

Massive and life-threatening extraperitoneal pneumodissection after laparoscopic procedure is a rare complication. It has been described after laparoscopic cholecystectomy, urologic and gynecologic surgeries, extraperitoneal hernia, and antireflux procedures. Here, we describe such a complication after laparoscopic Roux–en-Y gastric bypass in a 21-year-old woman with a body mass index of 41. Po...

Background: The need for simultaneous cholecystectomy asymptomatic cholelithiasis in patients undergoing bariatric intervention has not been proven. experience of managing with obesity and concomitant disease is presented.
 Aim: to determine the indications surgery combination morbid a cholelithiasis.
 Methods: results observation 37 initially were analyzed: 27 underwent cholecystecto...

Background/Introduction Obesity is a major problem with the number of obese patients presenting to cardiac surgery is ever increasing. Laparoscopic Adjustable Gastric Banding (LAGB) is one modality commonly used to mechanically reduce food intake and also promotes early satiety. Late complications of the device may occur in up to 20% of cases; increasing up to 30% in pregnancy. We report the fi...

The gastrointestinal stromal tumor (GIST) is a rare mesenchymal tumor. One should pay special attention when the GIST comes in obese patients during surgery. The laparoscopic resections with standard techniques, such as gastric bypass, have been described with good results. However, GIST resection associated sleeve gastrectomy for the treatment of obesity is rare, but can be done safely, depend...

This paper reports a case of small bowel occlusion due to the herniation of an ileal ansa at the site of the insertion of a 12-mm trocar. A 28-year-old obese female patient underwent laparoscopic surgery for gastric bypass, the skin incisions of the trocar insertion sites were closed with absorbable sutures. Small bowel occlusion occurred on post-operative day 6 and the patient again underwent ...

Introduction: Bariatric surgery is the most effective treatment for morbid obesity and its co-morbidities. Women are advised against becoming pregnant in the first 12-18 months after surgery due to the potential nutritional compromise induced by weight loss. An increasingly recognised complication following bariatric surgery are Petersen-type internal hernias. We present a case of life-threaten...