the prevalence of bariatric surgery procedures has increased dramatically in recent years and multiple specialties encounter bariatric patients. in this article, we outline the different options in bariatric surgery and summarized the recommendations for gastrointestinal assessment of candidates before and after bariatric surgery. the role of routine endoscopy was controversial in pre surgical ...

Bariatric surgical procedures such as vertical sleeve gastrectomy (VSG) and Roux-en-Y gastric bypass (RYGB) are the most potent treatments available to produce sustained reductions in body weight and improvements in glucose regulation. While traditionally these effects are attributed to mechanical aspects of these procedures, such as restriction and malabsorption, a growing body of evidence fro...

INTRODUCTION Duodenal gastrointestinal stromal tumors are uncommon and a relatively small subset of gastrointestinal stromal tumors whose optimal surgical procedure has not been well defined. Because submucosal spread and local lymph node involvement are infrequent in gastrointestinal stromal tumors, wide margins with routine lymph node dissection may not be required. Various surgical procedure...

HYPOTHESIS Cinematic technetium Tc 99m red blood cell ((99m)Tc-RBC) scans, in which real-time scanning is performed and analyzed, can accurately localize gastrointestinal bleeding and thus direct selective surgical intervention. DESIGN Retrospective medical record review with historical controls. SETTING Large, university-affiliated public hospital in urban setting. PATIENTS Twenty-six pa...

CONTEXT Postoperative ileus is a major complication of abdominal surgical procedures OBJECTIVE To evaluate the incidence of ileus and gastrointestinal morbidity in patients who received immediate postoperative feeding and bowel stimulation after undergoing major gynecologic surgical procedures. METHODS During a 5-year period, the authors tracked demographic, surgical outcome, and follow-up ...

Over the past few years, obesity has become a major clinical and population concern in the majority of developed countries. Obesity leads to significant systemic disorders, such as hypertension, hypercholesterolemia, hypertriglyceridemia and insulin resistance, and also increases the risk of developing cardiovascular diseases (ischemic heart disease, ischemic stroke), metabolic diseases (type 2...

At the end of the chapter the reader should be able to: • describe the basic anatomy and physiology of the upper gastrointestinal system • briefly explain specific investigations • briefly explain causes, conditions and surgical interventions • give examples of assessment procedures for patients undergoing upper gastrointestinal surgery • highlight specific preand postoperative management • giv...

BACKGROUND Benign tumors are a rare cause of gastrointestinal hemorrhage of which angioleiomyomas constitute a very small minority. They have been reported in literature to present with volvulus, bleeding or intussusceptions. CASE PRESENTATION An interesting case of a patient presenting with gastrointestinal bleeding from an underlying angioleiomyoma is discussed along with its management opt...