Results: 5

1.
Figure 4

Figure 4. From: Morbid Obesity--The New Pandemic: Medical and Surgical Management, and Implications for the Practicing Gastroenterologist.

Translaparoscopic endoscopy. To visualize the remnant stomach and duodenum (following a gastric bypass), an endoscope is introduced by the surgeon through a laparoscopic trochar placed directly in to the stomach. Endoscopic examination of the gastric remnant and duodenum is thereby possible at the time of laparoscopy.

John P Cello, et al. Clin Transl Gastroenterol. 2013 June;4(6):e35.
2.
Figure 2

Figure 2. From: Morbid Obesity--The New Pandemic: Medical and Surgical Management, and Implications for the Practicing Gastroenterologist.

Gastric band. An inflatable band is placed around the proximal stomach with a port for fluid instillation in the abdominal wall. The band may be tightened or loosened by either adding of withdrawing liquid from the port. The device constricts the proximal stomach ‘restricting' the amount of food that can be consumed at any one time.

John P Cello, et al. Clin Transl Gastroenterol. 2013 June;4(6):e35.
3.
Figure 5

Figure 5. From: Morbid Obesity--The New Pandemic: Medical and Surgical Management, and Implications for the Practicing Gastroenterologist.

Translaparoscopic endoscopic retrograde cholangiopancreatography (ERCP). As in Figure 4, the appropriate endoscope (this time a side-viewing ERCP endoscope) is introduced translaparoscopically directly into the remnant stomach. The ERCP endoscope is positioned at the papilla for cannulation of the pancreatic and bile ducts.

John P Cello, et al. Clin Transl Gastroenterol. 2013 June;4(6):e35.
4.
Figure 3

Figure 3. From: Morbid Obesity--The New Pandemic: Medical and Surgical Management, and Implications for the Practicing Gastroenterologist.

Sleeve gastrectomy. A long linear staple line is created from the proximal stomach to the antrum leaving a linear tube conduit from gastroesophageal junction to pylorus. The disconnected stomach is removed leaving a small lumen behind restricting the gastric capacity.

John P Cello, et al. Clin Transl Gastroenterol. 2013 June;4(6):e35.
5.
Figure 1

Figure 1. From: Morbid Obesity--The New Pandemic: Medical and Surgical Management, and Implications for the Practicing Gastroenterologist.

The Roux-en-Y gastric bypass. A small gastric pouch is created from the proximal stomach with the remnant stomach remaining in continuity with the duodenum. A ‘Roux' limb of jejunum beyond the ligament of Treitz is connected to the gastric pouch and a jejunojeunostomy formed 100–150 cm distal to the gastrojejunostomy.

John P Cello, et al. Clin Transl Gastroenterol. 2013 June;4(6):e35.

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