Video Based Education

The Sleeve Gastrectomy is a first-stage, lower-risk surgical alternative that serves as a bridge to other bariatric operations.

Conversion to gastric bypass in adjustable gastric band, high risk patients is technically challenging but results in improved weight loss, often in a shorter length of time.

In the Duodenal Switch procedure (also know as biliopancreatic diversion with the duodenal-switch, or BPD/DS), the stomach is reshaped and somewhat reduced in size, creating a sleeve-like shape.

SAGES brings you current information on topics in the field of minimally invasive surgery from some of the nation's leading laparoscopic surgeons.

Ciné-Med, Inc. presents Bariatric Surgery, one of the 2006 ACS Video Sessions. Each video in this CD collection has been submitted by the author(s) and reviewed and accepted by the Committee on Video-based Education of the American College of Surgeons.

Sponsored by Tufts University School of Medicine, this program includes content geared towards care providers of all areas including: surgeons, physicians, nurses, physician assistants, patient educators, and patients.

The Patient Safety in Obesity Surgery course addresses the various social and medical issues stemming from the national epidemic of overweight and obesity, specifically the growing concerns related to weight loss surgery. The course is designed to meet the education needs of a highly diverse mix of target audiences, increasing its effectiveness in providing health care professionals with the most current information on patient safety and best practice options, maximizing its impact on curbing this epidemic and improving the quality of life for patients.

In this program, we have broken the Laparoscopic Roux-en-Y Gastric Bypass procedure into 13 basic steps. Selecting each step will reveal one or more methods as performed by the contributors. Specially prepared commentaries are included to enhance your understanding of each Pearl, and to help you develop your own unique set of surgical skills.

Ciné-Med, Inc. presents the ACS Collection Volume 4: Gastroesophageal Surgical Procedures. Twelve selections from the American College of Surgeons Video Library have been assembled into this four CD-ROM set.

Ciné-Med, Inc. presents Bariatric Surgery, one of the 2005 ACS Video Sessions. Each video in this CD collection has been submitted by the author(s) and reviewed and accepted by the Committee on Video-based Education of the American College of Surgeons.

Ciné-Med, Inc. presents Bariatric Surgery, one of the 2004 ACS Video Sessions. Each video in this CD collection has been submitted by the author(s) and reviewed and accepted by the Committee on Video-based Education of the American College of Surgeons.

Ciné-Med, Inc. presents Bariatric Surgery, one of the 2003 ACS Video Sessions. Each video in this CD collection has been submitted by the author(s) and reviewed and accepted by the Committee on Video-based Education of the American College of Surgeons.

A technique of divided, vertical pouch, Roux-en-Y gastric bypass is shown. The first patient had complications of sleep apnea, reflux esophagitis, hypertension, and severe back pain. An uncomplicated gastric bypass was performed. The second patient had a vertical banded gastroplasty years ago, but experienced constant severe heartburn recently. A conversion to divided gastric bypass was performed when a markedly dilated gastroplasty pouch with free esophageal reflux was found. Polyps, malignant pedunculated polyps, and large benign sessile lesions were found; the latter utilizing the piecemeal polypectomy technique devised by Shinya.

We present the case of a patient that had previous bariatric surgery. She developed a gastro-gastric fistula after conventional gastric bypass (not isolated) which led her to regain the weight she had lost before (BMI 36). Laparoscopically, we divided and resized her gastric pouch and performed a Roux-en-Y reconstruction. The surgery and postoperative outcomes were uneventful. Three months after surgery, the patient lost 14kb. (BMI 30).

This video describes our triple-stapled gastric bypass procedure for morbid obesity. The senior author has performed over 1,000 of these procedures. Using this technique, the staple line break-down rate is <2%. Weight loss at 1 to 3 years is 2/3 of excess weight, 60% at 5 years, and mid-50's years 6-9. Mortality is <.055, and anastomotic leak rate is 2.5%

The Roux-en-Y gastric bypass has emerged as the gold standard operation for morbid obesity. Recently, laparoscopic techniques to perform this operation have been developed. In this video, the nuances of this surgical technique will be presented as the Roux-en-Y bypass is performed.

Included Video: Laparoscopic Bilipancreatic Diversion With Duodenal Switch for Superobesity