Jejunal Interposition as a Definitive Treatment for Gastric Fistula after Sleeve Gastrectomy
The authors present the case of a patient who experienced fistula secondary to laparoscopic sleeve gastrectomy in which conservative treatment failed. The patient was treated with jejunal interposition, which is conversion to a Roux-en-Y gastric bypass with an interposed jejunal loop.
Massive Portal Vein Thrombosis Three Weeks Following Laparoscopic Sleeve Gastrectomy
The authors present a case of portal vein thrombosis three weeks postoperatively following a laparoscopic sleeve gastrectomy, which was also complicated by a concurrent episode of diverticulitis.
Revisional Bariatric Surgery in a Patient with Midgut Malrotation and Abnormally Long Bowel: A Case Update
In this case report, the authors provide an update of a case previously reported in 2015 in which midgut malrotation was discovered during single anastomosis gastric bypass. After unsatisfactory weight loss results at two-year follow up, a revision procedure was planned. During the revision, the authors made a discovery that was missed in the original procedure—abnormally long bowel (1050cm). Though propositions exist, there is currently no consensus on the length of bowel that should be bypassed in Roux-en-Y gastric bypass or single anastomosis gastric bypass for optimal weight loss outcomes. This case illustrates the need for consensus on the length of limb to bypass in Roux-en-Y gastric bypass or single anastomosis gastric bypass operations, and suggests that such consensus should include rare patient anatomy, such as abnormally long bowel.