Monthly publications : February 2017 | WebSurg, the online university of IRCAD

Bariatric endoscopy

In this key lecture, Dr. Galvao Neto outlines the main principles of the duodenal mucosal resurfacing (DMR) procedure with physiopathological principles and the results of the first-in-human trial including HbA1c, weight and liver function histological findings, and future aspects of DMR.

Bariatric endoscopy

In this key lecture, Dr. Galvao Neto outlines the main principles of the duodenal mucosal resurfacing (DMR) procedure with physiopathological principles and the results of the first-in-human trial including HbA1c, weight and liver function histological findings, and future aspects of DMR.

Endoscopic sleeve gastroplasty (ESG)

In this key lecture, Dr. Lopez-Nava presents the main principles of endoscopic sleeve gastroplasty (ESG). He briefly introduces the fibre optic endoscope system, single port surgery, and the evolution of bariatric surgery, as well as endoscopic sleeve gastroplasty using the Overstitch™ procedure. He also briefly describes the physiology of endoscopic sleeve gastroplasty and long-term weight Loss results in different case series, including complications, limitations, and follow-up results.

Endoscopic sleeve gastroplasty (ESG)

In this key lecture, Dr. Lopez-Nava presents the main principles of endoscopic sleeve gastroplasty (ESG). He briefly introduces the fibre optic endoscope system, single port surgery, and the evolution of bariatric surgery, as well as endoscopic sleeve gastroplasty using the Overstitch™ procedure. He also briefly describes the physiology of endoscopic sleeve gastroplasty and long-term weight Loss results in different case series, including complications, limitations, and follow-up results.

Aspiration therapy

In this lecture, Dr. Machytka presents the main principles of a new endoscopic approach, i.e., aspiration therapy. He briefly describes the method, the dual action mechanism of the AspireAssist device, and elements of the AspireAssist therapy. He also shares his experience and current status of AspireAssist therapy in comparison with intragastric balloons (IGB).

Aspiration therapy

In this lecture, Dr. Machytka presents the main principles of a new endoscopic approach, i.e., aspiration therapy. He briefly describes the method, the dual action mechanism of the AspireAssist device, and elements of the AspireAssist therapy. He also shares his experience and current status of AspireAssist therapy in comparison with intragastric balloons (IGB).

Initial management of patients with complications

In this key lecture, Dr. Higa presents the main principles for the initial management of patients with complications. He suggests that surgeons need to be proactive and should never hesitate to go for a second opinion. Prevention is preferable to damage control and the early recognition and aggressive treatment has better outcomes. He outlines these issues with key steps for the management of complications with examples of gastric bypass leaks, stents, VSG, GJ stenosis, marginal ulcer, and GG fistulas.

KD Higa

Initial management of patients with complications

In this key lecture, Dr. Higa presents the main principles for the initial management of patients with complications. He suggests that surgeons need to be proactive and should never hesitate to go for a second opinion. Prevention is preferable to damage control and the early recognition and aggressive treatment has better outcomes. He outlines these issues with key steps for the management of complications with examples of gastric bypass leaks, stents, VSG, GJ stenosis, marginal ulcer, and GG fistulas.

Laparoscopic stapler-calibrated Roux-en-Y gastric bypass (LRYGB)

In this didactic video, Dr. Cardoso Ramos presents the key steps and main principles of laparoscopic stapler-calibrated Roux-en-Y gastric bypass (LRYGB) in a patient with 20 years of morbid obesity, with a BMI of 40, and a hiatal hernia. Technical aspects, key steps, and the safe use of a linear stapler in the Roux-en-Y gastric bypass are thoroughly demonstrated in a live interactive session.

A Cardoso Ramos

Surgical intervention

Laparoscopic stapler-calibrated Roux-en-Y gastric bypass (LRYGB)

In this didactic video, Dr. Cardoso Ramos presents the key steps and main principles of laparoscopic stapler-calibrated Roux-en-Y gastric bypass (LRYGB) in a patient with 20 years of morbid obesity, with a BMI of 40, and a hiatal hernia. Technical aspects, key steps, and the safe use of a linear stapler in the Roux-en-Y gastric bypass are thoroughly demonstrated in a live interactive session.

Laparoscopic handsewn antecolic Roux-en-Y gastric bypass (LRYGB)

In this didactic authoritative video, Dr. Higa thoroughly presents a laparoscopic handsewn antecolic Roux-en-Y gastric bypass (LRYGB) in a 37-year-old female patient with a BMI of 42 and a history of morbid obesity since childhood. He briefly demonstrates the main principles, technical maneuvers, and key steps of the procedure in a live interactive session.

KD Higa

Surgical intervention

Laparoscopic handsewn antecolic Roux-en-Y gastric bypass (LRYGB)

In this didactic authoritative video, Dr. Higa thoroughly presents a laparoscopic handsewn antecolic Roux-en-Y gastric bypass (LRYGB) in a 37-year-old female patient with a BMI of 42 and a history of morbid obesity since childhood. He briefly demonstrates the main principles, technical maneuvers, and key steps of the procedure in a live interactive session.

Live interactive surgery: mini gastric bypass (MGB)

In this didactic video, Dr. Jacques Himpens presents the mini gastric bypass procedure in a 31-year-old woman with a BMI of 53. He briefly describes the technical aspects, maneuvers, the main principles, and key steps of the surgical procedure in a live interactive session. He also considers the choice of patients suited for this procedure and compares it to other procedures, highlighting the surgical outcomes.

J Himpens

Surgical intervention

Live interactive surgery: mini gastric bypass (MGB)

In this didactic video, Dr. Jacques Himpens presents the mini gastric bypass procedure in a 31-year-old woman with a BMI of 53. He briefly describes the technical aspects, maneuvers, the main principles, and key steps of the surgical procedure in a live interactive session. He also considers the choice of patients suited for this procedure and compares it to other procedures, highlighting the surgical outcomes.

Laparoscopic omega-loop gastric bypass for the conversion of failed sleeve gastrectomy (update of April 2014 lecture)

In this key lecture, Dr. Chevallier presents the main principles of the mini gastric bypass (MGB) after a failed sleeve gastrectomy. He demonstrated the key steps of the procedure and also discussed case series and conversion criteria, complications, and the results of his personal experience. In his opinion, the MGB will surge. It is efficient and safe as a rescue procedure.

Laparoscopic omega-loop gastric bypass for the conversion of failed sleeve gastrectomy (update of April 2014 lecture)

In this key lecture, Dr. Chevallier presents the main principles of the mini gastric bypass (MGB) after a failed sleeve gastrectomy. He demonstrated the key steps of the procedure and also discussed case series and conversion criteria, complications, and the results of his personal experience. In his opinion, the MGB will surge. It is efficient and safe as a rescue procedure.

Omega bypass: which indications? (update of April 2014 lecture)

In this key lecture, Dr. Chevallier presents the main principles of the multidisciplinary assessment selection criteria and specific indications of omega bypass, mini gastric bypass (MGB), and sleeve gastrectomy (SG) with the benefit of his 20 years of experience in this field. He also provides a brief overview of surgical procedure trends worldwide with long-term results.

Omega bypass: which indications? (update of April 2014 lecture)

In this key lecture, Dr. Chevallier presents the main principles of the multidisciplinary assessment selection criteria and specific indications of omega bypass, mini gastric bypass (MGB), and sleeve gastrectomy (SG) with the benefit of his 20 years of experience in this field. He also provides a brief overview of surgical procedure trends worldwide with long-term results.

The technique to perform a safe and effective gastrojejunostomy in RYGB

In this key lecture, Dr. Cardoso Ramos presents the main principles to perform a safe and effective gastrojejunostomy in Roux-en-Y gastric bypass (RYGB). He briefly describes the history of RYGB with the basic techniques for gastrojejunostomies (GJ), VBG, banded vs. Non-banded RYGB. He also highlights studies determining the methods of the ideal pouch size and GJ, as well as technical aspects of sleeve gastrectomies (SG) with case series.

The technique to perform a safe and effective gastrojejunostomy in RYGB

In this key lecture, Dr. Cardoso Ramos presents the main principles to perform a safe and effective gastrojejunostomy in Roux-en-Y gastric bypass (RYGB). He briefly describes the history of RYGB with the basic techniques for gastrojejunostomies (GJ), VBG, banded vs. Non-banded RYGB. He also highlights studies determining the methods of the ideal pouch size and GJ, as well as technical aspects of sleeve gastrectomies (SG) with case series.

ENDO GIA™ ULTRA UNIVERSAL STAPLERS AND RELOADS

The Endo GIA™ ultra universal stapler combines an ergonomic design, precise articulation, and one-handed grasping, for increased versatility enhancing the user experience.

ENDO GIA™ ULTRA UNIVERSAL STAPLERS AND RELOADS

The Endo GIA™ ultra universal stapler combines an ergonomic design, precise articulation, and one-handed grasping, for increased versatility enhancing the user experience.

Stapling

Treatment algorithm for a failed gastric bypass

In this key lecture, Dr. Dillemans presents the main aspects of a treatment algorithm for a failed gastric bypass. He briefly outlines the main causes of gastric bypass failure, abnormal and normal or dilated anatomical constructions, daily caloric intake studies, and their association with loss of stricture. He also gives a brief plan for treatment of failed gastric bypass by improving compliance and corrective surgery and conversional procedure including LAGB, gastric band, and distalisation of gastric bypass.

Treatment algorithm for a failed gastric bypass

In this key lecture, Dr. Dillemans presents the main aspects of a treatment algorithm for a failed gastric bypass. He briefly outlines the main causes of gastric bypass failure, abnormal and normal or dilated anatomical constructions, daily caloric intake studies, and their association with loss of stricture. He also gives a brief plan for treatment of failed gastric bypass by improving compliance and corrective surgery and conversional procedure including LAGB, gastric band, and distalisation of gastric bypass.

Laparoscopic treatment of Roux-en-Y gastric bypass complications

In this key lecture, Dr. Michel Suter presents the main principles of the laparoscopic treatment of Roux-en-Y gastric bypass complications. He briefly demonstrates the exploration and closure of the mesojejunal window and Petersen’s window in different cases. He shows the successful dissection and freeing of the candy cane as well as key steps of surgical management for perforated peptic ulcer.

M Suter

Laparoscopic treatment of Roux-en-Y gastric bypass complications

In this key lecture, Dr. Michel Suter presents the main principles of the laparoscopic treatment of Roux-en-Y gastric bypass complications. He briefly demonstrates the exploration and closure of the mesojejunal window and Petersen’s window in different cases. He shows the successful dissection and freeing of the candy cane as well as key steps of surgical management for perforated peptic ulcer.

What to do after failed gastric band (GB)?

In this key lecture, Dr. Suter presents the key points for the management of failed gastric band (GB). He defines what a failed bariatric procedure is. He provides a brief strategy to handle insufficient weight loss management, as well as the main goals and treatment options in case of failed GB. He briefly describes the technical aspects of revisional Roux-en-Y gastric bypass (RYGBP) and the main principles for gastric pouch creation. He also presents cases of conversion to RYGBP, referring to the literature, including his experience in Switzerland.

M Suter

What to do after failed gastric band (GB)?

In this key lecture, Dr. Suter presents the key points for the management of failed gastric band (GB). He defines what a failed bariatric procedure is. He provides a brief strategy to handle insufficient weight loss management, as well as the main goals and treatment options in case of failed GB. He briefly describes the technical aspects of revisional Roux-en-Y gastric bypass (RYGBP) and the main principles for gastric pouch creation. He also presents cases of conversion to RYGBP, referring to the literature, including his experience in Switzerland.

Complex chronic post-sleeve gastrectomy fistula management: interactive intraoperative decision-making

In this didactic video, Dr. Donatelli demonstrates the management of fistula after sleeve gastrectomy (SG) in a complex patient case with a long co-morbidity history. Dr. Galvao Neto and Dr. Perretta briefly describe anatomical landmarks, key steps of stent mobilization, and achalasia balloon for sleeve dilation. Dr. Donatelli outlines the anatomical landmarks of fistula and the main principles for fistula drainage.

Gf Donatelli, M Galvao Neto, S Perretta

Surgical intervention

Complex chronic post-sleeve gastrectomy fistula management: interactive intraoperative decision-making

In this didactic video, Dr. Donatelli demonstrates the management of fistula after sleeve gastrectomy (SG) in a complex patient case with a long co-morbidity history. Dr. Galvao Neto and Dr. Perretta briefly describe anatomical landmarks, key steps of stent mobilization, and achalasia balloon for sleeve dilation. Dr. Donatelli outlines the anatomical landmarks of fistula and the main principles for fistula drainage.

Live interactive surgery: sleeve gastrectomy (SG)

In this didactic video, Dr. Himpens demonstrates the key steps of sleeve gastrectomy. He briefly discusses the main techniques of sleeve gastrectomy. He also goes into the technical aspects and main principles of vascular division, crura dissection, and sleeve creation in a live interactive session.

J Himpens

Surgical intervention

Live interactive surgery: sleeve gastrectomy (SG)

In this didactic video, Dr. Himpens demonstrates the key steps of sleeve gastrectomy. He briefly discusses the main techniques of sleeve gastrectomy. He also goes into the technical aspects and main principles of vascular division, crura dissection, and sleeve creation in a live interactive session.

Leak and fistula after sleeve gastrectomy

In this lecture recorded during the Laparoscopic and endoluminal bariatric and metabolic surgery course last December 2016, Dr. Donatelli provides the definition of leaks and fistulas, their incidence rate, their endoscopic appearance as well as the main principles of endoscopic leak treatment in different conditions. He also briefly describes the surgical treatment of chronic leaks, endoscopic internal drainage (EID) of abdominal collection, EID key points, complications, and results of case series.

Leak and fistula after sleeve gastrectomy

In this lecture recorded during the Laparoscopic and endoluminal bariatric and metabolic surgery course last December 2016, Dr. Donatelli provides the definition of leaks and fistulas, their incidence rate, their endoscopic appearance as well as the main principles of endoscopic leak treatment in different conditions. He also briefly describes the surgical treatment of chronic leaks, endoscopic internal drainage (EID) of abdominal collection, EID key points, complications, and results of case series.

Long-term outcomes of sleeve gastrectomy (LSG)

In this authoritative lecture, Dr. Jacques Himpens gives a brief introduction about the long-term outcomes of laparoscopic sleeve gastrectomy (LSG). He presents data of research papers about LSG, highlights the surgical technique, provides indications for reoperation with follow-up and overview of results, and compares long-term weight loss and comorbidities (including GERD) between LSG and LRYGB.

Long-term outcomes of sleeve gastrectomy (LSG)

In this authoritative lecture, Dr. Jacques Himpens gives a brief introduction about the long-term outcomes of laparoscopic sleeve gastrectomy (LSG). He presents data of research papers about LSG, highlights the surgical technique, provides indications for reoperation with follow-up and overview of results, and compares long-term weight loss and comorbidities (including GERD) between LSG and LRYGB.

Management of strictures and stenoses after LSG

In this lecture, Dr. Jacques Himpens outlines the basic principles related to the management of strictures and stenoses after laparoscopic sleeve gastrectomies (LSG). He gives a brief introduction of strictures and functional stenoses and discusses key operative steps and principles of seromyotomy, segment resection with outcomes and complications.

Management of strictures and stenoses after LSG

In this lecture, Dr. Jacques Himpens outlines the basic principles related to the management of strictures and stenoses after laparoscopic sleeve gastrectomies (LSG). He gives a brief introduction of strictures and functional stenoses and discusses key operative steps and principles of seromyotomy, segment resection with outcomes and complications.

Full tutorial approach to endoscopic sleeve gastroplasty (ESG): new perspectives for weight loss surgery?

In this video, Dr. Lopez-Nava presents the main principles of the Endoscopic Sleeve Gastroplasty (ESG) procedure for weight loss surgery in a live interactive Laparoscopic and Endoluminal Bariatric and Metabolic Surgery course, which was held last December 2016 at IRCAD France. Dr. Lopez-Nava gives a brief overview of the OverStitch™ endoscopic suturing system. He also briefly describes the physiology of endoscopic sleeve gastroplasty, details of the helix, gastric emptying, motility, and outcome of the procedure.

G Lopez-Nava, S Perretta

Surgical intervention

Full tutorial approach to endoscopic sleeve gastroplasty (ESG): new perspectives for weight loss surgery?

In this video, Dr. Lopez-Nava presents the main principles of the Endoscopic Sleeve Gastroplasty (ESG) procedure for weight loss surgery in a live interactive Laparoscopic and Endoluminal Bariatric and Metabolic Surgery course, which was held last December 2016 at IRCAD France. Dr. Lopez-Nava gives a brief overview of the OverStitch™ endoscopic suturing system. He also briefly describes the physiology of endoscopic sleeve gastroplasty, details of the helix, gastric emptying, motility, and outcome of the procedure.

Laparoscopic cholecystectomy for acute cholecystitis

Answer the following 10 questions. You will find 4 answers for each of the 10 questions. Please note that 1 answer out of 4 is correct.
Check the one that is correct in the appropriate box.

Laparoscopic cholecystectomy for acute cholecystitis

Answer the following 10 questions. You will find 4 answers for each of the 10 questions. Please note that 1 answer out of 4 is correct.
Check the one that is correct in the appropriate box.

Endo GIA™ Ultra Universal Staplers and Reloads

Stapling

Laparoscopic right adrenalectomy (E-learning chapter activity, part 1) associated with a video "Laparoscopic right adrenalectomy for Conn's adenoma using ultrasonic shears" (E-learning video activity, part 2)

Answer the following 10 questions. You will find 4 answers for each of the 10 questions. Please note that 1 answer out of 4 is correct.
Check the one that is correct in the appropriate box.

Laparoscopic right adrenalectomy (E-learning chapter activity, part 1) associated with a video "Laparoscopic right adrenalectomy for Conn's adenoma using ultrasonic shears" (E-learning video activity, part 2)

Answer the following 10 questions. You will find 4 answers for each of the 10 questions. Please note that 1 answer out of 4 is correct.
Check the one that is correct in the appropriate box.

Focus On Laparoscopic Bariatric Surgery