The main steps of a gastric bypass can be modified depending on the hospital or the surgeon’s preferences. One possible alternative is to perform the procedure in the supramesocolic area, to avoid changing the position of the surgeon and the patient during the jejuno-jejunal anastomosis. This is the conventional procedure performed by our collegues at the Alcorcon Hospital in Madrid. You can watch the video and see the differences with respect to the procedures that we have shown before.
There is robust data regarding the surgical treatment of colon cancer. High-level scientific evidence shows that the laparoscopic approach reduces the morbidity and length of stay in cases of colon cancer resection. This lecture focuses on the randomized control trials aimed at studying the MIS for rectal cancer.
Unfortunately some morbid obese patients are not eligible for a Roux-n-Y gastric bypass. In these cases, a sleeve gastrectomy is a good surgical approach and maybe the only opportunity for surgical treatment. For this reason the sleeve gastrectomy should be performed in the best way so as to avoid complications and ensure long term results.
Endoluminal therapies in bariatrics constitute a relatively young field with vast potential applications. Modern surgeons should keep an eye on them as their ideal application is yet to be established.