At AIS Channel we are aware of the importance of prompt diagnosis and correct treatment of patients who present with a complication after a bariatric surgery. This video summarizes some of the cases published so far.
TEO platform is one of the multiple tools available for surgeons to resect anorectal. Polyps too large to be resected by endoscopy or too low can be amenable through these platforms. We present the transanal resection of a large anorectal polyp with the TEO platform.
The selection of an optimal site for anastomosis has been dependent on subjective clinical indicators of intestinal viability: color of the bowel wall, bleeding edges of resected margins, and palpable pulsations. Several intraoperative assessment methods are described in the literature to evaluate bowel perfusion. Indocyanine green fluorescence (ICG) is a relatively new technique. ICG is administered as an intravenous bolus and remains strictly intravascular. Its intensity is correlated with tissue perfusion and bright fluorescence indicates good perfusion. Special camera filters are needed to visualize it. Here we show two cases of colorectal anastomosis performed by robotic and laparoscopic approach in which ICG was used to decide the anastomosis site.
Gastric volvulus is uncommon and reports of its occurrence after sleeve gastrectomy are scarce. A combination of clinical suspicion and accurate interpretation of the diagnostic examinations (barium swallow and endoscopy) may lead to diagnosis. It usually requires surgical treatment.