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Emergencies After Bariatric Surgery AI Sarela MD FRCS Consultant Surgeon St James ’s University Hospital
Agenda ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Difficulties in the Bariatric Patient ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complications of Laparoscopic Roux-en-Y gastric bypass ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Roux-en-Y Gastric Bypass Case Scenarios ,[object Object],[object Object],[object Object],[object Object],[object Object]
GI Luminal Bleeding after Bypass ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acute Abdomen in the Bypass Patient ,[object Object],[object Object],[object Object]
Sites of Leakage after Gastric Bypass ,[object Object],[object Object],[object Object],[object Object],[object Object]
Laparoscopic Roux-en-Y Gastric Bypass Normal Radiological Anatomy
Suspected Leak:  Radiology or Re-Laparoscopy? ,[object Object],[object Object],[object Object]
Causes of Obstruction after Gastric Bypass ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anatomy of Intestinal Obstruction in the Bypass Patient ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Massively Dilated Gastric Remnant ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Intestinal Obstruction with Distened Gastric Remnant
Dysphagia with Bypass ,[object Object],[object Object],[object Object],[object Object],[object Object]
Marginal Ulcer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Gallstone & Biliary Sepsis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Dysphagia with a Band ,[object Object],[object Object],[object Object],[object Object],[object Object]
Band Slippage ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Band Slippage Radiology – Contrast Swallow ,[object Object],[object Object]
Band in Good Position
Slipped Band
Slipped Band
Operations for Band Slippage ,[object Object],[object Object],[object Object],[object Object],[object Object]
Band Erosion ,[object Object],[object Object],[object Object]
Re-operation on the Bariatric Patient  Positioning ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Re-operation on the Bariatric Patient Equipment ,[object Object],[object Object],[object Object],[object Object]
Bariatric Surgery Emergencies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Emergencies after bariatric surgery