A simple laparoscopic method to provide access to the gastroesophageal junction in obese patients

Citation
K. Slim et al., A simple laparoscopic method to provide access to the gastroesophageal junction in obese patients, SURG ENDOSC, 14(5), 2000, pp. 503-504
Citations number
2
Categorie Soggetti
Surgery
Journal title
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES
ISSN journal
09302794 → ACNP
Volume
14
Issue
5
Year of publication
2000
Pages
503 - 504
Database
ISI
SICI code
0930-2794(200005)14:5<503:ASLMTP>2.0.ZU;2-2
Abstract
By now, the feasibility of laparoscopic surgery in obese patients is well e stablished; a conversion rate of 1.4-4.3% has been reported [1, 2]. The mai n reason for conversion in these cases is the difficulty encountered in exp osing the gastroesophageal junction due to a huge fatty liver that covers t he entire upper abdomen ("the invisible stomach" [1]). We report here a sim ple method that allows easy access to the upper stomach in such cases. This technique involves the exposure of the gastroesophageal junction using a l aparoscopic suprahepatic route.