Endoscopic Considerations in Morbid Obesity

  • Vimal K. Narula
  • Dean J. Mikami
  • Jeffrey W. Hazey


Obesity is a serious public health crisis associated with increased morbidity and mortality and decreased quality of life. According to the World Health Organization, in 2005 there were approximately 1.6 billion overweight adults and at least 400 million obese adults worldwide. The prevalence of obesity has increased so rapidly over the last few decades that it is now considered a global epidemic. Surgical treatments have become the most successful therapy for morbid obesity in the USA. The number of operations performed has increased significantly in the last decade, and weight loss with gastric bypass approaches 60–80 % of excess body weight in large series. While morbidity from surgical treatments has improved over the same time period, the most common operation performed, laparoscopic Roux-en-Y gastric bypass, still carries anastomotic leak rates of 0.5–3 %. Surgical mortality rates are low (<1 %), but the incidence of significant morbidity still approaches 20–30 %.


Gastric Bypass Sleeve Gastrectomy Laparoscopic Sleeve Gastrectomy Excess Weight Loss Percutaneous Endoscopic Gastrostomy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

Video 13.1

StomaphyX System to decrease pouch size resulting from the deployment of multiple t-fasteners (MPG 21480 kb)

Video 13.2

Endoscopic Retrograde Cholangiopancreatography (ERCP) after Laparoscopic Roux-en-Y gastric bypass procedure (MP4 42555 kb)


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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Vimal K. Narula
    • 1
  • Dean J. Mikami
    • 2
  • Jeffrey W. Hazey
    • 1
  1. 1.Division of General and Gastrointestinal Surgery, Department of SurgeryThe Ohio State UniversityColumbusUSA
  2. 2.Department of Gastrointestinal SurgeryWexner Medical Center at the Ohio State UniversityColumbusUSA

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