During surgery for obesity, minimally invasive endoscopy can be performed and can assist the
surgeon in determining surgical incision sites.
Transgastric endoscopic access, without laparoscopic guidance, to the peritoneal cavity can
be performed safely and guide trocar placement in morbidly obese patients undergoing
Roux-en-y gastric bypass.
- Elective laparoscopic Roux-en-Y gastric bypass (LRYGB) surgery
- Lack of consent
- History of previous gastric surgery
- Contraindication to upper endoscopy