1. A bariatric surgeon is performing a revisional surgery in a patient with a gastric Lap-Band as he did not attain satisfactory weight loss. The planned procedure is replacement of the Lap-Band. He does the procedure laparoscopically and cuts the Lap-Band and removes it. He notes possible erosion near the gastroesophageal junction where the Lap-Band was initially placed and is unsure about the integrity of the stomach wall. What is the NEXT best step during the surgery? A. Abandon the surgery and do not perform a revisional procedure. B. Ask the anesthetist to inject methylene blue dye. C. Convert to a laparotomy. D. Close the area with an omental patch and then stop the procedure.
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1. A bariatric surgeon is performing a revisional surgery in a patient with a gastric Lap-Band as he