A Totally Endoscopic Device for the Treatment of Morbid Obesity
Introduction: Morbid obesity is a major health concern for the United States affecting over 15 million people. Despite its associated comorbidities, less than 1% of patients seek surgical intervention. The need for less costly, minimally invasive procedures that reduce complication rates and result in faster recovery would be a valuable adjunct in the treatment of… Continue Reading
- Topic:
- Metabolic / Obesity
Anatomical Measurements of the Gastric Cardia in Obese Patients
Background: Currently, surgeons may implant three different types of bands within the LapBand system. However, there is little data to guide the selection process. This study aims to determine the relationship between a patient’s body mass index (BMI), height, and weight and the anatomical measurements of the gastric cardia in morbidly obese patients undergoing LapBand… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Comparative Weight Loss Analysis of Laparoscopic Gastric Bypass and Adjustable Gastric Band
Introduction: Comparative weight loss analysis between the gastric bypass (GB) and the adjustable gastric bypass (AGB) is difficult due to the need for long-term follow-up the need to control for potential confounders (i.e. initial BMI).Methods: Longitudinal mixed-effects models were used to analyze weight loss after either the GB or AGB. The multivariable analysis included controls… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Comparison of Two Dosing Regimens of Low Molecular Weight Heparin in Patients Undergoing Laparoscopic Bariatric Surgery
Introduction: Venous thromboembolic events (VTE) are a concern for morbidity and mortality in patients undergoing laparoscopic bariatric surgery. While VTE prophylaxis is recommended in bariatric surgery, data regarding monitoring and appropriate dosing of low molecular weight heparins are limited. Enoxaparin prophylactic doses from 30 mg to 60 mg q12h have been used in this population.… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
\”Complications of permanent mesocolon suture\”. An unusual consequence of retrocolic Roux En Y gastric bypass.
Background: The debate regarding the retrocolic or antecolic routing of the Roux limb with respect to gastric bypass for morbid obesity has centered on the incidence of internal hernias. Retrocolic proponents claim that complete closure of all mesenteric defects limits this complication. There have been no reports of complications attributable to the mesenteric closure itself.… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Composite Analysis of Surgical Review Corporation Bariatric Surgery Centers of Excellence Hospitals
Introduction: Surgery is currently the only effective long-term therapy for morbid obesity and its complications. A variety of surgical procedures can now offer durable and safe weight control as well as previously unrealized full remission of costly co-morbidities. This is a preliminary investigation of patient outcomes at Bariatric Surgery Centers of Excellence (BSCOE) Hospitals. Methods… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Defining Differences among those who Succeed in Compared to those who Fail to Lose Significant Excessive Weight after Bariatric Surgery
Background: Gastric bypass and adjustable gastric banding are currently the most commonly performed weight loss surgeries. The results are encouraging for most patients; however, even among surgeons that perform hundreds of these procedures, some of their patients do better than others. This article has set out to define differences among those that succeed compared to… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Does Liberal IV Fluid Administration Decrease Post-Op Nausea and Vomiting in the Bariatric Surgery Patient? a Double Blinded, Randomized Trial
IntroductionPost-operative nausea and vomiting (PONV) represents a serious and vexing problem after bariatric surgery. We hypothesized that liberal administration of IV fluid administration may influence PONV. Methods50 patients were recruited from a bariatric surgery clinic in an academic hospital. Patients were randomized to two groups of intra-operative IV fluid administration: Group A received 15ml/kg while… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Drain Amylase Levels in Roux-en-Y Gastric Bypass: What Is a Normal Value?
INTRODUCTION: Anastomotic leak from the gastrojejunostomy (GJ) is a serious complication after laparoscopic Roux-en-Y gastric bypass (LRYGB). Normal imaging and a benign abdominal exam does not exclude the presence of a leak. The effluent from a GJ leak is composed primarily of salivary secretions and thus should have a high amylase level. The measurement of… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Early results after laparoscopic sleeve gastrectomy for morbid obesity
From December 2004 and June 2007 74 patients (9 men) had a laparoscopic sleeve gastrectomy for morbid obesity. They were aged 43.8 ± 9.4 years with a Body mass index (BMI) of 44.5 ± 8.24. Comorbidities included sleep apnea (34 patients), type 2 diabetes (11) and high blood pressure (21). 40 patients presented with at… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Early US Outcomes after Laparoscopic Adjustable Gastric Banding in Patients with BMI <35
Introduction: Many mild-to-moderately obese individuals (BMI Session: Podium Presentation Program Number: S084 Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Effect of the gastro-jejunal anastomotic stricture on weight loss after laparoscopic Roux-en-Y gastric bypass
IntroductionIn the morbidly obese, laparoscopic Roux-en-Y gastric bypass (LRYGB) effectively achieves weight loss with the resolution of co-morbidities. One of the complications of this procedure is the development of gastro-jejunal anastomotic stricture. The purpose of this study is to compare the effect of post-operative stricture on weight loss.Methods and proceduresWe performed a retrospective review of… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Elective Laparoscopy for Herald Symptoms of Mesenteric/Internal Hernia after Laparoscopic Roux-en-Y Gastric Bypass
Elective Laparoscopy for Herald Symptoms of Mesenteric/Internal Hernia after Laparoscopic Roux-En-Y Gastric BypassAlok D. Gandhi DO, Robert E. Brolin, MD, FACSUniversity Medical Center at Princeton Background: Mesenteric/internal hernia (MIH) is a potentially life-threatening complication of laparoscopic Roux-En-Y gastric bypass (RYGB). Many patients with MIH have herald symptoms prior to developing acute small bowel obstruction (SBO).Methods:… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Endoscopy Assisted Laparoscopic Revision of Prior Bariatric Surgery
Laparoscopic revision of a bariatric surgical procedure is a significant challenge for bariatric surgeons. Patients who undergo bariatric surgery will infrequently require a revision either for inadequate weight loss or for complications. Literature review revealed a substantially higher incidence of major postoperative complications as well as a less dramatic weight loss following revisional bariatric procedures… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Evaluation for post-op malnutrition in LapBand patients
Lap-Banding is a safe and effective procedure . In contrast to gastric bypass these patients do not develop significant malabsorbption and may not require replacement of nutritional supplements. This study is to evaluate this theory. Methods: All patients who underwent laparoscopic banding between May 2005 and Jan 2007 were included. Data collection included patient demographics:… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity