There Is Best Time to Convert the Lap-band® to Another Kind of Bariatric Surgery.
This video shows a patient who had a LAGB for two years until then obtaining an excellent result. It was necessary the band removal due to an erosion. After this event, the patient had a considerable weight regain. This video presents the performance of a laparoscopic gastric bypass and the difficulties after such a complication.… Continue Reading
- Type:
- Podium Presentations
- 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
Overview on Endolumenal Therapy and N.o.t.e.s. in Obesity and Metabolic Disease Treatment. What Will Be the Future?
Background: Intragastric balloon has been used in obese patients as a restrictive gastric procedure inducing early satiety and weight loss. This prospective study assesses both the safety and effectiveness of intragastric Balloon (BIB®) in the treatment of obese patients. Endoscopic Sleeve Gastroplasty was showed at SAGES Las Vegas Meeting by Roberto Fogel (apr/07). Endoscopic Duodenum-Jejunum… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Roux-en-Y Gastric Bypass in Patients with Body Mass Index > 70kg/m2
Introduction: There is sparse literature regarding the optimal surgical management of megaobesity, defined as body mass index (BMI) >70 kg/m2. The purpose of this study was to compare laparoscopic Roux-en-y gastric bypass (LRYGP) and open Roux-en-y gastric bypass (ORYGP) in megaobese patients.Methods: A retrospective review of patients with BMI >70 kg/m2 undergoing LRYGB and ORYGP… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
The Impact of bio-Absorbable Staple line Re-enforcement and Fibrin Glue on Complications of Laparoscopic Gastric Bypass
PURPOSE: Staple-line reinforcement sleeves and Fibrin glue sealant during Laparoscopic Gastric Bypass (LGBP) have suggested to the risk of perioperative anastomotic leakage and bleeding. The aim of our study was to compare patients undergoing LGBP with and without these reinforcement material and compare the staple line vs. GJ anastomosis leak rate, bleeding, and rate of… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Bidirectional Jejunojejunostomy during Laparoscopic Roux-en-Y Gastric Bypass
Background: The most successful long-term treatment of morbid obesity is surgical intervention. Many options exist, but the most popular is the Roux-en-Y gastric bypass (RYGB). The laparoscpic procedure is associated with a low complication rate and a short hospital stay. One challenge of the laparoscopic approach is the construction of the jejunojejunostomy. Many techniques exist… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
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
Weight Loss Expectations After Laparoscopic Gastric Bypass Are Influenced By Preoperative Body Mass Index.
BACKGROUND: Specific guidelines of expected weight loss after laparoscopic Roux-en-Y gastric bypass (LRYGB) in relation to preoperative body mass index (BMI) do not exist. Published weight loss outcomes after LRYGB are usually reported as a mean or median of the population examined as a whole. OBJECTIVE: To examine whether preoperative BMI influences percent of excess… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Hormonal Evaluation Following the Laparoscopic Treatment of Type 2 Diabetes Mellitus Patients with Bmi 20 – 34
Introduction: A group of patients with Type 2 Diabetes (T2DM) and BMI 20-34 were submitted to the laparoscopic interposition of a segment of ileum into the proximal jejunum or into the proximal duodenum associated to a sleeve gastrectomy. The objective of this study is to evaluate the hormonal changes in the pre and postoperative period.Methods:… Continue Reading
- Type:
- Podium Presentations
- 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
Utilization of the Intragastric Balloon (bib) in Pre-operative Preparation for Super Obese Patients with High Surgical Risk Comparing with Two Steps Surgery.
Background: Super obese patients show a high surgical risk (major complications in 30% and mortality rate of 5-12%). The present study evaluates the use of BIB as a preoperative procedure aiming an initial weight loss and reduction of surgical risk. Methods: From November 2000 to February 2006, 66 super obese patients (mean BMI= 60.3 ±… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
The Paradox of the Pouch: Prompt Emptying Predicts Improved Weight Loss After Laparoscopic Roux-y Gastric Bypass
Introduction: The utility of routine upper gastrointestinal (UGI) evaluations after laparoscopic Roux-Y gastric bypass (LRYGB) has yet to be determined, primarily being used to rule out a gastrojejunal leak. Additional information can be assessed with these studies including the rate of contrast emptying from the pouch; some patients show no or very slow emptying while… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic Roux – En – Y Gastric By Pass with Jejunun – Ileal Diversification – Technique and Results.
Background: During November 98 to April 2007 we performed 3000 bariatric procedures that including: 29% Lap-Band, 41% Gastric By Pass, 26% BIB and 4% BPD. The choice of the method was defined by protocols developed into a multidisciplinary team, considering BMI, social and eating profile, surgery risk, agreement to physical activity and patient’s expectation.Methods: In… 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
Preventing Anastomotic and Staple Line Leaks After Laparoscopic Roux en Y Gastric Bypass
Background: Anastomotic and staple line (ASL) leaks occur after laparoscopic Roux en Y gastric bypass (LRYGB) with a reported incidence as high as 6%. Leaks are the second most common cause of mortality, after pulmonary embolism, and can be associated with significant morbidity. Therefore, prevention and early detection are essential in limiting both morbidity and… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity