Robot-Assisted conversion from Nissen fundoplication to Gastric bypass
Background:A 35 years old morbidly obese woman presented with a BMI 41 kg/m2. Her previous surgical history was significant for cholecystectomy and open Nissen fundoplication. A decision was made to take down the Nissen and perform a gastric bypass.Material and methods:Six 12 mm trocars were used (supra-umbilical position, left iliac quadrant, xyphoid, left and right… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Long-term Improvement of Pulmonary Function after Laparoscopic Gastric Bypass Surgery
INTRODUCTION: Morbidly obese patients often have impaired respiratory mechanics leading to restrictive lung disease. Weight loss after bariatric surgery has been shown to improve or resolve many obesity-related comorbidities; however, little is know about the long-term changes in pulmonary mechanics after bariatric surgery. We hypothesize that pulmonary function may improve with weight loss after laparoscopic… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Retrievable Inferior Vena Cava Filters in High Risk Patients Undergoing Bariatric Surgery
Introduction: Placement of retrievable inferior vena cava filters (IVCF) may be beneficial in high risk morbidly obese patients undergoing bariatric procedures. Bariatric surgery patients with a prior history of venous thromboembolism (VTE) are at high risk for postoperative recurrent deep venous thrombosis (DVT) and pulmonary embolism (PE). Methods: A prospective database of morbidly obese patients… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Excess Roux-limb Hook Syndrome – a Preventable Cause of Disability After Laparoscopic Gastric Bypass.
Introduction: Laparoscopic Roux-en-Y Gastric Bypass (LGB) is associated with a complication rate of about 10% and early diagnosis and proper treatment leads to full recovery in virtually all patients. Strategies to prevent technique related complications are important and should decrease overall morbidity rate. The aim of this study is to describe a preventable cause of… 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
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
When the Sleeve Gastrectomy Fails: Adding a Laparoscopic Adjustable Gastric Band to Increase Restriction
Laparoscopic Sleeve Gastrectomy (LSG) is becoming more popular as a primary option for the surgical management of morbid obesity. Although some early sleeves performed over large-sized bougies have resulted in poor long-term weight loss maintenance, recent research has demonstrated that more restrictive sleeve gastrectomies can maintain nearly 60% excess weight loss. While the choice of… Continue Reading
- Type:
- Podium Presentations
- 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
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
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
Laparoscopic Truncal Vagotomy for Weight-loss: A Prospective, Dual-center Safety and Efficacy Study.
OBJECTIVE: To evaluate the safety and efficacy of laparoscopic truncal vagotomy in morbidly obese men and women with BMI 35-45.METHODS: This is an open-label, prospective, dual-center study of 30 obese patients undergoing laparoscopic truncal vagotomy and followed every 3 months for 18 months. The primary safety variable is the overall incidence of adverse events. The… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic Roux-en-Y Gastric Bypass vs. Laparoscopic Adjustable Gastric Banding: 30-day Morbidity and Mortality as Assessed by Prospective, Multi-center, Risk-Adjusted ACS-NSQIP Data
Background: Previous comparisons of open and laparoscopic Roux-en-Y gastric bypass (ORYGB, LRYGB), and laparoscopic adjustable gastric banding (LAGB) have been limited by a lack of unique CPT codes for LRYGB and LAGB. Specific codes have been available for LRYGB since 2005, and for LAGB since 2006. This study compares the short-term safety of these procedures,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic Ileal Interposition Associated to a Diverted Sleeve Gastrectomy Is an Effective Operation for the Treatment of Type 2 Diabetes Mellitus Patients with Bmi 21 – 29
Introduction: The objective of this study is to evaluate the clinical results of the laparoscopic interposition of a segment of ileum into the proximal duodenum associated to a sleeve gastrectomy (II-DSG) in order to treat patients with Type 2 Diabetes Mellitus (T2DM) and BMI 21-29.Methods: The laparoscopic procedure was performed in 69 patients. 22 were… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Improvement in Glycemic Control by Gastric Electrical Stimulation (TANTALUS®) in Overweight Subjects with Type 2 Diabetes (T2DM)
Background: The TANTALUS System (MetaCure Ltd.) is a minimally invasive implantable gastric stimulation modality that does not exhibit malabsorptive or restrictive characteristics. The device applies GCM (Gastric Contractility Modulation) signals to the stomach Antrum. The signals are delivered in synchronization to the native electrical activity of the stomach during meals. Retrospective analysis of previous studies… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Perforated Marginal Ulcers after Laparoscopic Gastric Bypass
Introduction: A perforated marginal ulcer (PMU) following laparoscopic Roux-en-y gastric bypass (LRYGB) is a potentially serious complication, but the incidence and etiology has rarely been investigated. We therefore performed a retrospective review of all patients undergoing LRYGB at our center to determine our incidence of perforated marginal ulcer and if any causative factors could be… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity