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
What Influences Follow-Up After Gastric Bypass Surgery?
IntroductionBariatric surgery remains the only effective and enduring treatment for morbid obesity. Even after bariatric surgery, obesity is recognized as a chronic disease requiring appropriate follow-up. We hypothesized that certain patient characteristics may influence 1 year follow up. MethodsBariatric surgery clinic records from an academic medical center were reviewed from 2004- 2006. Patients were divided… Continue Reading
- Type:
- Posters
- 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
VATS Vagotomy for the treatment of Chronic Marginal Ulcer
Background:Gastric Bypass is an increasingly common procedure. Associated rare complications have a related increased occurrence. Marginal ulceration at the gastrojejunal anastomosis has a reported incidence of 5 to 12%. In most instances these ulcers can be managed conservatively using acid suppression with proton pump inhibitors and sucralfate. There is a troublesome subset of this population,… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Vagal Blocking for Obesity Control (vbloc) : Interim Six Month Results in an Ongoing Trial Using a Second Generation System
BACKGROUND: A new therapy (VBLOC) that intermittently blocks both vagi near the esophagogastric junction using high-frequency electrical algorithms has been reported to lower excess weight 14.2 (+/-) 2.2% in obese subjects as part of an earlier 6 month feasibility trial. The therapy is delivered by laparoscopically implanted electrodes. The proposed mechanisms for weight loss are… 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
Utility of Drainage Catheters for Gastrojejunal Leaks After Laparoscopic Roux-en-Y Gastric Bypass: A Retrospective Review of 434 Cases
BACKGROUND: A leak at the gastrojejunal anastomosis (GJ) is a well recognized and occasionally fatal complication of obesity surgery. Closed suction drains have been routinely placed in the region of the GJ at the time of laparoscopic Roux-en-Y gastric bypass (LRYGBP) in order to aid in the recognition and treatment of such leaks. However, drains… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
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
The VAD-BAND, a Promising New Technique for Morbidly Obese Potential Cardiac Transplant Candidates
INTRODUCTION:Morbid obesity remains a strong risk factor limiting cardiac transplantation. Furthermore, numerous cardiac transplant databases have demonstrated that morbidly obese transplant recipients have nearly twice the 5-year mortality of normal-weight or overweight recipients. Hence, many morbidly obese transplant patients require ventricular assist devices to bridge them until they have lost sufficient weight to be considered… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
The Trans-Gastric Endoscopic Rendez-vous Technique (TGER) for Removal of Eroded Non-Adjustable Gastric Bands
Introduction:The application of the nonadjustable gastric band for the treatment of morbid obesity was common in the 1980s. Unfortunately, it was associated with an unacceptable re-operative rate with numerous post-operative complications such as gastric erosion. Removing an eroded gastric band is fraught with difficulty secondary to the extensive inflammatory response around the proximal stomach and… Continue Reading
- Type:
- Posters
- 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
The impact of laparoscopy on infectious complications after bariatric surgery
Background: The incidence of infectious complications after open bariatric surgery is reportedly higher than in the laparoscopic approach, in some isolated series. Our objective was to determine the rate and pattern of postoperative infectious complications of the surgical wound, abdominal cavity, and urinary and respiratory tracts after laparoscopic bariatric surgery. Methods: After IRB approval, a… 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
Socioeconomic Predictors of Weight Loss After Laparoscopic Roux-y Gastric Bypass
Introduction: Successful weight loss after laparoscopic Roux-Y gastric bypass (LRGBP) hinges on many elements including neurohormonal, anatomical, and postoperative behavioral changes. To date, the effects of socioeconomic factors have been poorly studied. We examine several components of socioeconomic status and its relationship to weight loss after LRGBP.Methods: Between August 2002 and July 2006, 405 LRYGB… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Single center bariatric surgery experience with an optical access trocar in an uninsufflated abdomen and a critical review of minimally invasive peritoneal access techniques
Background:The Visiport is a widely-used bladed optical access device that provides convenient, safe peritoneal entry. We use this device as our primary method of entry and insufflation in bariatric surgery and provide an overview of our cumulative experience. In addition, we provide a comprehensive analysis of the literature to analyze all methods of peritoneal access… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity