A Comparison Study of 100 Consecutive Laparoscopic Roux-en-Y Gastric Bypasses and 100 Lap-bands During the Learning Curve
The learning curve for laparoscopic gastric bypass has been estimated at 100 cases. We compared data from the first 100 consecutive laparoscopic roux-en-y gastric bypasses (LRYGB) with the first 100 consecutive laparoscopic adjustable gastric bands (LAGB) in a minimally invasive fellowship-trained surgeon's experience upon joining an established bariatric practice. Results: Patients undergoing LRYGB were slightly… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
A Prospective, Randomized, Double-blind, Placebo Controlled Trial of Dexamethasone in Preventing Postoperative Nausea in the Laparoscopic Gastric Bypass Patient.
Postoperative nausea in patients undergoing laparoscopic gastric bypass remains a common source of patient discomfort and can lengthen hospital stay. The reported incidence of nausea ranges from twenty to thirty percent. A single dose of dexamethasone has been shown to prevent postoperative nausea and vomiting in patients undergoing strabismus surgery and laparoscopic cholecystectomy. Dexamethasone has… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Anastomotic Leak After Gastric Bypass for Morbid Obesity: Laparoscopic Management.
INTRODUCTION – Postoperative anastomotic leak after bariatric surgery is of low incidence but it has significant morbidity and mortality. This complication is often treated by open surgical means. We present our experience with laparoscopic management of anastomotic leak after laparoscopic Roux-en-Y gastric bypass (LGB).METHODS AND PROCEDURES –We retrospectively reviewed all anastomotic leak cases after LGB… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Bariatric Support Line: A Prospective Study of Telephone Activity.
IntroductionIt is widely reported that support is a key element affecting patient outcomes following Bariatric surgery. At NLOSS part of this support is through a telephone helpline, which is manned by the Bariatric Nurse Specialist (K McD). In this prospective study we examined the workload of the telephone helpline. MethodsThe phone line was staffed between08.30… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Can Morbidly Obese Patients Awaiting Bariatric Surgery Achieve a 10% Weight Loss Prior to Surgery and What Is Its Significance?
IntroductionIt has been suggested that a preoperative weight loss of 10% of excess body weight, be a key component of the pre-operative preparation process. It can demonstrate motivation and commitment to surgery, reduce liver size and abdominal adiposity as well reducing operating time and length of stay (LOS). It is has also been demonstrated to… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Changing Practice of Laparoscopic Bariatric Surgery in 2 Countries
Introduction: Internationally, operative procedures performed for weight loss differ in type based upon local socioeconomic conditions. The purpose of this study was to examine the practice patterns for bariatric surgeons at a hospital in Cuenca, Ecuador and in Nashville, TN at a major tertiary care institution. Methods: The personal database of the surgeon in Ecuador… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Chyloperitoneum After Laparoscopic Roux Y Gastric Bypass (LRYGB)
The extravasation of milky chyle into the peritoneal cavity is known as Chylous ascites. A true chylous effusion is defined as the presence of ascitic fluid with high fat (triglyceride) content, usually higher than 110 mg/Dl. This can occur de novo as a result of trauma, neoplasm, obstruction of the lymphatic system as well as… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Comparison of Resolution and Improvement of Co-morbidities Between Laparoscopic Sleeve Gastrectomy and Laparoscopic Adjustable Gastric Band.
Introduction: The aim of this study was to compare the rate resolution and improvement of common co-morbidities: type 2 diabetes mellitus (DM), hypertension (HTN), degenerative joint disease (DJD), obstructive sleep apnea (OSA), gastroesophageal reflux disease (GERD), dyslipidemias (LPD) and asthma after Laparoscopic Sleeve Gastrectomy (LSG) or Laparoscopic Adjustable Gastric Band (LAGB).Methods: Retrospective chart review of… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Comparison of the Serum Micronutrients Changes in Patients with Morbid Obesity After Laparoscopic Sleeve Gastrectomy(lsg) or Laparoscopic Biliopancreatic Diversion with Duodenal Switch (lbpd/ds) Surgery
Comparison of the serum micronutrients changes in patients with morbid obesity after laparoscopic sleeve gastrectomy(LSG) or laparoscopic biliopancreatic diversion with duodenal switch (LBPD/DS) surgery Ke Gong1,2, Michel Gagner2,3, Alfons Pomp2, Taghreed Almahmeed2, Sergio J Bardaro2. 1 Department of Surgery, Beijing Shijitan Hospital, Beijing, China 100038, 2 Department of Surgery, New York Presbyterian Hospital, Weill Medical… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Concurrent Hiatal Hernia Repair During Laparoscopic Adjustable Gastric Band Placement and Its Effect on Gastroesophageal Reflux Disease
Introduction: Presence of hiatal hernia (HH) in patients undergoing laparoscopic adjustable gastric band (LAGB) placement may pose technical difficulties and predispose to postoperative GERD and a higher risk of band prolapse. We reviewed our experience with LAGB and concurrent HH repair.Methods: Retrospective chart review of all patients who underwent LAGB and prospective interview of patients… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
CT Scan: An Effective Way to Measure Gastric Pouch´s Volume in Gastric Bypass
Introduction: Weight regain after bariatric surgery is a controversial issue. Some authors argue that this happens because of dilated gastric pouch, others because limb length, hormonal reasons etc. Concerning gastric volume, several procedures have been described to measure this volume. Three dimension CT scan is a reproductible and effective procedure to measure gastric volume. Objective:… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Does Medically Supervised Weight-loss Effect Weight Loss After Bariatric Surgery?
Introduction: It is a proven fact that the bariatric surgery is effective in the treatment of morbid obesity and as a consequence results in the improvement/resolution of obesity associated comorbidites. Yet health insurers have stringent guidelines for indication of bariatric surgery which includes multidisciplinary evaluation with different time lengths of mandatory medically supervised weight loss… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Does Visceral Fat Resection Give an Additional Benefit to Gastric Banding
Background Although the function of visceral fat has gradually become clear, the effect of visceral fat resection is still unknown. The aim of this study is to clarify the additional effect of visceral fat resection in an obese rat model of gastric banding. Methods Fourty male Zucker fatty rats were followed for 8 weeks after… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Early Effects of Bariatric Surgery on Pro and Anti-inflammatory Mediators and Cardiovascular Risk Factors
INTRODUCTION:Obesity is associated with a chronic inflammatory state and increased risk for cardiovascular disease. We hypothesize that gastric bypass is associated with rapid improvements in inflammatory mediators and cardiovascular risk.METHODS:We performed a prospective pilot study of morbidly obese patients who underwent laparoscopic Roux-en-Y gastric bypass. Patient demographics, clinical data and biochemical markers related to inflammation… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Early Results of Laparoscopic Adjustable Gastric Banding in Bmi<35: The Appropriate Choice
Objective: Obesity is an epidemic in America and continues to worsen. Lifestyle modifications remain the first line in treatment, but typically fail for patients. As obesity worsens, the associated comorbidities become an expensive and time consuming aspect of our health care system. Placement of an adjustable gastric band in a low BMI population ( Session:… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity