A Comparative Study of Hand-sewn Versus Stapled Gastrojejunal Anastomosis in Laparascopic Roux-en-Y Gastric Bypass
OBJECTIVE: The two basic techniquesavailable in which to perform the gastrojejunal (GJ) anastomosis during a laparoscopic Roux-en-Y gastric bypass are stapled and hand-sewn techniques. Few outcomes differences have been noted between the two in order to recommend one as a superior approach. We present our findings of stricture and leak as potential differences in outcome.METHODS:… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic Sleeve Gastrectomy (lsg) in Morbidly Obese – an Early Assessment of Safety and Efficacy
INTRODUCTION: LSG is emerging as a definitive procedure for treatment of morbid obesity. It can be valid alternative when gastric bypass or adjaustable banding are contraindicated.OBJECTIVE: A retrospective review of LSG performed in 2008- 2009 was aimed to assess indications, safety and efficacy.METHODS: A total of 50 LSG were performed using 5-6 port technique using… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Prophylactic Inferior Vena Cava Filters in High-risk Bariatric Surgery
Objective: High-risk patients are at significant risk for venous thromboembolism (VTE) and may benefit from the addition of retrievable inferior vena cava filters (rIVCF) to chemoprophylaxis. However, the optimal VTE prophylaxis has not been established in morbidly obese patients undergoing bariatric surgery. This observational study examines the use of rIVCFs in combination with chemoprophylaxis for… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Unbuckling: A New Two-staged Approach to Symptomatic Slippage of Laparoscopic Adjustable Gastric Bands (lagb)
INTRODUCTION: Adjustable gastric band slippage is a common complication following placement of a laparoscopic adjustable gastric band. Large slips of adjustable gastric bands often distort normal anatomy, generate adhesions and lead to significant edema of the gastric pouch, fundoplication and gastric fundus. In our experience, these factors have contributed to a high rate of complications… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
T2DM & SG: Diabetes duration as prognostic factor of cure
Objective of the study: To evaluate the efficacy of LSG on glucose homeostasis in morbidly obese subjects with Type 2 Diabetes Mellitus (T2DM) and to elucidate the role of disease duration on resolution. Methods: From October 2002 to August 2009, 240 patients underwent LSG for morbid obesity. Fifty-eight patients presented T2DM: 15 of them had… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Diaphragmatic Herniation of Gastric Remnant: Rare Complication
Introduction: It has been estimated that overweight and obesity worldwide affects 1.7 billion people with LGBP being the most performed bariatric surgery worldwide. We are presenting a rare complication of laparoscopic gastric bypass surgery (LGBP); Herniation of gastric remnant into the left chest. Methods: Our patient is a 54 years old female who underwent a… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
SILS, Dils and Thrills: An Evaluation of Single Incision Surgery in Laparoscopic Gastric Banding.
Sils, Dils and Thrills: An evaluation of single incision surgery in laparoscopic gastric banding. T Ayoung-Chee, H Hoang, F Colonna, C Magallanes, A Finger, G Rosario, H Youn, C Ren-Fielding, G Fielding, M Kurian Objective: Decreasing the number of incisions in laparoscopic surgery is the newest trend, and one that is not universally accepted as… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Indications, Complications and Long Term Outcomes of Remnant Gastrectomy for Gastro-gastric Fistula After Divided Roux-en-Y Gastric Bypass for Morbid Obesity
BackgroundGGF is a rare complication after divided RYGBP for morbid obesity. Medical management has proved grossly ineffective. Less invasive methods like fibrin glue and sealants via an endoscopic approach have been reported with recurrence rates as high as 75 %. MethodAfter IRB approval and following HIPAA guidelines, we retrospectively analyzed our prospectively collected database for… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Metabolic / Obesity
Laparoscopic Resection of a Presacral Schwannoma.
Background:Benign shwannomas are tumors arising from the neural sheath of peripheral nerves (schwannoma cells).The Schwannoma is the most common benign retroperitoneal tumor in adults. Few cases have been reported in the presacral space. Complete resection is treatment of choice for these tumors. To our knowledge not many reports describe the laparoscopic approach for resection of… Continue Reading
- Topic:
- Metabolic / Obesity
SILS Port Bariatric Surgery
SILS PortUse InBariatric Surgery Introduction: the use of single incision laparoscopic surgery, SLIS , increased in the last two years and started strongly to occupy a big space in surgery as a minimally invasive surgery procedure through the umbilicus . We have started with cholecystectomy, gastric banding and sleeve gastrectomy procedures just immediately after the… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Hybrid Transvaginal Sleeve Gastrectomy
Introduction: Sleeve Gastrectomy is now recognized as a weight loss procedure in a staged fashion for high risk patients or increasingly as a primary procedure for non super-obese patients. Reducing the risks of hernia and infections is important in the morbid obese patient. The aim of the presentation is to describe the steps of a… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Routine Drain Placement in Roux-en-Y Gastric Bypass: An Expanded Retrospective Comparative Study of 755 Patients.
Aim: Routine use of a flat, perforated bulb-suction drain after laparoscopic Roux-en-Y gastric bypass (LRYGBP) was practiced at our institution until 2 1/2 years ago, when a patient experienced an intestinal obstruction due to the drain itself. Considering our low leak rate during the period in which drains were used, and evidence that drains were… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Does Gender Affect Excess Weight Loss After Weight Loss Surgery?
Introduction: Laparoscopic Roux-en-Y-Gastric Bypass (LRYGB) and Laparoscopic Adjustable Gastric Banding (LAGB) are the two most commonly performed weight loss procedures in the United States. The reported percentage of excess weight loss (EWL) after weight loss surgery varies from 50-80%. It is well known that the weight loss achieved with LRYGB is more significant early on… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Surgical Management of Chronic Abdominal Pain After Laparoscopic Roux-en-Y Gastric Bypass.
Background: Chronic abdominal pain after gastric bypass can be elusive to most diagnosis modalities, requiring in many cases diagnostic laparoscopy. In this video, we present the surgical management of a patient with chronic abdominal pain two years after laparoscopic Roux-en-Y Gastric Bypass (LRYGB). Case report: A 20 year old female underwent a LRYGB three years… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic Conversion of Laparoscopic Adjustable Gastric Banding (lagb) to Sleeve Gastrectomy (lsg) for Morbid Obesity
Background: We present a case of a laparoscopic conversion of a LAGB to a LSG. Case Report: A 54-year-old female with a history of prior LAGB for morbid obesity presented with failure of weight loss, recurrent nausea, vomiting and weight regain. Upper GI series revealed posterior slippage of the stomach and a small hiatal hernia… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity