Gastrojejunostomy Stenosis Following Laparoscopic Roux-en-Y Gastric Bypass: 21 Vs. 25-mm Circular Stapler, a Follow-up Study of Long Term Weight Loss.
Introduction: Stenosis of the gastrojejunostomy after laparoscopic Roux-en-Y gastric bypass is a common occurrence. We have previously presented data demonstrating that the use of a 25-mm circular stapler results in a decreased incidence of stenosis when compared to a 21-mm circular stapler. One potential drawback of the larger diameter stapler is the possibility for impaired… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Mortality Risk Associated with Insurance Denials in Bariatric Surgery Candidates
Introduction: Increasing numbers of Americans meet medical candidacy criteria for bariatric surgery; however many are denied or delayed because of absence of insurance benefits or administrative hurdles in the pre-approval process. In many cases, patients endure months of delay before coming to a surgical date or giving up. Since morbid obesity carries inherent medical risk,… Continue Reading
- Type:
- Podium Presentations
- 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
Nutritional Effect of Oral Supplement Enriched in Beta-hydroxy-beta -methylbutyrate, Glutamine and Arginine on Resting Metabolic Rate After Laparoscopic Gastric Bypass.
Objective- To evaluate the nutritional effect of an oral supplement enriched in beta-hydroxy-beta-methylbutyrate, glutamine and arginine (HMB/Glu/Arg) on resting metabolic rate (RMR) following laparoscopic gastric bypass (LGB). Although, LGB is a highly effective approach to induce weight loss in morbid obesity, most patients regain 10-15% of this weight over time. Studies indicate, this is due… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Determinants of Resource Utilization in Laparoscopic Roux-en-Y Gastric Bypass: A Multicenter Analysis of 6322 Patients
Objective: Treatment of chronic diseases such as obesity by resource intensive therapy such as Laparoscopic Roux-en-Y Gastric Bypass surgery (LRYGB) is associated with early increases in healthcare costs. With the increasing frequency of LRYGB being performed and the rising cost of health care, preoperative optimization may reduce resource utilization and these early costs. We sought… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Lagb with Truncal Vagotomy: Any Increased Weight Loss?
Objective: Does truncal vagotomy enhance weight loss when combined with LAGB? Laparoscopic adjustable gastric banding (LAGB) causes weight loss primarily through a mechanical restrictive mechanism. The vagus nerve provides connections between the brain and the gut through afferent and hormonal signals that regulate fullness and satiation. Published studies demonstrate clinically significant weight loss in subjects… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Outcomes of Laparoscopic Roux-en-Y Gastric Bypass As a Primary Versus Revisional Bariatric Surgery.
BACKGROUND: The purpose of this study was to compare the outcomes of laparoscopic Roux-en-Y gastric bypass (LRYGB) as a primary (CG) versus revisional bariatric surgery (RBS). METHODS: Data of 514 consecutive patients who underwent LRYGB by one surgeon between August 2004 and June 2009 as primary (n=481, 93.6%) or RBS (n=33, 6.4%) were compared. Collected… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
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
Early Ghrelin and Glp-1 Changes After Sleeve Gastrectomy in Diabetic Obese Patients.
INTRODUCTION Sleeve Gastrectomy (SG) is associated with a high rate of T2DM resolution. The purpose of this study was to evaluate the early effect of SG on Ghrelin and GLP-1 concetrations. MATERIALS AND METHODSBetween October 2002 and September 2009, 240 obese patients underwent SG. Sixty-eight patients had an altered glucose homeostasis. In 9 T2DM obese… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Lifetime Medication Cost-savings for Treating Hypertension and Diabetes After Gastric Bypass
Introduction:The cost of medications in the treatment of hypertension and diabetes in the morbidly obese is a significant healthcare burden. In this study we assessed the impact of gastric bypass surgery on medication costs over the course of a lifetime. Methods: We performed a retrospective chart review of patients who had gastric bypass at the… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
B-type Natriuretic Peptide Increases After Gastric Bypass and Correlates to Weight Loss
Background: B-type natriuretic peptide (BNP) is a recognized serologic marker of heart failure and has been associated with cachexia of heart failure. In addition, BNP is positively correlated to adiponectin which is inversely correlated to weight gain. We are aware that gastric bypass leads to early satiety and increases in adiponectin. Our study hypothesis is… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Long-term Results After Laparoscopic Adjustable Gastric Banding in Adolescent Patients.
Introduction: During the last years increasing numbers of children have been reported with a body mass index (BMI) higher than the 85th percentile in the western world. Surgical strategies are still discussed controversially in adolescent patients due to the impact on further maturing process. Laparoscopic adjustable gastric banding (LAGB) is considered as a minimal invasive… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic Sleeve Gastrectomy As a Treatment Option for Acute Gastric Fundus Necrosis After Laparoscopic Redo Paraesophageal Hernia Repair and Slipped Redo Nissen Fundoplication
Introduction: This video illustrates the use of laparoscopic techniques to resolve an acute gastric fundus necrosis after laparoscopic redo Paraesophageal Hernia Repair (PHR) and redo Nissen Fundoplication (NF) for a slipped NF. Case Report: A sixty six-year-old female 24 hours status post a redo procedure for recurrent paraesophageal hernia with slipped NF and high-grade dysphagia,… Continue Reading
- Topic:
- Metabolic / Obesity
Sleeve Gastrectomy with Ileal Interposition for Type 2 Diabetes
This video shows technical details for the surgical treatment of type 2 diabetes in a no-obese population . This surgery, sleeve gastrectomy with ileal interposition, was done under approved protocol in 20 patients. The principle used was the ileal-brake. Session: Podium Video Presentation Program Number: V029 Continue Reading
- 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