A Combined Laprascopic and Endoscopic Technique to Evaluate Gastric Remnant After Gastric Bypass
Introduction: Laprascopic gastric bypass is a very common procedure performed in many university and community hospitals throughout the United States. Some of these patients present with later complications related to remnant stomach.Commonly these include gastritis,ulcers or bleeding.Evaluating the remnant stomach is always a challenge to the surgeon. We performed a combined Laprascopic and endoscopic technique… Continue Reading
- Type:
- Posters
- 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
A Novel Approach to Failed Vertical Banded Gastroplasty: Laparoscopic Conversion to Sleeve Gastrectomy
Purpose:The need for revisional surgery following Vertical Banded Gastroplasty (VBG) has ranged from 21-56% with approximately 46% of pre-operative diagnosis being food intolerance. Although the Roux-en-Y Gastric bypass addresses the late complications associated with VBG, it is accompanied by an increased rate of anastomotic leaks (18%), bleeding, internal hernias, and strictures (22%). In an attempt… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
A Proposed Classification System for Gastric Pouch Enlargement Associated with Laparoscopically Placed Adjustable Gastric Bands
INTRODUCTION: As morbid obesity becomes an increasingly frequent medical problem, novel surgical treatments to induce weight loss are being developed. The laparoscopic adjustable gastric band (LAGB), well proven to be a safe and effective means of weight loss, is such an example. Many of the complications related to the LAGB involve an excessive amount of… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
A Small Pouch Laparoscopic Adjustable Gastric Band (high Band) Is Associated with a Lower Incidence of Complications. Midterm Analysis of 132 Patients.
Introduction: Laparoscopic adjustable gastric banding (LAGB) is the least invasive procedure for surgical treatment of morbid obesity and is becoming a preferred method for surgical weight loss among bariatric patients in the USA. However, up to 20% of patients develop complications after the implantation of LAGB. Severe complications such as band migration, band infection, pouch… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Anchorless, Sutureless Placement of Adjustable Gastric Band Port for Consistent, Reliable Easy Per-cutaneous Access.
Multiple port placement techniques for the Adjustable Gastric Band are currently being used. A novel, anchorless, suture-less technique using commercial, surgical bonding agents was introduced to provide consistent reliable easy percutaneous access even in the heaviest patients.Technique: A standard laparoscopic technique was used to insert the adjustable band in38 patients. The tubing is pulled via… Continue Reading
- Type:
- Posters
- 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
Bariatric Surgery Outcomes for Patients Undergoing Preoperative Ivc Filter Placement
Introduction: Pulmonary embolism remains a major risk after bariatric surgery. Current practice is to identify those patients who are at high risk for VTE and treat with preoperative inferior vena cava (IVC) filter to prevent postoperative pulmonary embolism. The purpose of this study is to analyze the postoperative complications observed in a large series of… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Bariatric Surgery Significantly Improves Body Proportion
Introduction: Multiple studies have shown a patient's risk of disease including cardiovascular risk and diabetes can be associated with waist:hip ratio. The metabolic syndrome in particular has been associated with an "apple" shape (waist:hip ratio > 0.80 for females, waist:hip ratio > 0.90 for males). Our project was to evaluate body shape change after bariatric… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Body Composition: Early Changes After Weight Loss Induced By Laparoscopic Gastric Bypass.
Objective- To examine the early effects of an oral supplement enriched in beta-hydroxy-beta-methylbutyrate, arginine and glutamine on body composition after weight loss induced by laparoscopic gastric bypass (LGB). There have been several studies demonstrating the late effects of LGB on lean body mass (LBM), fat mass (FM) and bone mineral density (BMD) after LGB but… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Co-morbidities Recur with Weight Regain After Initial Resolution Post-gastric Bypass
Background: Roux-en-Y gastric bypass (RYGB) results in rapid weight loss and improvement of associated co-morbidities; however, a significant number of patients regain weight. We hypothesize that co-morbidities will recur in patients who regain weight. Methods: In this retrospective study, 52 patients who presented with weight regain were analyzed, along with their co-morbidities. Predictors for co-morbidity… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Comparison of Staple-line Leakage and Hemorrhage in Patients Undergoing Laparoscopic Sleeve Gastrectomy with or Without the Use of Bioabsorbable Seamguard ®
Introduction: Laparoscopic sleeve gastrectomy (LSG) has recently been recognized by the American Society for Metabolic and Bariatric Surgery as a primary procedure for the surgical management of morbid obesity. Leaking or hemorrhaging at the staple-line are two feared complications associated with this procedure. Bioabsorbable staple-line buttressing materials have been suggested to decrease bleeding and minimize… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Computed Tomography Guided Percutaneous Gastrostomy for Management of Acute Gastric Remnant Leak Following Roux En Y Gastric Bypass
Background:Enteric leakage represents one of the most serious complications of Roux-en-Y gastric bypass (RYGB), possibly leading to overwhelming sepsis and death if not diagnosed and treated promptly. The gastro-jejunal anastamosis accounts for the majority of such leaks, with the remainder being from the jejuno-jejunostomy and the excluded stomach. Leakage from the excluded stomach can be… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Could Early Stricture After Laparoscopic Gastric Bypass Be a Result of Surgical Technique, Analysis of 1760 Patients?
IntroductionStricture of the gastrojejunostomy (GJ) anastomosis is reported in the literature as a frequent early complication following Laparoscopic Roux-en-y Gastric Bypass (LRYGB). Published data has shown rates varying from 1.5-27%, with the higher rates reported with the use of a 21mm circular staplers to fashion an antecolic GJ (up to 27%) and lower results when… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Creation of a Universal Health Score
Introduction: Predicting which patients will be successful with bariatric surgery has been, and is still being, elucidated; however, bariatric surgeons have not been able to predict which operation will be the most successful for a particular patient. We are seeking to quantify and qualify adult patients’ overall health using the Health Score as a measure… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity