Does Preoperative Ugi Predict Hiatal Hernia Presence During Laparoscopic Adjustable Band Placement?
Lane A Ritter, MD, Joseph Broucek, Minh Luu, MD, Khristi Autajay, RN LDN, Jonathan A Myers, MD. Rush University Medical Center BACKGROUNDHiatal hernia has long been an entity associated with morbid obesity. It has been reported that as many as 50% of upper gastrointestinal (UGI) series done prior to bariatric procedures reveal the presence of… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Laparoscopic Reduction of Paraduodenal Hernia in Adults
A Bernshteyn, I Fendrich, M Gianos, S Szomstein, R J Rosenthal. Cleveland Clinic Florida Background: Paraduodenal hernias in adults are rare. We present a case that underwent reduction via laparoscopy.Methods: A 39 year old male with new onset of severe abdominal pain presented to the ER with clinical signs and symptoms of bowel obstruction. The… Continue Reading
- Topic:
- Abdominal Wall Hernias
Is It Time to Consider Lagb + Hiatus Hernia Repair a Possible Solution for Overweight with Mechanical Ger?
Matt B Martin, MD, Ben T Hoxworth, MD, Kristen R Earle, MD, David H Newman, MD. Moses Cone Health Systems, Greensboro, NC 27401 Introduction LAGB with hiatus hernia repair may be a successful procedure for mechanical GER as well as obesity. Placement of a laparoscopic adjustable gastric band (LAGB) in a patient with an underlying… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Hiatal Hernias Causing Post Operative Bowel Obstruction Following Roun En Y Gastric Bypass
Yagnik Pandya, MD, Donald Hess, MD, Brian Carmine, MD. Boston Medical Center Hiatal hernias are often encountered in obese patients undergoing weight loss surgery. Current practice trends, while performing a gastric band include vigilant exploration and repair of any diaphragmatic hiatal defects encountered intra operatively. This is not yet widely advocated during gastric bypass procedures,… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Impact On Perioperative Outcomes of Concomitant Hiatal Hernia Repair with Laparoscopic Gastric Bypass
Vishal M Kothari, MD, Oleg Dolghi, MD, Jason F Reynoso, MD, Elizabeth M Schmidt, MD, Dmitry Oleynikov, MD. University of Nebraska Medical Center, Omaha, NE. BACKGROUND: Laparoscopic hiatal hernia repair (LHHR) during laparoscopic Roux-en-y gastric bypass (LRYGB) is controversial, and data on this topic is limited. In this study, the safety of concomitant LHHR with… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Triad of Trouble: CT Findings to Help Diagnose Internal Hernia Post-Gastric Bypass
Nicole A Kissane, MD, Garry Choy, MD, Denis W Gee, MD, Matthew M Hutter, MD MPH, David W Rattner, MD, Janey S Pratt, MD. Department of Surgery, Massachusetts General Hospital INTRODUCTION: Abdominal pain after gastric bypass is a common complaint and etiology can be difficult to identify. While some causes are non life-threatening, others such… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Laparoscopic Resection of Ge Junction Due to Stricture Post Hiatal Hernia Repair with Circumferential Biologic Mesh
A Bernshteyn, I Fendrich, S Szomstein, R J Rosenthal. Cleveland Clinic Florida Background: Esophageal strictures after repair of hiatal hernias with mesh are a rare but devastating complication. We present the case of a patient that developed a mesh erosion and distal esophageal stricture requiring laparoscopic resection of the GE junction Methods: A 70 year… Continue Reading
- Topic:
- Abdominal Wall Hernias
Surgical Technique Influences Perfusion of the Gastric Conduit Used for a Minimally Invasive Esophagectomy
DARMARAJAH VEERAMOOTOO, MB BS MRCS MD, ANGELA C SHORE, PhD, SHAHJEHAN A WAJED, MA BMBCh MChir FRCS. Department of Upper Gastro-Intestinal Surgery, Royal Devon and Exeter NHS Foundation Trust, Exeter, United Kingdom. Institute of Biomedical and Clinical Sciences, University of Exeter, Exeter, United Kingdom. Introduction:Minimally invasive esophagectomy (MIE) offers a novel strategy for the management… Continue Reading
- Topic:
- Basic Science
Laparoscopic Roux-En-Y Gastric Bypass Reduces Elevated Glucose-6-Phosphate Dehydrogenase Activity in Morbidly Obese Diabetic Patients
Andrew Schneider, Dhwajbahadur Rawat, PhD, Steve Weinstein, MD, Sachin Gupte, MD PhD, William Richards, MD. University of South Alabama College of Medicine INTRODUCTION: Glucose-6-phosphate dehydrogenase (G6PD) is an important enzyme in lipid and glucose metabolism. Participating in the rate limiting step of the pentose phosphate pathway, G6PD provides the majority of NADPH to cells for… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Basic Science
Gip Gene Expression After Bariatric Surgery
Erin Moran-Atkin, MD, Fred Brody, MD MBA, Sidney Fu, MD PhD. The George Washington University Medical Center Introduction: Following bariatric surgery, type 2 diabetes (T2D) may resolve quickly and correlates closely with incretin serum levels. One of these incretins, gastric inhibitory polypeptide (GIP), is produced in the duodenum and jejunum and increases following bariatric surgery;… Continue Reading
- Type:
- Posters
- Topic:
- Basic Science
Is Morbid Obesity Surgery Safe in Cirrhotics?
Roger D Wu, MD, Stalin Campos, MD, Eyob Feyssa, MD, Jorge Ortiz, MD, Radi Zaki, MD, Kamran Khanmoradi, MD, Victor Araya, MD, Nikroo Hashemi, MD, Albert Trang, MD, Ramsey Dallal, MD. Albert Einstein Medical Center INTRODUCTION: Although bariatric surgery has proven to be a safe and efficacious modality before and after kidney transplantation, the data… Continue Reading
Laparoscopic Adjustable Gastric Band with a Plicated Sleeve Gastroplasty
James A Dickerson, MD, Chan W Park, MD, Dana D Portenier, MD. Duke University Medical Center The concept of combining a laparoscopic adjustable gastric band (LAGB) with a plicated sleeve gastroplasty (PSG) is proposed as a method to enhance early postoperative weight-loss, while minimizing the risk profile of a sleeve gastrectomy (SG). The technique presented… Continue Reading
Impact of Sleeve Gastrectomy On Gastroesophageal Reflux Disease: A Systematic Review
Sharon Chiu, MD, Daniel W Birch, MD, Xinzhe Shi, Arya M Sharma, MD, Shahzeer Karmali, MD. University of Alberta Abstract: Introduction: Sleeve gastrectomy (SG) has increased in popularity as both a definitive and staged procedure for morbid obesity. Respectively, gastroesophageal reflux disease (GERD) is a common comorbid disease in bariatric patients. The effect of SG… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Weight Regain Following Bariatric Surgery – A Systematic Review of the Literature and Discussion of Causative Factors
Balpreet S Brar, MD, Arya M Sharma, MD FRCPC, Daniel W Birch, MD MSc FRCSC, Xinzhe Shi, Shahzeer Karmali, MD FRCSC. Department of Surgery, University of Calgary and Alberta Background: Obesity is a growing pandemic. Bariatric surgery is the most effective means of treating obese patients, improving obesity related co-morbid conditions and increasing overall life… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Gastric Bypass in a Patient with Unsuspected Malrotation of the Colon
Rahima Nenshi, MD MSc, John Hagen, MD. Humber River Regional Hospital, University of Toronto Congenital rotational GI tract abnormalities result from non-rotation or incomplete rotation around the superior mesenteric artery. The incidence is approximately 1 in 500 live births and up to 25% of patients will present in adulthood. If a patient with an unknown… Continue Reading
- Topic:
- Metabolic / Obesity