Laparoscopic Sleeve Gastrectomy in a Patient with Complete Situs Inversus
Luis F Zorrilla-Nunez, MD, Raul J Rosenthal, MD, Federico Serrot, MD, Ramarao Ganga, MD, Samuel Szomstein, MD, Emanuele Lo Menzo, MD. Cleveland Clinic FloridaSitus inversus is a rare condition with an estimate incidence of 1 in 10000 people. This video demonstrates the feasibility of performing a longitudinal sleeve gastrectomy on a patient with situs inversus.… Continue Reading
Laparoscopic sleeve gastrectomy with concurrent splenectomy for massive splenomegaly
Pearl Ma, MD, Salim Abunnaja, MD, Ike Akusoba, MD, Ariel Shuchleib, MD, Daniel Swartz, MD, Keith Boone, MD, Kelvin Higa, MD. University of California-San Francisco FresnoSimultaneous laparoscopic sleeve gastrectomy with concurrent splenectomy presents a technical challenge to minimally invasive surgeons. We present a case of a 63 year old female who had a history of… Continue Reading
Laparoscopic Removal of a Vagal Blocking Device
Tarin C Worrest, MD1, Samer Mattar, MD2, Bruce Wolfe, MD1, Erin W Gilbert, MD1. 1Oregon Health and Sciences University, 2Swedish Medical CenterAn implantable vagal blocking device has been approved by the Food and Drug Administration for the treatment of moderate obesity. However, to date, there has been no report on the technique for the laparoscopic… Continue Reading
AVOIDING HEART TRANSPLANTATION WITH A MIRRORED SLEEVE GASTRECTOMY IN A CASE OF SITUS INVERSUS
Jenny Lam, MD, Carlos T Maeda, MD, Toshiaki Suzuki, MD, David Bernstein, MD, Thach Pham, MD, Bryan J Sandler, MD, Garth R Jacobsen, MD, FACS, Santiago Horgan, MD, FACS. University Of California - San DiegoCase report of a 22 year old obese female with situs inversus, congenital heart disease, pulmonary hypertension and multiple obesity related… Continue Reading
INNOVATIVE APPROACH FOR THE REMOVAL OF A GIANT GASTRIC LIPOMA
Jenny Lam, MD, Carlos T Maeda, MD, Toshiaki Suzuki, MD, David Bernstein, MD, Thach Pham, MD, Bryan J Sandler, MD, Garth R Jacobsen, MD, FACS, Santiago Horgan, MD, FACS. University Of California - San DiegoCase report of a 50 year old obese female presenting with epigastric pain and UGI bleeding found to have a large… Continue Reading
Refractory Reflux and Weight Regain after Sleeve Gastrectomy: What Happens When Patient Does Not Want Conversion to Bypass?
Jeffrey E Quigley, DO, Manuel Garcia, MD, Esther Wu, MD, Stephanie Keeth, DNP, Aarthy Kannappan, MD, Daniel Srikureja, MD, Keith R Scharf, DO, FACS, FASMBS, Marcos Michelotti, MD, FACS. Loma Linda University HealthWe present the case of a 49-year-old female who is status post sleeve gastrectomy presenting 2 years ago, now presented with de novo… Continue Reading
Optimizing Sleeve Gastrectomy Technique Using Near Infrared Camera and Lighted Bougie
David Kelly, MD, Salim Abunnaja, MD, Lawrence Tabone, MD, David Borgstrom, MD, Nova Szoka, MD. West Virginia UniversityThis video demonstrates how laparoscopic sleeve gastrectomy technique can be improved with the use of a near infrared camera and a lighted bougie. This is a novel technique, as the near infrared camera is used without concurrent indocyanine… Continue Reading
Laparoscopic Revision of Gastrojejunal Anastomosis with Reconstruction
Luis F Zorrilla-Nunez, MD, Raul Rosenthal, MD, Kandace Kichler, MD, Ramarao Ganga, MD, Samuel Szomstein, MD, Emanuele Lo Menzo, MD. Cleveland Clinic FloridaThis is the case of a 43 year old female with a history of an antecolic antegastric Roux en Y Gastric Bypass performed laparoscopically at an outside facility approximately 16 years prior. Postoperatively,… Continue Reading
Laparoscopic Roun-en-Y Gastric Bypass and Paraesophageal Hernia Repair with Posterior Reinforcement using Remnant Gastropexy
Jessica Ardila-Gatas, MD, Linden Karas, MD, Ali Aminian, MD. Cleveland ClinicIntroduction: In patients with morbidly obesity and gastroesophageal reflux disease (GERD), a Roux-en-Y gastric bypass (LRYGB) is the procedure of choice, since it solves both problems. Repair of paraesophageal hernias remains a challenge for the general surgeons. Complete reduction of the hernia sac, adequate intra-abdominal… Continue Reading
EFFECT OF REVISIONAL BARIATRIC SURGERY ON TYPE 2 DIABETES MELLITUS
Essa M Aleassa, MD, Monique Hassan, MD, Kellen Hayes, MD, Stacy Brethauer, MD, Philip R Schauer, MD, Ali Aminian, MD. Bariatric and Metabolic Center, DDI, Cleveland Clinic OHIntroduction: Bariatric surgery significantly improves type 2 diabetes. However, a small percentage of patients after bariatric surgery either have persistent hyperglycemia, or relapse after initial remission of their… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Bleeding after Sleeve Gastrectomy: A Singe-Center Experience
Sarah S Wong, MD, Toghrul Talishinskiy, MD, Hans J Schmidt, MD, Douglas R Ewing, MD. Hackensack University Medical CenterIntroduction: Laparoscopic sleeve gastrectomy is a frequently performed bariatric procedure, achieving long-term weight loss obesity-related co-morbidity remission. Bleeding and leak remain the most common early postoperative complications. Studies demonstrating the benefits of staple line reinforcement remain inconclusive.… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
PREDICTORS AND CONSEQUENCES OF POSTOPERATIVE BLEEDING AFTER LAPAROSCOPIC ROUX EN Y GASTRIC BYPASS – AN ANALYSIS OF THE MBSAQIP DATASET
Sn Zafar, MD, MPH, E S Wise, MD, M Kligman, MD. University of Maryland Medical CenterIntroduction: Laparoscopic Roux-en-Y gastric bypass (LRYGB) is a very common, safe and effective bariatric procedure worldwide. Postoperative bleeding represents a significant complication. Using a comprehensive national database, we aimed to determine the incidence, outcomes and predictors of postoperative bleeding after… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Using ROTEM® to Evaluate the Relationship Between Obesity and Hypercoagulability. Are we doing enough?
Daniel S Urias, MD, Paul Williams, MD, Jennifer Silvis, DO, Thomas Simunich, MS, MBA, Russell Dumire, MD, FACS, D'arcy Duke, MD. Conemaugh Memorial Medical CenterIntroduction: Venous thromboembolic (VTE) disease is a rare life-threatening condition, yet one of the most commonly reported causes of death after bariatric surgery. Prevention is critical; however, ideal agents, dosage, bleeding… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
ROBOTIC VERSUS LAPAROSCOPIC SLEEVE GASTRECTOMY: A MBSAQIP ANALYSIS
Reza Fazl Alizadeh, MD, Marcelo W Hinojosa, MD, Brian R Smith, MD, FACS, Michael J Stamos, MD, FACS, Ninh T Nguyen, MD, FACS. University of California, Irvine School of MedicineINTRODUCTION: Laparoscopic sleeve gastrectomy has become the procedure choice in the treatment of morbid obesity. Robotic sleeve gastrectomy is an alternative surgical option but it’s utilization… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
10 Year Weight-Loss Outcomes After Roux-en-Y Gastric Bypass: Impact of Socioeconomic Status
Anthony Carden, MIS, Fellow, Dan Eisenberg, Director of Bariatric Surgery. VA Palo AltoIntroduction: Roux-en-Y gastric bypass (RYGB) is the criterion standard operation for weight loss. Low socioeconomic status is common in the Veteran population undergoing bariatric surgery, but it is not known whether socioeconomic status correlates with long-term weight loss success after RYGB. According to Covered… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity