ENDOSCOPIC T-TUBE PLACEMENT FOR THE MANAGEMENT OF STAPLE LINE LEAK AFTER LAPAROSCOPIC SLEEVE GASTRECTOMY
Andrew R Luhrs, MD, A. Daniel Guerron, MD, Dana Portenier, MD. Duke University Health SystemBackground: Laparoscopic sleeve gastrectomy (LSG) is the most commonly performed bariatric procedure world-wide, consisting of nearly 50% of all procedures performed1. Despite increased adoption and utilization of LSG, staple line leak (SLL) remains a troublesome complication with significant morbidity and mortality. SLL… Continue Reading
Laparoscopic Sleeve Gastrectomy using the Standard Clamp Technique
Arianne T Train, DO, MPH, Steven D Schwaitzberg, MD, MA, Aaron B Hoffman, MD. The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical SciencesIntroduction: Sleeve gastrectomy recently surpassed gastric bypass as the most commonly performed bariatric procedure worldwide, however there remains potential for a large degree of variation in technique and… Continue Reading
Revisional Bariatric Surgery for Weight Regain and Eroded Mesh Following Previous Open Roux-en-Y Gastric Bypass
Julie A Stortz, MD, Russell B Hawkins, MD, Alexander L Ayzengart, MD, MPH, Jeffrey E Friedman, MD. University of FloridaBackground: Revisional bariatric surgery has become increasingly prevalent due to the rising number of bariatric procedures to treat morbid obesity. Here we describe a case in which a patient required reoperation following Roux-en-Y gastric bypass (RYGB)… Continue Reading
REVISIONAL RYGB: REMNANT GASTRECTOMY, RE-DO GASTROJEJUNOSTOMY, AND CLOSURE OF GASTRO-GASTRIC FISTULA
Rene Aleman, MD, Mauricio Sarmiento-Cobos, MD, Kandace Kichler, MD, Matthew Lange, MD, Federico Serrot, MD, Samuel Szomstein, MD, FACS, FASMBS, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS, Raul J Rosenthal, MD, FACS, FASMBS. Cleveland Clinic FloridaRevisional surgery after primary RYGB in the presence of a gastro-gastric fistulae requires surgical repair with or without remnant gastrectomy.… Continue Reading
Robotic Heller Myotomy and Roux-en-y Gastric Bypass
Zeyad Loubnan, MD, Elissa Davila-Shiau, BA, Manish Parikh, MD, Akuezunkpa Ude Welcome, MD. NYU School of MedicineThis is a video of a 31 year old male with achalasia and severe obesity (Body Mass Index = 41). The patient reported a history of endoscopic balloon dilation 20 years prior and was having recurrent dysphagia. Manometry confirmed… Continue Reading
A Rare Finding During Sleeve Gastrectomy: Concurrent repair of diaphragmatic hernia during sleeve gastrectomy and hiatal hernia repair
Amlish B Gondal, MD, Matthew E Mobily, MD, MPH, Mahsaw Motlagh, BA, Iman Ghaderi, MD, MSc, MHPE. University of ArizonaIn this video, we present a case of concurrent repair of diaphragmatic hernia during sleeve gastrectomy and hiatal hernia repair. The patient is a 36-year-old male with morbid obesity (BMI 44.8 kg/m2, and weight of 316… Continue Reading
Laparoscopic Redo Gastric Bypass for Chronic Marginal Ulcer: You Never Know What You’re Going to Get
Ryan Broderick, MD, Arielle Lee, MD, Rebeca Dominguez, MD, Tokio Matsuzaka, MD, Kai Neki, MD, Joslin Cheverie, MD, Bryan J Sandler, MD, Garth R Jacobsen, MD, Karl-Hermann Fuchs, MD, Santiago Horgan, MD. University of California San DiegoThe case presented is the surgical management of a chronic marginal ulcer. The patient had a previously untreated marginal… Continue Reading
LAPAROSCOPIC ESOPHAGOJEJUNAL ANASTOMOTIC STRICTUROPLASTY AFTER PROXIMAL GASTRECTOMY FOR CHRONIC SLEEVE LEAK
Rene Aleman, MD, Maria C Fonseca, MD, Cristian A Milla Matute, MD, Joel S Frieder, MD, Federico Serrot, MD, Samuel Szomstein, MD, FACS, FASMBS, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS, Raul J Rosenthal, MD, FACS, FASMBS. Cleveland Clinic FloridaStenosis is an important postoperative complication with an incidence rate of 0.7-4%. We present the case… Continue Reading
Laparoscopic Enteropexy for Intussusception at Roux-en-Y Anastomosis
Christopher L Kalmar, MD, MBA, Tananchai A Lucktong, MD, FACS. Virginia Tech CarilionRoux-en-Y gastric bypass is the most commonly performed bariatric procedure in the world. Jejunojenual intussusception after RYGB at the enteroenterostomy is a rare but potentially serious complication requiring timely radiographic diagnosis. For presentations without necrosis, surgical therapy with laparoscopic enteropexy of all limbs… Continue Reading
Is it the Technique or the Wound Protection That is Key to Reducing Wound Infections in Bariatric Surgery?
Cynthia Weber, MD, Gwen Bonner, MD, Mujjahid Abbas, MD, Leena Khaitan, MD, MPH. University Hospitals of ClevelandINTRODUCTION: Surgeons improve practice through review of patient outcomes. In gastric bypass, we recently recognized a higher incidence of surgical site infections (SSIs) growing oral flora when the circular stapled gastrojejunostomy (GJ) was created via a transoral method (passage… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
SURGICAL SITE INFECTIONS FOLLOWING LAPAROSCOPIC BARIATRIC SURGERY: DEVELOPMENT OF THE BARIWOUND TOOL USING THE MBSAQIP DATABASE
Jerry T Dang, MD1, Caroline Tran2, Megan Delisle, MD3, Noah Switzer, MD, MPH4, Michael Laffin, MD, PhD1, Karen Madsen, PhD1, Daniel Birch, MD, MSc1, Shahzeer Karmali, MD, MPH1. 1University of Alberta, 2Centre for the Advancement of Minimally Invasive Surgery, 3University of Manitoba, 4Ohio State UniversityIntroduction: The objective of this study was to develop a predictive tool… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
The utility of the Edmonton Obesity Staging System in predicting post-operative complications after bariatric surgery
Samuel L Skulsky, BSc, Jerry T Dang, BSc, MD, Adrian Battiston, BSc, Noah Switzer, BSc, MD, Daniel Birch, BSc, MSc, MD, Arya Sharma, MD, PhD, Shahzeer Karmali, BSc, MPH, MD. University of AlbertaIntroduction: The objective of this study was to determine the utility of the Edmonton Obesity Staging System (EOSS) in predicting postoperative complications. The… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
THE IMPACT OF NAUSEA ON POST-OPERATIVE OUTCOMES IN BARIATRIC SURGERY PATIENTS
S Suh, BS, M Helm, MS, T L Kindel, MD, PhD, M I Goldblatt, MD, J C Gould, R M Higgins, MD. Medical College of WisconsinIntroduction: The primary objective of this study was to determine the impact of nausea on post-operative outcomes in bariatric surgery patients. Methods: A retrospective chart review was conducted of adult… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
PREDICTION OF THIRTY-DAY MORBIDITY AFTER LAPAROSCOPIC SLEEVE GASTRECTOMY: DATA FROM AN ARTIFICIAL NEURAL NETWORK
Eric S Wise, MD, Keaton Joppru, BS, Adam Sheka, MD, Keith Wirth, MD, Stuart Amateau, MD, Sayeed Ikramuddin, MD, Daniel B Leslie, MD. University Of MinnesotaIntroduction: Multiple patient factors may convey increased risk of complications and death after bariatric surgery. Assessing the likelihood of short-term morbidity is useful for both the bariatric surgeon and patient.… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Incidence and management of jejunojejunal intussusception after Roux-en-Y gastric bypass: a large case series
Georgios Orthopoulos, MD, PhD, Heather Grant, MD, Parth Sharma, MD, Erin Thompson, MD, John Romanelli, MD. Baystate Medical Center/University of Massachusetts Medical SchoolIntroduction: Jejunojejunal intussusception after Roux-en-Y gastric bypass for morbid obesity is a rare but potentially catastrophic complication of this type of bariatric procedure. There are limited data regarding the incidence of intussusception and… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity