An algorithmic approach to gastroesophageal reflux after vertical sleeve gastrectomy
Rami R Mustafa, MD, PhD1, Adel Alhaj Saleh, MD2, Mujjahid Abbas, MD1, Leena Khaitan, MD, MPH1. 1Cleveland Medical Center , University hospitals, 2Texas Tech University Health Sciences Center | TTUHSC · Department of SurgeryBackground: Laparoscopic sleeve gastrectomy (LSG) is one of the most common bariatric procedures worldwide. This has led to a new problem: gastroesophageal… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
SURGEON VARIATION IN REFLUX SYMPTOMS AFTER SLEEVE GASTRECTOMY
Oliver Varban, MD, Jyothi Thumma, MPH, Dana Telem, MD, MPH, Nabeel Obeid, MD, Jonathan Finks, MD, Amir Ghaferi, MD, MS, Justin Dimick, MD, MPH. University of MichiganBackground: Prior studies have demonstrated an increase in gastroesophageal reflux after laparoscopic sleeve gastrectomy. However, it is unknown to what degree patient reflux severity varies by surgeon. Methods: The GERD-HRQL, a validated… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Does Roux -en- Y Gastric Bypass Really Cure Gastroesophageal Reflux Disease? Analysis of Objective Data
Maria Veronica Gorodner, MD1, Agustin Matucci, MD1, Laura Sole, MD2, Ricardo Figueredo, MD2, Christian Sanchez, MD2, Luis Caro, MD2, Alejandro Grigaites, MD1. 1Programa Unidades Bariatricas, 2Gastroenterologia Diagnóstica y TerapéuticaIntroduction: Laparoscopic Roux -en- Y gastric bypass (LRYGB) has been proposed as the treatment of choice for obesity combined with gastroesophageal reflux disease (GERD). However, there are few… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Bariatric Surgery Reduces Long-Term Rates of Coronary Events: A Propensity-Matched Analysis
Alex D Michaels, MD, J. Hunter Mehaffey, MD, MSc, Robert B Hawkins, MD, MSc, John A Kern, MD, Bruce D Schirmer, MD, Peter T Hallowell, MD. University of VirginiaBackground: Obesity and obesity-related comorbidities are associated with increased risk of coronary artery disease (CAD). Bariatric surgery results in durable weight loss and improvement in numerous CAD… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Does Race Matter? Racial Disparities in Access to Bariatric Surgery and Outcomes: An analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) Data Registry
Amanda Roberts, MD1, Nicholas Dugan1, Tanushree Prasad2, Kyle Thompson, PhD2, Selwan Barbat, MD1, Sean Maloney, MD, FACS, FASMBS2, Keith Gersin, MD, FACS, FASMBS1, Timothy Kuwada, MD, FACS, FASMBS1, Abdelrahman Nimeri, MD, FACS, FASMBS1. 1Carolinas Weight Management, 2Carolinas Medical CenterBackground: According to the Centers for Disease Control and Prevention (CDC), almost 40% of the Unites States… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
TOO OLD, TOO SICK, TOO LATE: DISPARITY IN ACCESS TO BARIATRIC SURGERY AMONG AFRICAN AMERICAN MEN
Katia Noyes, PhD, MPH1, Monami Majumdar, MPH2, Ajay A Myneni, MBBS, PhD, MPH2, Heather Orom, PhD3, Steven D Schwaitzberg, MD2, Aaron B Hoffman, MD, FACS2. 1Division of Health Services Policy and Practice, Department of Epidemiology and Environmental Health, School of Public Health and Health Professions, University at Buffalo, 2Department of Surgery, Jacobs School of Medicine… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Male Gender is an Independent risk factor for Patients Undergoing Laparoscopic Sleeve Gastrectomy or Roux-en-Y Gastric Bypass; An MBSAQIP Database Analysis
Nicholas M Dugan, MD1, Selwan Barbat, MD1, Tanushree Prasad1, Kyle Thompson, PhD1, Iain Mckillop, PhD1, Sean Maloney, MD2, Amanda Roberts, MD1, Keith Gersin, MD, FACS, FASMBS1, Timothy Kuwada, MD, FACS, FASMBS1, Abdelrahman Nimeri, MD, FACS, FASMBS1. 1Carolinas Weight Management and Wellness Center, 2Carolinas Medical CenterBackground: In the United States the rate of obesity and utilization… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Emergency Laparoscopic Remnant Gastrectomy with a Pouch Gastroplasty in a Gastric Bypass Patient with Acute Gastrogastric Fistula Bleeding
Jad M Abdelsattar, MD, David Kelly, MD, Lawrence Tabone, MD, Nova Szoka, MD, Salim Abunnaja, MD. West Virginia UniversityGastrogastric fistula (GGF) is a rare complication following laparoscopic Roux-en-Y gastric bypass (LRYGB). Patients can be asymptomatic, or present with abdominal pain, marginal ulceration (MU) or weight regain. To our knowledge, this is the first case in… Continue Reading
- Topic:
- Metabolic / Obesity
Laparoscopic Repair of Strangulated Internal Hernia
Melissa L Desouza, MD1, Daniel Davila Bradley, MD2, Kevin M Reavis, MD, FACS2. 1Oregon Health and Science University, 2The Oregon Clinic, Division of Gastrointestinal and Minimally Invasive SurgeryBackground: Internal hernia is the most common cause of small bowel obstruction following Roux-en-Y gastric bypass and may result in devastating loss of bowel. Presented here is a… Continue Reading
- Topic:
- Metabolic / Obesity
Endoscopic Septotomy & Dilation of Chronic Sleeve Gastrectomy Leak
David C Kelly, MD, MHA, MS, Salim Abunnaja, MD, Lawrence Tabone, MD, John Nasr, MD, Nova Szoka, MD. West Virginia UniversityLeak following laparoscopic sleeve gastrectomy is a common complication with incidence rates of 0.5-2.2%. Most leaks resolve quickly with conservative measures but some may persist for weeks to months. Management of persistent and chronic leaks… Continue Reading
- Topic:
- Metabolic / Obesity
Laparoscopic Approach to Intussusception After Roux-en-Y Gastric Bypass
Selwan D Barbat, MD, Abdelrahman A Nimeri, MD, FACS, FASMBS, Timothy S Kuwada, MD, FACS, FASMBS, Keith S Gersin, MD, FACS, FASMBS. Carolinas Weight Management & Wellness CenterBackground: Intussusception after Roux-en-Y gastric bypass is a rare, but critical event that has an incidence of 0.1 to 0.3%. There have been only a few case series… Continue Reading
- Topic:
- Metabolic / Obesity
Conversion Of A Sleeve Gastrectomy To A Roux En Y Gastric Bypass In A Patient With Intestinal Non-Rotation
Nader Hanna, MD, Boris Zevin, MD, PhD. Queen's University, Kingston, OntarioIntestinal non-rotation is part of a wider spectrum of a malrotation congenital abnormality and its incidence is around 0.5%. It is usually discovered incidentally during investigation of unrelated pathology. We present a case of laparoscopic conversion from a sleeve gastrectomy to a Roux-en-Y gastric bypass… Continue Reading
- Topic:
- Metabolic / Obesity
Dual Strictures and Unexpected Mesh: The Challenges of Revision Bariatric Surgery
Arielle M Lee, MD, Rebeca Dominguez, MD, Tokio Matsuzaki, MD, PhD, Kai Neki, MD, Ryan C Broderick, MD, Robert Cubas, MD, Joslin N Cheverie, MD, Bryan J Sandler, MD, Garth R Jacobsen, MD, Santiago Horgan, MD. UC San DiegoIn patients with morbid obesity, management with bariatric surgery is the gold standard for sustained weight loss.… Continue Reading
- Topic:
- Metabolic / Obesity
COMBINED LAPAROSCOPIC AND ENDOSCOPIC TREATMENT OF GASTROGASTRIC FISTULA AFTER OPEN ROUX-EN-Y GASTRIC BYPASS WITH VASCULAR ASSESSMENT WITH INDOCYANINE GREEN.
Romina Pena, MD, Ainitze Ibarzábal, MD, Dulce Momblán, MD, Víctor Turrado, MD, Josep Llach, MD, PhD, Antonio M Lacy, MD, PhD, FASCRS, Hon. Hospital Clínic32-year old woman with history an open RYGB in 2006, complicated with anastomotic leak and stenosis. Patient had an initial and minimum weight of 170 Kg (BMI 60) and 73 Kg… Continue Reading
- Topic:
- Metabolic / Obesity
LAPAROSCOPIC REVERSAL OF VERTICAL BANDED GASTROPLASTY
Jin Sol Oh, MD, Saurabh Khandelwal, MD. University of Washington, Seattle, WAVertical banded gastroplasty (VBG) was first described by Mason in 1982. As a restrictive procedure, it consisted of creating a gastric pouch with vertical stapling and pouch outlet encircled with polypropylene mesh or silastic ring. Once popular in 80s and 90s, VBG has been… Continue Reading
- Topic:
- Metabolic / Obesity