Excess Roux-limb Hook Syndrome – a Preventable Cause of Disability After Laparoscopic Gastric Bypass.
Introduction: Laparoscopic Roux-en-Y Gastric Bypass (LGB) is associated with a complication rate of about 10% and early diagnosis and proper treatment leads to full recovery in virtually all patients. Strategies to prevent technique related complications are important and should decrease overall morbidity rate. The aim of this study is to describe a preventable cause of… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Fate of asymptomatic gallstones: The natural history of leaving gallstones behind during bariatric procedures
Background: Expectant management of asymptomatic gallstones during bariatric procedures has been suggested. The risk factors and risk of developing subsequent symptoms or complications of this specific group remains uncertain. Materials and Methods: After IRB approval, a retrospective review of 796 consecutive patients who underwent laparoscopic Roux-en-Y gastric bypass, adjustable gastric banding, or sleeve gastrectomy between… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Fewer Gastrojejunostomy Strictures and Marginal Ulcers with Absorbable Suture
BACKGROUND: The upsurge of gastric bypass procedures has been accompanied by an increase in anastomotic strictures and marginal ulcers. In the reported literature, the gastrojejunostomy strictures in 3-27% and ulcerates in 1-16% of cases. Several anastomotic techniques are used; however, no study has specifically addressed whether choice of reinforcing suture affects rates of stricture or… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Hormonal Evaluation Following the Laparoscopic Treatment of Type 2 Diabetes Mellitus Patients with Bmi 20 – 34
Introduction: A group of patients with Type 2 Diabetes (T2DM) and BMI 20-34 were submitted to the laparoscopic interposition of a segment of ileum into the proximal jejunum or into the proximal duodenum associated to a sleeve gastrectomy. The objective of this study is to evaluate the hormonal changes in the pre and postoperative period.Methods:… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Immediate postoperative ambulation minimizes thomboembolic complications following a laparoscopic gastric bypass. A prospective analysis of 461 patients.
Introduction: Bariatric surgery remains the only therapy that produces significant and sustained weight loss in morbidly obese patients. Bariatric patients have been traditionally viewed as a high risk population for thomboembolic complications, which are major cause of postoperative morbidity and mortality. Materials and Methods: Four hundred sixty-one consecutive patients who underwent laparoscopic Roux-en-Y gastric bypass… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Improvement in Glycemic Control by Gastric Electrical Stimulation (TANTALUS®) in Overweight Subjects with Type 2 Diabetes (T2DM)
Background: The TANTALUS System (MetaCure Ltd.) is a minimally invasive implantable gastric stimulation modality that does not exhibit malabsorptive or restrictive characteristics. The device applies GCM (Gastric Contractility Modulation) signals to the stomach Antrum. The signals are delivered in synchronization to the native electrical activity of the stomach during meals. Retrospective analysis of previous studies… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Incidence, etiology, and management of gastric remnant dilation following laparoscopic Roux-en-Y gastric bypass for morbid obesity: Analysis of 1963 consecutive cases
Background: Gastric remnant dilation is a rare but potentially lethal complication following laparoscopic Roux-en-Y gastric bypass (LRYGB). Routine gastrostomy has been advocated in order to avoid its occurrence. To our knowledge, few reports in the literature review the incidence and etiology of this complication utilizing the laparoscopic approach. We reviewed our series, analyzing the incidence… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Incidence of gallstones after sleeve gastrectomy
Background: The rate of gallstone formation one year after gastric bypass is reportedly as high as 52.8%. One possible mechanism is the reduced cholecystokinin secretion due to diminished local enteric-endocrine reflex secondary to duodenal exclusion. Prophylactic cholecystectomy during Roux-en-Y gastric bypass (RYGBP) has been suggested to reduce the incidence of gallstone-related complications, but remains controversial.… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Initial Fill Volumes: VG Lap-Band versus the new AP Lap-Band
Introduction: Adjustable gastric banding has become the operation of choice for bariatric surgery. Following operative placement, close follow-up with adjustments of the band are essential for optimal weight loss. Defining the optimal volume of an initial fill may minimize the cost associated with fluoroscopic guidance and create a guidepost for inexperienced surgeons. The newer AP… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Internal herniation secondary to the anti-obstruction stitch at the jejuno-jejunostomy in Roux-en-Y gastric Bypass
During the past 4 years, 483 Roux-en-Y gastric bypass operations were performed by two surgeons at a university hospital. All of these were performed laparoscopically, with retrogastric, retrocolic passage of the Roux limb to form the gastro-jejunostomy. Of those operations, 11 of them subsequently went on to develop internal hernias, for an internal hernia rate… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Intragastric Balloons for Obesity – A Novel Technique for More Secure, Quicker, and Less Expensive Office Placement and Removal.
BACKGROUND: Although bariatric surgery is the fastest and most effective way to lose and control weight, some overweight patients are not eligible for this procedure. Endoscopic placement of a Silicone Intragastric Balloon (SIB) to restrict gastric intake in obese patients is a cheaper and less invasive alternative to bariatric surgery, bringing about significant weight loss.… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Is BMI greater then 60 a predictor of higher morbidity after a laparoscopic Roux en Y gastric bypass?
Background: It has been hypothesized that patients who are super-super morbidly obese, defined as having a Body Mass Index (BMI) of 60 or higher, have an increased rate of post-operative complications. As surgical techniques and operator experience with Roux en Y gastric bypass improved with time, the selection criteria have expanded to include the super-super… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Adjustable Gastric Banding in patients older than 65 years is safe and effective
There are few publications in the literature reporting the outcome of laparoscopic adjustable gastric banding (LAGB) in the elderly population. From November 2001 to March 2007, 708 LAGB procedures were performed by two surgeons at Loyola University Medical Center. Twenty-one of the 708 patients were age 65 or older at the time of operation (65… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Adjustable Gastric Banding with Truncal Vagotomy
Objective: Laparoscopic adjustable gastric banding (LAGB) causes weight loss primarily through a mechanical restrictive mechanism. The vagus nerve provides connections between the brain and the gut through afferent and hormonal signals that regulate fullness and satiation. Published studies demonstrate clinically significant weight loss in subjects undergoing open surgical truncal vagotomy for ulcer disease and morbid… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Bidirectional Jejunojejunostomy during Laparoscopic Roux-en-Y Gastric Bypass
Background: The most successful long-term treatment of morbid obesity is surgical intervention. Many options exist, but the most popular is the Roux-en-Y gastric bypass (RYGB). The laparoscpic procedure is associated with a low complication rate and a short hospital stay. One challenge of the laparoscopic approach is the construction of the jejunojejunostomy. Many techniques exist… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity