There Is Best Time to Convert the Lap-band® to Another Kind of Bariatric Surgery.
This video shows a patient who had a LAGB for two years until then obtaining an excellent result. It was necessary the band removal due to an erosion. After this event, the patient had a considerable weight regain. This video presents the performance of a laparoscopic gastric bypass and the difficulties after such a complication.… Continue Reading
- Type:
- Podium Presentations
- 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
A Totally Endoscopic Device for the Treatment of Morbid Obesity
Introduction: Morbid obesity is a major health concern for the United States affecting over 15 million people. Despite its associated comorbidities, less than 1% of patients seek surgical intervention. The need for less costly, minimally invasive procedures that reduce complication rates and result in faster recovery would be a valuable adjunct in the treatment of… Continue Reading
- Topic:
- Metabolic / Obesity
Laparoscopic Revision of Omega Loop Bypass to Roux-en-Y Gastric Bypass
Bariatric surgeons who evaluate patients for possible revisional surgery should be aware of the potential of aberrant bypass anatomy. The “Omega loop gastric bypass” is a nondivided, antecolic loop gastric bypass with a Braun entero-enterostomy. The omega loop bypass is not a condoned weight loss procedure due to the lack of published evidence regarding risks… Continue Reading
- 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
Laparoscopic Roux-en-Y Gastric Bypass in Patients with Body Mass Index > 70kg/m2
Introduction: There is sparse literature regarding the optimal surgical management of megaobesity, defined as body mass index (BMI) >70 kg/m2. The purpose of this study was to compare laparoscopic Roux-en-y gastric bypass (LRYGP) and open Roux-en-y gastric bypass (ORYGP) in megaobese patients.Methods: A retrospective review of patients with BMI >70 kg/m2 undergoing LRYGB and ORYGP… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Preventing Anastomotic and Staple Line Leaks After Laparoscopic Roux en Y Gastric Bypass
Background: Anastomotic and staple line (ASL) leaks occur after laparoscopic Roux en Y gastric bypass (LRYGB) with a reported incidence as high as 6%. Leaks are the second most common cause of mortality, after pulmonary embolism, and can be associated with significant morbidity. Therefore, prevention and early detection are essential in limiting both morbidity and… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Elective Laparoscopy for Herald Symptoms of Mesenteric/Internal Hernia after Laparoscopic Roux-en-Y Gastric Bypass
Elective Laparoscopy for Herald Symptoms of Mesenteric/Internal Hernia after Laparoscopic Roux-En-Y Gastric BypassAlok D. Gandhi DO, Robert E. Brolin, MD, FACSUniversity Medical Center at Princeton Background: Mesenteric/internal hernia (MIH) is a potentially life-threatening complication of laparoscopic Roux-En-Y gastric bypass (RYGB). Many patients with MIH have herald symptoms prior to developing acute small bowel obstruction (SBO).Methods:… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
The Impact of bio-Absorbable Staple line Re-enforcement and Fibrin Glue on Complications of Laparoscopic Gastric Bypass
PURPOSE: Staple-line reinforcement sleeves and Fibrin glue sealant during Laparoscopic Gastric Bypass (LGBP) have suggested to the risk of perioperative anastomotic leakage and bleeding. The aim of our study was to compare patients undergoing LGBP with and without these reinforcement material and compare the staple line vs. GJ anastomosis leak rate, bleeding, and rate of… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Weight Loss Expectations After Laparoscopic Gastric Bypass Are Influenced By Preoperative Body Mass Index.
BACKGROUND: Specific guidelines of expected weight loss after laparoscopic Roux-en-Y gastric bypass (LRYGB) in relation to preoperative body mass index (BMI) do not exist. Published weight loss outcomes after LRYGB are usually reported as a mean or median of the population examined as a whole. OBJECTIVE: To examine whether preoperative BMI influences percent of excess… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Comparison of Two Dosing Regimens of Low Molecular Weight Heparin in Patients Undergoing Laparoscopic Bariatric Surgery
Introduction: Venous thromboembolic events (VTE) are a concern for morbidity and mortality in patients undergoing laparoscopic bariatric surgery. While VTE prophylaxis is recommended in bariatric surgery, data regarding monitoring and appropriate dosing of low molecular weight heparins are limited. Enoxaparin prophylactic doses from 30 mg to 60 mg q12h have been used in this population.… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Evaluation for post-op malnutrition in LapBand patients
Lap-Banding is a safe and effective procedure . In contrast to gastric bypass these patients do not develop significant malabsorbption and may not require replacement of nutritional supplements. This study is to evaluate this theory. Methods: All patients who underwent laparoscopic banding between May 2005 and Jan 2007 were included. Data collection included patient demographics:… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Roux – En – Y Gastric By Pass with Jejunun – Ileal Diversification – Technique and Results.
Background: During November 98 to April 2007 we performed 3000 bariatric procedures that including: 29% Lap-Band, 41% Gastric By Pass, 26% BIB and 4% BPD. The choice of the method was defined by protocols developed into a multidisciplinary team, considering BMI, social and eating profile, surgery risk, agreement to physical activity and patient’s expectation.Methods: In… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Predictors of symptomatic gallstones after bariatric surgery: A multivariate analysis of risk factors comparing gastric bypass, gastric banding, and sleeve gastrectomy
Background: Risk factors for symptomatic gallstone formation after bariatric surgery are unknown. Interventions to detect and reduce the incidence such as postoperative ursodeoxycholic acid and routine postoperative ultrasound surveillance have been suggested but remain controversial. A selective approach guided by patients’ risk factors rather than an algorithmic method may be indicated. Patients and Methods: After… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Short Term Outcomes after Simultaneous Laparoscopic Adjustable Gastric Banding (LAGB) and Hiatal Hernia Repair (HHR)
Background: The presence of hiatal hernia has been considered a contraindication for LAGB, since more complications such as band slippage (BS) were advocated. Few data have been reported on simultaneous LAGB and HHR.Methods: Between 11/04 and 7/05 432 patients underwent LAGB. Patients with less than 3 months f/u were excluded (total group 417). Patients were… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity