Can Morbidly Obese Patients Awaiting Bariatric Surgery Achieve a 10% Weight Loss Prior to Surgery and What Is Its Significance?
IntroductionIt has been suggested that a preoperative weight loss of 10% of excess body weight, be a key component of the pre-operative preparation process. It can demonstrate motivation and commitment to surgery, reduce liver size and abdominal adiposity as well reducing operating time and length of stay (LOS). It is has also been demonstrated to… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Routine Postoperative Upper Gastrointestinal Fluoroscopy Is Unnecessary After Laparoscopic Adjustable Gastric Band Placement
The purpose of this study is to determine whether routine postoperative upper gastrointestinal fluoroscopy (UGI) is necessary after laparoscopic adjustable gastric banding (LAGB). LAGB has become an accepted procedure for weight loss surgery, particularly because of decreased operative time and fewer early perioperative complications. Many centers utilize UGI to ensure stomal patency and gastric integrity… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
The Incidence and Management of Post-operative Hemorrhage After Laparoscopic Gastric Bypass
Background: Management and prevention of post-operative hemorrhage after laparoscopic gastric bypass (LGB) has been debated. Some authors believe in routine use of staple line buttress materials and the philosophy of routine re-operation for post-operative hemorrhage.Methods: A retrospective, multi-institutional review of all patients having undergone a LGB (without staple line reinforcement) was undertaken to identify patients… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
A Prospective, Randomized, Double-blind, Placebo Controlled Trial of Dexamethasone in Preventing Postoperative Nausea in the Laparoscopic Gastric Bypass Patient.
Postoperative nausea in patients undergoing laparoscopic gastric bypass remains a common source of patient discomfort and can lengthen hospital stay. The reported incidence of nausea ranges from twenty to thirty percent. A single dose of dexamethasone has been shown to prevent postoperative nausea and vomiting in patients undergoing strabismus surgery and laparoscopic cholecystectomy. Dexamethasone has… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Initial Japanese Experience with Laparoscopic Adjustable Gastric Banding
Background/Aim: Since bariatric surgery had not been so popular in Japan, we introduced laparoscopic adjustable gastric banding (LAGB) for the treatment of morbid obesity into Japan. Our initial data were evaluated.Methods: Between August 2005 and August 2008, 28 morbidly obese patients (17 women / 11 men, mean age of 38yr) received LAGB in our institute.… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Duodeno-jejunal Bypass (ldjb) As a Surgical Treatment for Type 2 Diabetes Mellitus in the Non Obese Patients. Early Experience.
Introduction: We know from bariatric surgical literature that all bariatric surgical techniques resolve diabetes (T2DM) from 73% to 98% in obese patients, this resolution occurs among days to weeks after surgery. Based on Dr. Rubino’s research on animals, LDJB has been proposed as an alternative of treatment for T2DM in non obese patients.Objective: To confirm… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
The Staged Approach to Acute Gastric Prolapse in Adjustable Gastric Banding
INTRODUCTION: Acute gastric prolapse (AGP) represents a sudden or forceful migration of the distal anterior stomach through the more proximal laparoscopic adjustable gastric band (LAGB) stoma, representing a surgical emergency. The current management of acute gastric prolapse often results in removal of the LAGB, extensive manipulation of a friable or hemorrhagic stomach or extensive dissection… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Gastric Band Complications: Avoidance and Treatment
GASTRIC BAND COMPLICATIONS: AVOIDANCE AND TREATMENT Authors: Daniel Leff, Pratik Sufi, and Dugal Heath.Institution: North London Obesity Surgical Service, Whittington NHS Trust Objectives: To determine frequency of complications associated with laparoscopic gastric banding, and to describe techniques for their avoidance and treatment. Methods: A retrospective review of radiological band fill images was undertaken between Jan… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Esophagomyotomy for Achalasia After Laparoscopic Roux-en-Y Gastric Bypass for Morbid Obesity
Obesity has become a national epidemic and the only proven long-term method of weight loss is surgery. The laparoscopic Roux-en-Y gastric bypass is the most common bariatric procedure performed in the United States. Achalasia, a swallowing disorder of the lower esophageal sphincter (LES), is uncommonly found in obese patients or formerly obese patients. Definitive surgical… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Treatment of Gastrojejunal Leaks Using Covered Metal Stents in a Porcine Model
Introduction:Placement of stents may be an alternative non-invasive option to treat gastrojejunal (GJ) anastomotic leaks after Roux en Y gastric bypass (RYGB) surgery. The aim was to evaluate the performance of a covered metal stent (Alveolus 18 x 100 mm), across a GJ leak in a porcine model.Methods and procedures:Eight pigs weighing 20-25 Kg were… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Sleeve Gastrectomy for the Patients with Bmi<50
Introduction: We evaluate the safety and efficacy of laparoscopic sleeve gastrectomy (LSG) for morbid obesity.Materials and Methods: Between October 2005 and January 2008, we performed LSG in 30 patients. Their BMIs were 50 in 14 patients. There are 11 males and 5 females in the former and 11 and 3 in the latter with a… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Sleeve Gastrectomy for Morbid Obesity: Surgical Technique and Early Results
Introduction Laparoscopic sleeve gastrectomy is a relatively new bariatric procedure that is gaining popularity in the surgical treatment of the morbidly obese patient. The authors present their surgical technique and early results from their first 100 consecutive patients. Methods A restrospective chart review was completed on the authors’ first 100 consecutive patients undergoing a laparoscopic… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Lap Band: Safe and Effective Procedure?
Background: The laparoscopic adjustable gastric band (LAGB) is the most commonly performed operation for weight loss worldwide. The Lap-Band was approved for use in the United States in 2001. LAGB has been described as a safe and effective weight loss procedure. Since then, however, insufficient weight loss and long term complications have been reported. Weight… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparo-endoscopic Single Site Surgery (lesss) for Placement of Adjustable Gastric Band
Objective: To demonstrate with video presentation a Laparo-Endoscopic Single Site Surgery (LESSS) for placement of adjustable gastric band. Method: Essentially this is a laparoscopic procedure done via one skin incision. A periumbilical skin incision is made and a small pocket is then created above the anterior fascia to accommodate multiple ports. Pneumoperitoneum is first achieved… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic Sleeve Gastrectomy: a Retrospective Review of 1 and 2 Year Results
IntroductionLaparoscopic Gastric Bypass, Gastric Banding, and Biliopancreatic/Duodenal Switch are three proven surgical methods for treating morbid obesity. Recently, Laparoscopic Sleeve Gastrectomy (LSG) has been added as a surgical treatment for obesity. We report our one and two year results with LSG.MethodsAll procedures were performed by two surgeons experienced in bypass, banding, and LSG. All patients… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity