Effect of Gastric Bypass on C-reactive Protein Levels: A Prospective Analysis
INTRODUCTION: Surgical treatment of morbid obesity improves many co-morbidities including diabetes, hypertension, sleep apnea, and asthma. Elevated CRP levels, common in the morbidly obese, and its reflected increase in cardiovascular and cerebro-vascular complications has led to further study in patients undergoing laparoscopic Roux-en-Y gastric bypass (LRGB). In this study we prospectively investigate the relationship between… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Endoflip: a Novel Device for Precise Measurement of Gastric Pouch Volume and Wall Compliance
Introduction: Significant weight regain after gastric bypass can occur over time due to dilatation of the gastric pouch and stoma. Endoluminal approaches for gastric pouch reduction are currently under investigation. EndoFLIP® (Crospon Ltd., Dangan, Galway, Ireland) is an endoscopic functional imaging probe designed to accurately measure intraluminal volume and wall compliance. Our objective was to… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Endoscopic and Radiographic Changes Following Incisionless Revisional Surgery for Treatment of Post Roux-en-Y (rygb) Stoma and Pouch Dilatation
Introduction: Upper gastrointestinal contrast studies and upper endoscopy are useful tools for screening and evaluation of gastrointestinal integrity before and after bariatric surgery. They also can be useful in documenting the anatomical changes following these interventions. We wanted to evaluate the immediate and intermediate post-operative changes associated with an incisionless approach to revisional surgery for… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Endoscopic Management of Eroded Prosthesis in Vertical Banded Gastroplasty Patients
Introduction:One of the major complications of applying a prosthetic device to facilitate gastric partitioning has been intra-luminal erosion of the prosthesis. Removing an eroded gastric band is fraught with difficulty secondary to the extensive inflammatory response around the proximal stomach and left lobe of the liver. As a result, bariatric clinicians have attempted to apply… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Endoscopic Technique for Removal of an Intra-gastric Balloons Causing Gastric Outlet Obstruction
Objectives: Intra-gastric balloons are devices used in many foreign countries as a bridge to bariatric surgery. Regulatory oversight differs from country to country leading to inconsistency in patient evaluations and procedural techniques. Often a United States (US) physician’s first exposure to these devices is generally upon arrival of a patient presenting with device related sequelae.… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Equal Short Term Weight Loss for Self-pay and Insurance Covered Patients After Adjustable Gastric Banding
Introduction: Adjustable gastric banding is one option for obese patients pursuing bariatric surgery, though not all insurance policies cover the procedure. Patients may pay out of pocket for bariatric procedures if they do not have insurance that covers the operation. There may be a difference in expectations and motivation between these two patient populations may… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Ethicon Realize Band Versus Allegran Ap Series Bands: Early Results At Uc San Diego
Objective: The obesity epidemic has become a worldwide problem with America leading with 32% of its population considered obese (BMI>30). This is projected to only get worse with 86% of the American population projected to be overweight or obese by 2030 with associated health care spending to be as much as $956.9 billion. Medical therapy… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Favorable Outcomes in Elderly Patients Undergoing Bariatric Surgery Despite Increased Co-morbidities
BackgroundElderly (65 years and older) obese patients are expected to be at high risk for bariatric surgery. We sought to study outcomes in elderly patients undergoing bariatric surgery with or without Medicare (MC, since 2006), and to evaluate differences in co-morbidities when compared to a meta-analysis study of younger patients. MethodsElderly patients undergoing bariatric surgery… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Feeding Tube Placement in the Excluded Stomach After Gastric Bypass: A Novel Laparoscopic Technique
Introduction: Enteral access for nutritional support after gastric bypass is a challenging problem due to dense postoperative adhesions, difficulty in gaining endoscopic access to the excluded stomach, and the thick abdominal wall in an obese patient. Open techniques can be technically difficult and associated with high morbidity. We present our novel laparoscopic technique for feeding… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Follow-up and Distance From Centre Are Important Determinants in Weight Loss Post Laparoscopic Adjustable Gastric Banding.
IntroductionIn this study, we examine the importance of regular post-operative follow-up and the effect of geographical distance from the centre of follow-up on long term weight loss post laparoscopic adjustable gastric banding (LAGB). MethodOver 11 years (1997- 2008), 140 patients underwent LAGB. Post-operatively patients were invited to attend a monthly nurse-led follow-up clinic, to assess… Continue Reading
- Type:
- Podium Presentations
- 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
Gastric Band Manometry: Are Pressure Measurements and the Band Pressure Ratio Useful?
Introduction: Successful band adjustment requires a method to measure adequate restriction without over-inflation. There is no standardized optimal volume of saline used during band filling. We investigated what the relationship was between subjective optimal band filling and band pressure measurements.Methods: Band pressure measurements were recorded at the first and second band adjustments in patients who… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Gastric Bypass Improves Musclo-skeletal Quality of Life
IntroductionMorbid Obesity is the leading public health epidemic of the industrialized world with bariatric surgery as the only effective and enduring treatment for this disease. Gastric Bypass is known to be very effective for weight loss and can also improve obesity related comorbidities like joint disease. Joint disease may be difficult to assess without radiographs.… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Gastro-colonic Fistula After Roux-en-Y Gastric Bypass for Morbid Obesity
IntroductionThe incidence of morbid obesity in the United States is increasing. Roux-en-Y Gastric Bypass is a surgical treatment for morbid obesity resulting in weight loss and control or resolution of obesity-related co-morbidities, however, is not without complications. More common post-surgical complications include anastamotic leaks or strictures, bowel obstruction or vitamin/mineral deficiency. While relatively rare, marginal… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
High Failure Rate After Laparoscopic Adjustable Gastric Banding (lagb): Five Year Follow Up.
Introduction: LAGB is a technique increasingly used in USA. The aim of this study was to analyze the 5 year outcome in terms of weight loss and complications.Methods and patients: We reviewed our prospective electronic database for all patients undergoing LAGB between 2002 and 2007. We assessed weight progression, complication and reoperation.Results: We performed 199… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity