Diagnosis and Treatment of Occult Gi Bleeding After Laparoscopic Roux-en- Y Gastric Bypass (LRYGB). A Case Report of a Gist As Bleeding Source.
Background: Gastrointestinal stromal tumor (GIST) is a rare stromal neoplasm that accounts 5% of all soft tissue sarcomas. It is the most common mesenchymal neoplasm of the gastrointestinal tract. Nearly one third of GISTs are asymptomatic, and even if symptomatic, symptoms are often vague and nonspecific. Case Presentation: We present a 60-year-old female patient who… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Early Ghrelin and Glp-1 Changes After Sleeve Gastrectomy in Diabetic Obese Patients.
INTRODUCTION Sleeve Gastrectomy (SG) is associated with a high rate of T2DM resolution. The purpose of this study was to evaluate the early effect of SG on Ghrelin and GLP-1 concetrations. MATERIALS AND METHODSBetween October 2002 and September 2009, 240 obese patients underwent SG. Sixty-eight patients had an altered glucose homeostasis. In 9 T2DM obese… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic Plication of a Gastrojejunostomy with Endoscopic Guidance in the Porcine Model
Objectives:The purpose of this study is to determine if laparoscopic plication of a gastrojejunostomy with endoscopic guidanceis a feasible surgical option for the gastric bypass patient who has regained weight due to a dilated gastric stoma. Methods and Procedures:After obtaining IACUC approval, a porcine model was used to simulate a gastric bypass with an enlarged… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Sleeve Gastrectomy (sg) Improves Insulin Secretion and Sensitivity in Type 2 Diabetic Obese Patients
Objective of the study: Purpose of this study was to evaluate the effect of SG on insulin secretion and sensitivity immediately after surgery before any weight change and any passage of food through the gastrointestinal (G.I.) tract.Methods and procedures: Two groups of morbidly obese patients were studied: group A (9 diabetic patients (DM), 3 women… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Gastrojejunostomy Stenosis Following Laparoscopic Roux-en-Y Gastric Bypass: 21 Vs. 25-mm Circular Stapler, a Follow-up Study of Long Term Weight Loss.
Introduction: Stenosis of the gastrojejunostomy after laparoscopic Roux-en-Y gastric bypass is a common occurrence. We have previously presented data demonstrating that the use of a 25-mm circular stapler results in a decreased incidence of stenosis when compared to a 21-mm circular stapler. One potential drawback of the larger diameter stapler is the possibility for impaired… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Progressive Resistance Training to Improve Strength, Fitness and Metabolic Health in Weight Loss Surgery Patients
INTRODUCTION: Severe obesity is associated with sedentary behavior, low fitness, and metabolic dysmetabolism. Exercise can improve strength, fitness, and metabolic health independent of weight loss in obese patients. Progressive Resistance Training (PRT) is particularly beneficial in modifying body composition, developing musculoskeletal strength, and improving metabolic health. To date, there has been no investigation that measures… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Is Extended Post-operative Monitoring Necessary for Morbidly Obese Patients with Obstructive Sleep Apnea Undergoing Bariatric Surgery?
Objective: To elucidate whether or not a higher level of post-operative monitoring is warranted in the OSA patient population undergoing laparoscopic Roux-en-Y gastric bypass. Introduction: Morbidly obese patients are at increased risk for serious health conditions including obstructive sleep apnea (OSA). Patients diagnosed with OSA prior to bariatric surgery are considered to be at higher… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Creation of a Universal Health Score
Introduction: Predicting which patients will be successful with bariatric surgery has been, and is still being, elucidated; however, bariatric surgeons have not been able to predict which operation will be the most successful for a particular patient. We are seeking to quantify and qualify adult patients’ overall health using the Health Score as a measure… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Cholecystectomy Associated with Gastric Bypass Surgery: A Safe Approach for Morbid Obesity Patients?
Background: Some researchers suggest that gastric bypass surgery plus cholecystectomy increases post-surgical complications. However, there is not studies that exploring this association. Objective: To compare the post-surgical complications between patients operated on cholecystectomy and who not among obese persons meeting criteria for gastric bypass surgery in Medellín, Colombia. Method: A case-control study was done. In… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Patient Perceptions of Band Adjustments After Laparoscopic Adjustable Gastric Banding
Introduction: Adjustments are an integral part of the success of the laparoscopic adjustable gastric banding. Without these adjustments, successful weight loss is not possible. Fear and pain could create barriers for patients to receive their proper band adjustments. It is important to understand the patient’s perception of adjustments. The objective of this study was to… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Long-term Results After Laparoscopic Adjustable Gastric Banding in Adolescent Patients.
Introduction: During the last years increasing numbers of children have been reported with a body mass index (BMI) higher than the 85th percentile in the western world. Surgical strategies are still discussed controversially in adolescent patients due to the impact on further maturing process. Laparoscopic adjustable gastric banding (LAGB) is considered as a minimal invasive… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
The Association Between Gerd and Laparoscopic Sleeve Gastrectomy
Background: Bariatric surgery has often been known as a cure for gastroesophageal reflux disease (GERD), especially if a patient has received a Roux-en-Y gastric bypass. Yet with the increasing popularity of Laparoscopic Sleeve Gastrectomy (LSG), the prevalence of symptomatic GERD postoperatively seems to increase. Very little data is available on this topic. We hypothesize that… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
B-type Natriuretic Peptide Increases After Gastric Bypass and Correlates to Weight Loss
Background: B-type natriuretic peptide (BNP) is a recognized serologic marker of heart failure and has been associated with cachexia of heart failure. In addition, BNP is positively correlated to adiponectin which is inversely correlated to weight gain. We are aware that gastric bypass leads to early satiety and increases in adiponectin. Our study hypothesis is… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
A Combined Laprascopic and Endoscopic Technique to Evaluate Gastric Remnant After Gastric Bypass
Introduction: Laprascopic gastric bypass is a very common procedure performed in many university and community hospitals throughout the United States. Some of these patients present with later complications related to remnant stomach.Commonly these include gastritis,ulcers or bleeding.Evaluating the remnant stomach is always a challenge to the surgeon. We performed a combined Laprascopic and endoscopic technique… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Single Port Access for Laparoscopic Adjustable Gastric Banding with Regular Laparoscopic Instruments Is Feasible and Economic.
Introduction: Single Port Access (SPA) has been gaining popularity among patients due to the cosmotic benefits. SPA contradicts the basic rules for laparoscopic ports insertion locations. Special articulating instruments are expensive and adds more dollars to the health care bills. Materials and Methods: In our institution we performed 21 single port access using the regular… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity