Determinants of Resource Utilization in Laparoscopic Roux-en-Y Gastric Bypass: A Multicenter Analysis of 6322 Patients
Objective: Treatment of chronic diseases such as obesity by resource intensive therapy such as Laparoscopic Roux-en-Y Gastric Bypass surgery (LRYGB) is associated with early increases in healthcare costs. With the increasing frequency of LRYGB being performed and the rising cost of health care, preoperative optimization may reduce resource utilization and these early costs. We sought… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
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
Diaphragmatic Herniation of Gastric Remnant: Rare Complication
Introduction: It has been estimated that overweight and obesity worldwide affects 1.7 billion people with LGBP being the most performed bariatric surgery worldwide. We are presenting a rare complication of laparoscopic gastric bypass surgery (LGBP); Herniation of gastric remnant into the left chest. Methods: Our patient is a 54 years old female who underwent a… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Does Gastric Bypass Resolve Cardiac Comorbidities Equally for the Obese Vs Super Obese?
Background: Coronary artery disease (CAD) is the leading cause of death in the industrialized world with obesity as a leading preventable risk factor for CAD. Certain biochemical cardiac risk factors (BCRF) have demonstrated strong prediction for cardiovascular events. Obese (BMI < 50) and super obese (BMI >50) have been shown to improve certain BCRF at… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Does Gender Affect Excess Weight Loss After Weight Loss Surgery?
Introduction: Laparoscopic Roux-en-Y-Gastric Bypass (LRYGB) and Laparoscopic Adjustable Gastric Banding (LAGB) are the two most commonly performed weight loss procedures in the United States. The reported percentage of excess weight loss (EWL) after weight loss surgery varies from 50-80%. It is well known that the weight loss achieved with LRYGB is more significant early on… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Does the Patient Choice of the Type Weight Loss Surgery Affect the Amount of Weight Loss Achieved Preoperatively ?
Introduction: Bariatric surgery has rapidly become an established and accepted treatment for morbid obesity. Bariatric surgery is offered when patients fail to attain a significant and sustainable weight loss using behavioral changes and life style modifications. In most bariatric centers, patients are started on a supervised diet to achieve some weight loss prior to undergoing… Continue Reading
- Type:
- Posters
- 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
Evaluation of the Sleeve Gastrectomy As a Single-stage Treatment of Morbid Obesity
ObjectivesA multicenter, retrospective study reviewed the current practice of the sleeve gastrectomy in Europe to assess the early postoperative outcome as well as the effect on weight loss.Methods and procedures446 sleeve gastrectomies were performed by 14 centers between September 2000 and October 2007. Operative data, postoperative outcomes as well as 2 year weight loss were… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Metabolic / Obesity
Feasibility of Simultaneous Hiatal Hernia (hh) Repair and Laparoscopic Adjustable Gastric Banding (lagb): Case-in-point Presentation for Prevention of Delayed Complications.
Introduction. Hiatal hernia discovered during LAGB presents a treatment dilemma. However small should it be repaired or disregarded. The following case report illustrates the extent of delayed morbidity if HH is left unchecked. Methods and Procedures. A 46 year old female with a initial BMI of 34.2 underwent LAGB in an outside hospital two years… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Forced Gastric Wall Erosion and Staged Removal of Nonadjustable Gastric Bands – a Case Series
Introduction: The nonadjustable gastric band (NAGB), sometimes referred to as gastric segmentation, was a common surgical treatment for morbid obesity in the 1980s. A paradigm shift from nonadjustable gastric bands (NAGB) to adjustable gastric bands (AGB) has resulted in fewer complications. In light of the complications stemming from nonadjustable gastric bands, and the challenging surgery… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Gastric pouch dilation vs slipped band: An important distinction
Introduction: The laparoscopic adjustable gastric band (LAGB) is a common procedure for morbid obesity: it is estimated that 100,000 procedures were performed worldwide in 2007. A major complication of the LAGB is a ‘slip’ or migration of its position on the stomach. This diagnosis is important because it may put the patient at risk for… 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
Geographical Variation in Inpatient Mortality and Length of Stay After Laparoscopic Gastric Bypass
INTRODUCTION – Laparoscopic gastric bypass (LGB) is performed with relatively low mortality and short inpatient length of stay (LOS). This study evaluated regional and urban vs rural variations of inpatient mortality and LOS for LGB. METHODS AND PROCEDURES – Patients undergoing LGB for morbid obesity in the 2006 Nationwide Inpatient Sample (NIS) were identified. Cumulative… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Hybrid Transvaginal Sleeve Gastrectomy
Introduction: Sleeve Gastrectomy is now recognized as a weight loss procedure in a staged fashion for high risk patients or increasingly as a primary procedure for non super-obese patients. Reducing the risks of hernia and infections is important in the morbid obese patient. The aim of the presentation is to describe the steps of a… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Improvements in Obesity-related Co-morbidities Following Bariatric Procedures in Chinese Population
Introduction: The aim of this study was to evaluate the outcome in obesity-related co-morbidities following bariatric surgery in an ethnic Chinese population. Methods: All patients who received bariatric procedures from our institution were included in this study. Prospective data collection included patient demographics, postoperative weight loss and changes in obesity-related co-morbidities. Comparison was made between… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity