Comparison of Absorbable Versus Non Absorbable Suture On Gastrojejunal Anastomotic Stricture Rates in Laparoscopic Gastric Bypass
Rishi Ramlogan, MBBS, Keith Zuccala, MD FACS. Danbury Hospital, CT Introduction: Gastric bypass is the gold standard of bariatric surgery. One complication of gastric bypass is the development of anastomotic strictures at the gastrojejunostomy. According to the current literature, the incidence varies widely between 3 and 31%. Our aim in this study is to determine… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Conversion of a Previously Reversed Roux En Y Gastric Bypass to a Sleeve Gastrectomy for Morbid Obesity and Pseudotumor Cerebri
Soto Flavia, Elias Chousleb, Omar Bellorin, Ismael Court, Abraham Abdemur, Samuel Szomstein. Cleveland Clinic Florida IntroductionReversing weight loss operations, usually leads to recurrence of obesity and associated co-morbidities. Reoperative choices for recurring obesity are few and complex to be performed via laparoscopy. Case presentation and methods: We present the case of a 43 y/o female… Continue Reading
- Topic:
- Metabolic / Obesity
Conversion of Failed Laparoscopic Nissen Fundoplication to Gastric Bypass for the Management of Recurrent Gastroesophageal Reflux Disease
Sean R Sheff, MD, Julio J Bird, MD, Shanu N Kothari, MD FACS. Gundersen Lutheran Medical Foundation, Gundersen Lutheran Health System Introduction: Gastroesophageal reflux disease (GERD) is prevalent in approximately 20% of the population. However, in the morbidly obese population, 55-62% of patients presenting for gastric bypass (GB) complain of GERD symptoms. Standard surgical treatment… Continue Reading
- Topic:
- Metabolic / Obesity
Disparities in Access to Basic Laparoscopic Surgery in Severely Obese Compared to Non-Obese Patients
Esteban Varela, MD MPH, Ninh Nguyen, MD. Department of Surgery Washington University in St. Louis Background: The number of severely obese requiring laparoscopic procedures has increased in the U.S. Laparoscopy is the standard approach for basic gastrointestinal procedures such appendectomy and cholecystectomy. We determined the disparities in access to basic laparoscopic surgery for severely obese… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Do Thyroid Stimulating Hormone Levels Change After Gastric Bypass Surgery?
Shushmita Ahmed, BS, John M Morton, MD MPH. Stanford University Background: Thyroid function is important for adequate metabolism. Studies have shown obese patients to have higher levels of thyroid stimulating hormone (TSH) than non obese patients. Evidence suggests an association between high TSH values and metabolic syndrome which is demonstrated when TSH and weight reduction… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Does a Preoperative Medically Supervised Weight Loss Program Improve Bariatric Surgery Outcomes: A Pilot Randomized Study
Meena Dasari, PhD, Diego Ayo, MD, Michelle McMacken, MD, Olugbenga Ogedegbe, MD, Manish Parikh, MD. NYU School of Medicine and Bellevue Hospital Center Introduction: Participation in a medically-supervised weight management (MSWM) program before bariatric surgery is mandated by several insurance payers. However, this requirement is not evidence-based and serves as a barrier to medically necessary… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Does Adding a Lesser Curvature Gastro-Gastric Plication Suture Reduce the Need for Revision After Laparoscopic Adjustable Gastric Band Placement?
J Zagzag, MD, B Schwack, MD, H Youn, MA BSN, C Ren-Fielding, MD, G Fielding, MD, M Kurian, MD. NYU Langone Medical Center Introduction: The need for revision after laparoscopic adjustable gastric band (LAGB) surgery has been greatly reduced over the last 10 years with the introduction of the pars flaccida technique, with slow and… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Does Gastric Bypass Improve Serum Creatinine Levels?
Shushmita Ahmed, BS, John M Morton, MD MPH. Stanford University Background: Obesity has been associated with decreased renal function and chronic kidney disease independent of diabetes and hypertension. We hypothesize that serum creatinine (Cr) levels will improve in patients following laparoscopic Roux en Y Gastric Bypass (LRYGB). Methods: At a single academic institution, between 2002… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Does Preoperative Ugi Predict Hiatal Hernia Presence During Laparoscopic Adjustable Band Placement?
Lane A Ritter, MD, Joseph Broucek, Minh Luu, MD, Khristi Autajay, RN LDN, Jonathan A Myers, MD. Rush University Medical Center BACKGROUNDHiatal hernia has long been an entity associated with morbid obesity. It has been reported that as many as 50% of upper gastrointestinal (UGI) series done prior to bariatric procedures reveal the presence of… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Does Sleeve Gastrectomy Bougie Size Predict Sleeve Size
John O'Dea, PhD, Adrian McHugh, BSc, David Nolan, BE, Silvana Perretta, MD, Bernard Dallemagne, MD. Crospon, Galway, Ireland; IRCAD, Strasbourg, France Introduction: Current practice in the creation of a sleeve gastrectomy involves the use of a bougie or endoscope of known diameter around which the sleeve is stapled. We conducted a case study to evaluate… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Dysphagia Secondary to an Angelchik Prosthesis Insertion: the Role of Laparoscopic Management
Daniel W Birch, MSc MD FCRCS FACS, Shahzeer Karmali, MD FRCSC, Nader W Azer, MD. Centre for Advancement of Minimally Invasive Surgery, Department of Surgery, Division of General Surgery, University of Alberta, Edmonton, Alberta, Canada. Angelchik prosthetic rings have been used for the surgical treatment of gastroesophageal reflux disease (GERD) since 1973. They were first… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Economic Impact of Anastomotic Leaks in Bariatric Procedures in the USA: 2005-2009
Lobat Hashemi, MS, Nilay Mukherjee, PhD MBA, Micheal Morseon, Ross D Segan, MD FACS. Covidien INTRODUCTION: Postoperative leaks from laparoscopic Roux-en-Y gastric bypass represent the most frequent site for anastomotic leaks. Recent studies have reported the rate of anastomotic leaks in bariatric procedures to range from 1% to 5%. In this study, we examined the… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Effect of Race and Ethnicity On Outcomes After Bariatric Surgery
Prateek K Gupta, MD, Himani Gupta, MD, R. Armour Forse, MD PhD. Creighton University Objective: Racial and ethnic disparities for surgical outcomes exist, but investigations of such disparities after bariatric surgery have been limited to comparison of Blacks and Whites. No prior study has comprehensively analyzed the effect of race and ethnicity, including American Indians,… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Endo-Laparoscopic Sleeve Gastrectomy for Treatment of Morbid Obesity
Dennis Wong, MD, Wai-Hong Chan, MD, Ho-Hing Wong, Michael Li, MD. Pamela Youde Nethersole Eastern Hospital Introduction: The aim of this study was to evaluate the result of a novel minimally invasive surgical technique that combines conventional laparoscopic sleeve gastrectomy with endoscopy in the management of morbid obesity. Method: Patients who fulfilled the recommendation for… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Endoscopic Findings and Outcomes of Revisional Procedures in Patients with Weight Recidivism After Gastric Bypass
Panot Yimcharoen, Manish Singh, Stacy Brethauer, Philip Schauer, Tomasz Rogula, Matthew Kroh, Bipan Chand. Cleveland Clinic Foundation BACKGROUND: Significant long-term weight regain occurs in 10-20% patients after gastric bypass (RYGB). Treatment of this chronic disease requires an understanding of why some patients regain weight years after surgery. Enlargement of the gastric pouch or gastrojejunostomy (GJ)… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity