The long-term system and surgeon cost efficiencies of gastric bypass
Aristithes Doumouras, MD, MPH1, Fady Saleh, MD, MPH2, Scott Gmora, MD1, Mehran Anvari, MD, PhD1, Dennis Hong, MD, MSc1. 1McMaster University, 2William Osler HealthcareBackground: Gastric bypass is an important public health procedure with economic benefit to society. Understanding system factors, including the individual surgeon cost efficiencies, is vital to ensuring optimal economic benefit. Therefore, this… Continue Reading
- Topic:
- Metabolic / Obesity
The Incidence of Fractures Following Bariatric Surgery: A Systematic Review
Gabriel Marcil, MD1, Jonathan Bourget-Murray, MD1, Noah Switzer, MD2, Estifanos Debru, MD1, Neal Church, MD1, Philip Mitchell, MD1, Rajrishi Sharma, MD1, Richdeep S. Gill, MD1. 1University of Calgary, 2University of AlbertaINTRODUCTION: Bariatric surgery is a highly effective treatment for severe obesity. While its effect on improvement of the metabolic syndrome is well described, its effect… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
The efficacy of laparoscopic sleeve gastrectomy as a bridge to transplantation in patients with advanced heart failure
Sara A Morrison, MD, Amanda Vest, MD, Roman Schumman, MD, Sajani N Shah, MD. Tufts Medical CenterIntroduction: Morbid obesity frequently precludes advanced heart failure patients from transplant eligibility. Transplant centers have strict BMI restrictions for candidacy on organ waiting lists, and additionally a relative size match is required between cardiac donors and recipients, further limiting… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
The Effect of Robotic Sleeve Gastrectomy with Concomitant Esophagopexy Hiatal Hernia Repair on Gastroesophageal Reflux Disease in Bariatric Patients
Allison C Estep, MD1, Christopher J You, MD2. 1MedStar Union Memorial Hospital, 2MedStar Franklin Square Medical CenterBackground: The effect of sleeve gastrectomy on gastroesophageal reflux (GERD) remains controversial. It is currently common practice to perform a hiatal hernia repair (HHR) at the time of the sleeve gastrectomy, however, there are few data on the outcomes… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
The Effect of Peri-operative Antibiotic Drug Class on the Resolution Rate of Hypertension After Roux-en-Y Gastric Bypass and Sleeve Gastrectomy.
Jacob J Patz, BS, Melissa C Helm, BS, Rana M Higgins, MD, Matthew I Goldblatt, MD, Jon C Gould, MD, Tammy L Kindel, MD, PhD. Medical College of WisconsinBackground: Recent studies have suggested that potential aberrant alterations in the gastrointestinal microbiome contribute to the development of cardiovascular disease, specifically hypertension. Bariatric surgery produces significant sustained… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
THE EFFECT OF FIBRIN GLUE OR SUTURE ON LEAKAGE IN PATIENTS UNDERGOING LAPAROSCOPIC SLEEVE GASTRECTOMY
Sertac Usta, MD1, Koray Karabulut1, Hakan Artas, MD2. 1Firat University School of Medicine General Surgery Department, 2Firat University School of Medicine Radiology DepartmentIntroduction: Sleeve gastrectomy represents one of the most common surgical procedure used in bariatric surgery. The most feared complication following laparoscopic sleeve gastrectomy is the leak that occurs at the staple line. One… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
The effect of bariatric surgery, on Dyslipidemias: Sleeve gastrectomy vs. gastric bypass
Mauricio Sarmiento Cobos, MD, David Gutierrez Blanco, David Romero Funes, MD, Emanuele Lo Menzo, MD, PhD, FACS, Rama Ganga, MD, Samuel Szomstein, MD, FACS, Raul J Rosenthal, MD, FACS. Cleveland Clinic FloridaINTRODUCTION: Obesity and dyslipidemias are well-known factors that affect the overall cardiovascular risk. Bariatric surgery has shown to have a positive impact on the… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
THE ASSOCIATION BETWEEN PREOPERATIVE ENDOSCOPIC ESOPHAGITIS AND POST OPERATIVE GERD IN SLEEVE GASTRECTOMY PATIENTS
Samer Elkassem, MD. Medicine Hat Regional HospitalINTRODUCTION: GERD is a common complication after sleeve gastrectomy (SG). The purpose of this study is assess the relationship between pre-operative findings of endoscopic esophagitis and post-operative GERD in SG patients. The hypothesis of this study is that patients with pre-op esophagitis are more likely to have GERD post-op… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
TECHNICAL PEARLS FOR DELAYED LAPAROSCOPIC SLEEVE GASTRECTOMY CONVERSION AFTER EXPLANT OF ADJUSTABLE GASTRIC BAND
Elizabeth Hechenbleikner, MD, Fatemeh Parvin-Nejad, BA, David Berler, MD, Daniel Herron, MD. Mount Sinai Hospital, Garlock Division of SurgeryThis case highlights the challenges encountered during a delayed laparoscopic sleeve gastrectomy converison after band removal. Dense adhesions between the stomach and the liver as well as the spleen along with the former gastric plication obscure normal… Continue Reading
- Topic:
- Metabolic / Obesity
SWEDISH ADJUSTABLE GASTRIC BAND BY VIDEOLAPAROSCOPY: 5 AND 10 YEARS FOLLOW UP
Pablo Omelanczuk1, Martin Berducci1, Magali Sanchez2, Natalia Pampillon2, Viviana Lasagni2, Sonia Omelanczuk2, Cecilia Penutto2, Mariela Abaurre2, Romina Palma2. 1Hospital Italiano de Mendoza Argentina, 2Centro Quirúrgico de la ObesidadObjective: To show the results of five and ten years follow up in patients with morbid obesity surgically treated by videolaparoscopy placing a Swedish adjustable gastric band. Method:… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Surgical weight loss is directly related to preoperative Cardiovascular risk
David Gutierrez Blanco, MD, David Romero Funes, MD, Giulio Giambartolomei, MD, Mauricio Sarmientos Cobos, MD, Emanuele Lo Menzo, MD, PhD, FACS, Rama Ganga, MD, Samuel Szomstein, MD, FACS, Raul J Rosenthal, MD, FACS. Cleveland Clinic FloridaINTRODUCTION: Atherosclerotic cardiovascular disease(ASCVD) and Framingham risk scores(FRS) are used to calculate the 10-year risk of coronary death or nonfatal… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Surgical Trainee Impact on Bariatric Surgery Safety
Iliya Goldberg, MD, MS, Jie Yang, PhD, Jihye Park, MS, Aurora Pryor, MD, Salvatore Docimo, DO, MS, Andrew T Bates, MD, Mark A Talamini, MD, MBA, Konstantinos Spaniolas, MD. Stony Brook University, New YorkBackground: Roux-En-Y-Gastric Bypass (RYGB) and Sleeve Gastrectomy (SG) are commonly performed bariatric procedures that are associated with a significant learning curve. The… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Surgical Management of Postprandial Hyperinsulinemic Hypoglycemia after Roux-en-Y Gastric Bypass
Jessica Ardila-Gatas, MD, Linden Karas, MD, Julia Simkowski, BS, M. Cecilia Lansang, MD, PhD, Ali Aminian. Cleveland ClinicIntroduction: Postprandial hyperinsulinemic hypoglycemia (PPH) usually occurs one year after Roux-en-Y gastric bypass surgery (RYGB), presenting with normal fasting glucose and insulin levels, inappropriately high postprandial insulin and C-peptide levels, and a low glucose level. Anatomical changes after… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
STAPLE LINE REINFORCEMENT REDUCES POSTOPERATIVE BLEEDING AFTER LAPAROSCOPIC SLEEVE GASTRECTOMY- AN ANALYSIS OF THE MBSAQIP DATASET
Sn Zafar, MD, MPH, E Wise, MD, M Kligman. University of Maryland Medical CenterIntroduction: Staple line treatment during laparoscopic sleeve gastrectomy (LSG) remains a controversial issue among bariatric surgeons. The objective of this study was to compare rates of postoperative bleeding among various accepted methods of staple line reinforcement. Methods and Procedures: The Metabolic and… Continue Reading
- Topic:
- Metabolic / Obesity
Standardization of Surgical Technique Reduces Gastroesophageal Reflux Disease after Laparoscopic Sleeve Gastrectomy
Vikrom K Dhar, MD1, Justin T Graff, BS1, Dennis J Hanseman, PhD1, Brad M Watkins, MD1, Tayyab S Diwan, MD1, John M Morton, MD2, Jonathan R Thompson, MD1. 1University Of Cincinnati, 2Stanford UniversityBackground: Variability in surgical technique resulting in narrowing at the incisura angularis, twisting along the staple line, and retention of the gastric fundus… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity