Laparoscopic Retro-Gastric Retro-colic Roux-en-Y Gastric Bypass Does not Cause Increased Incidence of Internal Hernias and Obstructions.
Background: Laparoscopic Gastric Bypass (LGB) is reportedly associated with increased risk of intestinal obstruction due to internal hernia. Some authors argue that retrogastric retrocolic approach has a major disadvantage in this respect. Study Design: From 2001-2007, a total of 1364 patients underwent LGB, with conversion rate of 0.66%. Ninety day follow-up was 100% and long-term… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Intragastric Balloons for Obesity – A Novel Technique for More Secure, Quicker, and Less Expensive Office Placement and Removal.
BACKGROUND: Although bariatric surgery is the fastest and most effective way to lose and control weight, some overweight patients are not eligible for this procedure. Endoscopic placement of a Silicone Intragastric Balloon (SIB) to restrict gastric intake in obese patients is a cheaper and less invasive alternative to bariatric surgery, bringing about significant weight loss.… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Predictors of symptomatic gallstones after bariatric surgery: A multivariate analysis of risk factors comparing gastric bypass, gastric banding, and sleeve gastrectomy
Background: Risk factors for symptomatic gallstone formation after bariatric surgery are unknown. Interventions to detect and reduce the incidence such as postoperative ursodeoxycholic acid and routine postoperative ultrasound surveillance have been suggested but remain controversial. A selective approach guided by patients’ risk factors rather than an algorithmic method may be indicated. Patients and Methods: After… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Incidence of gallstones after sleeve gastrectomy
Background: The rate of gallstone formation one year after gastric bypass is reportedly as high as 52.8%. One possible mechanism is the reduced cholecystokinin secretion due to diminished local enteric-endocrine reflex secondary to duodenal exclusion. Prophylactic cholecystectomy during Roux-en-Y gastric bypass (RYGBP) has been suggested to reduce the incidence of gallstone-related complications, but remains controversial.… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
\”Complications of permanent mesocolon suture\”. An unusual consequence of retrocolic Roux En Y gastric bypass.
Background: The debate regarding the retrocolic or antecolic routing of the Roux limb with respect to gastric bypass for morbid obesity has centered on the incidence of internal hernias. Retrocolic proponents claim that complete closure of all mesenteric defects limits this complication. There have been no reports of complications attributable to the mesenteric closure itself.… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Reducing the incidence of gastric prolapse after adjustable banding: A stitch away
Background: Laparoscopic adjustable gastric banding is gaining in popularity for the treatment of morbid obesity. While it garners successful weight loss, the postoperative course can be complicated by reoperations. Gastric prolapse after adjustable banding is the most common cause for reoperation, approaching up to 5% in many series. Using the Pars Flaccida technique, it is… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Fate of asymptomatic gallstones: The natural history of leaving gallstones behind during bariatric procedures
Background: Expectant management of asymptomatic gallstones during bariatric procedures has been suggested. The risk factors and risk of developing subsequent symptoms or complications of this specific group remains uncertain. Materials and Methods: After IRB approval, a retrospective review of 796 consecutive patients who underwent laparoscopic Roux-en-Y gastric bypass, adjustable gastric banding, or sleeve gastrectomy between… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Incidence, etiology, and management of gastric remnant dilation following laparoscopic Roux-en-Y gastric bypass for morbid obesity: Analysis of 1963 consecutive cases
Background: Gastric remnant dilation is a rare but potentially lethal complication following laparoscopic Roux-en-Y gastric bypass (LRYGB). Routine gastrostomy has been advocated in order to avoid its occurrence. To our knowledge, few reports in the literature review the incidence and etiology of this complication utilizing the laparoscopic approach. We reviewed our series, analyzing the incidence… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
The impact of laparoscopy on infectious complications after bariatric surgery
Background: The incidence of infectious complications after open bariatric surgery is reportedly higher than in the laparoscopic approach, in some isolated series. Our objective was to determine the rate and pattern of postoperative infectious complications of the surgical wound, abdominal cavity, and urinary and respiratory tracts after laparoscopic bariatric surgery. Methods: After IRB approval, a… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Long-term Follow Up After Sleeve Gastrectomy As a Final Approach for Morbid Obesity
Background: In prior publications we demonstrated the safety and short-term efficacy of laparoscopic sleeve gastrectomy (LSG) as a final step in the treatment of morbid obesity (MO). This study aimed to assess the long-term efficacy of LSG. Methods: After IRB approval, we performed a retrospective medical record review of 141 consecutive patients who underwent LSG… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Socioeconomic Predictors of Weight Loss After Laparoscopic Roux-y Gastric Bypass
Introduction: Successful weight loss after laparoscopic Roux-Y gastric bypass (LRGBP) hinges on many elements including neurohormonal, anatomical, and postoperative behavioral changes. To date, the effects of socioeconomic factors have been poorly studied. We examine several components of socioeconomic status and its relationship to weight loss after LRGBP.Methods: Between August 2002 and July 2006, 405 LRYGB… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Portal venous gas one year after laparoscopic Roux-en-Y gastric bypass. a case report of a unique pathology.
Introduction: Hepatic portal venous gas is a radiographic finding typically associated with bowel ischemia, and is considered to be a poor prognostic sign prompting urgent operative exploration. Portal venous gas frequently occurs after instrumentation of the biliary tree, and may also be seen after insufflation of the abdomen for laparoscopy. In addition, portal venous gas… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic gastrotomy for accessing gastric remnant in patients with choledocholithiasis status post roux-en-y gastric bypass surgery, report of two cases.
AbstractBackground: Obesity is reaching epidemic proportions in the United States and worldwide. Roux-en-y gastric bypass is most common bariatric surgical procedure performed. We propose a minimally invasive technique which is easily duplicated to gain access to the gastric remnant and the biliary tree.Method: Report of two cases with suspicion of choledocholithiasis and history of roux-en-Y… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Early results after laparoscopic sleeve gastrectomy for morbid obesity
From December 2004 and June 2007 74 patients (9 men) had a laparoscopic sleeve gastrectomy for morbid obesity. They were aged 43.8 ± 9.4 years with a Body mass index (BMI) of 44.5 ± 8.24. Comorbidities included sleep apnea (34 patients), type 2 diabetes (11) and high blood pressure (21). 40 patients presented with at… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
When the Sleeve Gastrectomy Fails: Adding a Laparoscopic Adjustable Gastric Band to Increase Restriction
Laparoscopic Sleeve Gastrectomy (LSG) is becoming more popular as a primary option for the surgical management of morbid obesity. Although some early sleeves performed over large-sized bougies have resulted in poor long-term weight loss maintenance, recent research has demonstrated that more restrictive sleeve gastrectomies can maintain nearly 60% excess weight loss. While the choice of… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity