Laparoscopic Conversion of VBG to Roux-en-Y Gastric Bypass
IntroductionMorbid obesity has been on the rise in the United States. A decade ago, open vertical gastroplasty was a popular restrictive gastric surgery for weight reduction with a high failure rate. We report our experience in a single institution in converting vertical band gastroplasty (VBG) to roux en y gastric bypass (RYGB) laparoscopically. MethodsA prospective… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Gastric Bypass Does Not Necessarily Increase the Propensity to Develop Internal Hernias
Background: Although laparoscopic Roux en Y gastric bypass (LGB) has been proven to have numerous advantages over the open technique, internal hernia formation has been cited as a common and life-threatening complication associated more frequently with the laparoscopic technique.Methods: A review of all patients who underwent a LGB between 2003 and 2007 by a single… 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
Laparoscopic Ileal Interposition Associated to a Diverted Sleeve Gastrectomy Is an Effective Operation for the Treatment of Type 2 Diabetes Mellitus Patients with Bmi 21 – 29
Introduction: The objective of this study is to evaluate the clinical results of the laparoscopic interposition of a segment of ileum into the proximal duodenum associated to a sleeve gastrectomy (II-DSG) in order to treat patients with Type 2 Diabetes Mellitus (T2DM) and BMI 21-29.Methods: The laparoscopic procedure was performed in 69 patients. 22 were… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic Repair of Perforated Marginal Ulcer Following Laparoscopic Roux-en-Y Gastric Bypass: A Case Series
INTRODUCTION: Perforation of marginal ulcer is a known complication of laparoscopic Roux-en-y gastric bypass (LRYGB), and although not extensively reported in the literature, laparoscopic repair may be a feasible option to avoid the morbidity associated with a large midline laparotomy incision. Our objective is to present our experience with laparoscopic repair of perforated marginal ulcers… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
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
Laparoscopic Revision of Omega Loop Bypass to Roux-en-Y Gastric Bypass
Bariatric surgeons who evaluate patients for possible revisional surgery should be aware of the potential of aberrant bypass anatomy. The “Omega loop gastric bypass” is a nondivided, antecolic loop gastric bypass with a Braun entero-enterostomy. The omega loop bypass is not a condoned weight loss procedure due to the lack of published evidence regarding risks… Continue Reading
- Topic:
- Metabolic / Obesity
Laparoscopic Roux – En – Y Gastric By Pass with Jejunun – Ileal Diversification – Technique and Results.
Background: During November 98 to April 2007 we performed 3000 bariatric procedures that including: 29% Lap-Band, 41% Gastric By Pass, 26% BIB and 4% BPD. The choice of the method was defined by protocols developed into a multidisciplinary team, considering BMI, social and eating profile, surgery risk, agreement to physical activity and patient’s expectation.Methods: In… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Roux-en-Y Gastric Bypass in Patients with Body Mass Index > 70kg/m2
Introduction: There is sparse literature regarding the optimal surgical management of megaobesity, defined as body mass index (BMI) >70 kg/m2. The purpose of this study was to compare laparoscopic Roux-en-y gastric bypass (LRYGP) and open Roux-en-y gastric bypass (ORYGP) in megaobese patients.Methods: A retrospective review of patients with BMI >70 kg/m2 undergoing LRYGB and ORYGP… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Roux-en-Y Gastric Bypass vs. Laparoscopic Adjustable Gastric Banding: 30-day Morbidity and Mortality as Assessed by Prospective, Multi-center, Risk-Adjusted ACS-NSQIP Data
Background: Previous comparisons of open and laparoscopic Roux-en-Y gastric bypass (ORYGB, LRYGB), and laparoscopic adjustable gastric banding (LAGB) have been limited by a lack of unique CPT codes for LRYGB and LAGB. Specific codes have been available for LRYGB since 2005, and for LAGB since 2006. This study compares the short-term safety of these procedures,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic Sleeve Gastrectomy versus Adjustable Gastric Banding for Morbid Obesity: Perioperative and Short-term Outcomes
Laparoscopic sleeve gastrectomy (LSG) is emerging as a primary procedure for the treatment of morbid obesity. We compare the outcomes of patients undergoing LSG vs laparoscopic adjustable gastric banding (LAGB). Specifically we examine the perioperative and postoperative variables and short term weight loss. Methods: This study is a retrospective review of a prospective database of… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Metabolic / Obesity
Laparoscopic Truncal Vagotomy for Weight-loss: A Prospective, Dual-center Safety and Efficacy Study.
OBJECTIVE: To evaluate the safety and efficacy of laparoscopic truncal vagotomy in morbidly obese men and women with BMI 35-45.METHODS: This is an open-label, prospective, dual-center study of 30 obese patients undergoing laparoscopic truncal vagotomy and followed every 3 months for 18 months. The primary safety variable is the overall incidence of adverse events. The… Continue Reading
- Type:
- Podium Presentations
- 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
Long-term Improvement of Pulmonary Function after Laparoscopic Gastric Bypass Surgery
INTRODUCTION: Morbidly obese patients often have impaired respiratory mechanics leading to restrictive lung disease. Weight loss after bariatric surgery has been shown to improve or resolve many obesity-related comorbidities; however, little is know about the long-term changes in pulmonary mechanics after bariatric surgery. We hypothesize that pulmonary function may improve with weight loss after laparoscopic… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Low Complication Rates Following Laparoscopic Gastric Bypass. a Report from the Bariatric Surgery Center of Excellence.
Introduction: Bariatric surgery remains the only modality to provide morbidly obese patients with a significant and sustained weight loss. Laparoscopic Roux-en-Y Gastric Bypass (LRGB) has become the gold standard of bariatric procedures. However significant but variable complication rates following laparoscopic gastric bypass were reported. Materials and Methods: We present our experience with 434 consecutive patients… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity