Does Liberal IV Fluid Administration Decrease Post-Op Nausea and Vomiting in the Bariatric Surgery Patient? a Double Blinded, Randomized Trial
IntroductionPost-operative nausea and vomiting (PONV) represents a serious and vexing problem after bariatric surgery. We hypothesized that liberal administration of IV fluid administration may influence PONV. Methods50 patients were recruited from a bariatric surgery clinic in an academic hospital. Patients were randomized to two groups of intra-operative IV fluid administration: Group A received 15ml/kg while… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Quality of life as determined by SF 36 health survey is significantly improved following laparoscopic gastric bypass. A prospective analysis of consecutive 300
Introduction: The short-form 36 (SF-36) health survey has proven to be a reliable tool when assessing the burden of disease on both physical and mental health. Moreover, it is widely used to assess the effects of various treatment options on the overall quality of life. Using the SF-36 questionnaire, our goal was to quantify the… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
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
Is BMI greater then 60 a predictor of higher morbidity after a laparoscopic Roux en Y gastric bypass?
Background: It has been hypothesized that patients who are super-super morbidly obese, defined as having a Body Mass Index (BMI) of 60 or higher, have an increased rate of post-operative complications. As surgical techniques and operator experience with Roux en Y gastric bypass improved with time, the selection criteria have expanded to include the super-super… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Drain Amylase Levels in Roux-en-Y Gastric Bypass: What Is a Normal Value?
INTRODUCTION: Anastomotic leak from the gastrojejunostomy (GJ) is a serious complication after laparoscopic Roux-en-Y gastric bypass (LRYGB). Normal imaging and a benign abdominal exam does not exclude the presence of a leak. The effluent from a GJ leak is composed primarily of salivary secretions and thus should have a high amylase level. The measurement of… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Safety and Cost Effectiveness of Small Bowel Extraction Without Wound Protection in Laparoscopic Roux En Y Gastric Bypass
INTRODUCTION: Small bowel resection is often required during laparoscopic Roux-en-Y gastric bypass (LRYGB), either with a circular stapled anastomosis technique or resection of excess Roux overhang. An extraction bag is often used to remove the resected portion of bowel. However, an extraction bag may cause the specimen to "mushroom," necessitating a larger fascial defect, thus… 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
Outcome of laparoscopic placement of an adjustable gastric band for morbid obesity in patients with esophageal motility disorders
Background: Recent studies of laparoscopic adjustable gastric band (LAGB) placement demonstrate improvement of gastroesophageal reflux disease (GERD), but the long term results of LAGB for patients with esophageal motility disorders remains unknown. The risk of worsening pre-existing esophageal motility disorders must be balanced against the benefits of LAGB, specifically its efficacy with respect to weight… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Overview on Endolumenal Therapy and N.o.t.e.s. in Obesity and Metabolic Disease Treatment. What Will Be the Future?
Background: Intragastric balloon has been used in obese patients as a restrictive gastric procedure inducing early satiety and weight loss. This prospective study assesses both the safety and effectiveness of intragastric Balloon (BIB®) in the treatment of obese patients. Endoscopic Sleeve Gastroplasty was showed at SAGES Las Vegas Meeting by Roberto Fogel (apr/07). Endoscopic Duodenum-Jejunum… 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