Follow-up and Distance From Centre Are Important Determinants in Weight Loss Post Laparoscopic Adjustable Gastric Banding.
IntroductionIn this study, we examine the importance of regular post-operative follow-up and the effect of geographical distance from the centre of follow-up on long term weight loss post laparoscopic adjustable gastric banding (LAGB). MethodOver 11 years (1997- 2008), 140 patients underwent LAGB. Post-operatively patients were invited to attend a monthly nurse-led follow-up clinic, to assess… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Single Incision Laparoscopic Gastric Band Placement
To further improve cosmesis and perhaps reduce the disability associated with current laparoscopic operations single incision laparoscopic surgery has been advocated. Single incision laparoscopic surgery has been applied to cholecystectomy and appendectomy. We report on the application of this technique to adjustable gastric banding. Methods: Six patients with BMI of 41-44 underwent single incision laparoscopic… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Treatment for Bowel Obstruction After Gastric By-pass
IntroductionInternal hernias are a common and often misdiagnosed complication that may occur after Roux-en-Y anastomosis. It may be at the origin of small bowel ischemia and necrosis. This video shows a typical example of such a complication.MethodA 23-year-old woman who had undergone a gastric bypass procedure for morbid obesity 2 years ago presented to the… Continue Reading
- Topic:
- Metabolic / Obesity
Ultrasound Guided Localization of Adjustable Gastric Banding Access Port
INTRODUCTION: Laparoscopic adjustable gastric banding (LAGB) has become one of the most popular bariatric surgeries performed today. Percutaneous access of the port for adjustment is required during follow-up but can be difficult in some patients with very thick abdominal wall. In these patients, fluoroscopic guidance has been used to localize the port and guide access.… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Initial Experience with Hybrid NOTES Sleeve Gastrectomy Using Two Trocars
BACKGROUNDPotential benefits using the natural orifices transluminal endoscopic surgery (NOTES) approach including advantages related to reduction of visible scaring, recovery time, hernia formation and adhesions have been evaluated over the traditional surgical approaches for the morbid obese population. Hybrid NOTES procedures (combination of laparoscopic and transluminal surgery) have emerged as an alternative in minimally invasive… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Endoscopic and Radiographic Changes Following Incisionless Revisional Surgery for Treatment of Post Roux-en-Y (rygb) Stoma and Pouch Dilatation
Introduction: Upper gastrointestinal contrast studies and upper endoscopy are useful tools for screening and evaluation of gastrointestinal integrity before and after bariatric surgery. They also can be useful in documenting the anatomical changes following these interventions. We wanted to evaluate the immediate and intermediate post-operative changes associated with an incisionless approach to revisional surgery for… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Gastric Band Manometry: Are Pressure Measurements and the Band Pressure Ratio Useful?
Introduction: Successful band adjustment requires a method to measure adequate restriction without over-inflation. There is no standardized optimal volume of saline used during band filling. We investigated what the relationship was between subjective optimal band filling and band pressure measurements.Methods: Band pressure measurements were recorded at the first and second band adjustments in patients who… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Revision of Antireflux Surgery to Roux-en-Y Gastric Bypass in Morbidly Obese Patients
Introduction: Laparoscopic Roux-en-Y gastric bypass (LRYGB) is an effective treatment for gastroesophageal reflux disease (GERD) in morbidly obese patients. However, LRYGB in patients with a previous anti-reflux procedure may present a significant technical challenge. We aimed to demonstrate the safety and efficacy of laparoscopic revision from anti-reflux procedures to LRYGB in a series of morbidly… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Smaller Patients Do Better: The Rationale for Expanding the Criteria for Obesity Surgery
INTRODUCTION.The prevalence of Americans with a BMI >40 is 4.7% but over 25% of Americans have a BMI >30. The risks and benefits of weight loss surgery are well documented. The population of patients between a BMI of 30-35 may also benefit significantly from these surgeries; many centers are proposing investigations along these lines. We… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Sleeve Gastrectomy As Treatment for Patients with Morbid Obesity with Concurrent Paraesophageal Hernia
Introduction: The management of paraesophageal hernia in patients undergoing bariatric surgery is controversial. Previously, treatment options have included performance of the procedures either in separate sequential operations, or concurrent performance of cruroplasty with either Roux-en Y gastric bypass or placement of an adjustable gastric band. We report our experience with simultaneous performance of cruroplasty and… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Endoscopic Technique for Removal of an Intra-gastric Balloons Causing Gastric Outlet Obstruction
Objectives: Intra-gastric balloons are devices used in many foreign countries as a bridge to bariatric surgery. Regulatory oversight differs from country to country leading to inconsistency in patient evaluations and procedural techniques. Often a United States (US) physician’s first exposure to these devices is generally upon arrival of a patient presenting with device related sequelae.… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Early Results of Laparoscopic Adjustable Gastric Banding in Bmi<35: The Appropriate Choice
Objective: Obesity is an epidemic in America and continues to worsen. Lifestyle modifications remain the first line in treatment, but typically fail for patients. As obesity worsens, the associated comorbidities become an expensive and time consuming aspect of our health care system. Placement of an adjustable gastric band in a low BMI population ( Session:… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Ethicon Realize Band Versus Allegran Ap Series Bands: Early Results At Uc San Diego
Objective: The obesity epidemic has become a worldwide problem with America leading with 32% of its population considered obese (BMI>30). This is projected to only get worse with 86% of the American population projected to be overweight or obese by 2030 with associated health care spending to be as much as $956.9 billion. Medical therapy… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Modified Single Incision Lapraroscopic Adjustable Gastric Band
Introduction: Single incision surgery is an evolving technique which aims to minimize pain and scarring related to multiple laparoscopic incisions. This video describes a modified single incision laparoscopic approach for adjustable gastric band placement in a 28 year old female with a BMI 48.75. Methods: Although we originally used a true single incision technique and… Continue Reading
- Topic:
- Metabolic / Obesity
The Effectiveness of Gastric Band: A Retrospective Seven-year U.s. Follow-up Study
Objectives: To assess the efficacy of gastric band during 7 years of follow-up. Methods: A retrospective database analysis was conducted using longitudinal data from gastric band patients between Jan 1, 2000 and Feb 29, 2008. Patients were included for the efficacy analysis if they were at least 18 years of age at surgery date and… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity