High Visceral Adipose Volume Impairs Beta-cell Function and May Influence Surgical Options
BACKGROUND: The mechanism for type-2 diabetes (T2DM) resolution following bariatric surgery is unknown, but is typically more robust for malabsorptive procedures (roux-en-Y gastric bypass, RYGB) than for restrictive procedures (laparoscopic gastric banding, LGB). We hypothesize that high visceral volume is a predictor of pre- or frank diabetes and surgeries that rapidly deplete visceral adipose stores… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Impact of Roux Length on Weight Loss After Laparoscopic Gastric Bypass
Background: Many surgeons use longer roux limbs in laparoscopic roux-en-Y gastric bypass (LRGB) for more overweight patients in an attempt to achieve greater weight loss. However, prior studies have shown conflicting results regarding the impact of roux length on weight loss. Moreover, gastric bypass produces weight loss through additional mechanisms which are potentially more potent.… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Incidence and Implications of Abnormal Glucose Tolerance Testing Following Gastric Bypass
Introduction: Reactive hypoglycemia following RYGB has been well reported. Its frequency and implications are unclear. To further determine its incidence and significance, glucose tolerance tests (GTT) was used to assess the effect of glucose challenge on post-RYGB patients.Methods: 28 randomly selected patients who were at least 6 months post-op from RYGB and were returning for… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Incisionless Weight Loss Surgery. a Novel Gastric Restrictive Procedre Using the Transoral Gastroplasty Technique
The standard operations for weight loss surgery in this country are the Roux-en-y gastric bypass and the adjustable gastric band. Both of these operations are performed laparoscopically. Although the incisions used in minimally invasive surgery are small compared to open surgery, they still require cutting of the anterior abdominal wall. We present one of the… Continue Reading
- 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
Initial Japanese Experience with Laparoscopic Adjustable Gastric Banding
Background/Aim: Since bariatric surgery had not been so popular in Japan, we introduced laparoscopic adjustable gastric banding (LAGB) for the treatment of morbid obesity into Japan. Our initial data were evaluated.Methods: Between August 2005 and August 2008, 28 morbidly obese patients (17 women / 11 men, mean age of 38yr) received LAGB in our institute.… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Intragastric Balloon for Weight Loss Before Cardiac Transplant – a Case Report
BACKGROUND: Intragastric balloon treatment for obesity has been developed and it’s placement and removal techniques has been improved. Its primary objective is the treatment of obese people, who have had unsatisfactory results in their clinical treatment for obesity, despite of being cared for by a multidisciplinary team, and to prepare super obese patients with a… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Intragastric Balloons Are Effective for the Weight Control in Non Obese Patients
BACKGROUND: Many clinical treatments have been attempted for weight reduction in overweight patients, body mass index (BMI) below 30, most commonly medically treated with Orlistat, Sibutramine and more recently with Rimonabant, all presenting gastrointestinal, circulatory, metabolic or psychological side effects which are sometimes severe. Recent Silicone intragastric balloons (SIB) clinical trials have used overweight patients… 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 – the First 138 Ballons.
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. OBJECTIVE: To report improvements made in the technique for office placement and removal of Silicone Intragastric Balloons (SIB). MATERIAL AND METHODS: Between June 2006 and September 2008, 117 obese patients… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Intussusception Complicating Post Gastric Bypass Pregnancy
OBJECTIVE: Only 10 cases of intussusception after Roux-en-Y gastric bypass (RYGB) surgery and 11 cases of intussusception complicating pregnancy have been reported in the literature with one previous case common to both groups. We present an unusual case of intussusception complicating pregnancy following open RYGB. METHODS: 34-year-old female had a normal vaginal delivery at full… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Is There a Difference Between Early and Late Endoscopic Balloon Dilation for Gastrojejunal Stricture After Roux-en-Y Gastric Bypass?
INTRODUCTIONEndoscopic balloon dilation has been shown to be an effective treatment for gastrojejunal (GJ) strictures after Roux-en-Y gastric bypass (RYGB). We hypothesize the number of necessary interventions is influenced by the time interval since RYGB. This is a retrospective review examining the relationship between the interval from RYGB to balloon dilation in patients with stricture.MATERIALS… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Lap Band: Safe and Effective Procedure?
Background: The laparoscopic adjustable gastric band (LAGB) is the most commonly performed operation for weight loss worldwide. The Lap-Band was approved for use in the United States in 2001. LAGB has been described as a safe and effective weight loss procedure. Since then, however, insufficient weight loss and long term complications have been reported. Weight… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparo-endoscopic Single Site (less) Surgery for Placement of Adjustable Gastric Band
Objective: Laparo-endoscopic single site (LESS) surgery for cholecystectomy and appendectomy have been described in the literature. However, the benefits of these procedures to traditional laparoscopic approaches has yet to be determined. To date, LESS surgery for placement of an adjustable gastric band has not been published or documented. Our goal is to determine the safety… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparo-endoscopic Single Site Surgery (lesss) for Placement of Adjustable Gastric Band
Objective: To demonstrate with video presentation a Laparo-Endoscopic Single Site Surgery (LESSS) for placement of adjustable gastric band. Method: Essentially this is a laparoscopic procedure done via one skin incision. A periumbilical skin incision is made and a small pocket is then created above the anterior fascia to accommodate multiple ports. Pneumoperitoneum is first achieved… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic Adjustable Gastric Banding in a Patient with Previous Gastric Bypass Surgery
Introduction: We present a case of laparoscopic adjustable gastric banding (LAGB) in a patient with previous Roux -en- Y gastric bypass (RYGB).Methods: 39 year old morbidly obese woman (BMI 44 kg/m²) referred for evaluation for revisional bariatric surgery. She underwent open RYGB in 2000. She lost 250 lbs after her surgery but slowly she regained… Continue Reading
- Topic:
- Metabolic / Obesity