The Impact of Previous Fundoplication on Laparoscopic Gastric Bypass Outcomes
Introduction: Gastroesophageal reflux disease (GERD) is a common comorbid condition in morbidly obese gastric bypass candidates. The ideal operation for medically refractory GERD in a patient who is also morbidly obese is a laparoscopic Roux-en-Y gastric bypass (LRYGB). Unfortunately, some patients who ultimately present for bariatric surgery have previously undergone Nissen fundoplication for their GERD.… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
A Small Pouch Laparoscopic Adjustable Gastric Band (high Band) Is Associated with a Lower Incidence of Complications. Midterm Analysis of 132 Patients.
Introduction: Laparoscopic adjustable gastric banding (LAGB) is the least invasive procedure for surgical treatment of morbid obesity and is becoming a preferred method for surgical weight loss among bariatric patients in the USA. However, up to 20% of patients develop complications after the implantation of LAGB. Severe complications such as band migration, band infection, pouch… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Does Gastric Bypass Resolve Cardiac Comorbidities Equally for the Obese Vs Super Obese?
Background: Coronary artery disease (CAD) is the leading cause of death in the industrialized world with obesity as a leading preventable risk factor for CAD. Certain biochemical cardiac risk factors (BCRF) have demonstrated strong prediction for cardiovascular events. Obese (BMI < 50) and super obese (BMI >50) have been shown to improve certain BCRF at… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
The Utility of Laparoscopic Transgastric Access in the Assessment and Treatment of the Gastric Bypass Patient
Introduction. The anatomy of the gastric bypass poses difficulties for the surgeon in evaluating and treating gastric bypass patients with upper gastrointestinal tract and biliary diseases. Gallbladder disease is significantly increased in the morbid obese patient and also in patients who lose weight at a rapid rate. There are several methods that have been described… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Does the Patient Choice of the Type Weight Loss Surgery Affect the Amount of Weight Loss Achieved Preoperatively ?
Introduction: Bariatric surgery has rapidly become an established and accepted treatment for morbid obesity. Bariatric surgery is offered when patients fail to attain a significant and sustainable weight loss using behavioral changes and life style modifications. In most bariatric centers, patients are started on a supervised diet to achieve some weight loss prior to undergoing… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Feasibility of Simultaneous Hiatal Hernia (hh) Repair and Laparoscopic Adjustable Gastric Banding (lagb): Case-in-point Presentation for Prevention of Delayed Complications.
Introduction. Hiatal hernia discovered during LAGB presents a treatment dilemma. However small should it be repaired or disregarded. The following case report illustrates the extent of delayed morbidity if HH is left unchecked. Methods and Procedures. A 46 year old female with a initial BMI of 34.2 underwent LAGB in an outside hospital two years… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Outcomes of Laparoscopic Roux-en-Y Gastric Bypass As a Primary Versus Revisional Bariatric Surgery.
BACKGROUND: The purpose of this study was to compare the outcomes of laparoscopic Roux-en-Y gastric bypass (LRYGB) as a primary (CG) versus revisional bariatric surgery (RBS). METHODS: Data of 514 consecutive patients who underwent LRYGB by one surgeon between August 2004 and June 2009 as primary (n=481, 93.6%) or RBS (n=33, 6.4%) were compared. Collected… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Forced Gastric Wall Erosion and Staged Removal of Nonadjustable Gastric Bands – a Case Series
Introduction: The nonadjustable gastric band (NAGB), sometimes referred to as gastric segmentation, was a common surgical treatment for morbid obesity in the 1980s. A paradigm shift from nonadjustable gastric bands (NAGB) to adjustable gastric bands (AGB) has resulted in fewer complications. In light of the complications stemming from nonadjustable gastric bands, and the challenging surgery… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Geographical Variation in Inpatient Mortality and Length of Stay After Laparoscopic Gastric Bypass
INTRODUCTION – Laparoscopic gastric bypass (LGB) is performed with relatively low mortality and short inpatient length of stay (LOS). This study evaluated regional and urban vs rural variations of inpatient mortality and LOS for LGB. METHODS AND PROCEDURES – Patients undergoing LGB for morbid obesity in the 2006 Nationwide Inpatient Sample (NIS) were identified. Cumulative… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
A Novel Approach to Failed Vertical Banded Gastroplasty: Laparoscopic Conversion to Sleeve Gastrectomy
Purpose:The need for revisional surgery following Vertical Banded Gastroplasty (VBG) has ranged from 21-56% with approximately 46% of pre-operative diagnosis being food intolerance. Although the Roux-en-Y Gastric bypass addresses the late complications associated with VBG, it is accompanied by an increased rate of anastomotic leaks (18%), bleeding, internal hernias, and strictures (22%). In an attempt… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Review of Rygb Versus Fundoplication for Gerd in Obese Patients
Introduction: Studies evaluating the effectiveness of Laparoscopic Nissen Fundoplication (LNF) in morbidly obese patients have yielded mixed results. Many authors now advocat Laparoscopic RYGB as the surgical treatment of choice for morbidly obese patients with GERD as it has the advantage of treating the GERD as well as the common obesity-related comorbid conditions. The purpose… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Is Laparoscopic Sleeve Gastrectomy More Safe and Efficacious Than Laparoscopic Gastric Banding ? : A Short Term Review
Background- Laparoscopic adjustable gastric band (LAGB) and Laparoscopic sleeve gastrectomy (LSG) have become two most widely used restrictive procedures. The aim of this retrospective analysis was to compare the two procedures in terms of outcomes in different BMI groups (stages of the disease).Methods- There were 1084 LAGB performed between April 2005 – July2009 for patients… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Suture Line Leaks After Laparoscopic Sleeve Gastrectomy : Difficulties of Management Might Be Underestimated.
Back ground- Laparoscopic Sleeve Gastrectomy (LSG) is suggested as a safe alternative in high risk, high BMI patients, it might be associated with higher leak rate when performed as definitive procedure over smaller bougies. Use of staple line reinforcement has been advocated to reduce risk of hemorrhage and decrease leak rate. There were reports of… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Bariatric Surgery Outcomes for Patients Undergoing Preoperative Ivc Filter Placement
Introduction: Pulmonary embolism remains a major risk after bariatric surgery. Current practice is to identify those patients who are at high risk for VTE and treat with preoperative inferior vena cava (IVC) filter to prevent postoperative pulmonary embolism. The purpose of this study is to analyze the postoperative complications observed in a large series of… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Patients Expect to Lose More Than Average Weight After Bariatric Surgery
Background: While most bariatric surgeons try to help patient achieve a realistic goal weight after surgery, patients are often disappointed that they have not reached “ideal” body weight. We propose that this is because patients begin the surgical process with inflated self expectations and set themselves up for disappointment.Methods and Procedures: At the University of… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Metabolic / Obesity