Indications, Complications and Long Term Outcomes of Remnant Gastrectomy for Gastro-gastric Fistula After Divided Roux-en-Y Gastric Bypass for Morbid Obesity
BackgroundGGF is a rare complication after divided RYGBP for morbid obesity. Medical management has proved grossly ineffective. Less invasive methods like fibrin glue and sealants via an endoscopic approach have been reported with recurrence rates as high as 75 %. MethodAfter IRB approval and following HIPAA guidelines, we retrospectively analyzed our prospectively collected database for… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Metabolic / Obesity
Integrated Bioabsorbable Tissue Reinforcement in Laparoscopic Sleeve Gastrectomy
Introduction: Laparoscopic sleeve gastrectomy may be performed using bare stapler loads or tissue reinforcement strips, with or without oversewing. Many tissue reinforcement strips are after-market add-on products that may be time-consuming to fit onto a stapler. The Duet TRS system by Autosuture affords a single use loading unit in both 3.5 and 4.8mm stapler loads,… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Is Extended Post-operative Monitoring Necessary for Morbidly Obese Patients with Obstructive Sleep Apnea Undergoing Bariatric Surgery?
Objective: To elucidate whether or not a higher level of post-operative monitoring is warranted in the OSA patient population undergoing laparoscopic Roux-en-Y gastric bypass. Introduction: Morbidly obese patients are at increased risk for serious health conditions including obstructive sleep apnea (OSA). Patients diagnosed with OSA prior to bariatric surgery are considered to be at higher… 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
Is the Sub-lingual Analgesic Route Overlooked in the Post-operative Bariatric Patient
INTRODUCTION The aim of this study was to assess the value of the sub-lingual (SL) Zamadol as a potentially beneficial alternative route of administration.Good pain control is crucial for the post-operative bariatric patient since early mobilisation is a priority to minimise the number of avoidable complications such as pneumonia or deep vein thromboses. Obtaining Intra-Venous… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Is There an Optimal Gastric Band Stoma Size?
IntroductionIt has been previously demonstrated that the stoma created by a gastric band can be directly measured using a standardized technique, EndoFLIP. We sought to determine if the band stoma diametercorrelateswith band adjustment zoneMethods and Procedures20 patients (13 women) who had been previously fitted with Model APS or APL gastric bands (Allergan Inc. Irvine, CA)… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Lagb with Truncal Vagotomy: Any Increased Weight Loss?
Objective: Does truncal vagotomy enhance weight loss when combined with LAGB? Laparoscopic adjustable gastric banding (LAGB) causes weight loss primarily through a mechanical restrictive mechanism. The vagus nerve provides connections between the brain and the gut through afferent and hormonal signals that regulate fullness and satiation. Published studies demonstrate clinically significant weight loss in subjects… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic Approach to Revisional Bariatric Surgery
As the prevalence of bariatric procedures has increased, so have the number of patients presenting for revisional bariatric procedures. Many surgeons advocate an open approach to these revisions due to the complexity and variety of the procedures. We present our experience with a laparoscopic approach to revisional bariatric procedures We performed 434 intra-abdominal bariatric procedures… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Cholecystectomy Associated with Gastric Bypass Surgery: A Safe Approach for Morbid Obesity Patients?
Background: Some researchers suggest that gastric bypass surgery plus cholecystectomy increases post-surgical complications. However, there is not studies that exploring this association. Objective: To compare the post-surgical complications between patients operated on cholecystectomy and who not among obese persons meeting criteria for gastric bypass surgery in Medellín, Colombia. Method: A case-control study was done. In… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Conversion of Laparoscopic Adjustable Gastric Banding (lagb) to Sleeve Gastrectomy (lsg) for Morbid Obesity
Background: We present a case of a laparoscopic conversion of a LAGB to a LSG. Case Report: A 54-year-old female with a history of prior LAGB for morbid obesity presented with failure of weight loss, recurrent nausea, vomiting and weight regain. Upper GI series revealed posterior slippage of the stomach and a small hiatal hernia… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic Gastric Access for Endoscopic Retrograde Cholangiopancreatography (ercp) Following Roux-en-Y Gastric Bypass (rygb)
Patients who have undergone roux-en-y gastric bypass may require upper endoscopic evaluation for a variety of reasons which may or may not be related to their surgical procedure. The ability to access the remnant stomach or biliary tree by the traditional transoral route may be only possible through specialized endoscopic or percutanous procedures, or even… Continue Reading
- Topic:
- Metabolic / Obesity
Laparoscopic Gastric Bypass in 1,692 Patients.
Objective: To evaluate the outcomes of a single surgeon’s experience with laparoscopic Roux-en-Y gastric bypass (LRYGB) utilizing the “Frantzides-Madan Triple Stapling Technique” for creation of the jejunojejunostomy. Methods: A retrospective review of patients who underwent LRYGB utilizing the triple stapling technique for creation of the Jejunojejunostomy (JJ) from October 2001-October 2008 was performed. This technique… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Plication of a Gastrojejunostomy with Endoscopic Guidance in the Porcine Model
Objectives:The purpose of this study is to determine if laparoscopic plication of a gastrojejunostomy with endoscopic guidanceis a feasible surgical option for the gastric bypass patient who has regained weight due to a dilated gastric stoma. Methods and Procedures:After obtaining IACUC approval, a porcine model was used to simulate a gastric bypass with an enlarged… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Resection of a Presacral Schwannoma.
Background:Benign shwannomas are tumors arising from the neural sheath of peripheral nerves (schwannoma cells).The Schwannoma is the most common benign retroperitoneal tumor in adults. Few cases have been reported in the presacral space. Complete resection is treatment of choice for these tumors. To our knowledge not many reports describe the laparoscopic approach for resection of… Continue Reading
- Topic:
- Metabolic / Obesity
Laparoscopic Resection of an Occluded Roux Limb
LAPAROSCOPICRESECTIONOF AN OCCLUDEDROUXLIMB Allocco, Frances MD; Reardon, Patrick MD; Dunkin, Brian MD; Saad, Mohamed MD The purpose of of our video is to present a patient who had a laparoscopic roux-en-Y gastric bypass, who years later developed occlusion of her roux limb. This is demonstrated endoscopically and was repaired laparoscopically. The patient is a 38… Continue Reading
- Topic:
- Metabolic / Obesity