Large internal hernia with simultaneous marginal ulcer in Roux-en-Y gastric bypass (RYGB) patient
Pornthep Prathanvanich1, Kamthorn Yolsuriyanwong2, Eric Marcotte2, Bipan Chand2. 1Taksin Hospital, 2Loyola University Medical CenterBackground: In a recent review of nearly 10,000 laparoscopic gastric bypasses, Martin et al. reported an overall incidence of small bowel obstruction (SBO) of 3.6%. Unlike open bariatric procedures where adhesive disease is the most common cause of obstruction, small bowel obstruction… Continue Reading
- Topic:
- Metabolic / Obesity
Laparoscopic management of redo hiatal hernia after Roux-en-Y gastric bypass
David Gutierrez Blanco, MD, Emanuele Lo Menzo, MD, PhD, Rama Ganga, MD, Samuel Szomstein, MD, Raul Rosenthal, MD. Cleveland Clinic FloridaObjective: To present a video of the laparoscopic reduction of an intrathoracic gastric pouch following roux en y gastric bypass and repair of a recurrent hiatal hernia following multiple prior repairs. Case report: A 72-year-old… Continue Reading
- Topic:
- Metabolic / Obesity
Laparoscopic Conversion of Roux-en-Y Gastric Bypass to Modified Duodenal Switch
Courtney N Cripps, MD, Sarah S Pearlstein, MD, James L Taggart, MD, Mitchell S Roslin, MD, FACS. Northwell Health-Lenox Hill HospitalPresented is the case of a 53-year-old male patient with a BMI of 80 who had previously undergone Roux-en-Y gastric bypass and a subsequent revisional operation. Despite efforts to lose weight, the patient suffered from… Continue Reading
- Topic:
- Metabolic / Obesity
LAPAROSCOPIC CONVERSION OF ENDOLUMINAL SLEEVE GASTROPLASTY TO SLEEVE GASTRECTOMY
Aqeel J Ashraf, BMBCh1, Ali S Mouzannar, BMBCh2, Ibtisam AlBader, FRCSC1, Abdullah AlHaddad, FACS1, Mousa Khoursheed, FRCS3. 1Mubarak Al-Kabeer Hospital, Kuwait, 2Jackson Memorial Hospital Program, Miami, Florida, USA, 3Kuwait University, Faculty of MedicineThe application of minimally-invasive, endoscopic procedures in the management of morbid obesity is gaining popularity probably due to several reasons including high surgical… Continue Reading
- Topic:
- Metabolic / Obesity
Minimally Invasive Conversion of Sleeve Gastrectomy to Roux-en-y Gastric Bypass for Intractable Gastroesophageal Reflux Disease
Lauren Kastner, MD, Steven G Leeds, MD, Daniel Davis, DO. Baylor University Medical Center at DallasSince sleeve gastrectomy has gained popularity, so has the incidence of GERD resulting from the procedure. Often time weight loss improves the symptoms, but there are some patients where the symptoms don't resolve. Surgical options are controversial, and we show… Continue Reading
- Topic:
- Metabolic / Obesity
Laparoscopic Total Gastrectomy for a Chronic Leak After Longitudinal Gastric Sleeve
Luis F Zorrilla-Nunez, MD, Raul J Rosenthal, MD, Federico Serrot, MD, Ramarao Ganga, MD, Samuel Szomstein, MD, Emanuele Lo Menzo, MD. Cleveland Clinic FloridaThis video shows the feasibility of laparoscopic bariatric revisional surgery in a patient with chronic leak from sleeve gastrectomy. The patient is a 19 year-old male, who underwent a sleeve gastrectomy complicated… Continue Reading
- Topic:
- Metabolic / Obesity
TECHNICAL PEARLS FOR DELAYED LAPAROSCOPIC SLEEVE GASTRECTOMY CONVERSION AFTER EXPLANT OF ADJUSTABLE GASTRIC BAND
Elizabeth Hechenbleikner, MD, Fatemeh Parvin-Nejad, BA, David Berler, MD, Daniel Herron, MD. Mount Sinai Hospital, Garlock Division of SurgeryThis case highlights the challenges encountered during a delayed laparoscopic sleeve gastrectomy converison after band removal. Dense adhesions between the stomach and the liver as well as the spleen along with the former gastric plication obscure normal… Continue Reading
- Topic:
- Metabolic / Obesity
LAPAROSCOPIC CONVERSION OF GASTRIC BYPASS & ROSE PROCEDURE TO SINGLE STAGE LOOP DUODENAL SWITCH
Ikemefuna Akusoba, MD, Ariel Shuchleib, MD, Emaad Farooqui, MD, Pearl Ma, MD, Daniel Swartz, MD, FACS, Keith Boone, MD, FACS, Kelvin Higa, MD, FACS. UCSF FresnoIntroduction: Laparoscopic gastric bypass has a proven track record for safety and is efficacious in producing durable weight loss and resolution of metabolic disease. Weight recidivism occurs frequently enough that… Continue Reading
- Topic:
- Metabolic / Obesity
DOES VITAMIN D DEFICIENCY NEGATIVELY IMPACT TYPE 2 DIABETES REMISSION AFTER BARIATRIC SURGERY?
Mehran Anvari, PhD, FRCSC, FACS1, Rodrigo Lemus, MD1, Olivia Lovrics, Bsc2, Ruth Breau, BA1. 1McMaster University, 2Mcgill UniversityIntroduction: Studies have suggested that vitamin D plays a role in glucose homeostasis and vitamin D deficiency (VDD) may be associated with lower rates of resolution of T2DM after surgery. This study aims to compare nutritional variables in… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Hypertension Resolution After Rapid Weight Loss: A Single Institution Experience.
Cristian Milla Matute, MD, Camila Fonseca Mora, MD, David Gutierrez Blanco, Emanuele Lo Menzo, MD, PhD, FACS, Rama Ganga, MD, Samuel Szomstein, MD, FACS, Raul J Rosenthal. Cleveland Clinic FloridaINTRODUCTION: It is well known that morbid obesity is strongly associated with high blood pressure. Cardiovascular risk reduction is a well studied and described result of… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Is There Bias Against Bariatric Surgery for HIV Patients? A Survey of Medical Student Perceptions
Erin B Fennern, MD, MPH1, Juliana Taney, MD2, Linda Zhang, MD1. 1The Mount Sinai Hospital, 2University of ChicagoIntroduction: For many patients, HIV has transformed from a life-threatening illness into a manageable chronic disease. Reflecting trends in the general population, obesity is increasingly prevalent among HIV-positive patients. Surgical intervention has shown the greatest effectiveness in treating… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
RETROSPECTIVE COHORT STUDY USING THE MBSAQIP DATABASE TO ASSESS THE SAFETY OF NEXT-DAY DISCHARGE FOLLOWING BARIATRIC SURGERY
Subir Sutradhar, MD, FRCSC, Ahmad Elnahas, MD, FRCSC, MSc, Simon Laplante, MD, Azusa Maeda, PhD, Allan Okrainec, MD, FRCSC, MHPE, Timothy Jackson, MD, FRCSC, MPH. Division of General Surgery, University Health Network, University of TorontoIntroduction: The safety of next-day discharge after laparoscopic sleeve gastrectomy (LSG) or laparoscopic roux-en-y gastric bypass (LRYGB) has been examined with… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Perforated Giant Marginal Ulcer While on Chemotherapy: a case report
Connal Robertsn-More, MD, Christopher de Gara, MBBS, Aliyah Kanji, MD, Daniel W Birch, MD, MSc, Shazeer Karmali, MD, MPH. University of AlbertaIntroduction: Obesity is a common problem worldwide with numerous associated comorbidities and is associated with an increased risk of developing some cancers. Despite bariatric surgery being associated with a risk reduction for cancer development,… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Assessing the role of intraoperative endoscopy during laparoscopic sleeve gastrectomy
Kate Pawloski, MD, Michael Fastiggi, MD, Leslie James, BA, Linda Zhang, MD, Edward Chin, MD, Scott Nguyen, MD. Icahn School of Medicine at Mount SinaiIntroduction: Endoscopy is commonly performed during sleeve gastrectomies to evaluate the staple line and assure hemostasis. Many surgeons advocate for its routine use to inspect for leaks and bleeding, which carry… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
THE ROLE OF CEFAZOLIN, METRONIDAZOLE AND ORAL CHLORHEXIDINE RINSE IN REDUCING SURGICAL SITE INFECTION FOLLOWING BARIATRIC SURGERY: A QUALITY CONTROL INITIATIVE
Daniel Skubleny, MD, Noah J Switzer, MD, MPH, Jerry T Dang, MD, Christopher de Gara, MD, FRCSC, Daniel W Birch, MD, FRCSC, Shahzeer Karmali, MD, FRCSC. University of AlbertaOBJECTIVE OF THE STUDY: Surgical site infection (SSI) following bariatric surgery contributes to patient morbidity and additional use of health care resources. We investigated whether a SSI… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity