Laparoscopic Gastric Bypass At a Major Military Medical Center: Safe, Effective, and More Cost Efficient
Introduction: Morbid obesity is a major healthcare problem in the United States. Morbid obesity affects military dependents and retirees as well. Laparoscopic bariatric surgery has been performed at Wright Patterson Medical Center (WPMC) for two years. We hypothesize that laparoscopic RNY gastric bypass (LRNY) can be performed at a military medical center with equivalent outcomes… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Vertical Sleeve Gastrectomy Performed on an Outpatient Basis
VERTICAL SLEEVE GASTRECTOMY PERFORMED ON AN OUTPATIENT BASIS(New Techniques Format) Robert W. Landerholm, MD, FACS; Rachelle I. Tomei, BS; Melanie Machado, RD, CD; Peter S. Billing, MD ABSTRACT INTRODUCTION:Vertical Sleeve Gastrectomy (VSG) has recently been recognized as a potential stand alone operation for the treatment of obesity. Given the improvements in surgical techniques and medical… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Bariatric Support Line: A Prospective Study of Telephone Activity.
IntroductionIt is widely reported that support is a key element affecting patient outcomes following Bariatric surgery. At NLOSS part of this support is through a telephone helpline, which is manned by the Bariatric Nurse Specialist (K McD). In this prospective study we examined the workload of the telephone helpline. MethodsThe phone line was staffed between08.30… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Vagotomy Vs Nonvagotomy in Gastric Bypass Surgery
Objective: Post bariatric symptoms related to dumping syndrome were compared in Nonvagotomized Laparoscopic Roux en Y Gastric Bypass (NVLGB) patients and Vagotomized Laparoscopic Roux en Y Gastric Bypass (VLGB) patients.Methods: A questionnaire was given to patients during follow up appointments at 24 to 30 months after LRYGB treated with both NVLGB and VLGB. 48 responses… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Endoscopic Management of Eroded Prosthesis in Vertical Banded Gastroplasty Patients
Introduction:One of the major complications of applying a prosthetic device to facilitate gastric partitioning has been intra-luminal erosion of the prosthesis. Removing an eroded gastric band is fraught with difficulty secondary to the extensive inflammatory response around the proximal stomach and left lobe of the liver. As a result, bariatric clinicians have attempted to apply… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Comparison of Resolution and Improvement of Co-morbidities Between Laparoscopic Sleeve Gastrectomy and Laparoscopic Adjustable Gastric Band.
Introduction: The aim of this study was to compare the rate resolution and improvement of common co-morbidities: type 2 diabetes mellitus (DM), hypertension (HTN), degenerative joint disease (DJD), obstructive sleep apnea (OSA), gastroesophageal reflux disease (GERD), dyslipidemias (LPD) and asthma after Laparoscopic Sleeve Gastrectomy (LSG) or Laparoscopic Adjustable Gastric Band (LAGB).Methods: Retrospective chart review of… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Morbidly Obese Patients with Post Traumatic Stress Disorder Perform As Well As Matched Controls After 1 Year Following Roux-en-Y Gastric Bypass
Objective: Post traumatic stress disorder (PTSD) is an important diagnosis in the Veterans Affairs Health System, where obesity is common. There is little available data describing the impact of PTSD on outcomes following weight loss surgery in morbidly obese patients. Conversely, the mental health effect of weight loss surgery in these patients is unclear. In… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Can Morbidly Obese Patients Awaiting Bariatric Surgery Achieve a 10% Weight Loss Prior to Surgery and What Is Its Significance?
IntroductionIt has been suggested that a preoperative weight loss of 10% of excess body weight, be a key component of the pre-operative preparation process. It can demonstrate motivation and commitment to surgery, reduce liver size and abdominal adiposity as well reducing operating time and length of stay (LOS). It is has also been demonstrated to… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Routine Postoperative Upper Gastrointestinal Fluoroscopy Is Unnecessary After Laparoscopic Adjustable Gastric Band Placement
The purpose of this study is to determine whether routine postoperative upper gastrointestinal fluoroscopy (UGI) is necessary after laparoscopic adjustable gastric banding (LAGB). LAGB has become an accepted procedure for weight loss surgery, particularly because of decreased operative time and fewer early perioperative complications. Many centers utilize UGI to ensure stomal patency and gastric integrity… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
The Incidence and Management of Post-operative Hemorrhage After Laparoscopic Gastric Bypass
Background: Management and prevention of post-operative hemorrhage after laparoscopic gastric bypass (LGB) has been debated. Some authors believe in routine use of staple line buttress materials and the philosophy of routine re-operation for post-operative hemorrhage.Methods: A retrospective, multi-institutional review of all patients having undergone a LGB (without staple line reinforcement) was undertaken to identify patients… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
A Prospective, Randomized, Double-blind, Placebo Controlled Trial of Dexamethasone in Preventing Postoperative Nausea in the Laparoscopic Gastric Bypass Patient.
Postoperative nausea in patients undergoing laparoscopic gastric bypass remains a common source of patient discomfort and can lengthen hospital stay. The reported incidence of nausea ranges from twenty to thirty percent. A single dose of dexamethasone has been shown to prevent postoperative nausea and vomiting in patients undergoing strabismus surgery and laparoscopic cholecystectomy. Dexamethasone has… Continue Reading
- Type:
- Podium Presentations
- 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
Laparoscopic Duodeno-jejunal Bypass (ldjb) As a Surgical Treatment for Type 2 Diabetes Mellitus in the Non Obese Patients. Early Experience.
Introduction: We know from bariatric surgical literature that all bariatric surgical techniques resolve diabetes (T2DM) from 73% to 98% in obese patients, this resolution occurs among days to weeks after surgery. Based on Dr. Rubino’s research on animals, LDJB has been proposed as an alternative of treatment for T2DM in non obese patients.Objective: To confirm… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
The Staged Approach to Acute Gastric Prolapse in Adjustable Gastric Banding
INTRODUCTION: Acute gastric prolapse (AGP) represents a sudden or forceful migration of the distal anterior stomach through the more proximal laparoscopic adjustable gastric band (LAGB) stoma, representing a surgical emergency. The current management of acute gastric prolapse often results in removal of the LAGB, extensive manipulation of a friable or hemorrhagic stomach or extensive dissection… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Gastric Band Complications: Avoidance and Treatment
GASTRIC BAND COMPLICATIONS: AVOIDANCE AND TREATMENT Authors: Daniel Leff, Pratik Sufi, and Dugal Heath.Institution: North London Obesity Surgical Service, Whittington NHS Trust Objectives: To determine frequency of complications associated with laparoscopic gastric banding, and to describe techniques for their avoidance and treatment. Methods: A retrospective review of radiological band fill images was undertaken between Jan… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity