Laparoscopic Esophagomyotomy for Achalasia After Laparoscopic Roux-en-Y Gastric Bypass for Morbid Obesity
Obesity has become a national epidemic and the only proven long-term method of weight loss is surgery. The laparoscopic Roux-en-Y gastric bypass is the most common bariatric procedure performed in the United States. Achalasia, a swallowing disorder of the lower esophageal sphincter (LES), is uncommonly found in obese patients or formerly obese patients. Definitive surgical… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Treatment of Gastrojejunal Leaks Using Covered Metal Stents in a Porcine Model
Introduction:Placement of stents may be an alternative non-invasive option to treat gastrojejunal (GJ) anastomotic leaks after Roux en Y gastric bypass (RYGB) surgery. The aim was to evaluate the performance of a covered metal stent (Alveolus 18 x 100 mm), across a GJ leak in a porcine model.Methods and procedures:Eight pigs weighing 20-25 Kg were… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Sleeve Gastrectomy for the Patients with Bmi<50
Introduction: We evaluate the safety and efficacy of laparoscopic sleeve gastrectomy (LSG) for morbid obesity.Materials and Methods: Between October 2005 and January 2008, we performed LSG in 30 patients. Their BMIs were 50 in 14 patients. There are 11 males and 5 females in the former and 11 and 3 in the latter with a… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Sleeve Gastrectomy for Morbid Obesity: Surgical Technique and Early Results
Introduction Laparoscopic sleeve gastrectomy is a relatively new bariatric procedure that is gaining popularity in the surgical treatment of the morbidly obese patient. The authors present their surgical technique and early results from their first 100 consecutive patients. Methods A restrospective chart review was completed on the authors’ first 100 consecutive patients undergoing a laparoscopic… 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 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 Sleeve Gastrectomy: a Retrospective Review of 1 and 2 Year Results
IntroductionLaparoscopic Gastric Bypass, Gastric Banding, and Biliopancreatic/Duodenal Switch are three proven surgical methods for treating morbid obesity. Recently, Laparoscopic Sleeve Gastrectomy (LSG) has been added as a surgical treatment for obesity. We report our one and two year results with LSG.MethodsAll procedures were performed by two surgeons experienced in bypass, banding, and LSG. All patients… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Follow-up and Distance From Centre Are Important Determinants in Weight Loss Post Laparoscopic Adjustable Gastric Banding.
IntroductionIn this study, we examine the importance of regular post-operative follow-up and the effect of geographical distance from the centre of follow-up on long term weight loss post laparoscopic adjustable gastric banding (LAGB). MethodOver 11 years (1997- 2008), 140 patients underwent LAGB. Post-operatively patients were invited to attend a monthly nurse-led follow-up clinic, to assess… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Single Incision Laparoscopic Gastric Band Placement
To further improve cosmesis and perhaps reduce the disability associated with current laparoscopic operations single incision laparoscopic surgery has been advocated. Single incision laparoscopic surgery has been applied to cholecystectomy and appendectomy. We report on the application of this technique to adjustable gastric banding. Methods: Six patients with BMI of 41-44 underwent single incision laparoscopic… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Treatment for Bowel Obstruction After Gastric By-pass
IntroductionInternal hernias are a common and often misdiagnosed complication that may occur after Roux-en-Y anastomosis. It may be at the origin of small bowel ischemia and necrosis. This video shows a typical example of such a complication.MethodA 23-year-old woman who had undergone a gastric bypass procedure for morbid obesity 2 years ago presented to the… Continue Reading
- Topic:
- Metabolic / Obesity
Ultrasound Guided Localization of Adjustable Gastric Banding Access Port
INTRODUCTION: Laparoscopic adjustable gastric banding (LAGB) has become one of the most popular bariatric surgeries performed today. Percutaneous access of the port for adjustment is required during follow-up but can be difficult in some patients with very thick abdominal wall. In these patients, fluoroscopic guidance has been used to localize the port and guide access.… Continue Reading
- Type:
- Posters
- 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
Endoscopic and Radiographic Changes Following Incisionless Revisional Surgery for Treatment of Post Roux-en-Y (rygb) Stoma and Pouch Dilatation
Introduction: Upper gastrointestinal contrast studies and upper endoscopy are useful tools for screening and evaluation of gastrointestinal integrity before and after bariatric surgery. They also can be useful in documenting the anatomical changes following these interventions. We wanted to evaluate the immediate and intermediate post-operative changes associated with an incisionless approach to revisional surgery for… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Gastric Band Manometry: Are Pressure Measurements and the Band Pressure Ratio Useful?
Introduction: Successful band adjustment requires a method to measure adequate restriction without over-inflation. There is no standardized optimal volume of saline used during band filling. We investigated what the relationship was between subjective optimal band filling and band pressure measurements.Methods: Band pressure measurements were recorded at the first and second band adjustments in patients who… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Revision of Antireflux Surgery to Roux-en-Y Gastric Bypass in Morbidly Obese Patients
Introduction: Laparoscopic Roux-en-Y gastric bypass (LRYGB) is an effective treatment for gastroesophageal reflux disease (GERD) in morbidly obese patients. However, LRYGB in patients with a previous anti-reflux procedure may present a significant technical challenge. We aimed to demonstrate the safety and efficacy of laparoscopic revision from anti-reflux procedures to LRYGB in a series of morbidly… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity