Smaller Patients Do Better: The Rationale for Expanding the Criteria for Obesity Surgery
INTRODUCTION.The prevalence of Americans with a BMI >40 is 4.7% but over 25% of Americans have a BMI >30. The risks and benefits of weight loss surgery are well documented. The population of patients between a BMI of 30-35 may also benefit significantly from these surgeries; many centers are proposing investigations along these lines. We… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Sleeve Gastrectomy As Treatment for Patients with Morbid Obesity with Concurrent Paraesophageal Hernia
Introduction: The management of paraesophageal hernia in patients undergoing bariatric surgery is controversial. Previously, treatment options have included performance of the procedures either in separate sequential operations, or concurrent performance of cruroplasty with either Roux-en Y gastric bypass or placement of an adjustable gastric band. We report our experience with simultaneous performance of cruroplasty and… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Endoscopic Technique for Removal of an Intra-gastric Balloons Causing Gastric Outlet Obstruction
Objectives: Intra-gastric balloons are devices used in many foreign countries as a bridge to bariatric surgery. Regulatory oversight differs from country to country leading to inconsistency in patient evaluations and procedural techniques. Often a United States (US) physician’s first exposure to these devices is generally upon arrival of a patient presenting with device related sequelae.… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Early Results of Laparoscopic Adjustable Gastric Banding in Bmi<35: The Appropriate Choice
Objective: Obesity is an epidemic in America and continues to worsen. Lifestyle modifications remain the first line in treatment, but typically fail for patients. As obesity worsens, the associated comorbidities become an expensive and time consuming aspect of our health care system. Placement of an adjustable gastric band in a low BMI population ( Session:… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Ethicon Realize Band Versus Allegran Ap Series Bands: Early Results At Uc San Diego
Objective: The obesity epidemic has become a worldwide problem with America leading with 32% of its population considered obese (BMI>30). This is projected to only get worse with 86% of the American population projected to be overweight or obese by 2030 with associated health care spending to be as much as $956.9 billion. Medical therapy… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Modified Single Incision Lapraroscopic Adjustable Gastric Band
Introduction: Single incision surgery is an evolving technique which aims to minimize pain and scarring related to multiple laparoscopic incisions. This video describes a modified single incision laparoscopic approach for adjustable gastric band placement in a 28 year old female with a BMI 48.75. Methods: Although we originally used a true single incision technique and… Continue Reading
- Topic:
- Metabolic / Obesity
The Effectiveness of Gastric Band: A Retrospective Seven-year U.s. Follow-up Study
Objectives: To assess the efficacy of gastric band during 7 years of follow-up. Methods: A retrospective database analysis was conducted using longitudinal data from gastric band patients between Jan 1, 2000 and Feb 29, 2008. Patients were included for the efficacy analysis if they were at least 18 years of age at surgery date and… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Incidence and Implications of Abnormal Glucose Tolerance Testing Following Gastric Bypass
Introduction: Reactive hypoglycemia following RYGB has been well reported. Its frequency and implications are unclear. To further determine its incidence and significance, glucose tolerance tests (GTT) was used to assess the effect of glucose challenge on post-RYGB patients.Methods: 28 randomly selected patients who were at least 6 months post-op from RYGB and were returning for… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Retrograde Intussusception After Roux-en-Y Gastric Bypass Patients: A Case Series of 10 Patients
Introduction: The number of weight loss procedures is rising rapidly, so that complications which were previously considered rare are not uncommon now. Retrograde intussusception following roux-en-y gastric bypass surgery is an example of a surgical problem that was previously considered rare in adults, but which may become common enough to merit discussion in the overall… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Safety of Laparoscopic Adjustable Gastric Band (lagb): 7-year Data From a U.s. Center of Excellence
Objectives: To assess the complications associated with gastric band. Methods: A retrospective analysis was performed using longitudinal data from adult patients who received LAGB between Jan 1, 2000 and Feb 29, 2008. General complications, (bowel obstruction, hernia, dehydration, gall bladder, and pain) as well as band-related complications (erosion, slippage/prolapse, device malfunction, intolerance/removal, and port-related issues)… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Impact of Roux Length on Weight Loss After Laparoscopic Gastric Bypass
Background: Many surgeons use longer roux limbs in laparoscopic roux-en-Y gastric bypass (LRGB) for more overweight patients in an attempt to achieve greater weight loss. However, prior studies have shown conflicting results regarding the impact of roux length on weight loss. Moreover, gastric bypass produces weight loss through additional mechanisms which are potentially more potent.… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Vertical Sleeve Gastrectomy for Bmi < 50
Introduction: Since its introduction, the laparoscopic vertical sleeve gastrectomy (LVG) has rapidly gained popularity as a treatment modality for morbid obesity. The benefits of the vertical sleeve gastrectomy include a low complication rate, the avoidance of foreign material, maintenance of normal gastro-intestinal continuity, the absence of malabsorption and the ability to convert to multiple other… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Regression of Dyslipidemia in Type 2 Diabetic Patients with Bmi Below 30 Submitted to the Laparoscopic Ileal Interposition
Background: Lipid management aimed at lowering LDL cholesterol, raising HDL cholesterol, and lowering triglycerides reduces macrovascular disease and mortality in patients with T2DM, particularly in those who had prior cardiovascular events. The objective of this study is to evaluate the control of dyslipidemia in patients with Type 2 Diabetes (T2DM) with BMI below 30 that… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Regression of Nephropathy in Type 2 Diabetic Patients with Bmi Below 30 Submitted to the Laparoscopic Ileal Interposition
Introduction: Between 20 to 40% of type 2 diabetes mellitus patients (T2DM) develops nephropathy. It is considered the most common cause of end-stage renal disease. The objective of this study is to evaluate the regression of nephropathy in patients with T2DM with BMI below 30 that were submitted to the laparoscopic ileal interposition associated to… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Two Years Result on Glycemic Control of Obese Type 2 Diabetes Patients Following Intragastric Balloon Removal
Background: Intragastric Balloon (IGB) is an alternative endoscopic procedure to achieve weight loss and improve obesity related co-morbidities. The impact of IGB in type 2 diabetes mellitus (T2DM) after its removal is uncertain.Patients and Methods: 28 obese T2DM patients (20 female; mean age 43.5 ± 11.0 years, mean BW107.5 ± 24.5 kg; mean BMI 40.6±… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity