Mesenteric Defect Closure and Prevention of Internal Herniation Following Laparoscopic Roux-en-Y Gastric Bypass
Background: Internal herniation is a dangerous complication following laparoscopic roux-en-y gastric bypass (LRYGB). Available studies have shown no clear benefit to operative closure of the jejunal mesenteric defect at the time of LRYGB.Objective: To analyze the impact of mesenteric defect closure on the incidence of internal herniation following LRYGB.Methods: We performed a retrospective study of… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Natural Orifice Surgery: Initial US Experience Utilizing the StomaphyX™ Device to Reduce Gastric Pouches after Roux-en-Y Gastric Bypass
Purpose: To evaluate the effects of a new natural orifice surgical device to reduce gastric pouches after Roux-en-Y gastric bypass surgery. Methods: The StomaphyX™ device is a sterile, single-use device that is Food and Drug Administration (FDA) cleared for use in endoluminal trans-oral tissue approximation and ligation in the gastrointestinal (GI) tract. We proposed that… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Optical Access Trocar Use in a Bariatric Population with High Percentage of Prior Abdominal Operations
Background: Optical access trocar (OAT) for primary access has been shown to be safe for obese and non-obese patients. Visualization of the abdominal layers is thought to help reduce the risk of injury to intra-abdominal organs. Concern still exists about the use of an OAT in obese patients with prior abdominal operations (PAO). We retrospectively… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Outcome of laparoscopic placement of an adjustable gastric band for morbid obesity in patients with esophageal motility disorders
Background: Recent studies of laparoscopic adjustable gastric band (LAGB) placement demonstrate improvement of gastroesophageal reflux disease (GERD), but the long term results of LAGB for patients with esophageal motility disorders remains unknown. The risk of worsening pre-existing esophageal motility disorders must be balanced against the benefits of LAGB, specifically its efficacy with respect to weight… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Overview on Endolumenal Therapy and N.o.t.e.s. in Obesity and Metabolic Disease Treatment. What Will Be the Future?
Background: Intragastric balloon has been used in obese patients as a restrictive gastric procedure inducing early satiety and weight loss. This prospective study assesses both the safety and effectiveness of intragastric Balloon (BIB®) in the treatment of obese patients. Endoscopic Sleeve Gastroplasty was showed at SAGES Las Vegas Meeting by Roberto Fogel (apr/07). Endoscopic Duodenum-Jejunum… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Perforated Marginal Ulcers after Laparoscopic Gastric Bypass
Introduction: A perforated marginal ulcer (PMU) following laparoscopic Roux-en-y gastric bypass (LRYGB) is a potentially serious complication, but the incidence and etiology has rarely been investigated. We therefore performed a retrospective review of all patients undergoing LRYGB at our center to determine our incidence of perforated marginal ulcer and if any causative factors could be… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Portal venous gas one year after laparoscopic Roux-en-Y gastric bypass. a case report of a unique pathology.
Introduction: Hepatic portal venous gas is a radiographic finding typically associated with bowel ischemia, and is considered to be a poor prognostic sign prompting urgent operative exploration. Portal venous gas frequently occurs after instrumentation of the biliary tree, and may also be seen after insufflation of the abdomen for laparoscopy. In addition, portal venous gas… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Predictors of symptomatic gallstones after bariatric surgery: A multivariate analysis of risk factors comparing gastric bypass, gastric banding, and sleeve gastrectomy
Background: Risk factors for symptomatic gallstone formation after bariatric surgery are unknown. Interventions to detect and reduce the incidence such as postoperative ursodeoxycholic acid and routine postoperative ultrasound surveillance have been suggested but remain controversial. A selective approach guided by patients’ risk factors rather than an algorithmic method may be indicated. Patients and Methods: After… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Preoperative Parathyroid Hormone Levels in Gastric Bypass Patients Do Not Vary Seasonally But Do Correlate with Body Mass Index
Introduction: Parathyroid hormone (pth) maintains calcium homeostasis in hypovitaminosis D and has deleterious effects on bone metabolism. Vitamin D (Vit D) is low in pts without adequate sunlight exposure or oral intake. Gastric bypass and resultant Vit D malabsorption may exacerbate hyperparathyroidism and osteopenia. Because little is known of preoperative pth, vit D, and calcium… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Preventing Anastomotic and Staple Line Leaks After Laparoscopic Roux en Y Gastric Bypass
Background: Anastomotic and staple line (ASL) leaks occur after laparoscopic Roux en Y gastric bypass (LRYGB) with a reported incidence as high as 6%. Leaks are the second most common cause of mortality, after pulmonary embolism, and can be associated with significant morbidity. Therefore, prevention and early detection are essential in limiting both morbidity and… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Prospective analysis of the resolution of asthma in laparoscopic gastric bypass patients
Background: A dose dependent relationship between obesity and asthma has been reported in several epidemiologic studies. It has been proposed that interventions targeting obesity may reduce the incidence of asthma. We hypothesize that surgically induced weight loss will decrease the prevalence of asthma in a large group of bariatric patients. Methods: We analyzed data on… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Quality of life as determined by SF 36 health survey is significantly improved following laparoscopic gastric bypass. A prospective analysis of consecutive 300
Introduction: The short-form 36 (SF-36) health survey has proven to be a reliable tool when assessing the burden of disease on both physical and mental health. Moreover, it is widely used to assess the effects of various treatment options on the overall quality of life. Using the SF-36 questionnaire, our goal was to quantify the… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Quality of life significantly improves after laparoscopic gastric bypass
Introduction:The Moorehead-Ardelt Quality of Life Questionnaire (M-A QoLQ) has been validated as a reliable tool in assessing quality of life issues in the obese population. We compared the quality of life data gathered prior to and 1 year following laparoscopic bariatric bypass surgery using the M-A QoLQ on selected outcomes including self-esteem, physical, social, work… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Reducing the incidence of gastric prolapse after adjustable banding: A stitch away
Background: Laparoscopic adjustable gastric banding is gaining in popularity for the treatment of morbid obesity. While it garners successful weight loss, the postoperative course can be complicated by reoperations. Gastric prolapse after adjustable banding is the most common cause for reoperation, approaching up to 5% in many series. Using the Pars Flaccida technique, it is… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Repair of Ventral Hernias with Prosthetic Mesh During Laparoscopic Gastric Bypass May Be Safe
Background: Deferring the repair of a ventral hernia found at the time of an antecolic laparoscopic gastric bypass (LGB) increases the incidence of bowel obstruction. However, the optimal repair technique has not been established. The use of prosthetic mesh has been shown to decrease the recurrence of ventral hernias compared to primary closure, yet the… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity