Results of Laparoscopic Sleeve Gastrectomy
Background: In Iran, the type and main cause of obesity is different than in western society. Therefore, the treatment plan should be differentiated, and the type of surgery for morbid obesity should be carefully chosen. In most western centers laparoscopic Roux-en-Y gastric bypass (LRYGBP) is the most effective weight loss surgical procedure performed. However, LRYGBP… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Sleeve Gastrectomy in Type II Diabetic Patients; Promising Early Results
IntroductionLaparoscopic sleeve gastrectomy has been confirmed to be a safe and effective primary weight loss procedure. Although other bariatric procedures have demonstrated improved glucose control and decreased medication requirements in diabetic patients, this has not yet been established for sleeve gastrectomy. We hypothesize diabetic patients undergoing a laparoscopic sleeve gastrectomy as part of a multidisciplinary… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
The Use of Ondansetron (zofran®) to Relieve Postoperative Nausea and Vomiting After Intragastric Balloon Placement: A Randomized Controlled Trial
Objective: The aim of this study is to investigate whether the use of the intravenous ondansetron after intragastric balloon (BIB) could decreases incidence of vomiting and decrease severity of nausea and improve patient’s tolerance to BIB placement. Methods: consecutive patients were randomly assigned and double blinded into two groups as Zofran group (8 mg Ondansetron… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Microlaparoscopic Gastric Bypass Is As Safe a Traditional Laparoscopic Gastric Bypass
Introduction: Techniques which limit incisions, such as NOTES (Natural OrificeTranslumenal Endoscopic Surgery) or single port surgery have gained muchattention recently. They are thought to have many benefits. Someinvestigators have applied these techniques to bariatric surgery. Wehave assessed the safety of Roux-en-y gastric bypass surgery usingmicrolaparoscopy techniques as an alternative. Methods: Retrospective analysis of institutional NSQIP… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Could Early Stricture After Laparoscopic Gastric Bypass Be a Result of Surgical Technique, Analysis of 1760 Patients?
IntroductionStricture of the gastrojejunostomy (GJ) anastomosis is reported in the literature as a frequent early complication following Laparoscopic Roux-en-y Gastric Bypass (LRYGB). Published data has shown rates varying from 1.5-27%, with the higher rates reported with the use of a 21mm circular staplers to fashion an antecolic GJ (up to 27%) and lower results when… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Bariatric Surgery Significantly Improves Body Proportion
Introduction: Multiple studies have shown a patient's risk of disease including cardiovascular risk and diabetes can be associated with waist:hip ratio. The metabolic syndrome in particular has been associated with an "apple" shape (waist:hip ratio > 0.80 for females, waist:hip ratio > 0.90 for males). Our project was to evaluate body shape change after bariatric… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Single Incision Laparoscopic Gastric Banding: Evolution Towards Scarless Surgery During 50 Consecutive Cases
INTRODUCTION: Single incision laparoscopic surgery (SILS) may prove beneficial but techniques are still evolving. The purpose of this study was to assess outcomes associated with a SILS approach for adjustable gastric banding (AGB) for morbid obesity.METHODS: We conducted an IRB-approved retrospective review of our first 50 consecutive SILS AGB procedures attempted over an 18-month period.… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Metabolic / Obesity
Gastric pouch dilation vs slipped band: An important distinction
Introduction: The laparoscopic adjustable gastric band (LAGB) is a common procedure for morbid obesity: it is estimated that 100,000 procedures were performed worldwide in 2007. A major complication of the LAGB is a ‘slip’ or migration of its position on the stomach. This diagnosis is important because it may put the patient at risk for… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Improvements in Obesity-related Co-morbidities Following Bariatric Procedures in Chinese Population
Introduction: The aim of this study was to evaluate the outcome in obesity-related co-morbidities following bariatric surgery in an ethnic Chinese population. Methods: All patients who received bariatric procedures from our institution were included in this study. Prospective data collection included patient demographics, postoperative weight loss and changes in obesity-related co-morbidities. Comparison was made between… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Sclerotherapy Treatment for Weight Gain with Dilated Gastro-jejunostomy Following Roux En Y Gastric Bypass: How Many Treatments?
Introduction:Treatment of weight regain following Roux en Y Gastric Bypass using sclerotherapy has been demonstrated to be effective in stabilizing or providing moderate weight reduction. Optimum number of sclerotherapy treatments remains undefined. A retrospective review of patients with previous RYGB and weight regain (>10 lbs) who underwent at least one sclerotherapy treatment for a gastrojejunostomy… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Nutritional Effect of Oral Supplement Enriched in Beta-hydroxy-beta -methylbutyrate, Glutamine and Arginine on Resting Metabolic Rate After Laparoscopic Gastric Bypass.
Objective- To evaluate the nutritional effect of an oral supplement enriched in beta-hydroxy-beta-methylbutyrate, glutamine and arginine (HMB/Glu/Arg) on resting metabolic rate (RMR) following laparoscopic gastric bypass (LGB). Although, LGB is a highly effective approach to induce weight loss in morbid obesity, most patients regain 10-15% of this weight over time. Studies indicate, this is due… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Anchorless, Sutureless Placement of Adjustable Gastric Band Port for Consistent, Reliable Easy Per-cutaneous Access.
Multiple port placement techniques for the Adjustable Gastric Band are currently being used. A novel, anchorless, suture-less technique using commercial, surgical bonding agents was introduced to provide consistent reliable easy percutaneous access even in the heaviest patients.Technique: A standard laparoscopic technique was used to insert the adjustable band in38 patients. The tubing is pulled via… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Is There an Optimal Gastric Band Stoma Size?
IntroductionIt has been previously demonstrated that the stoma created by a gastric band can be directly measured using a standardized technique, EndoFLIP. We sought to determine if the band stoma diametercorrelateswith band adjustment zoneMethods and Procedures20 patients (13 women) who had been previously fitted with Model APS or APL gastric bands (Allergan Inc. Irvine, CA)… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Sleeve Gastrectomy As a Treatment Option for Acute Gastric Fundus Necrosis After Laparoscopic Redo Paraesophageal Hernia Repair and Slipped Redo Nissen Fundoplication
Introduction: This video illustrates the use of laparoscopic techniques to resolve an acute gastric fundus necrosis after laparoscopic redo Paraesophageal Hernia Repair (PHR) and redo Nissen Fundoplication (NF) for a slipped NF. Case Report: A sixty six-year-old female 24 hours status post a redo procedure for recurrent paraesophageal hernia with slipped NF and high-grade dysphagia,… Continue Reading
- Topic:
- Metabolic / Obesity
Nine Steps to Follow for Safe and Standard Approach for Laparoscopic Paraesophageal Hernia Repair.
Objective: This video illustrates the use of a standardized and reproducible laparoscopic technique to repair paraesophageal hernias. Description of Procedure: The patient is placed on the operating table in the supine position. The abdominal cavity is accessed through a 1 cm supraumbilical incision. Optiview® nonbladed trocar and accessory trocars are placed under view in the… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity