Laparoscopic Revision of Gastric Banding to Roux-en-Y Gastric Bypass: Technical Pearls.
Laparoscopic Adjustable Gastric Banding (LAGB) is the most commonly performed procedure in Europe and Australia for weight loss. However, with a failure rate approaching 40% at 5 years there is an increasing number of revisional surgeries being performed. Revisional surgeries are technically demanding and are associated with an increased rate of complications. Mulitple recent reports… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic Roux-en-Y Gastric Bypass Using 3 Ports Technique for Treatment of Morbid Obesity
Obejectives: To present the technique and the results of laparoscopic Roux-en-Y gastric bypass (LRYGBP) using 3 ports technique for the treatment of the morbid obesity. Method and Materials: This is a retrospective review of the medical records for the patients who have underwent LRYGBP using 3 ports technique and were operated by the first author… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Roux-en-Y Gastric Bypass with Primary Repair for Symptomatic Giant Paraesophageal Hernia in Morbid Obesity: Killing Two Birds with One Stone
INTRODUCTION: Primary repair of giant paraesophageal hernias is associated with high failure rates in the morbidly obese patients. A surgical approach to addressing both paraesophageal hernia and morbid obesity has not been explored in the surgical literature. METHODS: Three morbidly obese females (ages 39, 52 and 58 years with BMIs 46.8, 50 and 52.3 respectively)… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Roux-en- Y Gastric Bypass(LRYGB) and Adjustable Gastric Banding(lagb) for Morbidly Obese Patients in Korea : A Series of 204 Cases
BackgroundObesity is not only a health problem in western countries, but also in Korea. Prevalence of obesity in adults is 32.4% which is a remarkable change over the last 10 yeas. The first LRYGB performed in 2003 and the Lap Band® was approved for use in Korea in 2004. There were no data of gastric… 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
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
Laparoscopic Sleeve Gastrectomy (lsg) in Morbidly Obese – an Early Assessment of Safety and Efficacy
INTRODUCTION: LSG is emerging as a definitive procedure for treatment of morbid obesity. It can be valid alternative when gastric bypass or adjaustable banding are contraindicated.OBJECTIVE: A retrospective review of LSG performed in 2008- 2009 was aimed to assess indications, safety and efficacy.METHODS: A total of 50 LSG were performed using 5-6 port technique using… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Sleeve Gastrectomy (sg) Improves Insulin Secretion and Sensitivity in Type 2 Diabetic Obese Patients
Objective of the study: Purpose of this study was to evaluate the effect of SG on insulin secretion and sensitivity immediately after surgery before any weight change and any passage of food through the gastrointestinal (G.I.) tract.Methods and procedures: Two groups of morbidly obese patients were studied: group A (9 diabetic patients (DM), 3 women… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Lapband Placement with Repair of Incidental Hiatal Hernia Using Curved Laparoscopic Instruments Through a Single Incision
Single incision laparoscopic surgery has been increasingly attempted to perform abdominal surgery to avoid placingmany trocars. This is a case presentation of a LapBand placement using this technique with simultaneous repair of an incidentally found hiatal hernia. The case illustrates the advantage of using curved laparoscopic instruments to overcome the ergonomic challenges posed by the… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Lifetime Medication Cost-savings for Treating Hypertension and Diabetes After Gastric Bypass
Introduction:The cost of medications in the treatment of hypertension and diabetes in the morbidly obese is a significant healthcare burden. In this study we assessed the impact of gastric bypass surgery on medication costs over the course of a lifetime. Methods: We performed a retrospective chart review of patients who had gastric bypass at the… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Long-term Results After Laparoscopic Adjustable Gastric Banding in Adolescent Patients.
Introduction: During the last years increasing numbers of children have been reported with a body mass index (BMI) higher than the 85th percentile in the western world. Surgical strategies are still discussed controversially in adolescent patients due to the impact on further maturing process. Laparoscopic adjustable gastric banding (LAGB) is considered as a minimal invasive… Continue Reading
- Type:
- Podium Presentations
- 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
Mortality Risk Associated with Insurance Denials in Bariatric Surgery Candidates
Introduction: Increasing numbers of Americans meet medical candidacy criteria for bariatric surgery; however many are denied or delayed because of absence of insurance benefits or administrative hurdles in the pre-approval process. In many cases, patients endure months of delay before coming to a surgical date or giving up. Since morbid obesity carries inherent medical risk,… Continue Reading
- Type:
- Podium Presentations
- 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
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