Dual Academic Institutional Experience of Secondary Operations after Sleeve Gastrectomy
Victoria Lyo, MD1, Ryan Macht2, Yalini Vigneswaran1, Andrew Posselt2, Jonathan Carter2, Stanley Rogers2, Andrea Stroud1, Stephanie Wood1, Farah Husain1. 1OHSU, 2UCSFINTRODUCTION: Although laparoscopic sleeve gastrectomy (LSG) is the most common bariatric operation performed, patients can experience severe GERD, strictures, insufficient weight loss, and leaks. The incidence, indications, and patient outcomes of a secondary operation or… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Dual Strictures and Unexpected Mesh: The Challenges of Revision Bariatric Surgery
Arielle M Lee, MD, Rebeca Dominguez, MD, Tokio Matsuzaki, MD, PhD, Kai Neki, MD, Ryan C Broderick, MD, Robert Cubas, MD, Joslin N Cheverie, MD, Bryan J Sandler, MD, Garth R Jacobsen, MD, Santiago Horgan, MD. UC San DiegoIn patients with morbid obesity, management with bariatric surgery is the gold standard for sustained weight loss.… Continue Reading
- Topic:
- Metabolic / Obesity
Early experience with endoscopic gastrogastric fistula closure after gastric bypass
Matthew Tufts, Thadeus Trus, MD, Stuart R Gordon, MD. Dartmouth-Hitchock Medical CenterBackground: Gastrogasrtic fistula (GGF) is a rare but serious complication of gastric bypass surgery. Overall incidence has been reported to be from 1.2% to as high as 12 %. Pathogenesis is due to incomplete division of the stomach, staple line breakdown, or a leak/marginal ulcer… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
EARLY OUTCOMES FOLLOWING BARIATRIC SURGERY: PRIMARY VS REVISIONAL SURGERY
Connal Robertson-More, MD1, Aryan Modasi, MD, MSc2, Jerry T Dang, MD2, Noah Switzer, MD, MPH3, Daniel W Birch, MD, MSc2, Shahzeer Karmali, MD, MPH2. 1University Hospitals Coventry and Warwickshire NHS Trust, 2University of Alberta, 3Ohio State UniversityIntroduction: Secondary to insufficient weight loss, weight regain or complications related to primary bariatric surgery, a growing proportion of individuals… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
EARLY SIGNS OF POSTOPERATIVE HEMORRHAGE IN BARIATRIC SURGERY
Michael Farrell, MD, MS, Zugui Zhang, PhD, Bayo Gbadebo, MBA, Caitlin Halbert, DO, MS. Christiana Care Health SystemIntroduction: The aim of this study is to identify potential risk factors or early indicators, specifically related to perioperative blood pressure, and its association with perioperative hemorrhage in the bariatric population. Laparoscopic bariatric surgery in the United States has… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
EFFECTS OF SOCIAL AND BEHAVIORAL RISK FACTORS ON BARIATRIC SURGERY SUCCESS
Jamil S Samaan, BS, Evan T Alicuben, MD, Elaine Qian, BS, Yousaf Malik, BS, Stephanie Chang, BS, Kamran Samakar, MD. University of Southern CaliforniaINTRODUCTION: Bariatric patients are a unique population whose personal characteristics, behavioral patterns and social risk factors are poorly understood. A greater understanding of this patient population may lead to improved whole person care. We… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Efficacy of Sleeve Gastrectomy vs. Roux-en-y Gastric Bypass amongst obese Pediatric patients
Aryan Meknat, MD, Gustavo Fernandez-Ranvier, MD, PhD, Vivienne Cabreza, MD, Daniela E Guevara, MD, Kaitlyn E Billington, DNP, AGPCNPBC, Daniel M Herron, MD, Matthew L Dong, MD, Abiba Salahou. Mount Sinai HospitalBackground: Despite the fact that childhood obesity has become an epidemic in the western world with lifestyle changes having a limited success in sustaining… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Emergency Laparoscopic Remnant Gastrectomy with a Pouch Gastroplasty in a Gastric Bypass Patient with Acute Gastrogastric Fistula Bleeding
Jad M Abdelsattar, MD, David Kelly, MD, Lawrence Tabone, MD, Nova Szoka, MD, Salim Abunnaja, MD. West Virginia UniversityGastrogastric fistula (GGF) is a rare complication following laparoscopic Roux-en-Y gastric bypass (LRYGB). Patients can be asymptomatic, or present with abdominal pain, marginal ulceration (MU) or weight regain. To our knowledge, this is the first case in… Continue Reading
- Topic:
- Metabolic / Obesity
Endoscopic gastro-jejunal revisions for treatment of dumping syndrome after Roux-en-Y gastric bypass
Catherine Tsai, Ulf Kessler, Rudolf Steffen, Hans Merki, Joerg Zehetner. Clinic Beau-SiteBackground: Dumping occurs in up to 25% of patients after a Roux-en-Y gastric bypass (RYGB) for morbid obesity. While dumping can be avoided in most cases with dietary modifications, severe sequelae of hypoglycemia such as loss of consciousness can severely impact quality-of-life. One of the… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Endoscopic Gastrojejunal Revision (Transoral Outlet Reduction) for Persistent Hypoglycemia after Gastric Bypass
Eliza A Conaty, BS, Stephanie M Novak, MA, Rod Avitia, Bailey Su, MD, John G Linn, MD, Michael B Ujiki, MD. NorthShore University HealthSystemThis video is a case study of an endoscopic gastrojejunal revision (EGJR) done for persistent postoperative hypoglycemia. The patient is a 61 year old female, who had undergone Roux-en-Y Gastric Bypass twelve… Continue Reading
- Topic:
- Metabolic / Obesity
Endoscopic Septotomy & Dilation of Chronic Sleeve Gastrectomy Leak
David C Kelly, MD, MHA, MS, Salim Abunnaja, MD, Lawrence Tabone, MD, John Nasr, MD, Nova Szoka, MD. West Virginia UniversityLeak following laparoscopic sleeve gastrectomy is a common complication with incidence rates of 0.5-2.2%. Most leaks resolve quickly with conservative measures but some may persist for weeks to months. Management of persistent and chronic leaks… Continue Reading
- Topic:
- Metabolic / Obesity
ENDOSCOPIC T-TUBE PLACEMENT FOR THE MANAGEMENT OF STAPLE LINE LEAK AFTER LAPAROSCOPIC SLEEVE GASTRECTOMY
Andrew R Luhrs, MD, A. Daniel Guerron, MD, Dana Portenier, MD. Duke University Health SystemBackground: Laparoscopic sleeve gastrectomy (LSG) is the most commonly performed bariatric procedure world-wide, consisting of nearly 50% of all procedures performed1. Despite increased adoption and utilization of LSG, staple line leak (SLL) remains a troublesome complication with significant morbidity and mortality. SLL… Continue Reading
Evaluating the Safety of Bariatric Surgery for Weight Loss in Class I Obesity: A Propensity-Matched Analysis of North American data
Gary G Gamme, MD1, Jerry Dang, MD2, Noah Switzer, MD3, Richdeep Gill, MD4, Daniel Birch, MD2, Shahzeer Karmali, MD2. 1University of Ottawa, 2University of Alberta, 3Ohio State, 4University of CalgaryBackground: Bariatric surgery is a safe and effective treatment for severe obesity. However, there has been an evolving role for bariatric surgery as a primary treatment… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
FACTORS ASSOCIATED WITH OPEN CONVERSION DURING LAPAROSCOPIC ROUX-EN-Y GASTRIC BYPASS: A NATIONAL DATABASE ANALYSIS
Eric S Wise, MD, Adam Sheka, MD, Keith Wirth, MD, Sayeed Ikramuddin, MD, Daniel Leslie, MD. University of MinnesotaIntroduction: Open conversion (OC) is an infrequent, highly undesirable necessity during elective minimally invasive bariatric surgery. Characterization of those patients at greatest risk for OC is poor. In this study, we seek to determine those preoperative variables… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Feasibility of Laparoscopic Sleeve Gastrectomy For Morbidly Obese Patients with Cardiomyopathy
Fahad Ba Mehriz, Consultant Laparoscopic and Bariatric1, Hassan Arishi, General Surgery Resident2, Mohammed Alali, General Surgery Resident1. 1King Khalid university hospital, 2King Abdulaziz Medical City, National guard health affairBackground: Morbidly obese patients with associated co-morbidities have high perioperative morbidity and mortality. Cardiomyopathy found to be a predictor for mortality in those undergoing bariatric surgery. Laparoscopic… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity