VATS Vagotomy for the treatment of Chronic Marginal Ulcer
Background:Gastric Bypass is an increasingly common procedure. Associated rare complications have a related increased occurrence. Marginal ulceration at the gastrojejunal anastomosis has a reported incidence of 5 to 12%. In most instances these ulcers can be managed conservatively using acid suppression with proton pump inhibitors and sucralfate. There is a troublesome subset of this population,… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
The Trans-Gastric Endoscopic Rendez-vous Technique (TGER) for Removal of Eroded Non-Adjustable Gastric Bands
Introduction:The application of the nonadjustable gastric band for the treatment of morbid obesity was common in the 1980s. Unfortunately, it was associated with an unacceptable re-operative rate with numerous post-operative complications such as gastric erosion. Removing an eroded gastric band is fraught with difficulty secondary to the extensive inflammatory response around the proximal stomach and… 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
Endoscopy Assisted Laparoscopic Revision of Prior Bariatric Surgery
Laparoscopic revision of a bariatric surgical procedure is a significant challenge for bariatric surgeons. Patients who undergo bariatric surgery will infrequently require a revision either for inadequate weight loss or for complications. Literature review revealed a substantially higher incidence of major postoperative complications as well as a less dramatic weight loss following revisional bariatric procedures… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Composite Analysis of Surgical Review Corporation Bariatric Surgery Centers of Excellence Hospitals
Introduction: Surgery is currently the only effective long-term therapy for morbid obesity and its complications. A variety of surgical procedures can now offer durable and safe weight control as well as previously unrealized full remission of costly co-morbidities. This is a preliminary investigation of patient outcomes at Bariatric Surgery Centers of Excellence (BSCOE) Hospitals. Methods… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic Adjustable Gastric Banding with Truncal Vagotomy
Objective: Laparoscopic adjustable gastric banding (LAGB) causes weight loss primarily through a mechanical restrictive mechanism. The vagus nerve provides connections between the brain and the gut through afferent and hormonal signals that regulate fullness and satiation. Published studies demonstrate clinically significant weight loss in subjects undergoing open surgical truncal vagotomy for ulcer disease and morbid… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Internal herniation secondary to the anti-obstruction stitch at the jejuno-jejunostomy in Roux-en-Y gastric Bypass
During the past 4 years, 483 Roux-en-Y gastric bypass operations were performed by two surgeons at a university hospital. All of these were performed laparoscopically, with retrogastric, retrocolic passage of the Roux limb to form the gastro-jejunostomy. Of those operations, 11 of them subsequently went on to develop internal hernias, for an internal hernia rate… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Robot-Assisted conversion from Nissen fundoplication to Gastric bypass
Background:A 35 years old morbidly obese woman presented with a BMI 41 kg/m2. Her previous surgical history was significant for cholecystectomy and open Nissen fundoplication. A decision was made to take down the Nissen and perform a gastric bypass.Material and methods:Six 12 mm trocars were used (supra-umbilical position, left iliac quadrant, xyphoid, left and right… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Initial Fill Volumes: VG Lap-Band versus the new AP Lap-Band
Introduction: Adjustable gastric banding has become the operation of choice for bariatric surgery. Following operative placement, close follow-up with adjustments of the band are essential for optimal weight loss. Defining the optimal volume of an initial fill may minimize the cost associated with fluoroscopic guidance and create a guidepost for inexperienced surgeons. The newer AP… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Sleeve Gastrectomy versus Adjustable Gastric Banding for Morbid Obesity: Perioperative and Short-term Outcomes
Laparoscopic sleeve gastrectomy (LSG) is emerging as a primary procedure for the treatment of morbid obesity. We compare the outcomes of patients undergoing LSG vs laparoscopic adjustable gastric banding (LAGB). Specifically we examine the perioperative and postoperative variables and short term weight loss. Methods: This study is a retrospective review of a prospective database of… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Metabolic / Obesity
Laparoscopic Repair of Perforated Marginal Ulcer Following Laparoscopic Roux-en-Y Gastric Bypass: A Case Series
INTRODUCTION: Perforation of marginal ulcer is a known complication of laparoscopic Roux-en-y gastric bypass (LRYGB), and although not extensively reported in the literature, laparoscopic repair may be a feasible option to avoid the morbidity associated with a large midline laparotomy incision. Our objective is to present our experience with laparoscopic repair of perforated marginal ulcers… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
What Influences Follow-Up After Gastric Bypass Surgery?
IntroductionBariatric surgery remains the only effective and enduring treatment for morbid obesity. Even after bariatric surgery, obesity is recognized as a chronic disease requiring appropriate follow-up. We hypothesized that certain patient characteristics may influence 1 year follow up. MethodsBariatric surgery clinic records from an academic medical center were reviewed from 2004- 2006. Patients were divided… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Adjustable Gastric Banding in patients older than 65 years is safe and effective
There are few publications in the literature reporting the outcome of laparoscopic adjustable gastric banding (LAGB) in the elderly population. From November 2001 to March 2007, 708 LAGB procedures were performed by two surgeons at Loyola University Medical Center. Twenty-one of the 708 patients were age 65 or older at the time of operation (65… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Early US Outcomes after Laparoscopic Adjustable Gastric Banding in Patients with BMI <35
Introduction: Many mild-to-moderately obese individuals (BMI Session: Podium Presentation Program Number: S084 Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Excess Roux-limb Hook Syndrome – a Preventable Cause of Disability After Laparoscopic Gastric Bypass.
Introduction: Laparoscopic Roux-en-Y Gastric Bypass (LGB) is associated with a complication rate of about 10% and early diagnosis and proper treatment leads to full recovery in virtually all patients. Strategies to prevent technique related complications are important and should decrease overall morbidity rate. The aim of this study is to describe a preventable cause of… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity