Resolution of comorbidities following LRYGB: A prospective analysis of 434 patients
Introduction: Morbid obesity is a chronic disease that reduces life expectancy and represents a major risk factor for other chronic illnesses.1,2 At the present time bariatric surgery remains the only therapy that produces significant and sustained weight loss in the morbidly obese. Surgical weight reduction can reverse or eliminate many obesity related comorbidities.3 Materials and… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Retrievable Inferior Vena Cava Filters in High Risk Patients Undergoing Bariatric Surgery
Introduction: Placement of retrievable inferior vena cava filters (IVCF) may be beneficial in high risk morbidly obese patients undergoing bariatric procedures. Bariatric surgery patients with a prior history of venous thromboembolism (VTE) are at high risk for postoperative recurrent deep venous thrombosis (DVT) and pulmonary embolism (PE). Methods: A prospective database of morbidly obese patients… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
RNY gastric bypass causes more weight loss but lap-band is associated with fewer complications at 2 year followup
Introduction: Roux-en-Y (RNY) gastric bypass surgery is the most common weight loss operation for morbid obesity in USA. Lap-band has gained popularity in the last few years and has become the second most common weight loss operation. The objective of this study is to evaluate the early results in terms of weight loss and complications… 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
Safety and Cost Effectiveness of Small Bowel Extraction Without Wound Protection in Laparoscopic Roux En Y Gastric Bypass
INTRODUCTION: Small bowel resection is often required during laparoscopic Roux-en-Y gastric bypass (LRYGB), either with a circular stapled anastomosis technique or resection of excess Roux overhang. An extraction bag is often used to remove the resected portion of bowel. However, an extraction bag may cause the specimen to "mushroom," necessitating a larger fascial defect, thus… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Safety and Functionality of a Novel Gastric Sensing and Electrical Stimulation Device to Treat T2DM Overweight Subjects
BackgroundGastric electrical stimulation represents a new paradigm for treating obesity and diabetes, since its mechanism of action is physiological rather than anatomical modification of the stomach.The following describes a feasibility study of an investigational device, the TANTALUSTM System, intended for use in obese and overweight subjects with type 2 diabetes. The TANTALUSTM System (Metacure (USA)… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Short Term Outcomes after Simultaneous Laparoscopic Adjustable Gastric Banding (LAGB) and Hiatal Hernia Repair (HHR)
Background: The presence of hiatal hernia has been considered a contraindication for LAGB, since more complications such as band slippage (BS) were advocated. Few data have been reported on simultaneous LAGB and HHR.Methods: Between 11/04 and 7/05 432 patients underwent LAGB. Patients with less than 3 months f/u were excluded (total group 417). Patients were… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Single center bariatric surgery experience with an optical access trocar in an uninsufflated abdomen and a critical review of minimally invasive peritoneal access techniques
Background:The Visiport is a widely-used bladed optical access device that provides convenient, safe peritoneal entry. We use this device as our primary method of entry and insufflation in bariatric surgery and provide an overview of our cumulative experience. In addition, we provide a comprehensive analysis of the literature to analyze all methods of peritoneal access… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Socioeconomic Predictors of Weight Loss After Laparoscopic Roux-y Gastric Bypass
Introduction: Successful weight loss after laparoscopic Roux-Y gastric bypass (LRGBP) hinges on many elements including neurohormonal, anatomical, and postoperative behavioral changes. To date, the effects of socioeconomic factors have been poorly studied. We examine several components of socioeconomic status and its relationship to weight loss after LRGBP.Methods: Between August 2002 and July 2006, 405 LRYGB… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
The Impact of bio-Absorbable Staple line Re-enforcement and Fibrin Glue on Complications of Laparoscopic Gastric Bypass
PURPOSE: Staple-line reinforcement sleeves and Fibrin glue sealant during Laparoscopic Gastric Bypass (LGBP) have suggested to the risk of perioperative anastomotic leakage and bleeding. The aim of our study was to compare patients undergoing LGBP with and without these reinforcement material and compare the staple line vs. GJ anastomosis leak rate, bleeding, and rate of… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
The impact of laparoscopy on infectious complications after bariatric surgery
Background: The incidence of infectious complications after open bariatric surgery is reportedly higher than in the laparoscopic approach, in some isolated series. Our objective was to determine the rate and pattern of postoperative infectious complications of the surgical wound, abdominal cavity, and urinary and respiratory tracts after laparoscopic bariatric surgery. Methods: After IRB approval, a… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
The Paradox of the Pouch: Prompt Emptying Predicts Improved Weight Loss After Laparoscopic Roux-y Gastric Bypass
Introduction: The utility of routine upper gastrointestinal (UGI) evaluations after laparoscopic Roux-Y gastric bypass (LRYGB) has yet to be determined, primarily being used to rule out a gastrojejunal leak. Additional information can be assessed with these studies including the rate of contrast emptying from the pouch; some patients show no or very slow emptying while… Continue Reading
- Type:
- Podium Presentations
- 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
The VAD-BAND, a Promising New Technique for Morbidly Obese Potential Cardiac Transplant Candidates
INTRODUCTION:Morbid obesity remains a strong risk factor limiting cardiac transplantation. Furthermore, numerous cardiac transplant databases have demonstrated that morbidly obese transplant recipients have nearly twice the 5-year mortality of normal-weight or overweight recipients. Hence, many morbidly obese transplant patients require ventricular assist devices to bridge them until they have lost sufficient weight to be considered… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
There Is Best Time to Convert the Lap-band® to Another Kind of Bariatric Surgery.
This video shows a patient who had a LAGB for two years until then obtaining an excellent result. It was necessary the band removal due to an erosion. After this event, the patient had a considerable weight regain. This video presents the performance of a laparoscopic gastric bypass and the difficulties after such a complication.… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity