Multiple Diagnostic Investigations Delay Appropriate Care in the Management of Bariatric Surgery-related Malnutrition
Introduction: The recent increase in primary bariatric surgery has been coupled with an increase in revisional bariatric surgery. While most revisional surgery is for inadequate weight loss, a small but significant number of malabsorptive complications require re-intervention. The requirement for revision is suggested by symptoms and signs of malabsorption and malnutrition. Multiple investigational studies are… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Does Medically Supervised Weight-loss Effect Weight Loss After Bariatric Surgery?
Introduction: It is a proven fact that the bariatric surgery is effective in the treatment of morbid obesity and as a consequence results in the improvement/resolution of obesity associated comorbidites. Yet health insurers have stringent guidelines for indication of bariatric surgery which includes multidisciplinary evaluation with different time lengths of mandatory medically supervised weight loss… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
High Visceral Adipose Volume Impairs Beta-cell Function and May Influence Surgical Options
BACKGROUND: The mechanism for type-2 diabetes (T2DM) resolution following bariatric surgery is unknown, but is typically more robust for malabsorptive procedures (roux-en-Y gastric bypass, RYGB) than for restrictive procedures (laparoscopic gastric banding, LGB). We hypothesize that high visceral volume is a predictor of pre- or frank diabetes and surgeries that rapidly deplete visceral adipose stores… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
High Failure Rate After Laparoscopic Adjustable Gastric Banding (lagb): Five Year Follow Up.
Introduction: LAGB is a technique increasingly used in USA. The aim of this study was to analyze the 5 year outcome in terms of weight loss and complications.Methods and patients: We reviewed our prospective electronic database for all patients undergoing LAGB between 2002 and 2007. We assessed weight progression, complication and reoperation.Results: We performed 199… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Suture Line Buttresses Are Not Associated with Fewer Complications in Roux-en-Y Gastric Bypass
Introduction Suture line complications can cause major morbidities and mortality after Roux-en-Y gastric bypass. Suture line buttresses have been used in an attempt to prevent these complications. This study was done to determine if the introduction of suture line buttressing to our practice has decreased our complication rate.Methods After obtaining IRB approval, our database was… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Roux-en-Y Gastric Bypass: Short Term Weight Loss Outcomes At a Military Treatment Facility
Introduction: Short term weight loss outcomes after Roux-en-Y gastric bypass (LGB) are not found in large numbers within the literature. This study establishes a weight loss curve that individual patients may be compared to at follow up visits. Methods: This study is a retrospective analysis of all patients receiving LGB from the initial inception of… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Equal Short Term Weight Loss for Self-pay and Insurance Covered Patients After Adjustable Gastric Banding
Introduction: Adjustable gastric banding is one option for obese patients pursuing bariatric surgery, though not all insurance policies cover the procedure. Patients may pay out of pocket for bariatric procedures if they do not have insurance that covers the operation. There may be a difference in expectations and motivation between these two patient populations may… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Incisionless Weight Loss Surgery. a Novel Gastric Restrictive Procedre Using the Transoral Gastroplasty Technique
The standard operations for weight loss surgery in this country are the Roux-en-y gastric bypass and the adjustable gastric band. Both of these operations are performed laparoscopically. Although the incisions used in minimally invasive surgery are small compared to open surgery, they still require cutting of the anterior abdominal wall. We present one of the… Continue Reading
- Topic:
- Metabolic / Obesity
Surgery Vs. No Surgery: a Controlled Study of Outcomes Following Bariatric Surgery
Introduction:Bariatric surgery has been shown to be an effective therapy that results in long term weight loss, resolution of co-morbidities and improved quality of life (QOL). Most of these studies lack comparison with a non-operative group. We hypothesize that after one year, patients who undergo bariatric surgery will see significant weight loss, resolution of co-morbidities… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Sleeve Gastrectomy: Review of 536 Cases and 2 Year Follow Up
INTRODUCTION: LSG is increasingly performed among surgeons as a sole bariatric procedure. The aim of this study was to describe the results of Laparoscopic Sleeve Gastrectomy (LSG) on the first 536 patients performed in our institution as a definitive procedureMETHODS AND PATIENTS: We conducted a review of our prospective electronic database for patients who underwent… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
CT Scan: An Effective Way to Measure Gastric Pouch´s Volume in Gastric Bypass
Introduction: Weight regain after bariatric surgery is a controversial issue. Some authors argue that this happens because of dilated gastric pouch, others because limb length, hormonal reasons etc. Concerning gastric volume, several procedures have been described to measure this volume. Three dimension CT scan is a reproductible and effective procedure to measure gastric volume. Objective:… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Starting Laparoscopic Sleeve Gastrectomy Program: Short Term Outcomes
IntroductionLaparoscopic sleeve gastrectomy has been shown to be a safe and effective primary weight loss procedure. With increasing international experience, more bariatric surgery centers are starting to offer sleeve gastrectomy. Our hypothesis is that laparoscopic sleeve gastrectomy as part of a multidisciplinary weight loss program can be safely introduced with acceptable short term results. MethodsThe… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Intragastric Balloons Are Effective for the Weight Control in Non Obese Patients
BACKGROUND: Many clinical treatments have been attempted for weight reduction in overweight patients, body mass index (BMI) below 30, most commonly medically treated with Orlistat, Sibutramine and more recently with Rimonabant, all presenting gastrointestinal, circulatory, metabolic or psychological side effects which are sometimes severe. Recent Silicone intragastric balloons (SIB) clinical trials have used overweight patients… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Intragastric Balloon for Weight Loss Before Cardiac Transplant – a Case Report
BACKGROUND: Intragastric balloon treatment for obesity has been developed and it’s placement and removal techniques has been improved. Its primary objective is the treatment of obese people, who have had unsatisfactory results in their clinical treatment for obesity, despite of being cared for by a multidisciplinary team, and to prepare super obese patients with a… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Intragastric Balloons for Obesity – A Novel Technique for More Secure, Quicker, and Less Expensive Office Placement and Removal – the First 138 Ballons.
BACKGROUND: Although bariatric surgery is the fastest and most effective way to lose and control weight, some overweight patients are not eligible for this procedure. OBJECTIVE: To report improvements made in the technique for office placement and removal of Silicone Intragastric Balloons (SIB). MATERIAL AND METHODS: Between June 2006 and September 2008, 117 obese patients… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity