Laparoscopic Treatment for Bowel Obstruction After Gastric By-pass
IntroductionInternal hernias are a common and often misdiagnosed complication that may occur after Roux-en-Y anastomosis. It may be at the origin of small bowel ischemia and necrosis. This video shows a typical example of such a complication.MethodA 23-year-old woman who had undergone a gastric bypass procedure for morbid obesity 2 years ago presented to the… Continue Reading
- Topic:
- Metabolic / Obesity
Laparoscopic Vertical Sleeve Gastrectomy for Bmi < 50
Introduction: Since its introduction, the laparoscopic vertical sleeve gastrectomy (LVG) has rapidly gained popularity as a treatment modality for morbid obesity. The benefits of the vertical sleeve gastrectomy include a low complication rate, the avoidance of foreign material, maintenance of normal gastro-intestinal continuity, the absence of malabsorption and the ability to convert to multiple other… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Vertical Sleeve Gastrectomy for Morbid Obesity: The New Standard Oftreatment for Bmi < 50
Introduction: The ideal procedure for the treatment of morbid obesity should be safe across a broad range of patients with equivalent weight loss results as the current standard, the Laparoscopic Roux-en-Y Gastric Bypass (LGB). Since its introduction, the Laparoscopic Vertical Sleeve Gastrectomy (LVG) has increased in popularity for the primary treatment of morbid obesity. The… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Large Blood Clot Causing an Acute Obstruction At the Jejunojejunostomy Following Laparoscopic Roux-en-Y Gastric Bypass
Abstract Background: Laparoscopic Roux-en-Y gastric (RYGB) bypass is the most common Bariatric procedure performed in the US. Postoperative gastrointestinal bleeding occurs in approximately 1% of all procedures. We report our experience with the rare complication of intraluminal gastrointestinal hemorrhage leading to an obstructing intraluminal blood clot at the jejunojejunostomy (JJ) following RYGB. Methods: Two cases… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Linear Association of Limb Length and Weight Loss in 3,309 Mini-gastric Bypass Patients
The effect of limb-length on weight loss after gastric bypass is controversial. Some studies have concluded longer bypasses increase weight loss while others have no effect of bypass length on weight loss. Review of the negative studies show generally small sample sizes and thus are likely to be at risk for a beta, type II… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Long-term Outcome After Endoscopic Stent Therapy for Complications After Bariatric Surgery
OBJECTIVE: The purpose was to analyze long term outcomes of the largest series to date treating staple line complications after bariatric surgery with endoscopic covered stents. METHODS: All patients treated with stents for staple line complications after bariatric surgery underwent retrospective evaluation and a telephone questionnaire to assess their symptom scores. Acute postoperative leaks, chronic… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Management of Common Bile Duct Stones in Patients After Roux-en-Y Gastric Bypass.
INTRODUCTION: Alteration of normal anatomy with Roux-en-Y gastric bypass (RYGB) makes it difficult to access common bile duct (CBD) in cases of choledocholithiasis. We present our experience in management of choledocholithiasis after RYGB. The purpose of the study was to develop the management algorithm of choledocholithiasis in patients after RYGB.METHODS AND PROCEDURES: Retrospective review of… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Migration of Suture Material: An Unusual Cause of Abdominal Pain After Gastric Bypass Surgery
OBJECTIVE: The potential for internal hernias and subsequent bowel obstruction following laparoscopic RNY gastric bypass (RYGB) mandates closure of mesenteric defects. We have previously recommended the use of non-absorbable suture material to limit this complication. However, recently we have identified several patients presenting with abdominal pain and/or perforation secondary to migration of the suture material.… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Mini-gastroplasty: Results of Non-resectional Sleeve Type Gastroplasty
Background:Work continues to find the ideal weight loss surgery. The Mini-Gastroplasty (MG) was designed to provide a simple, safe and effective restrictive type of Gastroplasty, with anatomy similar to the sleeve gastrectomy, has been used for 9 years. Methods: The MG consists of a complete division of the lesser curve from the body of the… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Minimally Invasive Removal of Silastic Band Following Banded Gastric Bypass
INTRODUCTION - Diagnosis and management of silastic band malfunction after gastric bypass in the referred patient is the focus of this paper. The use of prosthetic material to reinforce the gastric outlet created during open bariatric surgery has seen many iterations. These “bands” are intended to prevent dilation of this ostomy in an attempt to… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Modified Single Incision Lapraroscopic Adjustable Gastric Band
Introduction: Single incision surgery is an evolving technique which aims to minimize pain and scarring related to multiple laparoscopic incisions. This video describes a modified single incision laparoscopic approach for adjustable gastric band placement in a 28 year old female with a BMI 48.75. Methods: Although we originally used a true single incision technique and… Continue Reading
- Topic:
- Metabolic / Obesity
Morbidly Obese Patients with Post Traumatic Stress Disorder Perform As Well As Matched Controls After 1 Year Following Roux-en-Y Gastric Bypass
Objective: Post traumatic stress disorder (PTSD) is an important diagnosis in the Veterans Affairs Health System, where obesity is common. There is little available data describing the impact of PTSD on outcomes following weight loss surgery in morbidly obese patients. Conversely, the mental health effect of weight loss surgery in these patients is unclear. In… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
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
Perioperative Nasal Administration of Ketamine Successfully Eliminates the Need for Opioid Usage in the Bariatric Patient
Introduction: Usage of opioids for pain management in bariatric surgery patients requires special attention. Administration of narcotics to the obese patient carries the risk of respiratory suppression both due to the opioids and redistribution of the anaesthetics from the adipose tissue. We would like to share our experience in nasal administration of ketamine for post… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Poor Outcomes After Laparoscopic Adjustable Gastric Band
Background: Recent studies document EWL >50% for the laparoscopic adjustable gastric band (LAGB). This study reviews the LAGB experience at an urban academic center regarding complications, re-operative rate, and co-morbidities. Methods: 146 consecutive patients undergoing LAGB from August 2005 to December 2007 were reviewed. Pre and postoperative data were collected including weight, BMI, EWL, co-morbidities,… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity