Laparoscopic Resection of an Occluded Roux Limb
LAPAROSCOPICRESECTIONOF AN OCCLUDEDROUXLIMB Allocco, Frances MD; Reardon, Patrick MD; Dunkin, Brian MD; Saad, Mohamed MD The purpose of of our video is to present a patient who had a laparoscopic roux-en-Y gastric bypass, who years later developed occlusion of her roux limb. This is demonstrated endoscopically and was repaired laparoscopically. The patient is a 38… Continue Reading
- Topic:
- Metabolic / Obesity
Evaluation of the Sleeve Gastrectomy As a Single-stage Treatment of Morbid Obesity
ObjectivesA multicenter, retrospective study reviewed the current practice of the sleeve gastrectomy in Europe to assess the early postoperative outcome as well as the effect on weight loss.Methods and procedures446 sleeve gastrectomies were performed by 14 centers between September 2000 and October 2007. Operative data, postoperative outcomes as well as 2 year weight loss were… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Metabolic / Obesity
Laparoscopic Gastric Bypass in 1,692 Patients.
Objective: To evaluate the outcomes of a single surgeon’s experience with laparoscopic Roux-en-Y gastric bypass (LRYGB) utilizing the “Frantzides-Madan Triple Stapling Technique” for creation of the jejunojejunostomy. Methods: A retrospective review of patients who underwent LRYGB utilizing the triple stapling technique for creation of the Jejunojejunostomy (JJ) from October 2001-October 2008 was performed. This technique… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Computed Tomography Guided Percutaneous Gastrostomy for Management of Acute Gastric Remnant Leak Following Roux En Y Gastric Bypass
Background:Enteric leakage represents one of the most serious complications of Roux-en-Y gastric bypass (RYGB), possibly leading to overwhelming sepsis and death if not diagnosed and treated promptly. The gastro-jejunal anastamosis accounts for the majority of such leaks, with the remainder being from the jejuno-jejunostomy and the excluded stomach. Leakage from the excluded stomach can be… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Approach to Revisional Bariatric Surgery
As the prevalence of bariatric procedures has increased, so have the number of patients presenting for revisional bariatric procedures. Many surgeons advocate an open approach to these revisions due to the complexity and variety of the procedures. We present our experience with a laparoscopic approach to revisional bariatric procedures We performed 434 intra-abdominal bariatric procedures… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Wandering Spleen After Roux-en-Y Gastric Bypass
Introduction: Wandering spleen is a rare anatomic anomaly resulting from congenital absence or laxity of the splenic ligaments. We present a case of a wandering spleen causing obstruction of the proximal Roux limb following laparoscopic gastric bypass (LGBP). No previous cases of this anomaly following bariatric surgery were reported. Case report: A 36 year-old female… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Integrated Bioabsorbable Tissue Reinforcement in Laparoscopic Sleeve Gastrectomy
Introduction: Laparoscopic sleeve gastrectomy may be performed using bare stapler loads or tissue reinforcement strips, with or without oversewing. Many tissue reinforcement strips are after-market add-on products that may be time-consuming to fit onto a stapler. The Duet TRS system by Autosuture affords a single use loading unit in both 3.5 and 4.8mm stapler loads,… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Lifetime Medication Cost-savings for Treating Hypertension and Diabetes After Gastric Bypass
Introduction:The cost of medications in the treatment of hypertension and diabetes in the morbidly obese is a significant healthcare burden. In this study we assessed the impact of gastric bypass surgery on medication costs over the course of a lifetime. Methods: We performed a retrospective chart review of patients who had gastric bypass at the… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
The Metabolic Impact of Bariatric Surgery: Lessons Learned
IntroductionBariatric surgery has become the gold standard for the treatment of morbid obesity. Post-operative changes in gastrointestinal hormone levels have been implicated with weight loss as well as remission of diabetes mellitus. However, it is unknown if these beneficial changes are secondary to weight loss or to the mechanical alteration of the anatomy of the… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Outcome Analysis of 100 Patients Undergoing Single-incision Laparoscopic Adjustable Gastric Banding
Introduction Single-incision laparoscopic surgery (SILS), a new trend in minimally invasive surgery, has the potential for decreased post-operative pain and port site complications as well as improved cosmesis. To date, only case reports and small series have been published regarding the technique and safety of this approach. We present a large series of SILS insertion… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Co-morbidities Recur with Weight Regain After Initial Resolution Post-gastric Bypass
Background: Roux-en-Y gastric bypass (RYGB) results in rapid weight loss and improvement of associated co-morbidities; however, a significant number of patients regain weight. We hypothesize that co-morbidities will recur in patients who regain weight. Methods: In this retrospective study, 52 patients who presented with weight regain were analyzed, along with their co-morbidities. Predictors for co-morbidity… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Revision of Gastric Banding to Roux-en-Y Gastric Bypass: Technical Pearls.
Laparoscopic Adjustable Gastric Banding (LAGB) is the most commonly performed procedure in Europe and Australia for weight loss. However, with a failure rate approaching 40% at 5 years there is an increasing number of revisional surgeries being performed. Revisional surgeries are technically demanding and are associated with an increased rate of complications. Mulitple recent reports… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Sleeve Gastrectomy with Ileal Interposition for Type 2 Diabetes
This video shows technical details for the surgical treatment of type 2 diabetes in a no-obese population . This surgery, sleeve gastrectomy with ileal interposition, was done under approved protocol in 20 patients. The principle used was the ileal-brake. Session: Podium Video Presentation Program Number: V029 Continue Reading
- Topic:
- Metabolic / Obesity
Comparison of Staple-line Leakage and Hemorrhage in Patients Undergoing Laparoscopic Sleeve Gastrectomy with or Without the Use of Bioabsorbable Seamguard ®
Introduction: Laparoscopic sleeve gastrectomy (LSG) has recently been recognized by the American Society for Metabolic and Bariatric Surgery as a primary procedure for the surgical management of morbid obesity. Leaking or hemorrhaging at the staple-line are two feared complications associated with this procedure. Bioabsorbable staple-line buttressing materials have been suggested to decrease bleeding and minimize… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Techniques for Closure of Common Enterotomy of the Jejunojejunostomy During Gastric Bypass Determines Degree of Alimentary Limb Narrowing.
Introduction: To date there have been several methods described for construction of the roux-en-Y jejunojejunostomy in gastric bypass surgery. Several case series report obstruction at this anastomosis because of inadvertent narrowing or acute angulation. Obstruction rates at the jejunojejunostomy have been reported from 0.5 to 2.2% and of patients presenting with bowel obstruction, 14% are… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity