Utility of Drainage Catheters for Gastrojejunal Leaks After Laparoscopic Roux-en-Y Gastric Bypass: A Retrospective Review of 434 Cases
BACKGROUND: A leak at the gastrojejunal anastomosis (GJ) is a well recognized and occasionally fatal complication of obesity surgery. Closed suction drains have been routinely placed in the region of the GJ at the time of laparoscopic Roux-en-Y gastric bypass (LRYGBP) in order to aid in the recognition and treatment of such leaks. However, drains… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Utilization of the Intragastric Balloon (bib) in Pre-operative Preparation for Super Obese Patients with High Surgical Risk Comparing with Two Steps Surgery.
Background: Super obese patients show a high surgical risk (major complications in 30% and mortality rate of 5-12%). The present study evaluates the use of BIB as a preoperative procedure aiming an initial weight loss and reduction of surgical risk. Methods: From November 2000 to February 2006, 66 super obese patients (mean BMI= 60.3 ±… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Vagal Blocking for Obesity Control (vbloc) : Interim Six Month Results in an Ongoing Trial Using a Second Generation System
BACKGROUND: A new therapy (VBLOC) that intermittently blocks both vagi near the esophagogastric junction using high-frequency electrical algorithms has been reported to lower excess weight 14.2 (+/-) 2.2% in obese subjects as part of an earlier 6 month feasibility trial. The therapy is delivered by laparoscopically implanted electrodes. The proposed mechanisms for weight loss are… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
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
Weight Loss Expectations After Laparoscopic Gastric Bypass Are Influenced By Preoperative Body Mass Index.
BACKGROUND: Specific guidelines of expected weight loss after laparoscopic Roux-en-Y gastric bypass (LRYGB) in relation to preoperative body mass index (BMI) do not exist. Published weight loss outcomes after LRYGB are usually reported as a mean or median of the population examined as a whole. OBJECTIVE: To examine whether preoperative BMI influences percent of excess… 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
When the Sleeve Gastrectomy Fails: Adding a Laparoscopic Adjustable Gastric Band to Increase Restriction
Laparoscopic Sleeve Gastrectomy (LSG) is becoming more popular as a primary option for the surgical management of morbid obesity. Although some early sleeves performed over large-sized bougies have resulted in poor long-term weight loss maintenance, recent research has demonstrated that more restrictive sleeve gastrectomies can maintain nearly 60% excess weight loss. While the choice of… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity