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
Laparoscopic Linear Stapler Latero-lateral Esophagojejunostomy After Total Gastrectomy for Hereditary Diffuse Gastric Cancer Syndrome
Hereditary diffuse gastric cancer syndrome is an autosomal dominant condition manifesting as a diffuse infiltrating poorly differentiated adenocarcinoma. Seen usually in young adults and results from a mutation in the tumor suppressor gene Spell please (CDH-1) that normally encodes for E-Cadherin. This condition is managed by meticulous regular surveillance for early detection and treatment of… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Changing Practice of Laparoscopic Bariatric Surgery in 2 Countries
Introduction: Internationally, operative procedures performed for weight loss differ in type based upon local socioeconomic conditions. The purpose of this study was to examine the practice patterns for bariatric surgeons at a hospital in Cuenca, Ecuador and in Nashville, TN at a major tertiary care institution. Methods: The personal database of the surgeon in Ecuador… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Repair of a Paraesophageal Hernia After Gastric Bypass for Morbid Obesity with Repair of an Incidental Internal Hernia and Gastro-gastric Fistula.
Background: This video illustrates the use of laparoscopic techniques to repair a paraesophageal hernia after roux-en-y gastric bypass as well as repair of both an internal hernia and a gastro-gastric fistula that were discovered at the time of surgery. Case Report: We present a fifty-year-old female with a history of prior roux-en-y gastric bypass (RYGBP)… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Gastro-colonic Fistula After Roux-en-Y Gastric Bypass for Morbid Obesity
IntroductionThe incidence of morbid obesity in the United States is increasing. Roux-en-Y Gastric Bypass is a surgical treatment for morbid obesity resulting in weight loss and control or resolution of obesity-related co-morbidities, however, is not without complications. More common post-surgical complications include anastamotic leaks or strictures, bowel obstruction or vitamin/mineral deficiency. While relatively rare, marginal… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Feeding Tube Placement in the Excluded Stomach After Gastric Bypass: A Novel Laparoscopic Technique
Introduction: Enteral access for nutritional support after gastric bypass is a challenging problem due to dense postoperative adhesions, difficulty in gaining endoscopic access to the excluded stomach, and the thick abdominal wall in an obese patient. Open techniques can be technically difficult and associated with high morbidity. We present our novel laparoscopic technique for feeding… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Bariatric Surgery on a Video Sharing Website
Introduction: Patients utilize the Internet to obtain information regarding bariatric surgery. The quality of this available information is inconsistent. Specifically, many patients browse video sharing websites to further educate themselves about the procedures. This study tested the hypothesis that a common video sharing website would provide high quality information for bariatric surgery patients. Methods: The… Continue Reading
- Type:
- Posters
- 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
Concurrent Hiatal Hernia Repair During Laparoscopic Adjustable Gastric Band Placement and Its Effect on Gastroesophageal Reflux Disease
Introduction: Presence of hiatal hernia (HH) in patients undergoing laparoscopic adjustable gastric band (LAGB) placement may pose technical difficulties and predispose to postoperative GERD and a higher risk of band prolapse. We reviewed our experience with LAGB and concurrent HH repair.Methods: Retrospective chart review of all patients who underwent LAGB and prospective interview of patients… 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
Laparo-endoscopic Single Site (less) Surgery for Placement of Adjustable Gastric Band
Objective: Laparo-endoscopic single site (LESS) surgery for cholecystectomy and appendectomy have been described in the literature. However, the benefits of these procedures to traditional laparoscopic approaches has yet to be determined. To date, LESS surgery for placement of an adjustable gastric band has not been published or documented. Our goal is to determine the safety… 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
Laparoscopic Adjustable Gastric Banding in a Patient with Previous Gastric Bypass Surgery
Introduction: We present a case of laparoscopic adjustable gastric banding (LAGB) in a patient with previous Roux -en- Y gastric bypass (RYGB).Methods: 39 year old morbidly obese woman (BMI 44 kg/m²) referred for evaluation for revisional bariatric surgery. She underwent open RYGB in 2000. She lost 250 lbs after her surgery but slowly she regained… Continue Reading
- 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
Preoperative Exercise on Outcomes in Bariatric Surgery
INTRODUCTION: Exercise is thought to improve functional outcomes and weight loss. As little as thirty minutes of brisk exercise daily can increase weekly metabolic caloric expenditure to about 35000 Kcal. This study is designed to measure change in preoperative exercise activity and functional health status, and subsequent postoperative physical activity in bariatric surgical patients. METHODS… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity