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
Surgical Management of Chronic Abdominal Pain After Laparoscopic Roux-en-Y Gastric Bypass.
Background: Chronic abdominal pain after gastric bypass can be elusive to most diagnosis modalities, requiring in many cases diagnostic laparoscopy. In this video, we present the surgical management of a patient with chronic abdominal pain two years after laparoscopic Roux-en-Y Gastric Bypass (LRYGB). Case report: A 20 year old female underwent a LRYGB three years… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Suture Line Leaks After Laparoscopic Sleeve Gastrectomy : Difficulties of Management Might Be Underestimated.
Back ground- Laparoscopic Sleeve Gastrectomy (LSG) is suggested as a safe alternative in high risk, high BMI patients, it might be associated with higher leak rate when performed as definitive procedure over smaller bougies. Use of staple line reinforcement has been advocated to reduce risk of hemorrhage and decrease leak rate. There were reports of… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
T2DM & SG: Diabetes duration as prognostic factor of cure
Objective of the study: To evaluate the efficacy of LSG on glucose homeostasis in morbidly obese subjects with Type 2 Diabetes Mellitus (T2DM) and to elucidate the role of disease duration on resolution. Methods: From October 2002 to August 2009, 240 patients underwent LSG for morbid obesity. Fifty-eight patients presented T2DM: 15 of them had… 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
The Association Between Gerd and Laparoscopic Sleeve Gastrectomy
Background: Bariatric surgery has often been known as a cure for gastroesophageal reflux disease (GERD), especially if a patient has received a Roux-en-Y gastric bypass. Yet with the increasing popularity of Laparoscopic Sleeve Gastrectomy (LSG), the prevalence of symptomatic GERD postoperatively seems to increase. Very little data is available on this topic. We hypothesize that… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
The Impact of Previous Fundoplication on Laparoscopic Gastric Bypass Outcomes
Introduction: Gastroesophageal reflux disease (GERD) is a common comorbid condition in morbidly obese gastric bypass candidates. The ideal operation for medically refractory GERD in a patient who is also morbidly obese is a laparoscopic Roux-en-Y gastric bypass (LRYGB). Unfortunately, some patients who ultimately present for bariatric surgery have previously undergone Nissen fundoplication for their GERD.… Continue Reading
- Type:
- Posters
- 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
The Use of Ondansetron (zofran®) to Relieve Postoperative Nausea and Vomiting After Intragastric Balloon Placement: A Randomized Controlled Trial
Objective: The aim of this study is to investigate whether the use of the intravenous ondansetron after intragastric balloon (BIB) could decreases incidence of vomiting and decrease severity of nausea and improve patient’s tolerance to BIB placement. Methods: consecutive patients were randomly assigned and double blinded into two groups as Zofran group (8 mg Ondansetron… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
The Utility of Laparoscopic Transgastric Access in the Assessment and Treatment of the Gastric Bypass Patient
Introduction. The anatomy of the gastric bypass poses difficulties for the surgeon in evaluating and treating gastric bypass patients with upper gastrointestinal tract and biliary diseases. Gallbladder disease is significantly increased in the morbid obese patient and also in patients who lose weight at a rapid rate. There are several methods that have been described… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Unbuckling: A New Two-staged Approach to Symptomatic Slippage of Laparoscopic Adjustable Gastric Bands (lagb)
INTRODUCTION: Adjustable gastric band slippage is a common complication following placement of a laparoscopic adjustable gastric band. Large slips of adjustable gastric bands often distort normal anatomy, generate adhesions and lead to significant edema of the gastric pouch, fundoplication and gastric fundus. In our experience, these factors have contributed to a high rate of complications… 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