Preoperative Upper Endoscopy Should Be Standard of Care for Patients Undergoing Bariatric Surgery
Kshitij Kakar, MD, Vikas Singhal, MD, Leena Khaitan, FACS. University Hospitals- Case Medical Center, Cleveland. INTRODUCTION: Obesity is a major medical problem in the United States (US). Prevalence of obesity is rising and according to the National Health and Nutrition Examination Survey in 2009-2010, 35.7% of US adults were obese. Minimally invasive bariatric surgery is… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Presence of Hlelicobacter Pylori is not associated with late anastamotic complications in gastric bypass patients
John J Kelly, MD, Richard A Perugini, MD, Lisa Q Wang, MD, Thomas Tomczyk, MD, Julie Flahive, MS. University of Massachusetts Medical Center. Background Eradication of H. pylori prior to Roux-en-Y gastric bypass (RYGB) has been advocated as a measure to reduce anastomotic ulceration. However, the evidence to support a correlation between preoperative H. pylori… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Prevalence of Upper Gastrointestinal Gross and Microscopic Pathology in Patients with Morbid Obesity
Adrian Dan, MD, Rathna Shenoy, MD, Jesse Clanton, MD, Michael Subichin, MD, Ashley Bohon, Marta Makusewski, Mark Pozsgay, MD, S M Thompson, MD, Arjun Venkataramani, MD, Corey Sievers, MD, John Zografakis, MD. Summa Health System. Introduction: Bariatric surgery is regarded as the most effective therapy in the treatment of morbid obesity and associated co-morbid conditions.… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Racial Variation in the Distribution of Demographics, Body Mass, and Weight-related Medical Co-morbidities Among the Morbidly Obese: Analysis of 5,389 Bold Database Patients.
Ezekiel Adewale, DO, Gus J Slotman, MD. Departments of Medicine and Surgery, Inspira Health Network, Vineland, NJ. Objective/Background: The purpose of this study was to identify variations in weight, BMI, and obesity co-morbidities among the most severely overweight patients. As the obesity epidemic grows, morbidly obese patients with the highest BMI carry the greatest risk… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Randomized Trial of Ofirmev Versus Placebo After Laparoscopic Sleeve Gastrectomy
Matthew A Strode, DO, William Sherman, MD, Chris Bland, PharmD, Preston Sparks, DO, Byron Faler, MD, Yong Choi, MD. Eisenhower Army Medical Center. INTRODUCTION: Ofirmev is an intravenous form of Acetaminophen approved by the FDA in 2010. The indicated uses include the treatment of pain with and without the use of opioids. Several studies have… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Reduced Port Laparoscopic Roux-en-y Gastric Bypass with Manual Gastrojejunostomy
Giovanni Dapri, MD, PhD, FACS. European School of Laparoscopic Surgery, Brussels, Belgium. Background: The philosophy to reduce the invasiveness of minimal access surgery invested the last years of general laparoscopy. Single incision laparoscopic surgery (SILS) has been reported to be feasible and safe. Reduced port laparoscopic surgery (RPLS) consists in performing conventional multiport laparoscopic procedures… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Relationship Between Smoking and Weight Loss After Bariatric Surgery
Federico Moser, MD, Pablo Maldonado, MD, P Saleg, MD, F Signorini, MD, Veronica Gorodner, MD, Lucio Obeide, MD. Hospital Privado de Cordoba. INTRODUCTION: bariatric surgery is the most effective treatment for obesity. Discontinuing tobacco use has been typically associated with weight gain. Thus far, there are no reports supporting this fact. Herein, our objective was… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Repair of large paraesophageal hernias with combined partial longitudinal gastrectomy in obese and morbidly obese patients: Intermediate follow-up
Matthew J Davis, MD, John Rodriguez, MD, Andrea Zelisko, MD, Stacy Brethauer, MD, Bipan Chand, MD, Philip Schauer, MD, Kevin El-Hayek, MD, Matthew Kroh, MD. Cleveland Clinic Foundation. Background Treatment of gastroesophageal reflux disease (GERD) with hiatal hernia in obese patients has proven difficult, as studies demonstrate poor symptom control and high failure rates in… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Retrospective Study Of The AirSeal(tm) System For Laparoscopic Bariatric Surgery
James A Rydlewicz, MD, Andrew J Suzo, BS, Dean J Mikami, MD, Bradley J Needleman, MD. The Ohio State University Wexner Medical Center. Introduction: The Airseal(tm) (SurgiQuest, Milford, CT) system consists of a surgical trocar, tubing/filter set, and re-circulation and filtration control unit used to create and maintain a port of entry during laparoscopic surgery.… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Revision of Primary Sleeve Gastrectomy to Roux-en-Y Gastric Bypass, Indications and Outcomes from a High Volume Center
Robert A Casillas, MD, Jorge Zelada Getty, MD, Scott S Um, MD, Benjamin B Kim, MD. Kaiser Permanente West Los Angeles. Background Since reports as early as 2005, the laparoscopic sleeve gastrectomy (SG) has gained increased acceptance as a primary weight loss operation. As with any bariatric procedure, insufficient weight loss and long term complications… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Metabolic / Obesity
Revisional Surgery in Bariatrics: A Surgical Dilemma
Alejandro Rodriguez-Garcia, MD, Mario Rodarte-Shade, MD, Rene Palomo-Hoil, MD, Roberto Rumbaut, MD. School of Medicine and Health Sciences at Tec de Monterrey. Introduction Bariatric procedures are prone to failure. As the number of procedures performed increases, more reoperations/revisions will likely be needed. Current incidence of reoperation ranges between 5 and 56%. The aim of this… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Role of Intraoperative Iv Fluids On Hospital Length of Stay in Laparoscopic Bariatric Surgery: A Retrospective Study in 170 Consecutive Patients
Vaughn E Nossaman, MS, William S Richardson, MD, James B Wooldridge, MD, Bobby D Nossaman, MD. Tulane University School of Medicine and Ochsner Medical Center. Introduction: Studies are unclear regarding optimal intraoperative fluid management in laparoscopic bariatric surgery. The purpose of this study was to determine if the amount of intraoperative intravenous fluids affected hospital… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Routine Preoperative Esophagogastroduodenoscopy in Patients Undergoing Bariatric Surgery
Umer I Chaudhry, MD, Dean J Mikami, MD, Bradley J Needleman, MD, W. Scott Melvin, MD, Sabrena F Noria, MD. The Ohio State University Wexner Medical Center. INTRODUCTION- Bariatric surgery is now accepted as the most effective treatment for morbid obesity. However, given the various surgical options (ie: RYGB, sleeve gastrectomy, gastric band), and ensuing… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Routine Upper Gastrointestinal Series is not necessary in the Post-Operative Evaluation of Laparoscopic Sleeve Gastrectomies
Michael T Rossi, MD, Rami Lutfi, MD. University of Illinois at Chicago Metropolitan Group Hospitals. Introduction: The use of upper gastrointestinal series (UGI) has become a routine practice after bariatric surgery and specifically laparoscopic sleeve gastrectomy (LSG) to rule out obstruction or leak. As the healthcare environment continues to evolve, scrutiny over cost from insurance… Continue Reading
- Topic:
- Metabolic / Obesity
Roux-en-Y gastric bypass for super obese patients: what approach?
Nicolas C Buchs, MD, Dan Azagury, MD, Francois Pugin, MD, Minoa Jung, MD, Olivier Huber, MD, Gilles Chassot, MD, Philippe Morel, MD. Department of Surgery, University Hospital of Geneva. Background: Super obese (SO) patients with a Body Mass Index (BMI) ≥ 50 kg/m2 still represent a real anesthesiological and surgical challenge. While the best procedure… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity