Long-term Outcome After Endoscopic Stent Therapy for Complications After Bariatric Surgery
OBJECTIVE: The purpose was to analyze long term outcomes of the largest series to date treating staple line complications after bariatric surgery with endoscopic covered stents. METHODS: All patients treated with stents for staple line complications after bariatric surgery underwent retrospective evaluation and a telephone questionnaire to assess their symptom scores. Acute postoperative leaks, chronic… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Endoflip: a Novel Device for Precise Measurement of Gastric Pouch Volume and Wall Compliance
Introduction: Significant weight regain after gastric bypass can occur over time due to dilatation of the gastric pouch and stoma. Endoluminal approaches for gastric pouch reduction are currently under investigation. EndoFLIP® (Crospon Ltd., Dangan, Galway, Ireland) is an endoscopic functional imaging probe designed to accurately measure intraluminal volume and wall compliance. Our objective was to… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Chyloperitoneum After Laparoscopic Roux Y Gastric Bypass (LRYGB)
The extravasation of milky chyle into the peritoneal cavity is known as Chylous ascites. A true chylous effusion is defined as the presence of ascitic fluid with high fat (triglyceride) content, usually higher than 110 mg/Dl. This can occur de novo as a result of trauma, neoplasm, obstruction of the lymphatic system as well as… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Reasons and Outcomes of Surgical Revision of Gastrojejunal Anastomotic Complications in Patients After Laparoscopic Rygbp for Morbid Obesity.
BACKGROUNDStenosis, ulceration and dilatation at the gastrojejunostomy (GJ) are recognized complications after Roux-en-Y gastric bypass (RYGBP). Treatment options for GJ complications include in most cases endoscopy; rarely, a surgical revision is needed. In this series we reviewed our experience with surgical revisions of the GJ in patients that did not respond to an endoscopic treatment… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Unexpected and Unusual Findings During Laparoscopic Roux-en-Y Gastric Bypass. How to Proceed?
Introduction: Unexpected findings during laparoscopic Roux-en-Y gastric bypass (LRYGB) are frequent and consist mainly of peritoneal adhesions, hernias, organomegaly, gallstones and adnexal cysts. These findings are relatively frequent and their management remains a part of every day bariatric practice. Unexpected and unusual intraoperative findings are only sporadically encountered during LRYGB. Management and clinical decision making… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Favorable Outcomes in Elderly Patients Undergoing Bariatric Surgery Despite Increased Co-morbidities
BackgroundElderly (65 years and older) obese patients are expected to be at high risk for bariatric surgery. We sought to study outcomes in elderly patients undergoing bariatric surgery with or without Medicare (MC, since 2006), and to evaluate differences in co-morbidities when compared to a meta-analysis study of younger patients. MethodsElderly patients undergoing bariatric surgery… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Large Blood Clot Causing an Acute Obstruction At the Jejunojejunostomy Following Laparoscopic Roux-en-Y Gastric Bypass
Abstract Background: Laparoscopic Roux-en-Y gastric (RYGB) bypass is the most common Bariatric procedure performed in the US. Postoperative gastrointestinal bleeding occurs in approximately 1% of all procedures. We report our experience with the rare complication of intraluminal gastrointestinal hemorrhage leading to an obstructing intraluminal blood clot at the jejunojejunostomy (JJ) following RYGB. Methods: Two cases… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Reduction of Obesity Comorbidities: Laparoscopic Roux-en-Y Gastric Bypass Versus Laparoscopic Adjustable Gastric Banding
Introduction: Surgical weight loss has been shown to effectively lead to improvements of obesity associated comorbid conditions. The goal of our study was to compare the timing of comorbidity resolution between laparoscopic roux-en-y gastric bypass (LRYGB) and laparoscopic adjustable gastric banding (LAGB).Methods: All patients (n=476) undergoing LRYGB or LAGB at our institution over a 2… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Post-operative Gastric Bypass Marginal Ulcers and Strictures Lead to Increased Weight Loss
IntroductionMorbid Obesity is the leading public health epidemic of the industrialized world with bariatric surgery as the only effective and enduring treatment for this disease. Gastric Bypass is known to be very effective for weight loss but can have complications like marginal ulcers or strictures. We hypothesized that gastric bypass patients with ulcers/strictures have differing… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Is There a Difference Between Early and Late Endoscopic Balloon Dilation for Gastrojejunal Stricture After Roux-en-Y Gastric Bypass?
INTRODUCTIONEndoscopic balloon dilation has been shown to be an effective treatment for gastrojejunal (GJ) strictures after Roux-en-Y gastric bypass (RYGB). We hypothesize the number of necessary interventions is influenced by the time interval since RYGB. This is a retrospective review examining the relationship between the interval from RYGB to balloon dilation in patients with stricture.MATERIALS… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Volume-outcome Relationships and Other Influences of Outcome in Bariatric Surgery – Justification of the Current Paradigm
Introduction: With the incidence of morbid obesity in the United States increasing at a rapid rate, bariatric surgical practices have continued to flourish. Recent years have seen the establishment by various professional organizations of credentialing processes, centers-of-excellence programs and fellowship training positions. Many of these processes grant privileges to bariatric surgeons based on case volume,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Gastric Bypass Improves Musclo-skeletal Quality of Life
IntroductionMorbid Obesity is the leading public health epidemic of the industrialized world with bariatric surgery as the only effective and enduring treatment for this disease. Gastric Bypass is known to be very effective for weight loss and can also improve obesity related comorbidities like joint disease. Joint disease may be difficult to assess without radiographs.… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
The Relevance of Using Fluroscopy As a Routine in Gastric Banding Control
The relevance of using fluroscopy as a routine in gastric banding control Hypothesis: using fluroscopy as a routine in performing gastric banding controls will enable early detection of possible complications and will optimize the adjustment of the band.Method: 100 patients were strictly followed up in our center for LGB control. All controls were done routinely… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity