Surgery Vs. No Surgery: a Controlled Study of Outcomes Following Bariatric Surgery
Introduction:Bariatric surgery has been shown to be an effective therapy that results in long term weight loss, resolution of co-morbidities and improved quality of life (QOL). Most of these studies lack comparison with a non-operative group. We hypothesize that after one year, patients who undergo bariatric surgery will see significant weight loss, resolution of co-morbidities… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Suture Line Buttresses Are Not Associated with Fewer Complications in Roux-en-Y Gastric Bypass
Introduction Suture line complications can cause major morbidities and mortality after Roux-en-Y gastric bypass. Suture line buttresses have been used in an attempt to prevent these complications. This study was done to determine if the introduction of suture line buttressing to our practice has decreased our complication rate.Methods After obtaining IRB approval, our database was… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
The Effectiveness of Gastric Band: A Retrospective Seven-year U.s. Follow-up Study
Objectives: To assess the efficacy of gastric band during 7 years of follow-up. Methods: A retrospective database analysis was conducted using longitudinal data from gastric band patients between Jan 1, 2000 and Feb 29, 2008. Patients were included for the efficacy analysis if they were at least 18 years of age at surgery date and… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
The Incidence and Management of Post-operative Hemorrhage After Laparoscopic Gastric Bypass
Background: Management and prevention of post-operative hemorrhage after laparoscopic gastric bypass (LGB) has been debated. Some authors believe in routine use of staple line buttress materials and the philosophy of routine re-operation for post-operative hemorrhage.Methods: A retrospective, multi-institutional review of all patients having undergone a LGB (without staple line reinforcement) was undertaken to identify patients… Continue Reading
- Type:
- Podium Presentations
- 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
The Staged Approach to Acute Gastric Prolapse in Adjustable Gastric Banding
INTRODUCTION: Acute gastric prolapse (AGP) represents a sudden or forceful migration of the distal anterior stomach through the more proximal laparoscopic adjustable gastric band (LAGB) stoma, representing a surgical emergency. The current management of acute gastric prolapse often results in removal of the LAGB, extensive manipulation of a friable or hemorrhagic stomach or extensive dissection… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Treatment of Gastrojejunal Leaks Using Covered Metal Stents in a Porcine Model
Introduction:Placement of stents may be an alternative non-invasive option to treat gastrojejunal (GJ) anastomotic leaks after Roux en Y gastric bypass (RYGB) surgery. The aim was to evaluate the performance of a covered metal stent (Alveolus 18 x 100 mm), across a GJ leak in a porcine model.Methods and procedures:Eight pigs weighing 20-25 Kg were… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Two Years Result on Glycemic Control of Obese Type 2 Diabetes Patients Following Intragastric Balloon Removal
Background: Intragastric Balloon (IGB) is an alternative endoscopic procedure to achieve weight loss and improve obesity related co-morbidities. The impact of IGB in type 2 diabetes mellitus (T2DM) after its removal is uncertain.Patients and Methods: 28 obese T2DM patients (20 female; mean age 43.5 ± 11.0 years, mean BW107.5 ± 24.5 kg; mean BMI 40.6±… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Ultrasound Guided Localization of Adjustable Gastric Banding Access Port
INTRODUCTION: Laparoscopic adjustable gastric banding (LAGB) has become one of the most popular bariatric surgeries performed today. Percutaneous access of the port for adjustment is required during follow-up but can be difficult in some patients with very thick abdominal wall. In these patients, fluoroscopic guidance has been used to localize the port and guide access.… 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
Vagotomy Vs Nonvagotomy in Gastric Bypass Surgery
Objective: Post bariatric symptoms related to dumping syndrome were compared in Nonvagotomized Laparoscopic Roux en Y Gastric Bypass (NVLGB) patients and Vagotomized Laparoscopic Roux en Y Gastric Bypass (VLGB) patients.Methods: A questionnaire was given to patients during follow up appointments at 24 to 30 months after LRYGB treated with both NVLGB and VLGB. 48 responses… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Vertical Sleeve Gastrectomy Performed on an Outpatient Basis
VERTICAL SLEEVE GASTRECTOMY PERFORMED ON AN OUTPATIENT BASIS(New Techniques Format) Robert W. Landerholm, MD, FACS; Rachelle I. Tomei, BS; Melanie Machado, RD, CD; Peter S. Billing, MD ABSTRACT INTRODUCTION:Vertical Sleeve Gastrectomy (VSG) has recently been recognized as a potential stand alone operation for the treatment of obesity. Given the improvements in surgical techniques and medical… 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