Background: Intragastric balloon has been used in obese patients as a restrictive gastric procedure inducing early satiety and weight loss. This prospective study assesses both the safety and effectiveness of intragastric Balloon (BIB®) in the treatment of obese patients. Endoscopic Sleeve Gastroplasty was showed at SAGES Las Vegas Meeting by Roberto Fogel (apr/07). Endoscopic Duodenum-Jejunum […]
Introduction: We previously reported successful transvaginal NOTES cholecystectomy in porcine models but experienced difficulty with pneumoperitoneum gas leakage when Magnetic Anchoring and Guidance System (MAGS) and endoscopic instruments were used in conjunction with conventional trocar seals. The purpose of this study was to evaluate the utility of a novel access port for this procedure.Methods: Non-survival […]
PURPOSE: Staple-line reinforcement sleeves and Fibrin glue sealant during Laparoscopic Gastric Bypass (LGBP) have suggested to the risk of perioperative anastomotic leakage and bleeding. The aim of our study was to compare patients undergoing LGBP with and without these reinforcement material and compare the staple line vs. GJ anastomosis leak rate, bleeding, and rate of […]
Introduction: There is sparse literature regarding the optimal surgical management of megaobesity, defined as body mass index (BMI) >70 kg/m2. The purpose of this study was to compare laparoscopic Roux-en-y gastric bypass (LRYGP) and open Roux-en-y gastric bypass (ORYGP) in megaobese patients.Methods: A retrospective review of patients with BMI >70 kg/m2 undergoing LRYGB and ORYGP […]
BACKGROUND There is a large amount of variation in the degree to which practice guidelines and clinical research (evidence based medicine (EBM)) are used in daily patient management. Many attribute the variation to difficulty staying current with the volume of material published every year and a poor understanding of statistical analysis. Recent attention has been […]