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, […]
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 […]
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 […]
.Introduction: Chronic pain is the most common complication following hernia repair. Thus far, the presence of preoperative pain has been of unclear significance as a predictor of postoperative pain. Methods: A query of the International Hernia Mesh Registry was performed to include all inguinal and ventral hernia repairs within the registry. Patients with preoperative pain […]
Background: In a group of 74 patients where computed tomography (CT) showed locally extending but not metastatic pancreatic cancer, we have demonstrated (Surg Endosc 2005;19:638-42) that 1/3 will have occult metastatic disease using diagnostic laparoscopy and peritoneal lavage for cytology (DL-PLC). Using a larger cohort, we asked if there are predictive factors that increase the […]