Introduction:Laparoscopic sleeve gastrectomy (LSG) is currently the most commonly performed bariatric procedure. Its mechanism of action is debated. One theory held is that the narrow gastric tube retards the flow of nutrients through the stomach; alternatively, some evidence suggests LSG results in augmented gastric emptying. A resolution of this question is important. We present a case report of LSG in a severely obese individual with documented gastroparesis.
Methods:Case report and literatu
INTRODUCTION: Morbid obesity is a leading public health concern in the United States and predisposes to the development of numerous comorbid conditions. Additionally, depression is commonly seen in the obese. The development of depression in this population, while complex and multifactorial, has also been attributed to poor body image, low self-esteem, and discrimination. This study examines the occurrence and time-course of depression in a bariatric population and explores the impact of depress
Introduction: Laparoscopic sleeve gastrectomy (LSG) has become the most commonly performed weight loss operation in recent years. When compared to Roux-en-Y gastric bypass, there is a theoretical reduction in long term complications such as bowel obstruction, vitamin deficiency, and anastomotic ulceration. LSG appears to be associated with a higher rate of staple line leak. While there is no accepted standard technique for LSG, there is a suggestion that use of a Bougie ? 40-Fr is associated wit
Objective: Recent research has focused on both pre- and post-surgical behavioral factors as they influence weight loss outcomes after bariatric surgery, and there has been a shift away from examining demographic indicators, and intra-operative and early post-surgical factors as predictors of surgical outcome (A.H. Robinson et al in 2014, M Livhits et al in 2011). Therefore, the objective of this study was to determine which demographic and medical variables predict successful weight loss outcome
Introduction: While bariatric surgery lowers overall health care costs, high readmission rates have insurance companies questioning its cost effectiveness. Studies led by J. Saunders (2008), B. Hong (2012), and T.A. Kellogg (2009) have shown readmission rates of 0.6%-24.2% following bariatric surgery at high volume centers. The most common preventable cause of readmission is dehydration caused by nausea/vomiting and abdominal pain. Mercy Bariatrics in Philadelphia, PA, designed an innovative hom