Publications
Portal vein thrombosis after laparoscopic sleeve gastrectomy: presentation and management
Portal vein thrombosis (PVT) is a serious problem with a high morbidity and mortality, often exceeding 40% of affected patients. Recently, PVT has been reported in patients after laparoscopic sleeve gastrectomy (LSG). The frequency is surprisingly high compared with other abdominal operations.
What is the optimal treatment of superior mesenteric vein/portal vein thrombosis after bariatric surgery? Is SMA-directed t-PA the answer?
Acute thrombosis of the portal vein (PV) and superior mesenteric vein (SMV) is a relatively rare but insidious and potentially lethal abdominal complication. Unlike arterial thrombosis, the clinical line of demarcation is often not distinct for venous thrombosis. However, with the advent of readily available, highly sensitive, specific diagnostic modalities, it is now diagnosed at an earlier stage noninvasively.
Adjustable gastric banded plication versus sleeve gastrectomy: the role of gastrectomy in weight loss
Laparoscopic adjustable gastric banded plication (LAGBP) is a procedure that has a stomach volume similar to the sleeve gastrectomy (SG). It has shown promising results but has not been adopted widely.
Long-term success and failure with SG is predictable by 3 months: a multivariate model using simple office markers
Despite being the most common surgery in the United States, little is known about predicting weight loss success and failure with sleeve gastrectomy (SG). Papers that have been published are inconclusive. We decided to use multivariate analysis from 2 practices to design a model to predict weight loss outcomes using data widely available to any surgical practice at 3 months to determine weight loss outcomes at 1 year.
Comment on: long alimentary limb duodenal switch (LADS) - a short-term prospective randomized trial
There was no difference in the Laval questionnaire for the quality of life between the 2 groups, but patients with the longer alimentary limb had significantly less gastrointestinal side effects, including annoyance with gas and number of stools a day, which is likely to contribute to a better quality of life. Indeed, patients in the study group complained more about constipation than diarrhea.
A Matched Cohort Analysis of Stomach Intestinal Pylorus Saving (SIPS) Surgery Versus Biliopancreatic Diversion with Duodenal Switch with Two-Year Follow-up
In bariatric surgery, the procedure with the highest average weight loss is the biliopancreatic diversion with duodenal switch (BPDDS). A new simplified duodenal switch called the stomach intestinal pylorus sparing (SIPS) surgery with less malabsorption and one fewer anastomosis claims to have similar outcomes when compared to the BPDDS.
An Analysis of Mid-Term Complications, Weight Loss, and Type 2 Diabetes Resolution of Stomach Intestinal Pylorus-Sparing Surgery (SIPS) Versus Roux-En-Y Gastric Bypass (RYGB) with Three-Year Follow-Up
For many years, the Roux-en-Y Gastric Bypass (RYGB) was considered a good balance of complications and weight loss. According to several short-term studies, single anastomosis duodenal switch or stomach intestinal pylorus sparing surgery (SIPS) offers similar weight loss to RYGB with fewer complications and better diabetes resolution.
The Use of Predictive Markers for the Development of a Model to Predict Weight Loss Following Vertical Sleeve Gastrectomy
Average percent excess weight loss data is commonly discussed preoperatively to guide patient expectations following surgery. However, there is a wide range and variation in weight loss following vertical sleeve gastrectomy (SG). Unfortunately, most surgeons and even fewer patients have heard of using predictive models to help guide their decisions on procedure choice. We have developed a predictive model for SG to help patient choice prior to this major life-changing decision.
Is pneumatic balloon dilation safe and effective primary modality of treatment for post-sleeve gastrectomy strictures? A retrospective study
The optimal treatment of sleeve strictures has not been agreed upon at the current time. At our institution, we began using pneumatic balloon dilation to help resolve these obstructions in 2010. Herein we report our experience with pneumatic balloon dilation for the treatment of sleeve strictures.
Bowel Reconstruction to Treat Chronic Diarrhea and Hypoproteinemia Following Single Anastomosis Duodenal-Ileal Bypass with Sleeve Gastrectomy: a Single-Site Experience
Single anastomosis duodenal-ileal bypass with sleeve gastrectomy (SADI-S) is a modification of the biliopancreatic diversion with duodenal switch (BPD-DS) surgery. A concern with SADI-S is chronic diarrhea and hypoproteinemia. Common channel lengthening (CCL) is a surgical procedure to increase absorption in the small intestine to decrease diarrhea.
Healthcare cost and utilization of bariatric surgical patients with and without preoperative mental health diagnoses
Postoperative healthcare cost and use among patients with and without preoperative mental health illness are not well known.
Effects of Post-operative Nutritional Disorders Following Bariatric Surgery on Health Care Cost and Use
Risk of nutritional disorders (NDs) in bariatric surgical patients has led to guideline recommendations for pre- and postoperative nutrient deficiency screening. The aim of this study was to identify baseline factors associated with incident NDs and, in addition, to explore possible differences in health care spending and use between patients with and without incident NDs following bariatric surgery
Long-term outcomes of primary single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S)
The long-term outcomes of primary single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) have never been reported in the literature.
Laparoscopic Roux-en-Y gastric bypass reversal for chronic nausea and vomiting using the side-to-side anastomosis
Approximately 25% of Roux-en-Y gastric bypass (RYGB) surgical procedures will eventually fail due to insufficient weight loss, weight recidivism, or complications related to the procedure [1,2]. The reported incidence of anastomotic complications after RYGB ranges from .1% to 23% [3]. The patients who experience an anastomotic complication require an intervention.
Weight Loss Outcomes of Laparoscopic Adjustable Gastric Band with Plication: a Single Center Experience of 66 Patients with 18-Month Follow-Up
Laparoscopic adjustable gastric band with plication (LAGBP) is a novel bariatric procedure, which combines the adjustability of the laparoscopic adjustable gastric band (LAGB) with the restrictive nature of the vertical sleeve gastrectomy (VSG).
A step-by-step surgical technique video with two reported cases of common channel lengthening in patients with previous stomach intestinal pylorus sparing surgery to treat chronic diarrhea
Surgical procedures are currently the only effective longterm way to treat morbid obesity. However, these procedures all carry risks, with each procedure having its own unique risks.
The incidence of complications associated with loop duodeno-ileostomy after single-anastomosis duodenal switch procedures among 1328 patients: a multicenter experience
The single-anastomosis duodenal switch procedure is a type of duodenal switch that involves a loop anastomosis rather than traditional Roux-en-Y reconstruction. To date, there have been no multicenter studies looking at the complications associated with post-pyloric loop reconstruction
Comparative analysis of the single-anastomosis duodenal-ileal bypass with sleeve gastrectomy (SADI-S) to established bariatric procedures: an assessment of 2-year postoperative data illustrating weight loss, type 2 diabetes, and nutritional status in a single US center
The sleeve gastrectomy (SG), Roux-en-Y gastric bypass (RYGB), and single-anastomosis duodenal-ileal bypass with SG (SADI-S) are recognized bariatric procedures. A comparison has never been made between these 3 procedures and especially in different body mass index (BMI) categories
Laparoscopic stomach intestinal pylorus-sparing surgery as a revisional option after failed adjustable gastric banding: a report of 27 cases with 36-month follow-up
Inadequate weight loss, weight recidivism, and device-related complications after an adjustable gastric banding (AGB) can be treated by a laparoscopic conversion to stomach intestinal pylorus-sparing surgery (SIPS).
Mid-term outcomes of gastric bypass weight loss failure to duodenal switch
The Roux-en-Y gastric bypass (RYGB) is a very effective treatment for obesity and its related co-morbidities. However, some patients fail to achieve 450% of their excess weight loss (EWL), and others regain much of the weight that they lost
Laparoscopic adjustable gastric banding versus laparoscopic adjustable gastric banding with gastric plication: midterm outcomes in terms of weight loss and short term complications
Laparoscopic adjustable gastric banding (LAGB) is a safe procedure with variable outcomes and large standard deviations. LAGB with gastric plication (LAGBP) is a new restrictive procedure that combines the lap band with gastric plication. This procedure, with its mechanism being below the band anatomically, should augment the weaknesses of the lap band: slips and inadequate weight loss.
Stomach Intestinal Pylorus-Sparing Surgery for Morbid Obesity
The Roux-en-Y duodenal switch (RYDS) is one of the most efficient forms of bariatric surgery.
A retrospective comparison of biliopancreatic diversion with duodenal switch with single anastomosis duodenal switch (SIPS-stomach intestinal pylorus sparing surgery) at a single institution with two year follow-up
The traditional duodenal switch is performed using a Roux-en-Y configuration. This procedure has proven to be the most effective procedure for long-term weight loss and co-morbidity reduction.
A video case report of stomach intestinal pylorus sparing surgery with laparoscopic fundoplication: a surgical procedure to treat gastrointestinal reflux disease in the setting of morbid obesity
The increasing prevalence of obesity worldwide has coincided with an increased prevalence of gastroesophageal reflux disease (GERD) [1]. Laparoscopic antireflux procedures such as fundoplication have gained widespread acceptance.
Laparoscopic stomach intestinal pylorus sparing surgery in a patient with morbid obesity and situs inversus: first video case report
Stomach intestinal pylorus sparing surgery (SIPS) is one of the most effective weight loss procedures with mean excess weight loss at 2 years of 85% [1–3].
Does the future of laparoscopic sleeve gastrectomy lie in the outpatient surgery center? A retrospective study of the safety of 3162 outpatient sleeve gastrectomies
Laparoscopic sleeve gastrectomy (LSG) is a safe and effective procedure that can be performed as an outpatient procedure.
>A Matched Cohort Comparison of Long-term Outcomes of Roux-en-Y Gastric Bypass (RYGB) Versus Single-Anastomosis Duodeno-ileostomy with Sleeve Gastrectomy (SADI-S)
The long-term effectiveness of Roux-en-Y gastric bypass (RYGB) and single-anastomosis duodeno-ileostomy with sleeve gastrectomy (SADI-S) is unknown.
Early Outcomes of Primary SADI-S: an Australian Experience
Single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) surgery is a modification of the traditional duodenal switch (DS) surgery. SADI-S is relatively a new bariatric surgical procedure and has gone by many names depending on the length of the common channel. In this study, we report our initial experience with this novel technique in the Australian population
Laparoscopic Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy: Surgical Technique
This video shows a case of a 57-year-old female patient with morbid obesity who underwent a laparoscopic single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S).
A Step-by-Step Surgical Technique Video of Revision of Roux-en-Y Gastric Bypass with Limb Distalization
The Roux-en-Y gastric bypass (RYGB) is the second most common bariatric procedure in the USA. Although the RYGB is an effective procedure, some patients will not achieve optimal weight loss or will experience significant weight regain. In this video report, we present a step-by-step surgical technique of RYGB limb distalization in a 49-year-old female patient for inadequate weight loss.
A comparison of outcomes of bariatric surgery in patient greater than 70 with 18 month of follow up
There is a scarcity of data available to determine the safety and effectiveness of bariatric surgery in the elderly population. Additionally, there are no studies showing the effect of the single anastomosis duodenal switch (SADS) has on the elderly obese, in comparison with other more popular procedures. Here we compare laparoscopic gastric band surgery (LAGB), Laparoscopic Roux-en-Y gastric bypass surgery (LRYGB), and the SADS to analyze the weight loss, perioperative and postoperative morbidity in the patients >70 years of age at a single US center.
Stomach intestinal pylorus sparing surgery (SIPS) with laparoscopic fundoplication (LF): a new approach to gastroesophageal reflux disease (GERD) in the setting of morbid obesity
The increase in the prevalence of obesity and gastroesophageal reflux disease (GERD) has paralleled one another. Laparoscopic fundoplication (LF) (Nissen or Toupet) is a minimally invasive form of anti-reflux surgery. The duodenal switch is a highly effective weight loss surgery with a proven record of long term weight loss success.
Indications and Operative Outcomes of Gastric Bypass Reversal
Roux-en-Y gastric bypass (RYGB) is one of the best-known and most commonly performed bariatric procedures. However, this procedure carries infrequent but serious long-term complications, which may require revisional procedures.
Does Bismuth Subgallate Affect Smell and Stool Character? A Randomized Double-Blinded Placebo-Controlled Trial of Bismuth Subgallate on Loop Duodenal Switch Patients with Complaints of Smelly Stools and Diarrhea
Loop duodenal switch (LDS) can result in fat and starch malabsorption. In a small percentage of patients, a relevant qualitative and quantitative change in stools happens usually characterized by steatorrhea-like diarrhea. Bismuth subgallate (BS) has been marketed as a way to eliminate the odor associated with flatulence and bowel movements.
Mid-term 4-Year Outcomes with Single Anastomosis Duodenal-Ileal Bypass with Sleeve Gastrectomy Surgery at a Single US Center
Single anastomosis duodenal-ileal bypass with sleeve gastrectomy (SADI-S) is a modification of Roux-en-Y duodenal switch (RYDS). Long-term data on this operation is lacking in the literature. We reviewed our mid-term data of this RYDS modification.
A Multi-institutional Study on the Mid-Term Outcomes of Single Anastomosis Duodeno-Ileal Bypass as a Surgical Revision Option After Sleeve Gastrectomy
Recently, a single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) has become increasingly popular for patients with BMI > 50 as a primary or staged surgery
Safety And Effectiveness Of Single Anastomosis
The first bariatric procedure was the jejunocolic bypass followed by the jejunoileal bypass, which resulted in substantial weight loss but unacceptable life threatening complication rates. These procedures along with several others have fallen out of favor over the years, due to failure rates, health risks, and severe deficiencies. Currently, laparoscopic Roux-en-Y gastric bypass (RYGB) and laparoscopic sleeve gastrectomy (LSG) are most commonly performed for surgical treatment of morbid obesity.
Sadi-S With Right Gastric Artery Ligation
Considering the first historical cases of jejunoileal bypass done in the beginning of the 1950s by Victor Henriksson in Sweden and Richard Varco in United States of America, bariatric surgery has completed a long medical history with the proposition of several surgical alternatives, reaching global numbers around 500.000 cases yearly
Liver Retractor
Fixed Liver Retraction (FLR) has traditionally been considered mandatory for all foregut surgery. For most procedures (RYGB, Hiatal Hernia repair) operative exposure of the lesser curvature of the stomach and right crusdoes require fixed retraction.
Portal Vein Thrombosis After LSG
10 patients who required reoperation for bleeding, 6(60%)received blood transfusions before their reoperation. There was one death (0.13%) in our series. Patient demographics were similar in both groups in terms of age,sex,American Society of Anesthesiologists (ASA)score, comorbidities and medication use, including antic-agulants, non steroidal anti-inflammatory drugs (NSAIDS) and selective serotonin reuptake inhibitors (SSRIs).
Post Predictor Of SG At 3 Months
Predictors of long-term weight loss in sleeve gastrectomy (SG) currently do not exist. We reviewed our
long term data in a single private practice to assess for variables that will help surgeons predict weight loss failure early after SG.
Predictor Of GBP
The Use od Predictive Markers for the Development of a Model to Predict Lowest Quartile Weight Loss Following Roux-en-Y Gastric Bypass
Predictor Of SG
Diabetes Remission Following Gastric Bypass: Does Diarem Stand the test of Time?
Pre Operative Predictor Of SG
The goal of this study is to show a further reduction in leak rate when multiple methods of reinforcement are combined, specifically the use of bioabsorbable material as a buttress with suture line imbrication.
Weight Loss After Band to DS
The aim of this study was to determine the effects of the adjustable gastric band (AGB) one sophageal motility in patients who present for removal of the AGB.
Weight Loss After RYGB to DS
over time following RYGB and LAGB.There was also an increase in alcohol problems and non-prescribed druguse, and related treatment, following RYGB only, such that more than double as many participants reported alcohol problems in years 3-7 com-pared to baseline.
Symptomatic gastric diverticulum after gastric imbrication with conversion to sleeve gastrectomy
Laparoscopic gastric imbrication (LGI) helps to promote weight loss by reducing the size of the stomach by plicating the greater curve of the stomach. However, if the stomach is not adequately plicated at the fundus, gastric diverticula occur. In this case the gastric diverticulum became symptomatic (chronic nausea) and necessitated conversion to a laparoscopic sleeve gastrectomy, which resulted in a resolution of the patient’s symptoms.
Stomach Intestinal Pylorus Sparing (SIPS) Surgery for Morbid Obesity: Retrospective Analyses of Our Preliminary Experience
Although the duodenal switch (DS) has been the most effective weight loss surgical procedure, it is a small minority of the total bariatric surgical cases performed. Modifications that can make the operation technically simpler and reduce a long-term risk of short bowel syndrome would be of benefit. The aim of this study was to detail our initial experience with a modified DS called stomach intestinal pylorus sparing (SIPS) procedure
A safer and simpler technique of duodenal dissection and transection of the duodenal bulb for duodenal switch
One common reasons that many surgeons do not perform a duodenal switch (DS) is lack of experience with the dissection over the head of the pancreas [1].
Retrograde filling of the afferent limb as a cause of chronic nausea after single anastomosis loop duodenal switch
Single anastamosis loop duodenal switch (SALDS) is a new surgical technique that was first described by Torres in Spain [1]. As this procedure is gaining in popularity worldwide, it is important to document the rare complications associated with it [2].
Portl Vein Thrombosis after Laparoscopic Sleeve Gastrectomy: Presentations and Management
Portlal vein thrombosis (PVT) is a serious problem with a high morbidity and mortality, often exceeding 40% of affected patients. Recently, PVT has been reported in a patients after laparoscopicsleeve gastrectomy (LSG).
A Matched Cohort Analysis of Sleeve Gastrectomy With and Without 300 cm Loop Duodenal Switch With 18-Month Follow-Up
In bariatric surgery, a significant question remains unanswered—What proportion of weight loss comes from each component and does this differ with time? Single anastomosis duodenal switch (LDS) combines a vertical sleeve gastrectomy (VSG) with a loop attachment of the duodenal stump.
Internal hernia after revisional laparoscopic loop duodenal switch surgery
Loop duodenal switch(LDS) is a new surgical technique that allows surgeons to perform a duodenal switch with less effort and fewer complications
A matched cohort analysis of single anastomosis loop duodenal switch versus Roux-en-Y gastric bypass with 18-month follow-up
The Roux-en-Y gastric bypass (GBP) has been considered the gold standard for many years. The loop duodenal
switch (LDS) is a relatively new procedure that simplifies the complexity of the duodenal switch (BPDDS) by making it a single anastomosis procedure while at the same time giving it more intestinal absorption to reduce the rates of malnutrition associated with traditional BPDDS.
Long Term Results after DS and Diabetes
This report summarizes our 15-year experience with duodenal switch (DS) as a primary procedure on 1,423 patients from 1992 to 2005.
20 Year Diabetes Resolution after DS
Biliopancreatic diversion (BPD) is a complex bariatric operation requiring meticulous surveillance which has impeded its broad adoption. Improvements in surgical care and technique, better teaching programs, and stringent norms for follow-up have contributed to increased safety of BPD for patients with BMI < 50, achieving better long-term results than other bariatric operations. Here we report 20-year outcomes of 2615 consecutive patients (median 8) having open BPD with duodenal switch (DS) between 1992 and 2010.
Randomized Double-Blinded Trial of Laparoscopic Gastric Imbrication v Laparoscopic Sleeve Gastrectomy at a Single Indian Institution
Currently, there is a debate whether the laparoscopic gastric imbrication (LGI) offers similar weight loss when compared to the laparoscopic sleeve gastrectomy (LSG). On the surface, they seem to offer similar-sized stomachs after the procedures are performed. We chose to perform a randomized double-blinded trial to see if similar-sized pouches result in similar types of weight loss. Our belief was that sleeve gastrectomy would offer at least a 10 % better weight loss over a 3-year period.
Chronic Inflammatory Hypothesis
The Chronic Inflammatory Hypothesis for the Morbidity Associated with Morbid Obesity: Implications and Effects of Weight Loss
The Effect of Obesity on Neutrophil
Background: There is a large body of epidemlologi· cal data associating obesity with a wide variety of clinical disease processes, including cancer and wound infections. However, defining the specific defects of neutrophils has proved difficult and often contradictory.
Acute changes in renal function after laparoscopic gastric surgery for morbid obesity
Acute renal failure (ARF) is a serious complication that contributes to patient morbidity and may result in death. To date, no data are available regarding the predictive risk of ARF or its effect on the outcome of patients who undergo laparoscopic gastric bypass.
The impact of laparoscopy on bariatric surgery
Abstract. The rising popularity of bariatric surgery over the past several years is attributable in part to the development of laparoscopic bariatric surgery. Morbidly obese patients have associated comorbid conditions that may predispose them to postoperative morbidity.
Laparoscopic Gastric Bypass Surgery: Current Technique
THE TECHNIQUE OF LAPAROSCOPIC Roux -en-Y gastric bypass has evolved significantly since Wittgrove and Clark developed their technique in the early 1990s.1 Multiple variations of each key aspect of the procedure have evolved.2- 8 The major steps of the procedure include patient positioning, setup and port placement, pouch creation, Roux-limb construction, jejuno-jejunostomy, and gastrojejunostomy.
Diabetes Mellitus
Objective: To evaluate pre- and postoperative clinical parameters associated with improvement of diabetes up to 4 years after laparoscopic Roux-en-Y gastric bypass (LRYGBP) in patients with type 2 diabetes mellitus (T2DM).
Duodenal Varices: A Novel Treatment and Literature Reviezv
Hemorrhage associated with duodenal varices is an uncommon but often fatal manifestation of portal hypertension. We report a case of duodenal varices, review the literature, and present a new treatment modality. A 63-year-old man presented with hematemesis and hematochezia
Diagnostic and Therapeutic Laparoscopy for Trauma: A Technique of Safe and Systematic Exploration
Summary: Laparoscopy has a limited role in the evaluation of a stable trauma patient. The main concern addressed in the literature is a significant potential for missed visceral injury and a minimal role for therapeutic application.
Is Ghrelin the Culprit for Weight Loss after Gastric Bypass Surgery? A Negative Answer
Background: Ghrelin is a potent appetite stimulator, mainly synthesized in the stomach. Paradoxically, obese subjects have lower plasma ghrelin than lean subjects and increase their weight in spite of low ghrelin levels.
Laparoscopic Era of Operations for Morbid Obesity
The goal of this article is to review the status of the emerging field of laparoscopic bariatric surgery, to discuss developmental issues regarding technique and training, and finally, to summarize the present and future roles of laparoscopic bariatric surgery
Bupivicaine Pain Pumps
A Randomized Trial of Bupivicaine Pain Pumps to Eliminate the Need for Patient Controlled Analgesia Pumps in Primary Laparoscopic Roux-en-Y Gastric Bypass
The impact of laparoscopic bariatric workshops on the practice patterns of surgeons
This study was designed to evaluate the impact of a 2-day laparoscopic bariatric workshop on the practice patterns of participating surgeons.
Effect of Surgically-Induced Weight Loss on Leukocyte Indicators of Chronic Inflammation in Morbid Obesity
Recent evidence suggests that morbid trophlls, and by 12 months had become abnormally obesity Is a chronic Inflammatory condition that may elevated In monocytes (monocytes 391 gmf, be associated with Immune dysfunction.
Laparoscopic sleeve gastrectomy as an initial weight-loss procedure for high-risk patients with morbid obesity
The surgical treatment of obesity in the high-risk, high-body-mass-index (BMI) (>60) patient remains a challenge. Major morbidity and mortality in these patients can approach 38% and 6%, respectively. In an effort to achieve more favorable outcomes, we have employed a two-stage approach to such high-risk patients. This study evaluates our initial outcomes with this technique.
Lower Extremity Compartment Syndrome Following a Laparoscopic Roux-en-Y Gastric Bypass.
“Candy cane” Roux syndrome-a possible complication after gastric bypass surgery
Effective treatment of polycystic ovarian syndrome with Roux-en-Y gastric bypass
Preperitoneal Herniation Into a Laparoscopic Port Site Without a Fascial Defect
Weight loss, quality of life and employment status after Roux-en-Y gastric bypass: 5-year analysis
Results of Laparoscopic Gastric Bypass in Patients with Cirrhosis
Medicolegal analysis of 100 malpractice claims against bariatric surgeons
DRG, Costs and Reimbursement following Roux-en-V Gastric Bypass: an Economic Appraisal
A 37-year-old man was brought to our comprehensive Levell trauma center by the Coast Guard after being involved in a fishing accident.
A Case-Controlled Matched-Pair Cohort Study of Laparoscopic Roux-en-Y Gastric Bypass and Lap-Band® Patients in a Single US Center with Three-Year Follow-up
Incidence of gastroenterostomy stenosis in laparoscopic Roux-en-Y gastric bypass using 21- or 25-Inm circular stapler: a randomized prospective blinded study
A Case-Controlled Matched-Pair Cohort Study of Laparoscopic Roux-en-Y Gastric Bypass and Lap-Band® Patients in a Single US Center with Three-Year Follow-up
Duodenal Varices: A Novel Treatment and Literature Reviezv
Hemorrhage associated with duodenal varices is an uncommon but often fatal manifestation of portal hypertension. We report a case of duodenal varices, review the literature, and present a new treatment modality. A 63-year-old man presented with hematemesis and hematochezia.
Dysfunctional Immune-Privilege In Morbid Obesity: Implications and Effect of Gastric Bypass Surgery
Background: Despite the epidemiological e’vldence linking obesity and cancer, there has never been a causal link. We believe the chronic inflammation pres· ent In obesity may predispose the obese to cancer through Fas-receptor over-expression and L-selectln under-expression In leukocytes, and elevated Fas llg· and secretion In tumors affecting the morbidly obese.
Effect of Surgically-Induced Weight Loss on Leukocyte Indicators of Chronic Inflammation in Morbid Obesity
Background: Recent evidence suggests that morbid trophlls, and by 12 months had become abnormally obesity Is a chronic Inflammatory condition that may elevated In monocytes (monocytes 391 gmf, be associated with Immune dysfunction.
The impact of laparoscopy on bariatric surgery
Abstract. The rising popularity of bariatric surgery over the past several years is attributable in part to the development of laparoscopic bariatric surgery. Morbidly obese patients have associated comorbid conditions that may predispose them to postoperative morbidity.
Laparoscopic Era of Operations for Morbid Obesity
The goal of this article is to review the status of the emerging field of laparoscopic bariatric surgery, to discuss developmental issues regarding technique and training, and finally, to summarize the present and future roles of laparoscopic bariatric surgery. We reviewed all published literature from 1992 to the present on MEDLINE
Laparoscopic sleeve gastrectomy as an initial weight-loss procedure for high-risk patients with morbid obesity
The surgical treatment of obesity in the high-risk, high-body-mass-index (BMI) (>60) patient remains a challenge. Major morbidity and mortality in these patients can approach 38% and 6%, respectively.
A Randomized Trial of Bupivicaine Pain Pumps to Eliminate the Need for Patient Controlled Analgesia Pumps in Primary Laparoscopic Roux-en-Y Gastric Bypass
Medicolegal analysis of 100 malpractice claims against bariatric surgeons
Although malpractice litigation involves all specialties in medicine, certain specialties, such as eurosurgery, obstetrics, pediatrics, cardiology, and cardiac surgery, appear to cm·ry the brunt of malpractice litigation.
The mini-fellowship concept: a six-week focused training program for minimally invasive bariatric surgery
To devise a six-week hands-on training program customized to meet the needs of practicing general surgeons. The aim of this program is to provide the required training experience that will bestow the knowledge and skill necessary to implement a successful practice in laparoscopic bariatric surgery.
Effective treatment of polycystic ovarian syndrome with Roux-en-Y gastric bypass
Purpose: Many women with polycystic ovarian syndrome (PCOS) are overweight. This study investigated the impact of weight Joss surgery on the clinical manifestations of this disorder in morbidly obese women with PCOS-a major risk factor for the development of heart disease, stroke, and type II diabetes.
Tumor growth factor expression in obesity and changes in expression with weight loss: another cause of increased virulence and incidence of cancer in obesity
Preperitoneal Herniation Into a Laparoscopic Port Site Without a Fascial Defect
Port site herniation is an uncommon event that usually occurs as a result of incomplete fascial closure. This allows the omentum or viscera to herniate through the incompletely closed defect. However, in laparoscopic surgery for morbid obesity, the omentum and viscera can herniate through the thick preperitoneal space even with a complete closure of the fascia.
The Chronic Inflammatory Hypothesis for the Morbidity Associated with Morbid Obesity: Implications and Effects of Weight Loss
The Effect of Obesity on Neutrophil Fe Receptors and Adhesion Molecules {CD16, CD11 b, CD62L)
There is a large body of epidemlologi· cal data associating obesity with a wide variety of clinical disease processes, including cancer and wound infections. However, defining the specific defects of neutrophils has proved difficult and often contradictory.
Is Ghrelin the Culprit for Weight Loss after Gastric Bypass Surgery? A Negative Answer
Ghrelin is a potent appetite stimulator, mainly synthesized in the stomach. Paradoxically, obese subjects have lower plasma ghrelin than lean subjects and increase their weight in spite of low ghrelin levels.
“Candy cane” Roux syndrome-a possible complication after gastric bypass surgery
An excessive length of nonfunctional Roux limb proximal to the gastrojejunostomy can cause abnormal upper gastrointestinal symptoms after gastric bypass surge1y. The purpose of this study was to characterize the syndrome and provide the practitioner with diagnosis and management options.
Results of Laparoscopic Gastric Bypass in Patients with Cirrhosis
Background: The safety and efficacy of bariatric surgery in patients with cirrhosis has not been well studied.
Diagnostic and Therapeutic Laparoscopy for Trauma: A Technique of Safe and Systematic Exploration
Laparoscopy has a limited role in the evaluation of a stable trauma patient. The main concern addressed in the literature is a significant potential for missed visceral injury and a minimal role for therapeutic application.
Lower Extremity Compartment Syndrome Following a Laparoscopic Roux-en-Y Gastric Bypass.
Bariatric surgery has the potential for serious complications. A case is presented of unilateral lower extremity compartment syndrome after a laparoscopic Roux-en-Y gastric bypass performed in the modified lithotomy position.
The impact of laparoscopic bariatric workshops on the practice patterns of surgeons
This study was designed to evaluate the impact of a 2-day laparoscopic bariatric workshop on the practice patterns of participating surgeons.
Laparoscopic Gastric Bypass Surgery: Current Technique
THE TECHNIQUE OF LAPAROSCOPIC Roux -en-Y gastric bypass has evolved significantly since Wittgrove and Clark developed their technique in the early 1990s.
Effect of Laparoscopic Raux-En Y Gastric Bypass on Type 2 Diabetes Mellitus
To evaluate pre- and postoperative clinical parameters associated with improvement of diabetes up to 4 years after laparoscopic Roux-en-Y gastric bypass (LRYGBP) in patients with type 2 diabetes mellitus (T2DM).
Acute changes in renal function after laparoscopic gastric surgery for morbid obesity
Acute renal failure (ARF) is a serious complication that contributes to patient morbidity and may result in death. To date, no data are available regarding the predictive risk of ARF or its effect on the outcome of patients who undergo laparoscopic gastric bypass.
Weight loss, quality of life and employment status after Roux-en-Y gastric bypass: 5-year analysis
Why am I struggling with my weight? I am doing everything right!
As I write this, it’s just one short week after the Your Weight Matters Inaugural Convention in Dallas. Many thanks to all the speakers and organizers; almost every talk gave a nugget of useful information for this article.
Stapler Stenosis
Incidence of gastroenterostomy stenosis in laparoscopic Roux-en-Y gastric bypass using 21- or 25-mm circular stapler: a randomized prospective blinded study.
Posters
Sips Procedure With Nissen Fundoplication
Increase in prevalence of obesity and GERD have paralleled one another over the past.
Linx Reflux Management System
In GERD, the underlying mechanism is Lower Esophageal Sphincter muscle which is either weak or relaxes inconsistently, allowing the content of the stomach to reflux into the esophagus, the airway & the mouth.
Laparoscopic Revision Of Lap Band To Sips
The Laparoscopic Lap Band is designed to be an adjustable laparoscopically placed gastric restriction device for treatment of severe obesity.
Lapaoscopic Revision Of Lap Roux En-Y Gastric Bypass To Duodenal Switch
Morbid obesity is chronic insidious disease which leads to range of diseases and reduces the health related quality of life.