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https://www.readbyqxmd.com/read/29151240/rare-entities-of-histopathological-findings-in-755-sleeve-gastrectomy-cases-a-synopsis-of-preoperative-endoscopy-findings-and-histological-evaluation-of-the-specimen
#1
Erkan Yardimci, Suleyman Bozkurt, Lutfullah Baskoy, Huseyin Kazim Bektasoglu, Melin Ozgun Gecer, Samet Yigman, Huseyin Akbulut, Halil Coskun
BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) is the most preferred technique in morbidly obese patients for weight loss. There is a controversy about the routine preoperative evaluation of the stomach and the routine microscopic examination of all LSG specimens. Our aim is to analyze the results of both preoperative upper gastrointestinal endoscopy and endoscopic biopsies and also the results of histopathological examination of LSG specimens. MATERIALS AND METHODS: The data of patients who underwent LSG from January 2011 to November 2016 were analyzed retrospectively from a prospectively collected database...
November 18, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/29146657/a-randomised-controlled-trial-of-a-duodenal-jejunal-bypass-sleeve-device-endobarrier-compared-with-standard-medical-therapy-for-the-management-of-obese-subjects-with-type-2-diabetes-mellitus
#2
Michael Alan Glaysher, Aruchuna Mohanaruban, Christina Gabriele Prechtl, Anthony P Goldstone, Alexander Dimitri Miras, Joanne Lord, Navpreet Chhina, Emanuela Falaschetti, Nicholas Andrew Johnson, Werd Al-Najim, Claire Smith, Jia V Li, Mayank Patel, Ahmed R Ahmed, Michael Moore, Neil Poulter, Stephen Bloom, Ara Darzi, Carel Le Roux, James P Byrne, Julian P Teare
INTRODUCTION: The prevalence of obesity and obesity-related diseases, including type 2 diabetes mellitus (T2DM), is increasing. Exclusion of the foregut, as occurs in Roux-en-Y gastric bypass, has a key role in the metabolic improvements that occur following bariatric surgery, which are independent of weight loss. Endoscopically placed duodenal-jejunal bypass sleeve devices, such as the EndoBarrier (GI Dynamics, Lexington, Massachusetts, USA), have been designed to create an impermeable barrier between chyme exiting the stomach and the mucosa of the duodenum and proximal jejunum...
November 15, 2017: BMJ Open
https://www.readbyqxmd.com/read/29143089/surgical-treatment-of-gastro-pulmonary-fistula-following-bariatric-surgery-possible-and-safe
#3
Alon Ben Nun, David Simansky, Merav Rokah, Nona Zeitlin, Nir Golan, Ramez Abu Khalil, Michalle Soudack
BACKGROUND: Laparoscopic sleeve gastrectomy is a common surgical management of morbid obesity. Major complication rate is 3-8%. Staple line leak is one of the most serious complications. In a small group of patients, a gastro-pulmonary fistula is formed. Endoscopic and minimally invasive measures are the first line of treatment with considerable success rate. There are very poor data in the literature what should be done in cases of failure. In this paper, we report our positive experience with definitive surgical repair...
November 15, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/29110192/endoscopic-sleeve-gastroplasty-laparoscopic-sleeve-gastrectomy-and-laparoscopic-band-for-weight-loss-how-do-they-compare
#4
Aleksey A Novikov, Cheguevara Afaneh, Monica Saumoy, Viviana Parra, Alpana Shukla, Gregory F Dakin, Alfons Pomp, Enad Dawod, Shawn Shah, Louis J Aronne, Reem Z Sharaiha
BACKGROUND: Endoscopic sleeve gastroplasty (ESG) is a novel endobariatric procedure. Initial studies demonstrated an association of ESG with weight loss and improvement of obesity-related comorbidities. Our aim was to compare ESG to laparoscopic sleeve gastrectomy (LSG) and laparoscopic adjustable gastric banding (LAGB). METHODS: We included 278 obese (BMI > 30) patients who underwent ESG (n = 91), LSG (n = 120), or LAGB (n = 67) at our tertiary care academic center...
November 6, 2017: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/29091018/seal-or-drain-endoscopic-management-of-leaks-following-sleeve-gastrectomy
#5
Gianfranco Donatelli, David Fuks, Nicolas Tabchouri, Guillaume Pourcher
No abstract text is available yet for this article.
October 1, 2017: Surgical Innovation
https://www.readbyqxmd.com/read/29080042/a-retrospective-2-year-follow-up-of-late-complications-treated-surgically-and-endoscopically-after-laparoscopic-roux-en-y-gastric-bypass-lrygb-and-laparoscopic-sleeve-gastrectomy-lsg-for-morbid-obesity
#6
Mervi Javanainen, Anne Penttilä, Harri Mustonen, Anne Juuti, Tom Scheinin, Marja Leivonen
BACKGROUND: The laparoscopic Roux-en-Y gastric bypass (LRYGB) has been the gold standard for bariatric surgery, but recently, the laparoscopic sleeve gastrectomy (LSG) has gained popularity. At present, limited data is available on the long-term complications of these two types of surgery. The aim of this retrospective study was to compare the 2-year data about late (more than 30 days after surgery) complications that were treated surgically or endoscopically after LRYGB and LSG operations in a large hospital area with a single patient database...
October 28, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/29079382/endoscopic-sleeve-gastroplasty-are-we-burning-bridges
#7
Blake R Movitz, Rami E Lutfi
No abstract text is available yet for this article.
September 22, 2017: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/29052063/endoscopic-treatment-of-leaks-after-laparoscopic-sleeve-gastrectomy-using-mega-esophageal-covered-stents
#8
Tomasz Klimczak, Jerzy Klimczak, Tomasz Szewczyk, Przemysław Janczak, Piotr Jurałowicz
BACKGROUND: Sleeve gastrectomy has become one of the main bariatric procedures over the last few years. This can be explained by the relative simplicity and high effectiveness of this method. Yet, it causes complications as any other method. Staple line leaks are the most frequent ones. According to different sources, this complication may occur with 0-7% frequency. Until 2013, surgery was the only effective treatment method for this complication. However, reoperations considerably increased treatment cost and patient morbidity...
October 19, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/29041019/endoscopic-sleeve-gastroplasty-using-apollo-overstitch-as-a-bridging-procedure-for-superobese-and-high-risk-patients
#9
Ricardo Zorron, Wilfried Veltzke-Schlieker, Andreas Adler, Christian Denecke, Tomasz Dziodzio, Johann Pratschke, Christian Benzing
No abstract text is available yet for this article.
October 17, 2017: Endoscopy
https://www.readbyqxmd.com/read/29038645/managing-obesity-with-endoscopic-sleeve-gastroplasty
#10
Reem Sharaiha
No abstract text is available yet for this article.
September 2017: Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/29019566/preoperative-manometry-for-the-selection-of-obese-people-candidate-to-sleeve-gastrectomy
#11
Antonio Carlos Valezi, Fernando Augusto Herbella, Jorge Mali-Junior, Mariano de Almeida Menezes, Mário Liberatti, Rafael Onuki Sato
BACKGROUND: Sleeve gastrectomy may alter esophageal motility and lower esophageal sphincter pressure. AIM: To detect manometric changings in the esophagus and lower esophageal sphincter before and after sleeve gastrectomy in order to select patients who could develop postoperative esophageal motilitity disorders and lower esophageal sphincter pressure modifications. METHODS: Seventy-three patients were selected. All were submitted to manometry before the operation and one year after...
July 2017: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/28983652/what-the-radiologist-needs-to-know-about-gastrointestinal-endoscopic-surgical-procedures
#12
REVIEW
Chandana Lall, Anastasia A Cruz, Vlad Bura, Adam A Rudd, Thangavijayan Bosemani, Kenneth J Chang
Natural orifice transluminal endoscopic surgery (NOTES) is a novel surgical approach, currently performed for an array of conditions. Endoscopic procedures offer significant benefits, including lower cost, no surgical incisions, and shorter hospital stays. These advantages align with the current trends in health care, namely a push for "cost-effective care." There are a multitude of health issues which are now being addressed by the endoscopic surgical approach, including peroral endoscopic myotomy (POEM), which is a relatively new technique used in the treatment of achalasia...
October 5, 2017: Abdominal Radiology
https://www.readbyqxmd.com/read/28966678/novel-targeted-puncture-technique-for-percutaneous-transforaminal-endoscopic-lumbar-discectomy-reduces-x-ray-exposure
#13
Yuedong Zeng, Jie Bao, Jiancheng Su, Pingxian Tan, Wei Xie, Zheng Huang, Hong Xia
The present study explored a method to reduce X-ray exposure dose and avoid targeted puncture complications in percutaneous transforaminal endoscopic lumbar discectomy (PTELD). A total of 66 patients with lumbar disc herniation were divided into two groups for a controlled study. In the experimental group, 31 patients were subjected to PTELD using a novel targeted puncture technique with application of a lumbar disc herniation target collimator. The remaining 35 patients in the control group were subjected to free-hand targeted puncture PTELD...
October 2017: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/28965309/proximal-gastrectomy-with-double-tract-reconstruction-is-an-alternative-revision-surgery-for-intractable-complications-after-sleeve-gastrectomy
#14
Takashi Oshiro, Yu Sato, Taiki Nabekura, Tomoaki Kitahara, Ayami Sato, Kengo Kadoya, Kentarou Kawamitsu, Ryuichi Takagi, Makoto Nagashima, Shinichi Okazumi, Ryoji Katoh
Gastric leakage and stricture are challenging complications of sleeve gastrectomy (SG). Failure of endoscopic intervention necessitates revision surgery. We describe two cases in which proximal gastrectomy with double tract reconstruction (PG with DTR) was performed in patients with chronic gastric fistula and twisted gastric tube after SG. Following resection of the affected part of the proximal stomach, reconstruction was achieved with three anastomoses [esophagojejunostomy (EJ), gastrojejunostomy (GJ), and jejunojejunostomy]...
September 30, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28965290/endoscopic-treatments-for-obesity
#15
REVIEW
Gregory Pajot, Gerardo Calderon, Andrés Acosta
Purpose of review Endoscopic bariatric therapy (EBT) is a rapidly developing area that has now seen FDA approval of six endoscopic bariatric devices and procedures and there are a number of other novel EBTs progressing through various stages of development with newly published findings. This paper aims to assist readers in either selecting an appropriate therapy for their patient or deciding to incorporate these therapies into their practice. This paper provides an updated review of the available data on EBTs, both FDA approved and not, with a particular focus on effectiveness and safety, as well as guidance for discussing with your patient the decision to use endoscopic therapies...
December 2017: Current Treatment Options in Gastroenterology
https://www.readbyqxmd.com/read/28963635/bikini-line-sleeve-gastrectomy-initial-report
#16
Tamer N Abdelbaki
BACKGROUND/INTRODUCTION: Several reports have discussed the potential for reducing port access in laparoscopic sleeve gastrectomy (LSG); however, each approach had its innate setbacks. Aiming at improving the aesthetic outcome, we report a novel approach to the LSG where we place the trocars at the bikini line in what we described as bikini line sleeve gastrectomy (BLSG). METHODS: The present work is a prospective, pilot study on the use of BLSG in patients, during the period between April and October 2016...
September 29, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28960917/endoscopic-sleeve-gastroplasty-and-its-application-to-china
#17
REVIEW
Dilhana S Badurdeen, Vivek Kumbhari
Obesity and its related complications were once considered a disease of the West. The recent impressive socioeconomic development, change in infrastructure and food supply have set the stage for this epidemic in China.(1) Copyright © 2017 John Wiley & Sons, Ltd.
September 27, 2017: Journal of Digestive Diseases
https://www.readbyqxmd.com/read/28960864/endoscopic-sleeve-gastroplasty-case-report-technique-and-literature-review
#18
Loo Huiyan, Wah-Kheong Chan, Manoel Galvao Neto
We are reporting the first case of endoscopic sleeve gastroplasty performed in Asia on a patient with obesity and the metabolic syndrome. This is also the first report of endoscopic sleeve gastroplasty with paired Fibroscan examination. The patient made an instant recovery, and showed a remarkable amount of weight loss and improvement in his metabolic profile and liver parameters which was sustained at one year follow-up. Endoscopic sleeve gastroplasty appears promising as an intervention for obese patients with the metabolic syndrome who are not optimally responding to medical therapy but at the same time do not fulfil the criteria or do not wish for more invasive bariatric surgical options...
September 28, 2017: Journal of Digestive Diseases
https://www.readbyqxmd.com/read/28924597/endoscopic-sleeve-gastroplasty-the-learning-curve
#19
Christine Hill, Mohamad El Zein, Abhishek Agnihotri, Margo Dunlap, Angela Chang, Alison Agrawal, Sindhu Barola, Saowanee Ngamruengphong, Yen-I Chen, Anthony N Kalloo, Mouen A Khashab, Vivek Kumbhari
BACKGROUND AND STUDY AIMS:  Endoscopic sleeve gastroplasty (ESG) is gaining traction as a minimally invasive bariatric treatment. Concern that the learning curve may be slow, even among those proficient in endoscopic suturing, is a barrier to widespread implementation of the procedure. Therefore, we aimed to define the learning curve for ESG in a single endoscopist experienced in endoscopic suturing who participated in a 1-day ESG training program. PATIENTS AND METHODS:  Consecutive patients who underwent ESG between February 2016 and November 2016 were included...
September 2017: Endoscopy International Open
https://www.readbyqxmd.com/read/28895037/management-of-acute-sleeve-gastrectomy-leaks-by-conversion-to-roux-en-y-gastric-bypass-a-small-case-series
#20
Kutay Saglam, Aydin Aktas, Ersin Gundogan, Ismail Ertugrul, Ali Tardu, Servet Karagul, Serdar Kirmizi, Fatih Sumer, Veysel Ersan, Cuneyt Kayaalp
Management of early sleeve gastrectomy leak remains challenging. The recommended approach is endoscopic stenting and abdominal drainage. Conversion to a Roux-en-Y gastric bypass (RYGB) is a common procedure used for late fistulas with distal obstruction. Here, we have presented three cases of early staple line leaks treated by conversion to RYGB. These patients had uncontrolled abdominal infections despite intensive medical treatments, and surgery was elected for abdominal drainage as well as to control the source of sepsis...
November 2017: Obesity Surgery
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