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primary obesity surgery endoluminal

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https://www.readbyqxmd.com/read/27324329/primary-obesity-surgery-endoluminal
#1
Francis J DeAsis, Woody Denham, John G Linn, Stephen P Haggerty, Michael B Ujiki
INTRODUCTION: Primary obesity surgery, endoluminal (POSE) is a promising procedure for weight loss surgery because it is outpatient, is incisionless and has short recovery time. We demonstrate the POSE procedure as a potential option for the bariatric patient. MATERIALS AND METHODS: Using an endoluminal camera, we videotaped one of our surgeons performing the POSE procedure. With rows of sutures in the fundus and antrum, the stomach's volume is reduced. RESULTS: We demonstrate a successful POSE procedure in its entirety...
June 20, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/26712053/endoluminal-bariatric-interventions-where-do-we-stand-where-are-we-going
#2
REVIEW
Ozan Unlu, Alexis Okoh, Bulent Yilmaz, Emir C Roach, May Olayan, Abdullah Shatnawei
BACKGROUND: Obesity is an epidemic leading to high morbidity, mortality, and therefore health-related costs. Thus, there is a huge need for development of safe and effective treatments. Even though success rates of conservative methods are highly limited, the surgical approaches lead to major complications in as many as 25% of the patients. In this study, we aimed to review the currently available, less-invasive, endoscopic bariatric techniques which provides an option to reduce the risks of the patients and the medical costs...
December 2015: Acta Gastro-enterologica Belgica
https://www.readbyqxmd.com/read/26680389/innovations-in-bariatric-surgery
#3
REVIEW
Catherine Zhu, Aurora D Pryor
Surgery has consistently been demonstrated to be the most effective long-term therapy for the treatment of obesity. However, despite excellent outcomes with current procedures, most patients with obesity- and weight-related comorbidities who meet criteria for surgical treatment choose not to pursue surgery out of fear of operative risks and complications or concerns about high costs. Novel minimally invasive procedures and devices may offer alternative solutions for patients who are hesitant to pursue standard surgical approaches...
November 2015: Surgical Technology International
https://www.readbyqxmd.com/read/26360151/innovations-in-bariatric-surgery
#4
Catherine Zhu, Aurora D Pryor
Surgery has consistently been demonstrated to be the most effective long-term therapy for the treatment of obesity. However, despite excellent outcomes with current procedures, most patients with obesity- and weight-related comorbidities who meet criteria for surgical treatment choose not to pursue surgery out of fear of operative risks and complications or concerns about high costs. Novel minimally invasive procedures and devices may offer alternative solutions for patients who are hesitant to pursue standard surgical approaches...
September 10, 2015: Surgical Technology International
https://www.readbyqxmd.com/read/26154430/primary-endoscopic-therapies-for-obesity-and-metabolic-diseases
#5
REVIEW
Vivek Kumbhari, Andreas Oberbach, Ashish Nimgaonkar
PURPOSE OF REVIEW: Endoscopic approaches to obesity may help fulfill the unmet need of over half the US adult population who would benefit from therapy for obesity but are not receiving it. Endoluminal approaches have the potential to be more efficacious than antiobesity medications and have a lower risk-cost profile compared with bariatric surgery. This review outlines the current state of primary endoscopic weight loss and metabolic therapies and sheds light on the challenges faced toward making endoscopic bariatric therapies 'ready for prime time'...
September 2015: Current Opinion in Gastroenterology
https://www.readbyqxmd.com/read/25631114/one-year-human-experience-with-a-novel-endoluminal-endoscopic-gastric-bypass-sleeve-for-morbid-obesity
#6
Bryan J Sandler, Roberto Rumbaut, C Paul Swain, Gustavo Torres, Luis Morales, Lizcelly Gonzales, Sarah Schultz, Mark A Talamini, Garth R Jacobsen, Santiago Horgan
INTRODUCTION: Here, we report the first series of patients with 1-year implantation of a novel, endoluminal, endoscopically delivered and retrieved gastro-duodeno-jejunal bypass sleeve (GJBS) (ValenTx, Inc. Carpinteria, CA, USA). In this report, we present the safety, feasibility of the device, weight loss, and changes in comorbidities. METHODS AND PROCEDURES: A prospective, single-center, 12-month trial was designed. The patients are morbidly obese individuals who meet the NIH criteria for bariatric surgery...
November 2015: Surgical Endoscopy
https://www.readbyqxmd.com/read/24117632/outcomes-of-esophageal-surgery-especially-of-the-lower-esophageal-sphincter
#7
REVIEW
Luigi Bonavina, Stefano Siboni, Greta I Saino, Demetrio Cavadas, Italo Braghetto, Attila Csendes, Owen Korn, Edgar J Figueredo, Lee L Swanstrom, Eelco Wassenaar
This paper includes commentaries on outcomes of esophageal surgery, including the mechanisms by which fundoduplication improves lower esophageal sphincter (LES) pressure; the efficacy of the Linx™ management system in improving LES function; the utility of radiologic characterization of antireflux valves following surgery; the correlation between endoscopic findings and reported symptoms following antireflux surgery; the links between laparoscopic sleeve gastrectomy and decreased LES pressure, endoscopic esophagitis, and gastroesophageal reflux disease (GERD); the less favorable outcomes following fundoduplication among obese patients; the application of bioprosthetic meshes to reinforce hiatal repair and decrease the incidence of paraesophageal hernia; the efficacy of endoluminal antireflux procedures, and the limited efficacy of revisional antireflux operations, underscoring the importance of good primary surgery and diligent work-up to prevent the necessity of revisional procedures...
October 2013: Annals of the New York Academy of Sciences
https://www.readbyqxmd.com/read/23561960/endoluminal-revision-of-gastric-bypass-for-weight-regain-a-systematic-review
#8
REVIEW
Gregory F Dakin, George Eid, Dean Mikami, Aurora Pryor, Bipan Chand
BACKGROUND: Weight recidivism after Roux-en-Y gastric bypass (RYGB) is a challenging problem for patients and bariatric surgeons alike. Traditional operative strategies to combat weight regain are technically challenging and associated with a high morbidity rate. Endoluminal interventions are thus an attractive alternative that may offer a good combination of results coupled with lower periprocedure risk that might one day provide a solution to this increasingly prevalent problem. The purpose of this article is to systematically review the available literature on endoluminal procedures used to address weight regain after RYGB, with specific attention to the safety profile, efficacy, cost, and current availability...
May 2013: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/23532489/inpatient-weight-loss-as-a-precursor-to-bariatric-surgery-for-adolescents-with-extreme-obesity-optimizing-bariatric-surgery
#9
Emily Koeck, Katherine Davenport, Leah C Barefoot, Faisal G Qureshi, Daniel Davidow, Evan P Nadler
BACKGROUND: As the obesity epidemic takes its toll on patients stricken with the disease and our health care system, debate continues regarding the use of weight loss surgery and its long-term consequences, especially for adolescents. One subset of patients regarding whom there is increased controversy is adolescents with extreme obesity (BMI > 60 kg/m(2)) because the risk of complications in this weight category is higher than for others undergoing bariatric surgery. Several strategies have been suggested for this patient group, including staged operations, combined operations, intragastric balloon use, and endoluminal sleeve placement...
July 2013: Clinical Pediatrics
https://www.readbyqxmd.com/read/23344508/a-review-of-the-current-status-of-endoluminal-therapy-as-a-primary-approach-to-obesity-management
#10
REVIEW
Shounak Majumder, John Birk
Gastroenterologists are expected to play a pivotal role in the management of the global obesity epidemic in coming years as novel endoscopic approaches become more widely available, safe, and effective. This review focuses on the recent advances in the field of endoluminal therapy as a primary approach to obesity management with the aim of providing the interventional endoscopist an overview of currently available evidence along with an insight into upcoming devices and techniques. The intragastric balloon appears to be safe and effective in the short term, especially as a bridge to bariatric surgery...
July 2013: Surgical Endoscopy
https://www.readbyqxmd.com/read/23052499/stent-treatment-for-fistula-after-obesity-surgery-results-in-47-consecutive-patients
#11
Haicam El Mourad, Jacques Himpens, Johan Verhofstadt
BACKGROUND: Leaks occurring after weight loss operations constitute a therapeutic challenge. There is no consensus as to what comprises state-of-the-art management of leaks after bariatric surgery. We sought to determine the efficacy and possible adverse effects of endoluminal stenting for leaks after bariatric surgery. METHODS: We report our experience with the stent treatment of consecutive bariatric patients with a leak (retrospective cohort study). Between October 2005 and July 2010, 47 patients presented an acute leak after a bariatric procedure (61 % primary procedures, 39 % revisions)...
March 2013: Surgical Endoscopy
https://www.readbyqxmd.com/read/21743319/endoscopic-solutions-for-weight-loss
#12
REVIEW
Nitin Kumar, Christopher C Thompson
PURPOSE OF REVIEW: Gastroenterologists will likely play a critical role in the treatment of obesity and its comorbidities, as novel endoluminal approaches demonstrate their safety and efficacy over the coming years. Understanding the relative advantages and shortcomings of the endoscopic tools and procedures currently under investigation will provide the gastroenterologist with valuable insight into the future of endoscopic procedures for weight loss. RECENT FINDINGS: Endoscopic restrictive procedures, intestinal sleeves, and intragastric balloons have demonstrated short-term efficacy in inducing weight reduction and in reversing the comorbidities of obesity with an acceptable risk profile...
September 2011: Current Opinion in Gastroenterology
https://www.readbyqxmd.com/read/21569983/current-status-of-endoluminal-bariatric-procedures-for-primary-and-revision-indications
#13
REVIEW
Marvin Ryou, Michele B Ryan, Christopher C Thompson
Endoscopic bariatric procedures are gaining traction as possible minimally invasive treatment modalities for obesity. This article focuses on the various endoscopic devices and procedures that pertain to primary and revisional treatments. Additionally, the article discusses the potential for applying these various devices and procedures to other points of intervention, including early intervention, bridge to surgery, and primary metabolic treatment (eg, diabetes management). Devices that are currently in human use are preferentially discussed, followed by references to devices that may see clinical use in the near future...
April 2011: Gastrointestinal Endoscopy Clinics of North America
https://www.readbyqxmd.com/read/21533520/endoscopic-findings-and-outcomes-of-revisional-procedures-for-patients-with-weight-recidivism-after-gastric-bypass
#14
Panot Yimcharoen, Helen M Heneghan, Manish Singh, Stacy Brethauer, Philip Schauer, Tomasz Rogula, Matthew Kroh, Bipan Chand
BACKGROUND: Significant weight regain occurs for 10% to 20% of patients after Roux-en-Y gastric bypass (RYGB). Potential causative factors include anatomic abnormalities such as enlargement of the gastric pouch and gastrojejunostomy (GJ). This report describes endoscopic findings for patients referred for investigation of weight regain and presents the outcomes of revisional therapy for patients with abnormal anatomy. METHODS: To evaluate gastric pouch and stoma size, RYGB patients referred for weight regain underwent upper endoscopy...
October 2011: Surgical Endoscopy
https://www.readbyqxmd.com/read/21487876/human-experience-with-an-endoluminal-endoscopic-gastrojejunal-bypass-sleeve
#15
Bryan J Sandler, Roberto Rumbaut, C Paul Swain, Gustavo Torres, Luis Morales, Lizcelly Gonzales, Sarah Schultz, Mark Talamini, Santiago Horgan
BACKGROUND: This report describes the authors' experience with a unique endoluminal, endoscopically delivered and retrieved gastroduodenojejunal bypass sleeve, including short-term weight loss and changes in comorbidities. METHODS: A prospective, single-center trial was designed. The patients were morbidly obese individuals who met the National Institutes of Health criteria for bariatric surgery. The device used was a unique gastroduodenojejunal bypass sleeve secured at the esophagogastric junction with endoscopic and laparoscopic techniques and designed to create an endoluminal gastroduodenojejunal bypass...
September 2011: Surgical Endoscopy
https://www.readbyqxmd.com/read/21416198/gastric-leak-after-sleeve-gastrectomy-analysis-of-its-management
#16
Xabier de Aretxabala, Jorge Leon, Gonzalo Wiedmaier, Ivan Turu, Cristian Ovalle, Fernando Maluenda, Carolina Gonzalez, Jennifer Humphrey, Mabel Hurtado, Carlos Benavides
BACKGROUND: Bariatric surgery is increasingly being performed and sleeve gastrectomy (SG) has proved to be effective and safe. Among its complications, leaks are the most serious and life threatening. METHODS: The focus of the study is nine patients who underwent a SG and developed a gastric leak after surgery. Our data were obtained from the clinical charts of the patients and through interviews with the surgeon who performed the index surgery. RESULTS: Eight patients underwent SG at outside institutions while one was operated at Clinica Alemana...
August 2011: Obesity Surgery
https://www.readbyqxmd.com/read/19633885/natural-orifice-surgery-initial-us-experience-utilizing-the-stomaphyx-device-to-reduce-gastric-pouches-after-roux-en-y-gastric-bypass
#17
Dean Mikami, Bradley Needleman, Vimal Narula, Janice Durant, W Scott Melvin
INTRODUCTION: Weight gain after gastric bypass can occur in up to 10% of patients 5 years following and in about 20% of patients 10 years following surgery. The nadir weight is usually reached within the first 2 years after bypass surgery. However, weight may slowly be regained for numerous reasons. This phenomenon has been studied extensively, but there is often no one reason this occurs. Once psychological and dietary reasons have been investigated, revisional surgery may be the only alternative for treatment...
January 2010: Surgical Endoscopy
https://www.readbyqxmd.com/read/19396074/endoscopic-interventions-for-weight-loss-surgery
#18
REVIEW
James C Ellsmere, Christopher C Thompson, William R Brugge, Ram Chuttani, David J Desilets, David W Rattner, Michael E Tarnoff, Lee M Kaplan
In this paper we review the state-of-the-art in endoscopic interventions for obesity treatment and make best practice recommendations for weight loss surgery (WLS). We performed a systematic search of English-language literature published between April 2004 and June 2008 in MEDLINE and the Cochrane Library on WLS and endoscopic interventions, endoscopically placed devices, minimally invasive surgery, image-guided surgery, endoluminal surgery, endoscopic instrumentation, interventional gastroenterology, transluminal surgery, and natural orifice transluminal surgery...
May 2009: Obesity
https://www.readbyqxmd.com/read/19136306/endoluminal-procedures-for-bariatric-patients-expectations-among-bariatric-surgeons
#19
COMPARATIVE STUDY
Stacy A Brethauer, Aurora D Pryor, Bipan Chand, Philip Schauer, Raul Rosenthal, William Richards, Marc Bessler
BACKGROUND: Primary and revisional bariatric endoluminal procedures are currently being developed. Acceptable levels of risk and weight loss for these procedures have not yet been established. The aim of this study was to evaluate the expectations and concerns among bariatric surgeons regarding these procedures. METHODS: The American Society for Metabolic and Bariatric Surgery Emerging Technologies Committee developed a questionnaire that was distributed to the membership...
March 2009: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/17180295/new-applications-for-endoscopy-the-emerging-field-of-endoluminal-and-transgastric-bariatric-surgery
#20
REVIEW
P Schauer, B Chand, S Brethauer
Endoluminal and transgastric procedures are evolving concepts that combine the skills and techniques of flexible endoscopy with minimally invasive surgery. Precisely how this technology and skill set will be applied in the field of general surgery is not yet known, but the treatment of obesity with an endoluminal or transgastric procedure holds great promise. As the demand for bariatric surgery increases, efforts will be directed toward developing less morbid and less costly treatment options that can provide substantial weight loss and resolution of comorbid conditions...
March 2007: Surgical Endoscopy
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