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Laparoscopic roux en y gastric bypass

Miss Sylvia Krivan, Andrea Giorga, Marco Barreca, Vigyan Kumar Jain, Omer Saad Al-Taan
BACKGROUND: Ventral hernias (VH) are frequently encountered in patients with morbid obesity. Concomitant ventral hernia repair (VHR) and bariatric surgery (BS) is practiced but still controversial. Wound-related complications (seroma, hematoma, wound infection) and hernia recurrence rates are possible inhibitor factors. We aimed to estimate the rate of complications from concomitant BS (laparoscopic Roux-en-Y gastric bypass and sleeve gastrectomy) and VHR and identify patient subgroups at higher risk of complications from synchronous repair...
October 19, 2018: Surgical Endoscopy
Marie Ashley Villard, Melissa C Helm, Tammy L Kindel, Matthew I Goldblatt, Jon C Gould, Rana M Higgins
BACKGROUND: The primary objective of this study was to evaluate the utility of CRP in early identification of post-operative complications after bariatric surgery. The ability of this marker to acutely predict post-operative complications in bariatric surgery patients has not been determined. METHODS: A retrospective chart review was conducted of adult patients who underwent a primary and revisional laparoscopic Roux-en-Y gastric bypass (LRYGB) or sleeve gastrectomy (LSG) between 2013 and 2017 at a single institution...
October 19, 2018: Surgical Endoscopy
Arnaldo Machado, Manuel Carvalho, Jorge Caravana
INTRODUCTION: Roux-en-Y gastric bypass (RYGB) has been the most common surgical operation used to treat obesity and its inherent co-morbidities. Intussusception with bowel obstruction after RYGB is a rare complication and its physiopathology remains unclear. The diagnosis is generally based on typical image of computed tomography (CT) scan and a surgical exploration is generally recommended. CASE PRESENTATION: A 54-year-old female patient with history of a gastric bypass six years before, presented herself on the emergency department with acute onset of abdominal pain, nausea, and nonbilious vomiting...
September 21, 2018: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Muhammad Israr Ul Haq, Usama Talib, Armghan H Ans, Umer Razzaq, Hassan Mehmood
Laparoscopic Roux-en-Y gastric bypass (RYGB) is the most commonly performed bariatric surgical procedure with successful outcomes. RYGB has multiple positive outcomes, including sustained weight reduction, resolution of co-morbidities and improvement in the overall health. RYGB has many complications like any other surgery, but the development of tuberculosis (TB) either pulmonary or extra-pulmonary secondary to RYGB is very rare. We present a 32-year-old female with the history of a successful RYGB three years ago, who presented with signs and symptoms of possible TB which was later confirmed with sputum acid-fast bacilli and sputum culture...
August 6, 2018: Curēus
Suehyb G Alkhatib, Marc S Levine
We describe a patient who developed an intractable leak from the gastric sleeve after laparoscopic sleeve gastrectomy, resulting in the development of a gastrobronchial fistula. Affected individuals typically have a persistent leak from the gastric sleeve with recurrent subphrenic abscesses, and when a gastrobronchial fistula develops, these patients may present with paroxysms of coughing immediately after ingestion of solids or liquids. In the appropriate clinical setting, a barium study not only may show the leak, but also directly visualize the gastrobronchial fistula...
October 6, 2018: Clinical Imaging
Ryan D Horsley, Ellen D Vogels, Daaron A P McField, David M Parker, Charles Medico, James Dove, Marcus Fluck, Jon D Gabrielsen, Michael R Gionfriddo, Anthony T Petrick
BACKGROUND: Opioids have been the mainstay for postoperative pain relief for many decades. Recently, opioid-related adverse events and death have been linked to postoperative dependency. Multimodal approaches to postoperative pain control may be part of the solution to this health care crisis. The safety and effectiveness of multimodal pain control regimens after laparoscopic Roux-en-Y gastric bypass (LRYGB) has not been well studied. The primary aim of our study was to determine if an evidence-based, multimodal pain regimen during hospitalization could decrease the total oral morphine equivalent (TME) use after LRYGB...
October 13, 2018: Obesity Surgery
Dan Azagury, Tara E Mokhtari, Luis Garcia, Ulysses S Rosas, Trit Garg, Homero Rivas, John Morton
BACKGROUND: Laparoscopic Roux-en-Y gastric bypass, laparoscopic sleeve gastrectomy, and laparoscopic adjustable gastric banding all lead to substantial weight loss in obese patients. Long-term weight loss can be highly variable beyond 1-year postsurgery. This study examines and compares the frequency distribution of weight loss and lack of treatment effect rates after laparoscopic Roux-en-Y gastric bypass, laparoscopic sleeve gastrectomy, and laparoscopic adjustable gastric banding. METHODS: A total of 1,331 consecutive patients at a single academic institution were reviewed from a prospectively collected database...
October 10, 2018: Surgery
Khuram Khan, Ricardo Rodriguez, Saqib Saeed, Amrita Persaud, Leaque Ahmed
Candy cane syndrome is a rare complication reported in bariatric patients following Roux-en-Y gastric bypass. It occurs when there is an excessive length of roux limb proximal to gastrojejunostomy, creating the possibility for food particles to lodge and remain in the blind redundant limb. Patients present with non-specific symptoms such as abdominal pain associated with nausea and vomiting. Most remain undiagnosed as the disease process is poorly described. We report three cases of candy cane syndrome treated successfully at our institution...
October 2018: Journal of Surgical Case Reports
Hans J Schmidt, Edmund W Lee, Erica A Amianda, Themba L Nyirenda, Toghrul Talishinskiy, Richard C Novack, Douglas R Ewing
BACKGROUND: The Roux-en-Y gastric bypass (RYGB) has long been considered the gold standard of weight loss procedures. However, there is limited evidence on revisional options with both minimal risk and long-term weight loss results. OBJECTIVE: To examine percent excess weight loss, change in body mass index (BMI), and complications in patients who underwent laparoscopic adjustable gastric banding (LAGB) over prior RYGB. SETTING: Academic hospital...
September 13, 2018: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Mizael A Núñez-Núñez, M Guadalupe León-Verdín, Norberto Muñoz-Montes, Judith Rodríguez-García, J Abraham Trujillo-Ortiz, Claudia Martínez-Cordero
INTRODUCTION: bariatric surgery does not benefit all patients. Identifying severely obese patients who will succeed after bariatric surgery remains a challenge for the transdiciplinary team. The objective of this retrospective study was to analyze preoperative dietary factors that could predict a successful weight loss after bariatric surgery. METHODS: the retrospective study included patients undergoing laparoscopic Roux-en-Y gastric bypass surgery as a procedure for severe obesity (n = 84)...
October 5, 2018: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
Randal Zhou, Jennifer Poirier, Alfonso Torquati, Philip Omotosho
BACKGROUND: Laparoscopic adjustable gastric banding (LAGB) is associated with high long-term failure rates, often requiring conversion to an alternative bariatric procedure. The most efficacious procedure after failed LAGB is subject to debate. Our objective was to compare 12-month weight loss following laparoscopic sleeve gastrectomy (LSG) vs. laparoscopic Roux-en-Y gastric bypass (LRYGB) performed for insufficient weight loss or weight regain after LAGB. METHODS: A systematic search was conducted in PubMed and Medline for English language studies comparing weight loss after a conversion surgery for failed gastric banding...
October 6, 2018: Obesity Surgery
A B Walinga, S R van Mil, L U Biter, M Dunkelgrün, G H E J Vijgen
INTRODUCTION: This study describes a stepwise training program to teach a laparoscopic Roux-en-Y gastric bypass (LRYGB). Results of a resident are compared to experienced bariatric surgeons (EBS). METHODS: The resident performed a varying amount of surgical steps and the duration of every step was measured using video analysis. In order to compare the resident's results to EBS, the average time per step was calculated for 30 procedures. RESULTS: The total procedure time of LRYGB was 61...
October 5, 2018: Obesity Surgery
Matthew Lange, Christina W Lee, Tara Knisely, Subbaiah Perla, Kimberly Barber, Michael Kia
Background: Opiate-based pain medications may incur adverse effects following bariatric surgery. The aim of this study was to evaluate the efficacy of intravenous Acetaminophen (IVAPAP) on length of stay (LOS) after laparoscopic Roux-en-Y gastric bypass (LRYGB) surgery. Methods: This was a prospective, double-blind, randomized controlled trial conducted from October 2011 to March 2014 at a 416-bed teaching hospital. Eighty-nine total patients were included (control group, n  = 45; treatment group, n  = 44)...
September 1, 2018: Bariatric Surgical Practice and Patient Care
W Lynn, A Ilczyszyn, S Rasheed, J Davids, R Aguilo, S Agrawal
Background: A meta-analysis and six randomized controlled trials show higher 30-day complication rates with laparoscopic Roux-en-Y gastric bypass (LRYGB) than with laparoscopic sleeve gastrectomy (LSG). Aim: To identify any difference in 30-day outcomes of patients treated with LRYGB or LSG when a standardized technique and identical post-operative protocol was followed with all procedures being conducted either by or under the supervision of a single consultant surgeon who had significant experience in bariatric surgery prior to commencing independent practice...
November 2018: Annals of Medicine and Surgery
Ryan Robalino, Shinban Liu, George Ferzli
A 76-year-old woman with surgical history of Roux-en-Y gastric bypass presented with recurrent choledocholithiasis. Double balloon enteroscopy was unsuccessful in cannulating the biliary tree, thus, requiring surgically assisted endoscopic retrograde cholangiopancreaticogram (ERCP) access. Due to her stable clinical status, the non-urgent indication and multiple anticipated ERCPs for definitive biliary clearance, a more durable port of access to the ampulla was desired. A modified laparoscopic Janeway gastrostomy of the gastric remnant was performed and served as access for multiple subsequent endoscopic procedures with successful clearance of the biliary tree...
September 30, 2018: BMJ Case Reports
S Kodama, K Fujihara, C Horikawa, M Harada, H Ishiguro, M Kaneko, K Furukawa, Y Matsubayashi, S Matsunaga, H Shimano, S Tanaka, K Kato, H Sone
BACKGROUND: Bariatric surgery leads to a higher remission rate for type 2 diabetes mellitus than non-surgical treatment. However, it remains unsolved which surgical procedure is the most efficacious. This network meta-analysis aimed to rank surgical procedures in terms of diabetes remission. METHODS AND FINDINGS: We electronically searched for randomized controlled trials in which at least one surgical treatment was included among multiple arms and the diabetes remission rate was included in study outcomes...
September 30, 2018: Obesity Reviews: An Official Journal of the International Association for the Study of Obesity
Richard M Peterson
No abstract text is available yet for this article.
September 2018: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
William P L Main, Amy E Murphy, Lala R Hussain, Katherine M Meister, Kevin M Tymitz
The objective of this study was to determine whether implementing an outpatient infusion pathway (OIP) resulted in a decreased 30-day readmission rate after laparoscopic Roux-en-Y gastric bypass (LRYGB). Data were retrospectively gathered on all patients who underwent LRYGB at our institution between April 1, 2015, and March 31, 2016, after instituting an OIP (postinfusion group). Thirty-day readmission rate, length of stay, and 30-day mortality rate were compared with patients who underwent LRYGB between January 1, 2014, and December 31, 2014, before implementing the OIP (preinfusion group)...
September 1, 2018: American Surgeon
Anahita Jalilvand, Jane Dewire, Andrew Detty, Bradley Needleman, Sabrena Noria
BACKGROUND: The impact of well-controlled or historical psychiatric diagnoses in patients seeking bariatric surgery (BS) on perioperative outcomes is unclear. The primary objective of this study was to determine the impact of psychiatric diagnoses on hospital length of stay (LOS), 30-day readmission rates after BS, and post-operative weight loss outcomes. METHODS: Patients who underwent laparoscopic sleeve gastrectomy (LSG) or Roux-en-Y gastric bypass (LRNYGB) from 2014 to 2016 at a single academic institution were retrospectively reviewed...
September 25, 2018: Surgical Endoscopy
Mahdieh Golzarand, Karamollah Toolabi, Kurosh Djafarian
PURPOSE: Laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic sleeve gastrectomy (LSG) are the most popular procedures to treat morbid obesity among bariatric surgeries. However, only few studies have compared the changes in body composition, dietary intake, and substrate oxidation after LRYGB and LSG. Therefore, the present study was conducted to compare the changes in body composition, dietary intake, and substrate oxidation 6 months postoperatively in obese patients who underwent LRYGB and LSG...
September 25, 2018: Obesity Surgery
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