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Endoscopy Bariatric Surgery

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https://www.readbyqxmd.com/read/30302373/role-of-routine-upper-endoscopy-before-bariatric-surgery-in-the-middle-east-population-a-review-of-1278-patients
#1
Bassem Abou Hussein, Ali Khammas, Mariam Shokr, Maiyasa Majid, Mariam Sandal, Sameer Al Awadhi, Alya Al Mazrouei, Faisal Badri
Introduction  The routine use of preoperative endoscopy for patients undergoing bariatric surgery is controversial. Although many surgeons find it unnecessary, others still consider it a mandatory tool in preoperative assessment. Patients and methods  We reviewed the medical records of all patients who had undergone preoperative endoscopy before bariatric surgery in Rashid Hospital between January 2013 and June 2016. The patients were divided into three groups: Group 0 included patients with normal endoscopy; Group 1 included patients with abnormalities that did not affect the timing or type of procedure; Group 2 included patients with abnormalities that had a direct impact on the procedure...
October 2018: Endoscopy International Open
https://www.readbyqxmd.com/read/30301319/training-in-bariatric-and-metabolic-endoscopic-therapies
#2
Pichamol Jirapinyo, Christopher C Thompson
Bariatric endoscopy is an emerging subspecialty for gastroenterologists encompassing a broad array of procedures including primary endoscopic bariatric and metabolic therapies and the treatment of complications of bariatric surgery. In addition, comprehensive understanding of lifestyle intervention and pharmacotherapy are essential to successful outcomes. This review summarizes goals and steps of training for this emerging field.
September 2018: Clinical Endoscopy
https://www.readbyqxmd.com/read/30290376/-current-endoscopic-methods-in-bariatric-surgery
#3
Christine Stroh, Uwe Will, Frank Meyer, Thomas Manger
The 2011 World Health Summit reported the epidemics of diabetes mellitus and morbid obesity. In Germany, 62.7% of the population have a BMI above 25 kg/m² and 21.9% above 30 kg/m². 10.5 patients per 100,000 inhabitants were treated with metabolic surgery, whereas in France 86.0 and in Sweden 114.8 patients per 100,000 inhabitants were given surgery. The development of endoscopic methods leads to the opportunity to bridge patients with a high risk profile before operation. Endoscopy is an excellent procedure with few complications...
October 5, 2018: Zentralblatt Für Chirurgie
https://www.readbyqxmd.com/read/30251139/evaluation-of-the-rate-of-marginal-ulcer-formation-after-bariatric-surgery-using-the-mbsaqip-database
#4
Benjamin Clapp, Joshua Hahn, Christopher Dodoo, Angela Guerra, Elizabeth de la Rosa, Alan Tyroch
BACKGROUND: Marginal ulcer (MU) formation is a known problem after gastric bypass. The Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database contains data from all US and Canadian Centers of Excellence including complication rates. We hypothesized that the short-term rate of ulceration is low. METHODS: We queried the MBSAQIP database for the year 2015. We searched patients with primary gastric bypass who developed MU. We then compared preoperative, operative, and postoperative characteristics with patients who did not develop MU...
September 24, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/30238218/correlation-between-symptomatic-gastro-esophageal-reflux-disease-gerd-and-erosive-esophagitis-ee-post-vertical-sleeve-gastrectomy-vsg
#5
Chin Hong Lim, Phong Ching Lee, Eugene Lim, Jeremy Tan, Weng Hoong Chan, Hong Chang Tan, Sonali Ganguly, Kwang Wei Tham, Alvin Eng
BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) has become the preferred bariatric procedure in many countries. However, there is one shortcoming of LSG in the long-term follow-up and this is the onset of GERD and erosive esophagitis (EE). Current evidence of the effect of SG on GERD did not consolidate to a consensus. In this study, we objectively evaluate the incidence of EE 1 year post-LSG with upper endoscopy (EGD) and try to identify the significant variables and possible underlying mechanisms of the EE post-LSG...
September 21, 2018: Obesity Surgery
https://www.readbyqxmd.com/read/30232617/postoperative-bleeding-after-laparoscopic-roux-en-y-gastric-bypass-predictors-and-consequences
#6
Syed Nabeel Zafar, Kaylie Miller, Jessica Felton, Eric S Wise, Mark Kligman
BACKGROUND: Laparoscopic Roux-en-Y gastric bypass (LRYGB) is a common, safe and effective bariatric procedure. Bleeding is a significant source of postoperative morbidity. We aimed to determine the incidence, outcomes, and predictors of postoperative bleeding after LRYGB. METHODS: LRYGB patients included in the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) 2015 dataset were identified. Preoperative and intraoperative factors were tested for associations with bleeding using univariable and multivariable logistic regression analysis...
September 19, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/30227376/gastric-carcinoid-tumor-after-laparoscopic-gastric-banding-case-report-of-a-patient-with-weight-regain
#7
Daniel N Velasco Hernández, Santiago B De Battista, Héctor R Horiuchi, Maria M Zicavo
INTRODUCTION: Although carcinoid tumours are a rare gastrointestinal neoplasm with an incidence rate of 1-2.5 cases per 100 000 inhabitants, they are the most common neuroendocrine tumour of the stomach. PRESENTATION OF CASE: A 70-year-old-man consulted for epigastric pain and dyspepsia symptoms. His past medical and surgical history included obesity (BMI: 53.9 kg/m2 ), hypertension, hyperlipidemia, diabetes mellitus type 2, cardiac failure and a surgical treatment with laparoscopic gastric banding...
September 4, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/30187420/macroscopic-evaluation-of-gastric-specimens-after-laparoscopic-sleeve-gastrectomy-an-optimum-screening-test-for-incidental-pathologies
#8
Maciej Walędziak, Anna Różańska-Walędziak, Michał R Janik, Krzysztof W Paśnik, Piotr K Kowalewski
INTRODUCTION: Obesity is a serious lifestyle disease with various comorbidities and an augmented risk of cancer. Laparoscopic sleeve gastrectomy (LSG) has recently become the most popular bariatric procedure worldwide. While the cost-effectiveness is a major healthcare providers' concern, the point of histological exam of each resected tissue may be questioned. MATERIAL/METHODS: We prospectively included patients who underwent LSG. Before the surgery, gastroscopy and abdominal sonography were performed to exclude malignancies...
September 5, 2018: Obesity Surgery
https://www.readbyqxmd.com/read/30171771/endoscopy-robotics-current-and-future-applications
#9
REVIEW
Ivo Boškoski, Guido Costamagna
Many different types of endoscopy robots have been developed or are under development. Some of these innovative biotechnologies are dedicated to complex endoscopic procedures as endoscopic submucosal dissection while others are purely diagnostic. In endoscopy robotics there are still several problems that need a solution. These problems concern basically robotic locomotion and instrument control from on hand and clinical application on the other. In most of the cases the technology is still under development...
September 1, 2018: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/30167923/clinical-significance-of-upper-gastrointestinal-endoscopy-before-laparoscopic-bariatric-procedures-in-japanese-patients
#10
Yuichi Endo, Masayuki Ohta, Kazuhiro Tada, Kunihiro Saga, Hiroomi Takayama, Teijiro Hirashita, Hiroki Uchida, Yukio Iwashita, Masafumi Inomata
PURPOSES: The choice between performing routine and selective upper gastrointestinal endoscopy (UGE) before bariatric surgery remains controversial. This study aimed to evaluate the clinical significance of UGE before laparoscopic bariatric procedures. METHODS: We enrolled 155 obese Japanese patients who underwent laparoscopic bariatric procedures at our institute and evaluated their endoscopic findings, such as reflux esophagitis (RE), hiatal hernia (HH), Barrett's esophagus, gastritis, duodenitis, gastroduodenal ulcer, gastric cancer, and polyps...
August 25, 2018: Surgery Today
https://www.readbyqxmd.com/read/30112611/assessing-variation-in-technique-for-sleeve-gastrectomy-based-on-outcomes-of-surgeons-ranked-by-safety-and-efficacy-a-video-based-study
#11
Oliver A Varban, Jyothi R Thumma, Jonathan F Finks, Arthur M Carlin, Paul R Kemmeter, Amir A Ghaferi, Justin B Dimick
BACKGROUND: Considerable technical variation exists when performing laparoscopic sleeve gastrectomy (LSG). However, little is known about which techniques are associated with optimal outcomes. OBJECTIVE: To compare technical variation among surgeons with the lowest complication rates and whose patients achieved the most weight loss. METHODS: Practicing bariatric surgeons (n = 30) voluntarily submitted a video of a typical LSG performed between 2015 and 2016...
August 15, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/30109667/bariatric-surgery-in-patients-with-cirrhosis-and-portal-hypertension
#12
Zubaidah Nor Hanipah, Suriya Punchai, Arthur McCullough, Srinivasan Dasarathy, Stacy A Brethauer, Ali Aminian, Philip R Schauer
INTRODUCTION: Studies on bariatric patients with cirrhosis and portal hypertension are limited. The aim of this study was to review our experience in cirrhotic patients with portal hypertension who had bariatric surgery. METHOD: All cirrhotic patients with portal hypertension who underwent laparoscopic bariatric surgery, from 2007 to 2017, were retrospectively reviewed. RESULTS: Thirteen patients were included; eight (62%) were female. The median age was 54 years (interquartile range, IQR 49-60) and median BMI was 48 kg/m2 (IQR 43-55)...
August 14, 2018: Obesity Surgery
https://www.readbyqxmd.com/read/30074143/endoscopic-management-of-post-bariatric-surgery-fistula-a-tertiary-care-center-experience
#13
Hedi Benosman, Gabriel Rahmi, Guillaume Perrod, Mathieu Bruzzi, Elia Samaha, Ariane Vienne, Charles André Cuenod, Jean Marc Chevallier, Richard Douard, Christophe Cellier
BACKGROUND AND STUDY AIMS: Post-laparoscopic sleeve gastrectomy (LSG) fistula is a major complication, responsible for high morbidity. Endoscopic treatment represents an alternative to surgical management, with variable approaches and success rates. In this study, we aimed to evaluate the efficacy of endoscopic treatment in a tertiary care center. PATIENTS AND METHODS: Between March 2010 and March 2015, all patients referred to our center for endoscopic treatment of fistula related to laparoscopic sleeve gastrectomy were included...
August 3, 2018: Obesity Surgery
https://www.readbyqxmd.com/read/30022425/not-all-leaks-are-created-equal-a-comparison-between-leaks-after-sleeve-gastrectomy-and-roux-en-y-gastric-bypass
#14
Abbas Al-Kurd, Ronit Grinbaum, Ala'a Abubeih, Ariel Verbner, Amram Kupietzky, Ido Mizrahi, Haggi Mazeh, Nahum Beglaibter
INTRODUCTION: It is commonly stated in bariatric surgical forums that leaks following laparoscopic sleeve gastrectomy (LSG) are more difficult to manage than those following laparoscopic roux-en-Y gastric bypass (LRYGB). However, no previous study has provided a thorough comparison of leak management following these two operations. METHODS: Our database was retrospectively reviewed to identify patients with leak following LSG and LRYGB performed between January 2007 and December 2017...
July 19, 2018: Obesity Surgery
https://www.readbyqxmd.com/read/29950798/optimizing-hospital-resource-utilization-in-bariatric-readmission
#15
Jerome R Lyn-Sue, Justin A Doble, Ryan M Juza, Vamsi V Alli
Background and Objectives: The prevalence of patients with a history of bariatric surgery is climbing. Medical and surgical questions arising in this patient population may prompt them to present to the nearest emergency department (ED), irrespective of that facility's experience with bariatric surgery. The emergency physician is the first to evaluate patients with a history of bariatric surgery who present with abdominal symptoms. As a quality improvement project aimed at reducing resource utilization, we sought to determine which patients presenting to the ED could be treated in an outpatient setting in lieu of hospital admission...
April 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://www.readbyqxmd.com/read/29915974/managing-a-positive-air-leak-test-during-a-gastrojejunostomy-revision
#16
Dvir Froylich, Matthew Davis, Gautam Sharma, Tammy Fouse, Philip Schauer, Stacy Brethauer
BACKGROUND: Gastrojejunostomy revision after gastric bypass surgery is a challenging procedure that requires advanced skills. The air-leak test was performed to identify gastrojejunostomy leaks. Omental patch seal technique is a well-known treatment of perforated gastrojejunostomy ulcers (Surg Obes Relat Dis 4:423-8, 2012; Surg Endosc 2:384-9, 2013; Surg Endosc 11:2110, 2007). METHODS: We present a case of a 40-year-old female, who underwent laparoscopic gastric bypass 6 years prior and subsequently developed marginal ulcer, resulting in chronic gastrojejunostomy stricture...
June 18, 2018: Obesity Surgery
https://www.readbyqxmd.com/read/29868637/endoscopic-biodegradable-stents-as-a-rescue-treatment-in-the-management-of-post-bariatric-surgery-leaks-a-case-series
#17
Abed Al Lehibi, Areej Al Balkhi, Abdullah Al Mtawa, Nawaf Al Otaibi
Background and aims:  Postoperative leak is one of the most feared complications after bariatric surgery. Endoscopic stenting is used to manage leaks by decreasing the gastrointestinal intraluminal pressure. The main advantage of endoscopic management is providing healing while still allowing for oral nutrition. However, limited literature exists on whether biodegradable stents can be used to control leaks when conventional metallic stents fail. Methods:  Our series consists of four patients who were found to have a leak as a complication of bariatric surgery...
June 2018: Endoscopy International Open
https://www.readbyqxmd.com/read/29766736/spanish-consensus-document-on-bariatric-endoscopy-part-1-general-considerations
#18
Eduardo Espinet Coll, Gontrand López-Nava Breviere, Javier Nebreda Durán, Carlos Marra-López Valenciano, Román Turró Arau, José Miguel Esteban López-Jamar, Miguel Muñoz-Navas
Obesity is a chronic multifactorial, incurable, recurrent, and progressive disease associated with significant physical and psychological complications, and considerable morbidity and mortality. For this reason, the assessment, management, and follow-up of obese patients should take place in the setting of a multidisciplinary unit equipped with adequate human and structural resources. Medical treatment using hygienic-dietary measures, while indispensable, may be insufficient, and surgery, which is reserved for severe or morbid obesity, is not exempt from complications neither is to the liking of many patients...
June 2018: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/29713739/barium-upper-gi-series-in-adults-a-surgeon-s-perspective
#19
Daniel T Dempsey
Barium upper GI series performed by an interested and competent radiologist is still a very useful study to evaluate a variety of esophagogastric disorders. It usually provides information complementary to upper endoscopy and other foregut studies. Barium upper GI series is an important part of the diagnostic workup for gastroesophageal reflux disease, hiatal hernia, and esophageal motility disorders including achalasia. It is also an important part of the follow-up after operation for these common problems and after other operations such as resection or bariatric surgery...
June 2018: Abdominal Radiology
https://www.readbyqxmd.com/read/29679149/totally-endoscopic-implant-to-effect-a-gastric-bypass-12-month-safety-and-efficacy-outcomes
#20
Bryan J Sandler, Laurent Biertho, Mehran Anvari, Roberto Rumbaut, Luis Alonso Morales-Garza, Gustavo Torres-Barrera, Simon Marceau, Dennis Hong, C Daniel Smith, Santiago Horgan
BACKGROUND: Only a small percentage of candidates for bariatric surgery ever undergo a procedure for weight loss. Devices duplicating key effects of bariatric surgeries with removable, fully trans-oral implants could extend their benefits to patients unwilling to undergo anatomy-altering abdominal surgeries. METHODS: Thirty-two obese subjects (mean BMI: 42.3) were enrolled in a prospective, multicenter, single-arm, feasibility trial of the first fully trans-oral endoscopic gastrointestinal bypass device...
November 2018: Surgical Endoscopy
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