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Bariatric,laparoscopy,obesity

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https://www.readbyqxmd.com/read/29589076/-robot-assisted-vs-laparoscopic-gastric-bypass-first-experiences-with-the-davinci-system-in-bariatric-surgery
#1
J H Beckmann, H Aselmann, J H Egberts, A Bernsmeier, M Laudes, T Becker, C Schafmayer, M Ahrens
Conventional laparoscopy is the gold standard in bariatric surgery. Internationally, robot-assisted surgery is gaining in importance. Up to now there are only few reports from Germany on the use of the system in bariatric surgery. Since January 2017 we have been performing robot-assisted gastric bypass surgery. It remains unclear whether the use of the robotic system has advantages over the well-established laparoscopic technique. Within a period from January to early August 2017 a total of 53 gastric bypass operations were performed...
March 27, 2018: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/29428693/do-acute-care-surgeons-need-bariatric-surgical-training-to-ensure-optimal-outcomes-in-obese-patients-with-nonbariatric-emergencies
#2
Andrea Pakula, Ruby Skinner
INTRODUCTION: Acute care surgeons care for the entire breadth of the American adult population, including obese patients. As the population gets heavier, more patients will present to acute case surgeons with nonbariatric surgical emergencies. Do these surgeons need bariatric training to properly care for obese population? OBJECTIVES: To evaluate our experience in obese population requiring acute surgery and compare outcomes based on surgeon expertise in bariatric surgery...
March 2018: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/29194086/roux-en-y-gastric-bypass-ten-year-results-in-a-cohort-of-658-patients
#3
Céline Duvoisin, Lucie Favre, Pierre Allemann, Pierre Fournier, Nicolas Demartines, Michel Suter
OBJECTIVE: The aim of this paper is to report, with a high follow-up rate, 10-year results in a large cohort of patients after Roux-en-Y gastric bypass (RYGBP) done essentially by laparoscopy. BACKGROUND: RYGBP has been performed for 50 years, including 20 years by laparoscopy, yet very few long-term results have been reported, mostly after open surgery. METHODS: Prospective bariatric database established since the introduction of bariatric surgery...
November 29, 2017: Annals of Surgery
https://www.readbyqxmd.com/read/29067941/acute-pancreatitis-as-an-unusual-early-post-operative-complication-following-laparoscopic-sleeve-gastrectomy
#4
Ankush Sarwal, Rajesh Khullar, Anil Sharma, Vandana Soni, Manish Baijal, Pradeep Chowbey
Laparoscopic sleeve gastrectomy (LSG) at present one of the most commonly performed surgical treatments for morbid obesity worldwide. There are some complications regarding this procedure in the literature. This report presents a patient who developed acute pancreatitis immediate post-LSG. Patient was referred to our institute on 10th post-operative day with a complaint of fever, nausea, abdominal pain and leucocytosis. A diagnostic laparoscopy showed pancreatitis. Post-operatively, the patient was managed on treatment line of acute pancreatitis and recovered well...
April 2018: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/28617028/laparoscopic-transgastric-ercp-in-bariatric-surgery-patients-our-experience
#5
Jesús Espinel, María Eugenia Pinedo, Vanesa Ojeda, María Guerra Del Río
Laparoscopic Roux-en-Y gastric bypass (LRYGB) is the surgical treatment of choice for morbid obesity. Several therapeutic options to remove common bile duct (CBD) stones have been proposed in these patients. Laparoscopy-assisted transgastric ERCP (LATERCP) has a high success rate. However, the procedure is not fully standardized and some technical variations have been proposed. We introduce two cases in which laparoscopic transgastric ERCP has been used to treat choledocholithiasis after LRYGB.
July 2017: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/28159565/postoperative-pain-after-conventional-laparoscopic-versus-single-port-sleeve-gastrectomy-a-prospective-randomized-controlled-pilot-study
#6
Salvador Morales-Conde, Isaías Alarcón Del Agua, Antonio Barranco Moreno, María Socas Macías
BACKGROUND: Laparoscopic approach is the gold standard for surgical treatment of morbid obesity. The single-port (SP) approach has been demonstrated to be a safe and effective technique for the treatment of morbid obesity in several case control studies. OBJECTIVES: Compare conventional multiport laparoscopy (LAP) with an SP approach for the treatment of morbid obesity using sleeve gastrectomy in terms of postoperative pain using a visual analog scale (VAS) 0-100, surgical outcome, weight loss, and aesthetical satisfaction at 6 months after surgery...
April 2017: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/27898356/management-of-a-jejunal-obstruction-caused-by-the-migration-of-a-laparoscopic-adjustable-gastric-banding-a-case-report
#7
Julien Lemaire, Olivier Dewit, Benoît Navez
INTRODUCTION: We present a rare case of jejunal obstruction due to the migration of a laparoscopic adjustable gastric band (LAGB) that occurred 10 years after surgery and was successfully treated by laparoscopy. This report is compliant with the SCARE guidelines. PRESENTATION OF CASE: A 42-year-old woman who underwent LAGB for morbid obesity 10 years ago was admitted with a small bowel obstruction due to the migration of a LAGB in the proximal small bowel. An attempt to endoscopic removal was unsuccessful and resulted in a laparoscopic extraction of the band...
2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27765899/laparoscopy-in-duodenal-switch-safe-and-halves-length-of-stay-in-a-nationwide-cohort-from-the-scandinavian-obesity-registry
#8
D Edholm, S Axer, J Hedberg, M Sundbom
BACKGROUND AND AIMS: Unsatisfactory weight loss after gastric bypass or sleeve gastrectomy in super-obese patients (body mass index > 50) is a growing concern. Biliopancreatic diversion with duodenal switch results in greater weight loss, but is technically challenging to perform, especially as a laparoscopic procedure (Lap-DS). The aim of this study was to compare perioperative outcomes of Lap-DS and the corresponding open procedure (O-DS) in Sweden. MATERIAL AND METHODS: The data source was a nationwide cohort from the Scandinavian Obesity Surgery Registry and 317 biliopancreatic diversion with duodenal switch patients (mean body mass index = 56...
October 7, 2016: Scandinavian Journal of Surgery: SJS
https://www.readbyqxmd.com/read/27686234/prospective-comparison-and-quality-of-life-for-single-incision-and-conventional-laparoscopic-sleeve-gastrectomy-in-a-series-of-morbidly-obese-patients
#9
COMPARATIVE STUDY
Andrea Porta, Alberto Aiolfi, Cinzia Musolino, Ilaria Antonini, Marco Antonio Zappa
BACKGROUND: Laparoscopic sleeve gastrectomy has gained a wide acceptance in the surgical community with an increasing popularity in the field of bariatric surgery. Simultaneously more surgeons have become acquainted with the single port techniques and sleeve gastrectomy has been regarded as an ideal field of application. Literature is scarce about operative and clinical outcomes of single port sleeve gastrectomy compared to conventional laparoscopy. The primary purpose of the study was to compare operative outcomes in the two study groups...
March 2017: Obesity Surgery
https://www.readbyqxmd.com/read/27683783/safety-and-effectiveness-of-single-anastomosis-duodenal-switch-procedure-preliminary-result-from-a-single-institution
#10
Lars Nelson, Rena C Moon, Andre F Teixeira, Manoel Galvão, Almino Ramos, Muhammad A Jawad
Background: Single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) was introduced into bariatric surgery by Sanchez-Pernaute et al. as an advancement of the biliopancreatic diversion with duodenal switch. Aim: To evaluate the SADI-S procedure with regard to weight loss, comorbidity resolution, and complication rate in the super obese population. Methods: A retrospective chart review was performed on initial 72 patients who underwent laparoscopic or robot-assisted laparoscopic SADI-S between December 17th, 2013 and July 29th, 2015...
2016: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/27227755/laparoscopic-and-ultrasound-assisted-management-of-gallstone-ileus-after-biliointestinal-bypass-case-report-and-a-review-of-literature
#11
REVIEW
Mauro Zago, Samantha Bozzo, Andrea Centurelli, Alessandro Giovanelli, Michele Ciocca Vasino
AIM: To report about an additional case of biliary ileus after bariatric surgery is reported and extensively reviewing the literature on this topic. MATERIAL OF STUDY: We reviewed the literature and found three cases of gallstone ileus (GI) that occurred after bariatric surgery. DISCUSSION: A 41 year old patient presented a GI eight years after a biliointestinal bypass (BIB) for morbid obesity. The patient complained of abdominal pain for two weeks...
May 24, 2016: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/27213254/reoperations-in-bariatric-surgery-indications-and-initial-evaluation-of-postoperative-complications
#12
Jakub Kuchinka, Łukasz Nawacki, Piotr Bryk, Jarosław Matykiewicz, Iwona Wawrzycka, Dorota Kozieł, Tomasz Rogula, Stanisław Głuszek
UNLABELLED: Obesity, at present, seems to be a very serious health problem all over the world. The surgery is said to be the most successful treatment of obesity. With the increase in the quantity of conducted bariatric procedures, the number of revision treatments increases as well. The aim of the study was to analyze the indications, results and complications after repeated bariatric surgeries. MATERIAL AND METHODS: The repeated bariatric procedures performed in 2009-2015 have been retrospectively analyzed...
March 1, 2016: Polski Przeglad Chirurgiczny
https://www.readbyqxmd.com/read/27189352/rate-of-death-and-complications-in-laparoscopic-and-open-roux-en-y-gastric-bypass-a-meta-analysis-and-meta-regression-analysis-on-69-494-patients
#13
REVIEW
Emanuele Rausa, Luigi Bonavina, Emanuele Asti, Maddalena Gaeta, Cristian Ricci
Morbid obesity is a life threatening condition. Currently, surgery represents the only effective and durable therapeutic option to treat it. The first aim of the study was to estimate and compare the major surgical complications and the 30-day rate of mortality between laparoscopic and open Roux-en-Y gastric bypass (LRYGB and RYGB). The second aim was to evaluate the change in outcomes, complications, and deaths, with increased experience over the time period of the review. A random effect of the meta-analysis and meta-regression was used to evaluate surgical complications (i...
August 2016: Obesity Surgery
https://www.readbyqxmd.com/read/27170704/gastric-band-connection-tube-results-in-small-bowel-obstruction-an-acute-emergency
#14
Katherine J L Suter, Niruben Rajasagaram, Peter Nottle
The laparoscopic adjustable gastric band (LAGB) is a widely performed procedure for the morbid obesity epidemic. Despite its low mortality compared with other mainstream bariatric surgeries, it is not without its complications. The authors report a late and rare complication of a small bowel obstruction in a 52-year-old woman from an LAGB placed for 2 years. She was diagnosed clinically and radiologically with a small bowel obstruction. However, in the setting of an LAGB, this became a closed-loop obstruction...
2016: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/27019758/omental-torsion-after-laparoscopic-roux-en-y-gastric-bypass-mimicking-appendicitis-a-case-report-and-review-of-the-literature
#15
Alexandre Descloux, Giacinto Basilicata, Antonio Nocito
Introduction. Laparoscopic Roux-en-Y gastric bypass (LRYGBP) is a common procedure in obesity surgery. The aim of an antecolic approach is to reduce the rate of internal herniation. Our aim is to make bariatric surgeons aware of another possible complication of antecolic LRYGBP. Methods and Results. We present a case report of omental torsion 24 months after antecolic LRYGBP presenting as an acute abdomen, suggesting appendicitis. During diagnostic laparoscopy, omental infarction due to torsion was observed...
2016: Case Reports in Surgery
https://www.readbyqxmd.com/read/27012875/effect-of-weight-loss-on-abnormal-24-hour-blood-pressure-patterns-in-severely-obese-patients
#16
Maria Careaga, Enric Esmatjes, Isabel Nuñez, Judit Molero, Josep Vidal, Lilliam Flores
BACKGROUND: Nocturnal hypertension (night systolic [S]/diastolic [D] blood pressure [BP]≥120/70 mm Hg), nondipper status (nocturnal BP fall<10% of daytime values), and pulse pressure ([PP]; difference between 24-h SBP and DBP readings) are associated with increased risk of cardiovascular disease. We evaluated the 1-year effect of significant surgical weight loss (WL) on abnormal BP patterns in patients with and without hypertension and identified the factors involved. SETTING: University hospital, Spain...
November 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/26692038/benefits-of-intraoperative-endoscopy-case-report-and-review-of-300-sleeves-gastrectomies
#17
Ameer Gomberawalla, Rami Lutfi
BACKGROUND: The laparoscopic sleeve gastrectomy (LSG) is the fastest rising bariatric procedure being performed in the United States. Some surgeons advocate for an intra-operative endoscopy for their leak test, while others utilize air via a form of an oral gastric tube. We present a case demonstrating the benefits of endoscopy intra-operatively as well as discuss our experience of 200 consecutive sleeve gastrectomies. CASE PRESENTATION: The case is a 37 years old female undergoing LSG for treatment for morbid obesity...
2015: Annals of Surgical Innovation and Research
https://www.readbyqxmd.com/read/26491560/robotically-assisted-single-anastomosis-duodenoileal-bypass-after-previous-sleeve-gastrectomy-implementing-high-valuable-technology-for-complex-procedures
#18
Ramon Vilallonga, José Manuel Fort, Enric Caubet, Oscar Gonzalez, José Maria Balibrea, Andrea Ciudin, Manel Armengol
Staged bariatric procedures in high risk patients are a common used strategy for morbid obese patients nowadays. After previous sleeve gastrectomy, surgical treatments in order to complete weight loss or comorbidities improvements or resolutions are possible. One strategy is to perform a novel technique named SADI (single anastomosis duodenoileal bypass-sleeve). We present the technique for totally intracorporeal robotically assisted SADI using five ports and a liver retractor. We aim to see if the robotic technology offers more advantageous anastomosis and dissection obtained by the robotic approach in comparison to standard laparoscopy...
2015: Journal of Obesity
https://www.readbyqxmd.com/read/26363717/variation-in-the-use-of-minimally-invasive-bariatric-surgery
#19
MULTICENTER STUDY
Lindsay E Kuo, Kristina D Simmons, Noel N Williams, Rachel R Kelz
BACKGROUND: Obesity is a significant public health problem in the United States. Despite the known benefits of bariatric surgery, most patients eligible for bariatric surgery do not receive it. Access to minimally invasive bariatric surgery (MIS), the surgical gold standard, may be a limitation. OBJECTIVES: We investigated geographic variation in the utilization of laparoscopy for bariatric surgical procedures. METHODS: We utilized a unique 3-state inpatient database...
January 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/26315013/-stenosis-and-ulceration-after-bariatric-surgery
#20
REVIEW
S Müller, N Runkel
INTRODUCTION: The increasing number of morbidly obese patients leads to a rising number of bariatric procedures in Germany. The operative techniques are highly standardized but such a standardization is lacking for the management of postoperative complications such as stenosis and ulceration after Roux-en-Y gastric bypass (RYGB) surgery and sleeve gastrectomy (SG). METHODS: The current literature is reviewed and a complication management is developed and presented in this article...
September 2015: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
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