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leak in bariatric surgery

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https://www.readbyqxmd.com/read/27885536/safety-and-outcome-of-laparoscopic-sleeve-gastrectomy-following-removal-of-adjustable-gastric-banding-lessons-from-109-patients-in-a-single-center-and-review-of-the-literature
#1
Niv Pencovich, Guy Lahat, Orit Goldray, Subhi Abu-Abeid, Joseph M Klausner, Shai Meron Eldar
BACKGROUND: Although considered a common bariatric procedure, laparoscopic adjustable gastric banding (LAGB) is associated with high rates of weight loss failure and long-term complications. PURPOSE: The purpose of this study was to re-assess the safety and outcome of conversion of failed LAGB to laparoscopic sleeve gastrectomy (LSG). MATERIALS AND METHODS: One hundred and nine patients underwent conversion from LAGB to LSG (78 females, mean age 43 ± 11...
November 24, 2016: Obesity Surgery
https://www.readbyqxmd.com/read/27878754/efficiency-and-safety-effects-of-applying-eras-protocols-to-bariatric-surgery-a-systematic-review-with-meta-analysis-and-trial-sequential-analysis-of-evidence
#2
REVIEW
Preet Mohinder Singh, Rajesh Panwar, Anuradha Borle, Basavana Goudra, Anjan Trikha, Bart A van Wagensveld, Ashish Sinha
Application of the enhanced recovery after surgery (ERAS) to the bariatric surgical procedures is at its early stages with little consolidated evidence. This meta-analysis evaluates present literature and indicates pathways for development of evidence-based standardized ERAS protocols for bariatric surgery. Comparative trials between ERAS and conventional bariatric surgery published till June 2016 were searched in the medical database. Comparisons were made for length of stay (LOS), readmission, complications (major/minor), and reoperation rates...
November 23, 2016: Obesity Surgery
https://www.readbyqxmd.com/read/27849660/prevalence-and-risk-factors-for-bariatric-surgery-readmissions-findings-from-130-007-admissions-in-the-metabolic-and-bariatric-surgery-accreditation-and-quality-improvement-program
#3
Elizabeth R Berger, Kristopher M Huffman, Teresa Fraker, Anthony T Petrick, Stacy A Brethauer, Bruce L Hall, Clifford Y Ko, John M Morton
OBJECTIVE: To evaluate readmissions following laparoscopic adjustable gastric banding (LAGB), laparoscopic sleeve gastrectomy (LSG), and laparoscopic Roux-en-Y gastric bypass (LRYGB). BACKGROUND: Few studies have evaluated national readmission rates for primary bariatric surgery with national, bariatric-specific data. METHODS: Patients undergoing primary LAGB, LSG, or LRYGB from January 1, 2014 to December 31, 2014, at 698 centers were identified based upon Current Procedural Terminology codes...
November 15, 2016: Annals of Surgery
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
#4
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/27738967/results-of-laparoscopic-sleeve-gastrectomy-5-year-follow-up-study-in-an-eastern-european-emerging-bariatric-center
#5
Radu Mircea Neagoe, Mircea Mureșan, Șerban Bancu, Ionuț Balmos, Vasile Băișan, Septimiu Voidăzan, Daniela Sala
INTRODUCTION: Laparoscopic sleeve gastrectomy (LSG) has gained ground in Eastern Europe in the decade but fewer reports of large series with medium-term follow-up exist. We describe a single-surgeon experience in LSG (the first 101 consecutive cases) in a Balkan emerging bariatric center. METHODS: A prospectively maintained database of the initial 101 consecutive patients submitted to LSG in our clinic between October 2010 and February 2016 was reviewed. RESULTS: The percentages of mean excess weight loss (%EWL) in the 101 patients (mean age of 42 ± 10...
October 13, 2016: Obesity Surgery
https://www.readbyqxmd.com/read/27730467/tips-and-tricks-of-converting-laparoscopic-adjustable-gastric-banding-to-roux-en-y-gastric-bypass-in-one-stage
#6
Abdelrahman A Nimeri, Ahmed Maasher, Talat Al Shaban, Elnazeer Salim, Maha Ibrahim
BACKGROUND: Conversion of laparoscopic adjustable gastric banding (LAGB) to other operations is commonly done for significant weight recidivism and complications. METHODS: This is a consecutive series of LAGB converted to RYGB done at the Bariatric and Metabolic Institute (BMI) Abu Dhabi from 2009 to 2013 for weight recidivism. Our preferred approach is to convert LAGB to LRYGB in one stage. All patients undergo upper endoscopy (EGD) and upper gastrointestinal series and are started on clears liquids 2 h after surgery without performing UGI studies...
October 12, 2016: Obesity Surgery
https://www.readbyqxmd.com/read/27730397/medical-malpractice-in-bariatric-surgery-a-review-of-140-medicolegal-claims
#7
Asad J Choudhry, Nadeem N Haddad, Matthew Martin, Cornelius A Thiels, Elizabeth B Habermann, Martin D Zielinski
OBJECTIVE: Given the current rate of obesity in the USA, it has been estimated that close to half of the US adult population could be obese by 2030, resulting in greater demand for bariatric procedures. Our objective was to analyze malpractice litigation related to bariatric surgery. METHODS: We conducted a retrospective review of Westlaw (Thompson Reuters) of all bariatric operations that resulted in the filing of a malpractice claim. Each case was reviewed for pertinent medicolegal information related to the procedure, claim, and trial...
October 11, 2016: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/27730102/outcomes-the-ontario-bariatric-network-a-cohort-study
#8
Fady Saleh, Aristithes G Doumouras, Scott Gmora, Mehran Anvari, Dennis Hong
BACKGROUND: Bariatric surgery centres of excellence are relatively new in Canada and were first started in Ontario in 2009. This study presents short-term outcomes of Canada's largest bariatric collaborative, from Ontario, during its first 3 years. METHODS: We performed a population-based cohort study that included all patients (age ≥ 18) who received a Roux-en-Y gastric bypass or sleeve gastrectomy for the purpose of weight loss from March 2009 to April 2012 within Ontario...
July 2016: CMAJ Open
https://www.readbyqxmd.com/read/27726045/robotic-versus-laparoscopic-bariatric-surgery-a-systematic-review-and-meta-analysis
#9
Kun Li, Jianan Zou, Jianxiong Tang, Jianzhong Di, Xiaodong Han, Pin Zhang
We aim to summarize the available literature on patients treated with robotic bariatric surgery (RBS) or laparoscopic bariatric surgery (LBS) and compare the clinical outcomes between RBS and LBS. A systematic literature was conducted in accordance with the PRISMA guidelines. Thirty-four observational studies met our inclusion criteria, and 27 studies of 27,997 patients were included in the meta-analysis. There were no significant differences between RBS and LBS regarding overall postoperative complications, major complications, the length of hospital stay, reoperation, conversion, and mortality...
October 11, 2016: Obesity Surgery
https://www.readbyqxmd.com/read/27683784/sadi-s-with-right-gastric-artery-ligation-technical-systematization-and-early-results
#10
Jordi Pujol Gebelli, Amador Garcia Ruiz de Gordejuela, Almino Cardoso Ramos, Mario Nora, Ana Marta Pereira, Josemberg Marins Campos, Manoela Galvão Ramos, Eduardo Lemos de Souza Bastos, João Batista Marchesini
Background: Bariatric surgery is performed all over the world with close to 500.000 procedures per year. The most performed techniques are Roux-en-Y gastric bypass and sleeve gastrectomy. Despite this data, the most effective procedure, biliopancreatic diversion with or without duodenal switch, represents only no more than 1.5% of the procedures. Technical complexity, morbidity, mortality, and severe nutritional adverse effects related to the procedure are the main fears that prevent most universal acceptance...
2016: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/27683770/intestinal-malrotation-in-patients-undergoing-bariatric-surgery
#11
Eduardo Arevalo Vidal, Francisco Abarca Rendon, Trino Andrade Zambrano, Yudoco Andrade García, Mario Ferrin Viteri, Josemberg Marins Campos, Manoela Galvão Ramos, Almino Cardoso Ramos
Background: Intestinal malrotation is a rare congenital anomaly. In adults is very difficult to recognize due to the lack of symptoms. Diagnosis is usually incidental during surgical procedures or at autopsy. Aim: To review the occurrence and recognition of uneventful intestinal malrotation discovered during regular cases of bariatric surgeries. Methods: Were retrospectively reviewed the medical registry of 20,000 cases undergoing bariatric surgery, from January 2002 to January 2016, looking for the occurrence of intestinal malrotation and consequences in the intraoperative technique and immediate evolution of the patients...
2016: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/27668069/endoscopic-management-of-post-bariatric-surgery-complications
#12
REVIEW
Mena Boules, Julietta Chang, Ivy N Haskins, Gautam Sharma, Dvir Froylich, Kevin El-Hayek, John Rodriguez, Matthew Kroh
Understanding the technical constructs of bariatric surgery is important to the treating endoscopist to maximize effective endoluminal therapy. Post-operative complication rates vary widely based on the complication of interest, and have been reported to be as high as 68% following adjustable gastric banding. Similarly, there is a wide range of presenting symptoms for post-operative bariatric complications, including abdominal pain, nausea and vomiting, dysphagia, gastrointestinal hemorrhage, and weight regain, all of which may provoke an endoscopic assessment...
September 16, 2016: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/27652359/primary-experience-of-bariatric-surgery-in-a-newly-established-private-obesity-center
#13
Haider Al-Shurafa, Ahmed H Elzaafarany, Ali Albenmousa, Mona G Balata
OBJECTIVES: To assess the outcomes of different types of bariatric surgeries in a single newly established private obesity center. METHODS: Retrospectively, we included patients who were entered in the registry for bariatric surgeries in the Obesity Unit, Riyadh National Hospital, Riyadh, Saudi Arabia between January 2013 and September 2014, and completed one year of follow up. Baseline characteristics, percent excess weight loss, and safety data were collected and analyzed...
October 2016: Saudi Medical Journal
https://www.readbyqxmd.com/read/27604365/effects-and-results-of-fibrin-sealant-use-in-1000-laparoscopic-sleeve-gastrectomy-cases
#14
Halil Coskun, Erkan Yardimci
BACKGROUND: Staple-line leakage and bleeding are worrisome and feared postoperative complications after laparoscopic sleeve gastrectomy (LSG) in morbidly obese patients. The purpose of this study was to review clinical evidence following the use of fibrin sealant in standard LSG. METHODS: Morbidly obese patients who underwent standard technique of LSG with using fibrin sealant were included in the study. Demographics variables [age, gender, body mass index (kg/m(2)), and comorbid conditions], the re-admission rate, and postoperative early complications, such as bleeding, staple-line leak, twist and stricture, were evaluated at the follow-up during the postoperative first month...
September 7, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27571586/keeping-the-fistula-open-paradigm-shift-in-the-management-of-leaks-after-bariatric-surgery
#15
Vivek Kumbhari, Barham K Abu Dayyeh
No abstract text is available yet for this article.
September 2016: Endoscopy
https://www.readbyqxmd.com/read/27556072/endoscopic-internal-drainage-as-first-line-treatment-for-fistula-following-gastrointestinal-surgery-a-case-series
#16
Gianfranco Donatelli, Jean-Loup Dumont, Fabrizio Cereatti, Parag Dhumane, Thierry Tuszynski, Bertrand Marie Vergeau, Bruno Meduri
Leaks following gastrointestinal surgery are a dreadful complication burdened by high morbidity and not irrelevant mortality. Endoscopic internal drainage (EID) has showed optimal results in the treatment of leaks following bariatric surgery. We report our experience with EID as first-line treatment for fistulas following surgery along all gastrointestinal tract.
June 2016: Endoscopy International Open
https://www.readbyqxmd.com/read/27545956/efficacy-of-single-anastomosis-sleeve-ileal-sasi-bypass-for-type-2-diabetic-morbid-obese-patients-gastric-bipartition-a-novel-metabolic-surgery-procedure-a-retrospective-cohort-study
#17
T Mahdy, A Al Wahedi, C Schou
INTRODUCTION: The single anastomosis sleeve ileal (SASI) bypass is a Novel Metabolic/Bariatric Surgery operation based on mini gastric bypass operation and Santoro's operation in which a sleeve gastrectomy is followed by a side to side gastro-ileal anastomosis. The purpose of this Study is to report the clinical results of the outcomes of SASI bypass as a therapeutic option for obese T2DM patients. METHODS: We conducted a retrospective cohort study of type 2 diabetic obese patients who underwent SASI bypass at one hospital from March 1, 2013 to December 31, 2014...
August 19, 2016: International Journal of Surgery
https://www.readbyqxmd.com/read/27492352/diagnosis-and-management-of-oesophageal-cancer-in-bariatric-surgical-patients
#18
Paul R Burton, Geraldine J Ooi, Cheryl Laurie, Kalai Shaw, Paul E O'Brien, Andrew Smith, Peter D Nottle, Wendy A Brown
BACKGROUND: Oesophageal cancer following bariatric surgery adds significant complexity to an already challenging disease. There is limited data on the diagnosis, presentation and management in these complex cases. METHODS: A retrospective cohort study on prospectively collected data over 10 years was conducted. The oesophago-gastric cancer database was searched for patients with prior bariatric surgery. Data were retrieved on bariatric and cancer management. RESULTS: We identified nine patients with oesophageal or gastro-oesophageal junction adenocarcinoma after bariatric surgery...
October 2016: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/27444838/surgeon-case-volume-and-readmissions-after-laparoscopic-roux-en-y-gastric-bypass-more-is-less
#19
Adam C Celio, Kevin R Kasten, Matthew B Burruss, Walter J Pories, Konstantinos Spaniolas
BACKGROUND: Laparoscopic Roux-en-Y gastric bypass (LRYGB) is a commonly performed bariatric procedure. Readmissions are used as a quality indicator with a nationwide emphasis on reduction. In LRYGB surgery, surgeon volume studies have focused on correlation with technical outcomes, offering limited data on readmissions. Our aim was to evaluate nationwide data to explore the relationship between surgeon case volume and hospital readmissions following LRYGB. METHODS: The Bariatric Outcomes Longitudinal Database from 2011 was used for this study...
July 21, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27433904/the-impact-of-different-surgical-techniques-on-outcomes-in-laparoscopic-sleeve-gastrectomies-the-first-report-from-the-metabolic-and-bariatric-surgery-accreditation-and-quality-improvement-program-mbsaqip
#20
Elizabeth R Berger, Ronald H Clements, John M Morton, Kristopher M Huffman, Bruce M Wolfe, Ninh T Nguyen, Clifford Y Ko, Matthew M Hutter
OBJECTIVE: Questions remain regarding best surgical techniques to use for a laparoscopic sleeve gastrectomy (LSG) including the use of staple line reinforcement (SLR), bougie size (BS), and distance from the pylorus (DP) where the staple line is initiated. Our objectives were to assess the impact of these techniques on 30-day outcomes and to evaluate the impact of these techniques on weight loss and comorbidities at 1 year. METHODS: Using the MBSAQIP data registry, univariate analyses and hierarchical logistical regression models were developed to analyze outcomes for techniques of LSG at patient and surgeon-level...
September 2016: Annals of Surgery
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