Banded versus nonbanded laparoscopic sleeve gastrectomy: 5-year  outcomes

Laparoscopic sleeve gastrectomy (SG) is the most commonly performed bariatric/metabolic operation. However, inadequate long-term weight loss remains a problem in some cases, possibly from gastric-sleeve dilation. Adding a reinforcing ring around the proximal gastric sleeve has been proposed, but relevant data are scant. We performed the largest, longest-term study yet of banded SG (BSG) compared to nonbanded SG.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Original article Source Type: research

Related Links:

ConclusionSG leaks can add long-term morbidity. Stent can be used successfully to treat SG leak if used judiciously. There should be low threshold for investigating patients with EWL of>  100% for anatomical complications like stricture, fistula or kink in the gastric sleeve. We wanted to make the bariatric fraternity aware of a rare late (>  12 weeks) complication of gastro-colic fistula after successfully treated SG leak. Limited literature is published about this rare complication and its management which ranges from conservative management to stent placement to surgical intervention (Asian Jour...
Source: Obesity Surgery - Category: Surgery Source Type: research
ConclusionsFrom our preliminary data, the intraoperative view of the blood supply of the stomach does not seem to represent a prognostic factor for the risk of gastric leak, suggesting a complex multifactorial etiology (intragastric hypertension? Abnormal inflammatory response?) which needs further data to be established.
Source: Obesity Surgery - Category: Surgery Source Type: research
Laparoscopic sleeve gastrectomy (SG) is the most commonly performed bariatric/metabolic operation. However, inadequate long-term weight loss remains a problem in some cases, possibly from gastric-sleeve dilation. Adding a reinforcing ring around the proximal gastric sleeve has been proposed, but relevant data are scant. We performed the largest, longest-term study yet of banded SG (BSG) compared to non-banded SG.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Original articles Source Type: research
ConclusionsNAFLD could be dealt with laparoscopic sleeve gastrectomy, preventing its progression into cirrhosis. SG can be performed in patients with obesity and metabolic syndrome, with NAFLD showing satisfactory results 12  months after surgery. NAFLD should be a formal indication for bariatric surgery.
Source: Obesity Surgery - Category: Surgery Source Type: research
AbstractBariatric surgery has proven to be the most effective weight loss strategy in severe obesity. Imaging in the immediate postoperative period of bariatric surgery is not done routinely. However, it is helpful in the assessment of early and late complications, which are estimated to be present in
Source: Obesity Surgery - Category: Surgery Source Type: research
The number of bariatric procedures have been increasing world-wide and although laparoscopic sleeve gastrectomy (LSG) has been increasing laparoscopic Roux-en-Y gastric bypass (LRYGB) was the most common procedure in 2015 [1]. Enhanced recovery after surgery (ERAS) has been implemented in several surgical fields, ERAS has had significant impact in colorectal surgery [2]. In the concept of ERAS an early return to a normal peroral intake of nutrients is emphasized. Few studies have studied the ERAS concept concerning upper gastrointestinal surgery or the focus of ERAS has been on peri-operative care [3,4].
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Original articles Source Type: research
AbstractIntroductionNonalcoholic fatty liver disease (NAFLD) is an epidemic in the obese population. Bariatric surgery is known to reverse multiple metabolic complications of obesity such as diabetes, dyslipidemia, and NAFLD, but the timing of liver changes has not been well described.Materials and MethodsThis was an IRB-approved, two-institutional prospective study. Bariatric patients received MRIs at baseline and after a pre-operative liquid diet. Liver biopsies were performed during surgery and if NAFLD positive, the patients received MRIs at 1, 3, and 6  months. Liver volumes and proton-density fat fraction (PDFF)...
Source: Surgical Endoscopy - Category: Surgery Source Type: research
We are presenting a 53 year old female with a BMI of 57.   Past medical history includes OSA on CPAP, HTN, CHF, low back pain, osteoarthritis, IBS, bipolar disorder, seizure disorder and a left hepatic hemangioma that is relevant for this case. The patient had prior abdominal surgeries including laparoscopic cholecystectomy, appendectomy and 2 C-section s. She was evaluated for her morbid obesity and comorbidities and was deemed to be a good candidate for bariatric surgery.  Her preoperative workout included an upper endoscopy that was normal without esophagitis.  As a work up for an episode o...
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research
Abstract BACKGROUND: Esophagogastroduodenoscopy (EGD) is particularly recommended for choosing a surgical method to be used with asymptomatic patients and for the assessment of symptomatic patients prior to sleeve gastrectomy. The presence of hiatal hernia, for instance, is a relative contraindication. EGD is used for malignancy scanning as well as surgical planning, but seems inefficient in determining postoperative complications. OBJECTIVE: Our aim was to investigate the effectiveness of the pathological evaluation of endoscopic biopsies obtained with esophagogastroduodenoscopy (EGD) according to Sydney cla...
Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery - Category: Surgery Authors: Tags: Surg Obes Relat Dis Source Type: research
AbstractIntroductionLaparoscopic sleeve gastrectomy is one of the most common techniques in bariatric surgery, but there is no consensus on the optimal distance from the pylorus to start the gastric transection. The aim of this study is to determine the differences in gastric emptying, gastric distension and metabolic response between two starting distances.Material and MethodsThis is a prospective randomised study of 60 patients (30 patients with the section at 3  cm and 30 patients at 8 cm from the pylorus). We calculate at 6 and 12 months from surgery gastric emptying by scintigraphy (T1/2 min), gast...
Source: Obesity Surgery - Category: Surgery Source Type: research
More News: Bariatric Surgery | Eating Disorders & Weight Management | Gastrectomy | Gastroenterology | Laparoscopy | Obesity | PET Scan | Study | Surgery | Weight Loss