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Treatment TermsWeight loss surgerySleeve gastrectomyBMI CalculatorWeight Loss Benefits and ComplicationsWeight Loss Surgery Next StepsRoux-en-y gastric bypass Author Morgan deBlecourt Overview At 247 pounds, Tracie Green felt miserable thanks to a slew of weight-related health problems. When she couldn ’t take it anymore, Green decided to try weight loss surgery. In the 12 months since then, Green has lost almost 60 pounds and her health has improved significantly. Although she has no regrets, Green’s weight loss journey hasn’t been easy. Hero Imageblog_weightlosstraciegreen_1932x862.jpg Preview Image Content Blocks CTA Header Are You a Candidate? CTA ButtonCalculate Your BMI Patient Name Tracie Green Patient Photo Gender Female Patient Story Quote Since having weight loss surgery in August 2018, Tracie Green's knee pain has disappeared, her blood pressure is coming down, and her Achilles tendinitis and plantar fasciitis are gone. Featured Doctors Kunoor Jain-Spangler, MD Sidebar Box Sidebar Box HeaderAttend a Free Information Session Sidebar Box TextLearn more about obesity and weight loss surgery at one of our free information sessions in Durham, Raleigh, and Burlington. Sidebar Links LinkFind A Session Near You Do not display phone numbers Related Doctors HeadingFind a Weight Loss Doctor BodyDisplay in Announcement Section: ArchivedThumbnail Image: Pin to Top of WiFi Page:
We present the first case of bariatric surgery in a patient with Ehlers-Danlos syndrome and outline management challenges in the context of the relevant literature. A 56-year-old man with type IV Ehlers-Danlos syndrome and a body mass index of 41.8 kg/m2 was referred to the bariatric centre of the Churchill Hospital, Oxford, for consideration of surgery for morbid obesity. His comorbidity included type 2 diabetes, hypertension, dyslipidaemia and obstructive sleep apnoea. He underwent a laparoscopic Roux-en-Y gastric bypass. His initial recovery was uneventful and he was discharged on the first postoperative day. Six weeks ...
ConclusionThe PretzelFlex liver retractor causes significantly less measurable liver damage and is associated with less postoperative pain and nausea when compared with Nathanson ’s retractor.
ConclusionsNovel, disposable endoscopic scissors appear to be highly effective and safe for removal of suture material with high technical success and minimal adverse events.
CONCLUSION: The closure of MDs eliminated the risk of IH in half of the operated patients of LRYGB in this series. PMID: 31521564 [PubMed - as supplied by publisher]
A 57-year-old man with a history of coronary artery disease, diastolic heart failure, obstructive sleep apnea, chronic kidney disease, morbid obesity, 60 pack-year smoking history, and gastric bypass (performed 20 years ago) presented to an outside institution with severe chest pain, sepsis, and pneumopericardium. He had no other history of abdominal or thoracic surgery. He was readmitted for heart failure exacerbation and was subsequently transferred to our institution for a higher level of care and possible surgical management.
ConclusionsThis is the largest case series describing jejunojejunal intussusception following RYGBP. All patients that developed intussusception had jejunojejunostomy length greater than 60 mm. The most commonly performed surgical repair was reduction of the intussuscepted segment (if present) followed by enteropexy. Jejunojejunostomy length greater than 60 mm might be associated with the occurrence of intussusception and could explain the higher incidence noted in our series. Minim al intervention with enteropexy can offer effective treatment for most patients.
Conclusions: Perforations of the excluded segment in RYGB patients are rare and represent a diagnostic challenge, as pneumoperitoneum is usually absent and the excluded segment is difficult to access. Despite negative diagnostic findings, laparoscopic exploration should always be considered. PMID: 31333071 [PubMed - as supplied by publisher]
Publication date: Available online 23 July 2019Source: Best Practice &Research Clinical GastroenterologyAuthor(s): Per Björklund, Lars FändriksAbstractThe prevalence of overweight and obesity has exploded in the post-industrial era. Life style interventions like dieting and exercise can induce a marked weight loss, but the main problem for most patients is to maintain the reduced body weight over time. Gastric bypass surgery is a commonly performed and very effective method for achieving a pronounced and sustained weight loss including metabolic improvements in obese patients. Despite the therapeutic successf...
ConclusionsBoth studies showed that OAGB is a technically easier procedure and features better glycemic control than RYGB, but has a mal-absorptive effect. However, the bile reflux and abdominal pain controversies persisted.
ConclusionsA majority of the RYGBP patients with chronic abdominal pain had a disturbed Roux limb fasting motility, and there was a high prevalence of prescribed opioid analgesics. In opiate-na ïve RYGBP patients, acute morphine intravenously increased the muscular tone of the Roux limb.