Comparison of volume-controlled and pressure-controlled ventilation on respiratory mechanics in laparoscopic bariatric surgery: randomized clinical trial.
CONCLUSIONS: Pressure-controlled ventilation mode is not superior to volume-controlled ventilation mode in patients with laparoscopic bariatric surgery. PMID: 31806235 [PubMed - as supplied by publisher]
Transected silastic vertical gastric bypass (Fobi pouch Bypass) is a modified open gastric bypass that was introduced by Dr. Mathias Fobi in 1990s. Although long-term weight maintenance is excellent, it was not widely adopted by Bariatric Surgeons in the Minimally invasive era. This video illustrates a laparoscopic approach to a particularly complicated marginal ulcer that was eroding into the liver and pancreas.
Conclusions: Perioperative safety of bariatric surgery improved over the last quarter-century. Despite growth in number of surgeries, utilization has only marginally increased. Addressing barriers for utilization may allow for greater access to surgical therapy.
ConclusionHeterotopic pancreas should always be considered in the differential diagnosis of incidentally found gastric lesions and can be safely resected. This is the first case report of gastric heterotopic pancreas which is found incidentally during a bariatric surgery procedure.
Abstract CONTEXT: Questions remain about bariatric surgery for type 2 diabetes mellitus (T2DM) treatment. OBJECTIVE: Compare the remission of T2DM following surgical or non-surgical treatments. DESIGN, SETTING, AND PARTICIPANTS: Randomized Controlled Trial at the University of Pittsburgh, in the United States. Five year follow up from February 2015 until June 2016. INTERVENTIONS: 61 participants with obesity and T2DM who were initially randomized to either bariatric surgical treatments (Roux-en-Y gastric bypass [RYGB] or laparoscopic adjustable gastric banding [LAGB]) or an intensive lifestyle weigh...
Although the obesity epidemic continues to worsen, only a small fraction of obese patients who are eligible for surgery undergo bariatric surgery(1). Endoluminal techniques are emerging in the spectrum of weight loss therapies in an attempt to bridge the gap. Amongst these endoluminal techniques is endoscopic sleeve gastroplasty (ESG), which involves creation of a restrictive gastric luminal sleeve using endoscopically placed sutures.
ConclusionBariatric surgery had a beneficial effect on weight reduction and BDI score regardless of its type. Further studies with longer follow-up and more samples are needed to clarify the differences between bariatric procedures.
AbstractBackgroundWhile bariatric surgery is safe, rates of postoperative complications continue to vary considerably across specific patient populations.MethodsWe identified all Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program data registry (MBSAQIP) patients who underwent primary laparoscopic sleeve gastrectomy (LSG) or Roux-en-Y gastric bypass (RYGB) from 2015 to 2017. Categorical variables were expressed as percentages and continuous variables as weighted mean ± standard deviation (SD). Univariate analysis was performed using chi-squared tests for categorical data and independent sam...
Around 25% of the patients that had undergone a Roux-en-Y gastric bypass surgery will eventually fail due to insufficient weight loss or weight recidivism or complications related to the procedure [1, 2]. The reported incidence of anastomotic complications following RYGB ranges from 0.1 to 23% . The patients that experience an anastomotic complication would require an intervention. If the intervention fails, the patient would require either a reversal or conversion to other bariatric procedure [1, 4-6].
ConclusionsBoth LRYGB and LSG have comparative effect on resolving T2DM in nonseverely obese patients at midterm follow-up. Further RCTs should address the potential risks and long-term effects of LRYGB and LSG in nonseverely obese patients.
ConclusionLBPD/DS or DJB as revision surgery appears to be effective for further weight loss in the medium term, and LRYGB appears to be effective for GERD remission. Bariatric surgeons should bear in mind, however, that the post-LRYGB complication rate appears to be relatively high.