Endoscopic internal drainage by double pigtail stents in the management of laparoscopic sleeve gastrectomy leaks
Leaks and fistulas after laparoscopic sleeve gastrectomy (SG) are a major adverse event of bariatric surgery. Endoscopic management for post SG leaks has evolved from closure with covered self-expanding metallic stents (SEMS) to endoscopic internal drainage (EID).
Recent data support the use of bariatric surgery in adolescents with severe obesity following unsuccessful non-surgical treatments. Sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) have demonstrated...
AbstractAdolescents seeking bariatric surgery may present with pre-existing psychiatric diagnoses for which they use chronic medications. To heighten awareness concerning perioperative polypharmacy in adolescents with extreme obesity, we conducted a retrospective review of patients undergoing laparoscopic sleeve gastrectomy between February 2010 and May 2017 at Children ’s National Health System (CNHS). A total of 167 adolescent patients had pre-existing psychiatric diagnoses which included depression (50%), anxiety (23%), ADHD (23%), and binge eating disorder (11%). Medications prescribed to treat these diagnoses in...
In conclusion, biomechanics proved to be useful for the investigation of BS effects. Future exploitations of the biomechanical methods may largely improve BS reliability, efficacy and penetration rate. PMID: 32472365 [PubMed - as supplied by publisher]
As laparoscopic sleeve gastrectomy (LSG) reaches maturity as a stand-alone bariatric procedure, long-term data continue to evolve regarding its associated outcomes and complication profile. Recent randomized clinical trials have confirmed good if somewhat variable excess weight loss (EWL) at 5 years ranging from 50-80%, generally comparable or slightly inferior to that of roux-en-Y gastric bypass (RYGB).[1-3] Various definitions of success have been proposed, but one of the more commonly utilized metrics requires greater than 50% EWL at 12-18 months following surgery.
Conclusions: There are disparities to access for bariatric surgery in Texas. Blacks have the greatest access followed by whites. Hispanics have the lowest procedure rate per population. PMID: 32425480 [PubMed - in process]
AbstractPurpose of ReviewCurrent bariatric surgical practice has developed from early procedures, some of which are no longer routinely performed. This review highlights how surgical practice in this area has developed over time.Recent FindingsThis review outlines early procedures including jejuno-colic and jejuno-ileal bypass, initial experience with gastric bypass, vertical banded gastroplasty and biliopancreatic diversion with or without duodenal switch. The role laparoscopy has played in the widespread utilization of surgery for treatment of obesity will be described, as will the development of procedures which form th...
Vertical sleeve gastrectomy (VSG) has been associated with gastroesophageal reflux (GER) symptoms and, in adults, with a development of Barrett ’s esophagus (BE). Adults with Barrett’s esophagus identified at baseline prior to bariatric operation are generally advised against VSG operations. The role of preoperative esophagogastroduodenoscopy (EGD) in adolescents preparing for bariatric surgery is not clearly defined. The goal of this s tudy was to report the frequency of abnormalities identified on EGD performed at baseline in adolescents undergoing VSG for severe obesity.
In the current manuscript(1), the authors reported the results of the Single Anastomosis Duodeno-Ileal bypass (SADI) and One Anastomosis Gastric Bypass (OAGB) for a cohort of 84 patients who presented with weight loss failure following Laparoscopic Sleeve Gastrectomy (LSG). We especially commend the authors for the interesting topic of their manuscript, as the revisional bariatric surgery after LSG is becoming more common due to the rapid increase in the number of patients undergoing this procedure as treatment for morbid obesity.
In the current article , the authors reported the results of the single anastomosis duodenal-ileal bypass (SADI) and one anastomosis gastric bypass (OAGB) for a cohort of 84 patients who presented with weight loss failure following laparoscopic sleeve gastrectomy (LSG). We especially commend the authors for the interesting topic of their article, as the revisional bariatric surgery after LSG is becoming more common because of the rapid increase in the number of patients undergoing this procedure as treatment for morbid obesity.
Laparoscopic sleeve gastrectomy (LSG) is currently the most commonly performed bariatric procedure worldwide. However, the incidence of gastroesophageal reflux disease (GERD) following LSG is high.