Randomized clinical trial of extensive intraoperative peritoneal lavage versus standard treatment for resectable advanced gastric cancer (CCOG 1102 trial).
CONCLUSION: EIPL did not improve survival or peritoneal recurrence in patients who underwent gastrectomy for advanced gastric cancer. Registration number: 000005907 (http://www.umin.ac.jp/ctr/index.htm). PMID: 31573086 [PubMed - as supplied by publisher] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - October 1, 2019 Category: Surgery Authors: Misawa K, Mochizuki Y, Sakai M, Teramoto H, Morimoto D, Nakayama H, Tanaka N, Matsui T, Ito Y, Ito S, Tanaka K, Uemura K, Morita S, Kodera Y, Chubu Clinical Oncology Group Tags: Br J Surg Source Type: research

Assessment of depressive symptoms, self-esteem, and eating psychopathology after laparoscopic sleeve gastrectomy: 1-year follow-up and comparison with healthy controls.
CONCLUSION: Depressive symptoms, self-esteem, and eating psychopathology showed an improving trend in patients after LSG. However, some aspects of eating psychopathology worsened despite an initial improvement. LEVEL OF EVIDENCE: III, prospective cohort and case-control study. PMID: 31576497 [PubMed - as supplied by publisher] (Source: Eating and weight disorders : EWD)
Source: Eating and weight disorders : EWD - October 1, 2019 Category: Eating Disorders & Weight Management Authors: Çalışır S, Çalışır A, Arslan M, İnanlı İ, Çalışkan AM, Eren İ Tags: Eat Weight Disord Source Type: research

Endoscopic submucosal dissection of a gastric mass.
Abstract This case report describes the first endoscopic submucosal dissection performed at Baylor University Medical Center for high-grade dysplasia of the stomach. The patient, a 76-year-old man with multiple medical comorbidities, presented with 4 months of abdominal pain. Endoscopy found a mass on the lesser curvature, and endoscopic ultrasound confirmed that it did not invade the submucosa. A complete endoscopic resection was performed, alleviating the need for surgical intervention. Endoscopic submucosal dissection offers a minimally invasive treatment for premalignant lesions and early stage cancers of the ...
Source: Baylor University Medical Center Proceedings - October 1, 2019 Category: Universities & Medical Training Authors: Ebrahim A, Leeds SG, Clothier JS, Ward MA Tags: Proc (Bayl Univ Med Cent) Source Type: research

Functional neurological symptoms masquerading as Wernicke encephalopathy following bariatric surgery.
We present a patient after sleeve gastrectomy who was presumed to have WE; after detailed neuropsychological assessment, the condition was better conceptualized as a conversion disorder. The case illustrates the heretofore unrecognized role of bariatric surgery in the development of functional symptoms and demonstrates the importance of neuropsychological assessment in detecting functional symptoms. PMID: 31656438 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2019 Category: Universities & Medical Training Authors: Kiselica AM, Rosen S, Benge JF Tags: Proc (Bayl Univ Med Cent) Source Type: research

Laparoscopic Sleeve Gastrectomy or Laparoscopic Gastric Bypass for Patients with Metabolic Syndrome: An MBSAQIP Analysis.
Abstract In patients undergoing bariatric surgery, the presence of metabolic syndrome (MetS) contributes to perioperative morbidity. We aimed to evaluate the utilization and outcome of severely obese patients with MetS who underwent laparoscopic sleeve gastrectomy (LSG) versus laparoscopic Roux-en-Y gastric bypass (LRYGB). Using the 2015 and 2016 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database, data were obtained for patients with MetS undergoing LSG or LRYGB. There were 29,588 MetS patients (LSG: 58.7% vs LRYGB: 41.3%). There was no significant difference in 30-day mortality...
Source: The American Surgeon - October 1, 2019 Category: Surgery Authors: Alizadeh RF, Li S, Gambhir S, Hinojosa MW, Smith BR, Stamos MJ, Nguyen NT Tags: Am Surg Source Type: research

A664 RYGB to Sleeve Gastrectomy for Hypoglycemia
Hypoglycemia is an uncommon long term complication from RYGB, but with significant quality of life implication. After completing a full study demonstrating hyperinsulinemic hypoglycaemia, and failure of medical treatments, the malabsorptive component of the RYGB should be performed. Then conversion to sleeve gastrectomy in order to maintain some restrictive component is a choice. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Amador Garcia Ruiz de Gordejuela, Ramon Vilallonga Puy, Renato Roriz da Silva, Oscar Gonz ález López, Enric Caubet Busquet, Ruth Blanco-Colino, Rocío Martín Sánchez, Miquel Kraft Carre, José Fort López-Barajas Source Type: research

A663 Combined Bikini Line Sleeve Gastrectomy & Bikini Line Cholecystectomy
The Bikini Line Sleeve Gastrectomy (BLSG) is a novel approach where ports are placed in the umbilicus and below the bikini line. We herein describe Combined Bikini Line Sleeve Gastrectomy& Bikini Line Cholecystectomy (BLLC). (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Tamer Abdelbaki Source Type: research

A660 gastric sleeve in patient with giant gastric diverticulum
We present a 69-year-old female patient with morbid obesity antecedent, BMI 44 and gastric diverticulum diagnosed by endoscopy. Due to this diagnosis a sleeve gastrectomy was decided. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Pablo Omelanczuk Source Type: research

A658 Laparoscopic re-sleeve gastrectomy as a treatment of weight regain after Open Duodenal Switch. (DS)
Patient suffering from morbid obesity underwent a laparoscopic band placement and after an open duodenal switch (DS) with BMI 45 and underwent BMI= 33 Kg/m2 with severe GERD. We aim to show in that video, technical aspects regarding the laparoscopic re-sleeve gastrectomy when we observed progressive weight regain and persistence of comorbidities associated with evidence of dilated gastric fundus and/or antrum on upper gastro-intestinal series. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Sergio Sanchez-Cordero, Renato Roriz, Ariel Almanza, Yuhamy Curbelo, Ramon Viallonga Source Type: research

A656 Chemical Pyloroplasty During Sleeve Gastrectomy: Technique and Outcomes
We present a novel technique of anterior CP during laparoscopic SG that improves PONV. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Jessica Zaman, Tyler Robinson, tejinder Singh, Vladimir Davidyuk Source Type: research

A655 Accidental Stapling of Temperature probe during Sleeve Gastrectomy
This Video demonstrates a case where accidental stapling of the temperature probe occurred during performance of a Laparoscopic Sleeve gastrectomy. The temp robe was released after sharp dissection and we closed the resulting gastrotomy in two layers and secured omentum over the repair. The patient has done well in the psotoperative period. While our institution and OR team has a long-standing policy of no placement of esophageal temperature probes, or naso- or orogastric tubes during any bariatric or foregut case that will require stapling. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Rana Pullatt, Benjamin White Source Type: research

A652 Revisional surgery for dumping syndrome after laparoscopic Roux-en-Y gastric bypass (LRYGB): is it laparoscopic sleeve gastrectomy (LSG) a solution?
Number of bariatric surgeries in China increased rapidly in the past few decades. Treatment for postoperative severe nutrition deficiencies also is in our concern, especially revisional surgery. We are presenting a case of revisional surgery converting LRYGB to LSG due to dumping syndrome. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Shuwen Jiang, Wah Yang, Songhao Hu, Cunchuan Wang Source Type: research

A650 Early Diaphragmatic Herniation of Sleeve Gastrectomy Causing Dysphagia
Patients commonly complain of dysphagia following sleeve gastrectomy. Common causes for this include antral stunning, underlying medical conditions, narrowing of the gastric sleeve due to sharp angulation or spiralling and a reaction to anaesthesia. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Ravi Aggarwal, SHERIF Hakky, Ahmed Ahmed Source Type: research

A648 A Novel Over-Under Technique for Managing Acute Sleeve Strictures Associated with Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy
A sleeve stricture is usually a delayed diagnosis; however, it can occur acutely. When this happens, the sleeve can be saved when using the over-under technique. This is done by transecting the stomach at the stricture and pulling the superior portion over the lower portion and firing a 60-mm mechanical stapling device. The resulting defect is hand-sewn closed. This allows the patient to keep their pylorus and avoids the complications associated with conversion to Roux-en-Y gastric bypass. There have been no previous reports of this technique which can be used to treat both acute and chronic strictures. (Source: Surgery fo...
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Amit Surve, Walter Medlin, Daniel Cottam, Benjamin Horsley, Samuel Cottam, Christina Richards, LeGrand Belnap Source Type: research

A646 Laparoscopic Hiatal Hernia Repair With A Fundopexy In a Post Sleeve Gastrectomy Patient
Gastric herniation following laparoscopic sleeve gastrectomy is a surgical complication presented in up to 37% of cases in some studies. The intrathoracic migration of the stomachcan happen as early as 1 month after surgery. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Vicente Cogollo, Juliana Henrique, Luis Felipe Okida, Maria Fonseca, Emanuele Lo Menzo, Samuel Szomstein, Raul Rosenthal Source Type: research

A645 Is gastric bypass still the redemption after consecutive, different, failed bariatric procedures? A video report of a complicated sleeve gastrectomy in a multiple operated patient
Laparoscopic sleeve gastrectomy (LSG) is the most performed bariatric procedure, but complications might interfere with long-term evolution based on patient ’s compliance and tolerance, surgical attitude and unpredictable evolution. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Gianfranco Silecchia, Cristian Eugeniu Boru Source Type: research

A644 Sleeve Gastrectomy in a challenging variant of situs inversus ambiguous
We present the case of a 24-year-old male with a BMI of 39.6 kg/m2, who was referred for bariatric surgery evaluation. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Maria Medina, Elias Chousleb Mizrahi, Natan Zundel Source Type: research

A641 Less is More: Avoiding Conversion to RYGB with LINX placement after Sleeve Gastrectomy
Laparoscopic sleeve gastrectomy (LSG) is a commonly performed bariatric procedure in obesity management. Gastroesophageal reflux disease (GERD) in this population has reported rates of 23-100% GERD after LSG . GERD after LSG has been noted with recent studies demonstrating de novo reflux or symptom exacerbation despite weight loss. Fundoplication is not an option, and medically refractory GERD after LSG is usually treated with conversion to Roux-en-Y gastric bypass (RYGB). This video demonstrates the placement of a magnetic sphincter augmentation device after LSG as an alternative to conversion to RYGB. (Source: Surgery fo...
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Arielle Lee, Ryan Broderick, Joslin Cheverie, Bryan Sandler, Garth Jacobsen, Santiago Horgan Source Type: research

A639 Salvaging sleeve staple line after removal of an incorporated temperature probe
Stapling of a bougie, temperature probe, or a nasogastric tube is a rare and poorly reported complication of bariatric surgery that can lead to significant morbidity in patients. The best management of such a complication is unclear. Patient is a 55-year-old gentleman with a BMI 35 kg/m2, hypertension, type 2 diabetes mellitus and obstructive sleep apnea. Patient underwent a laparoscopic sleeve gastrectomy using a 34Fr Bougie. At the end of the case, attention was brought to the fact that the tip of the oral temperature probe was missing. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Gina Kim, Ajay Chopra, Danielle Friedman Source Type: research

A638 Laparoscopic Conversion from Gastric Sleeve to Roux-en-Y Gastric Bypass with Remnant Gastrectomy using Fluorescent Angiography
We present a unique case in which a patient had additionally severe gastritis on endoscopy, making resection of the remnant stomach necessary during conversion to RYGB. We also demonstrate the use of a fluorescent angiography technique to assess perfusion of the staple lines. This is a 57-year old female with history of chronic gastritis type C. She had a prior sleeve gastrectomy in 2015 for treatment of morbid obesity, with initial BMI of 39.2. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Catherine Tsai, Joerg Zehetner, Rudolf Steffen Source Type: research

A635 RYGB as a rescue operation for gastrocolic and gastrohepatic fistula after sleeve gastrectomy
Laparoscopic sleeve gastrectomy (LSG) is the most frequent bariatric operation performed worldwide. Staple-line leaks post LSG are highly challenging to treat and chronic complications such as a gastrocolic fistula are rare and require a highly skilled approach (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Ahmed Ghanem, Dav Bansi, George Reese, Jonathan Cousins, Sherif Hakky, Ahmed Ahmed Source Type: research

A634 Revisional surgery from RYGB to sleeve gastrectomy plus JJB and hiatus hernia repair
Mild Dumping syndrome is common but severe dumping syndrome is rare and needs revisional surgery after Roux-en-Y gastric bypass(RYGB). (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Jingge Yang, Bingsheng Guan, Tsz Hong Chong, Juzheng Peng, Cunchuan Wang Source Type: research

A632 Hidden-incision Laparoscopic Sleeve Gastrectomy (HILSG)
Clinical Presentation and Indications for Surgery 23 years old, female, Body weight gradually increased over the past five years and failed to lose weight many times; Height 1.69 m, weight 122.67 kg, waist 111cm, BMI 42.95 kg/m2; Comorbidities: Impaired glucose tolerance (IGT), Nonalcoholic fatty liver disease (NAFLD), Hyperuricemia Preoperative Examinations HGB 120 g/L ALB 40 g/L; ALT 80 U/L; AST 68 U/L UA 460 umol/L 2h PG 8.31 mmol/L BUS: fatty liver MRI: fatty liver, LFF 24% Endoscopy: chronic superficial gastritis, gastric polyp We performed HILSG for the patient.Total weight loss : 15kg at 1-month follow-up. (Source: ...
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Yang Liu, Mengyi Li Source Type: research

A631 Completion Gastrectomy After Multiple Foregut Interventions
We present the case of a 50-year-old man with multiple obesity related co-morbidities, and a vast surgical history including a Roux-en-Y gastric bypass, 2 hiatal hernia repairs, and a fundoplication. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Juan Esteban Perez, Andres Narvaez, Leonard Welsh, Ramon Diaz, Dana Portenier, Daniel Guerron Source Type: research

A630 Revisional Surgery: Robotic One Anastomosis Gastric Bypass Due to Stenosis After Sleeve Gastrectomy
We present a 56 years old lady with body mass index (BMI) of 34 kg/m2. who had laparoscopic sleeve gastrectomy three years ago and lost 58kg after surgery. However, she was admitted to the hospital with severe reflux symptoms, nausea, vomiting, epigastric pain and early satiety. Gastroscopy was performed, which revealed severe stenosis due to rotation at corpus just above incisura angularis and also 3cm hiatal hernia. She underwent balloon dilatation. However there was no relief on symptoms and we admitted her to the hospital two weeks later for surgery. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Mahir Ozmen, Cem Guldogan, Emre Gundogdu Source Type: research

A628 Roux-en Y Fistulojejunostomy will be a best option for refractory post-sleeve gastric leak; Video report and literature review
Laparoscopic sleeve gastrectomy became the most common procedure during the last few years, due to its simplicity and efficacy compared to gastric bypass. However, complications related to the gastric staple line can be even more serious. In case of refractory chronic fistula, definite surgical option such as total gastrectomy or Roux-en Y fistulojejunostomy(RYFJ) might be considered. Although RYFJ has been done in a limited case, the procedure showed very promising results with good success rate and minimal invasiveness. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Yong Jin Kim Source Type: research

A627 Converting Old Procedures. Conversion of a Failed Vertical-Banded Gastroplaty to a Vertical Sleeve Gastrectomy
54 years old female from Calgary Alberta Canada who had a Vertical Banded Gastroplasty (VBG) in 2002 in Canada; in 2011 she requested me a revision from VBG to a gastric band due to weight regain with modest results and ultimately regaining all her weight back and developing gastro-esophageal reflux, GERD) she came back for a second revision in 2018 requesting a laparoscopic sleeve gastrectomy (LSG). Her initial BMI was 42 with two major co-morbidities diabetes mellitus (DMII) and high blood pressure (HBP)that went under remission with the primary surgery ; but due to de novo GERD and weight regain due to a band revision s...
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Jaime Ramos-Kelly Source Type: research

A625 Internal hernia after gastric bypass: 2 difficult cases with operative pearls - Part 1
Internal hernias (IH) are a common complication after gastric bypass (GB). They can occur in 1-15% of patients and can happen at anytime after surgery. They can be life threatening and present acutely or chronic and present with vague symptoms. The treatment in all cases is surgical. This video highlights the laparoscopic approach to IH and technical tips that are helpful for reducing and treating these dangerous events. We use 2 patients to illustrate the basic surgical techniques. The first patient presented with IH 3 years after a sleeve gastrectomy conversion to GB. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Benjamin Clapp, Isaac Lee, Michael Cutshall, Brittany Harper Source Type: research

A624 Laparoscopic Conversion of Non-Divided Gastric Bypass to Sleeve Gastrectomy due to Weight Regain
The world of bariatric surgery is constantly changing and evolving, and a procedure that is popular can be abandoned in a few years due to long term data suggesting a high failure rate. Modern bariatric surgeons however, are constantly faced with the challenge of operating patients with failures of those historic procedures. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Rena Moon, Muhammad Ghenem, Andre Teixeria, Muhammad Jawad Source Type: research

A623 Laparoscopic Hiatal Hernia Repair with Mesh in a Sleeve Patient for Recurrent Reflux
74-year-old female with a history of sleeve gastrectomy with hiatal hernia repair 5 years ago presented complaining of severe reflux. Patient had successful weight loss but developed recurrence of her severe reflux and hiatal hernia. She underwent hiatal hernia repair with anterior fundoplication 6 months ago to no avail. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Rena Moon, Andre Teixeira, Muhammad Jawad Source Type: research

A621 Robotic Conversion of Single-Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy (SADI-S) to Mini Gastric Bypass due to Malnutrition
41-year-old male with a history of single-anastomosis duodeno-ileal bypass with sleeve gastrectomy(SADI-S) in 2014 presented in 3 years later with liver cirrhosis related to protein malnutrition. At the time, reversal was discussed but the patient did not follow-up. Patient re-presented to the clinic 2 years later with continued weight loss, severe malnutrition with liver cirrhosis, and renal failure requiring dialysis. He was taken back to the operating room(OR) for conversion of SADI-S to mini gastric bypass. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Rena Moon, Andre Teixeira, Muhammad Jawad Source Type: research

A620 Laparoscopic Hiatal Hernia Repair after Initial Failure of Repair at the Time of Sleeve Gastrectomy
38-year-old female with no symptomatic reflux who underwent a sleeve gastrectomy for morbid obesity. At the time of surgery, she was found to have an approximately 5 cm hiatal hernia, which was repaired posteriorly. Post-operatively, she developed significant nausea and vomiting. Upper GI study and CT scan demonstrated a failure of the hiatal hernia repair with a significant portion of the stomach in the chest. She was taken back to the operating room for repair. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Rena Moon, Jameson Wier, Andre Teixeria, Muhammad Jawad Source Type: research

A615 Staging the Super Super Obese : Second Stage Surgery for the Super Obese Patient with Metabolic Syndrome with Long Limb OAGBP
30 year old woman from Texas USA whom 3 years earlier 03/2016 underwent a sleeve gastrectomy , patient was superobese BMI 78 with DM2 , Sleep Apnea , HBP and Dyslipidemia , BMI dropped to 60.2 with resolution of DMII . 03/2019 comes back to have second stage / conversion surgery after losing 150 pounds and regaining 30 from a baseline weight of 495 pounds . She underwent preop upper endoscopy and meal test for the second surgery , we offered her a long limb OAGBP . In both surgeries a Pre Op protocol was displayed that included nutritional support , medical appointments with various subspecialists , tight control of DMII ,...
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Jaime Ramos-Kelly Source Type: research

A614 Step By Step Comparison Between Standard Sleeve Gastrectomy And In Situs Inversus.
Laparoscopic Sleeve Gastrectomy (LSG) is recognized as a stand-alone operation and a definite treatment for morbid obesity worldwide. Situs Inversus Totalis (SIT) is a congenital anomaly presents in 0.01% of the population, results in complete mirror image reversal of all thoracic and abdominal organs , transmitted through autosomal recessive inheritance. LSG can be done safely with some difficulties in patients with SIT having morbid obesity and candidate for surgery . (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Ibrahim Hassan Tags: Tuesday, November 5th - Thursday, November 7th Source Type: research

A672 The Implications of Bariatric Surgery on Gender Affirmation Therapy, A Case Report
Gender affirming surgery continues to increase in popularity in the transgender patient population. A healthy weight prior to surgery decreases the risk of complications such as wound infection and cardiovascular events, and bariatric surgery can be a valuable therapy in optimizing weight. In addition to gender affirming surgery, hormone therapy is an integral component of the gender transition. Here we present the case of a transgender female on estrogen therapy who underwent laparoscopic sleeve gastrectomy and experienced a precipitous rise in her testosterone level to the normal male range as she began to lose weight. (...
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Philip Borger, Edward Yatco Source Type: research

A604 Improvement in Hemoglobin A1c after Laparoscopic Roux-en-Y Gastric Bypass and Sleeve Gastrectomy in an Ethnically Diverse Population
This study compared the effects of laparoscopic Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) on hemoglobin A1c (HbA1c) in a predominantly Hispanic and African-American population. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Leaque Ahmed, SAQIB Saeed, Kashif Saeed, Khuram Khan, Sara Alothman, Sanjiv Gray, Bianca Passos, AMRITA PERSAUD, Paritosh Suman Source Type: research

A603 Long-term use of acid suppression therapy does not differ between gastric bypass and sleeve gastrectomy patients
Gastroesophageal reflux disease (GERD) is common in patients with obesity and different bariatric procedures have different effects on the symptoms. There is little long-term data regarding acid suppression therapy (AST: proton pump inhibitor or H2-blocker) use after bariatric surgery. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Xiaoxi Feng, Stacy Brethauer, Ali Aminian, Toms Augustin Source Type: research

A600 pre-operative clinical characteristics but not long-term sleeve gastrectomy (sleeve) outcomes vary by race differently in women versus men
Clinical characteristics and outcomes of bariatric surgery vary by race and sex. However, variations between male and female SLEEVE patients by race have not been completely investigated. To identify pre-operative/outcome variation by race in women and men undergoing Laparoscopic Sleeve Gastrectomy. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Charles McCann, Gus Slotman, Joseph Radzevich Source Type: research

A599 Long Term Outcomes of Laparoscopic Sleeve Gastrectomy in an Adolescent Population.
Sleeve gastrectomy (SG) is the most performed bariatric surgery in adults and adolescents with obesity. In a previous article we studied the efficacy and safety of SG in adolescents. Herein we report their long-term results. Here is a scarcity of literature on similar long term reporting. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Ramzi Alami, Diya Aldeen Mohammed, Tarek Fouani, Bassem Safadi, Hayssam Fawal Source Type: research

A597 Revision of gastric banding – gastric bypass has better weight loss but longer length of stay than sleeve gastrectomy
In recent years, use of laparoscopic adjustable gastric banding(LAGB) has decreased but revisional bariatric surgery has become more common. The optimal approach to this patient population is unclear. Compare outcomes of LAGB patients who undergo conversion to sleeve gastrectomy(SG) or Roux-en-Y gastric bypass(RYGB) (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Dimitar Ranev, Jacqueline Duarte Fernandes, Anam Pal, Julio Teixeira Source Type: research

A596 weight regain after laparoscopic sleeve gastrostomy is part of the natural history of the operation
The sleeve gastrectomy is plagued with progressive weight regain after an initial significant weight loss. The purpose of this study is to determine the pattern of weight loss and the weight regain after the sleeve. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Mathias Fobi Source Type: research

A595 Predictors of postoperative weight trajectory in adolescent laparoscopic sleeve gastrectomy (LSG)
There is wide variation in post-LSG weight trajectory. The primary aim of this study is to determine if preoperative weight trajectory, and other factors, determine postoperative weight trajectory in adolescents LSG. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Sule Yalcin, Janet Figueroa, Stephanie Walsh, Mark Wulkan Source Type: research

A590 Initial Experience of a Single Institution Utilizing Anatomy-Based Sleeve Gastrectomy: A MBSAQIP Database Analysis
We present our institution ’s initial experience using this technique. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: HINALI ZAVERI, Aaron Hoffman, Jonathan Thompson, Arianne Train, Dennis Hanseman, Amit Surve Source Type: research

A589 Risk Factors For Readmission For Hyperparathyroidism After Bariatric Surgery
Bariatric surgery leads to many nutritional deficiencies, specifically with calcium absorption and has long-term impacts on bone density. Previous studies explore hyperparathyroidism after Roux-en-Y gastric bypass (RYGB) but there are no studies looking at readmission rates for hyperparathyroidism in patients after either RYGB or sleeve gastrectomy (SG). We sought to assess the frequency of readmission and related comorbidities in this patient population. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Michael Lopez, Joshua Parreco, Kandace Kichler, Ellie Moeller, Rishi Rattan, Jessica Buicko Source Type: research

A587 Comparison of Laparoscopic Roux-en-Y Gastric Bypass and Sleeve Gastrectomy from 2015-2017: An MBSAQIP Analysis
Over the last decade, laparoscopic sleeve gastrectomy (SG) has surpassed Roux-en-Y Gastric Bypass (RYGB) in popularity. Previous studies have suggested lower rates of complications in SG; however, there are limited large-scale studies. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Colleen Tewksbury, Luis Filipe de Pina, Victoria Gershuni, Octavia Pickett-Blakely, Kristoffel Dumon, Noel Williams Source Type: research

A585 Iron and Related Nutritional Deficiencies Among Asians 1 Year Post Sleeve Gastrectomy
Laparoscopic sleeve gastrectomy (LSG) is an effective treatment for obesity. Pre and post bariatric surgery nutrient deficiencies exist commonly. Literature on this is scant in Asian populations. Our study aims to identify predictors for baseline anemia in an Asian bariatric population and compare anemia and related nutrient deficiencies at baseline and 1-year post LSG. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Tiffany Rui Xuan Gan, Benjamin Lim, Xin Yi Rachel Kwek, Guowei Kim, Jimmy Bok Yan So, Asim Shabbir Source Type: research

A582 Efficiency of laparoscopic one-step revision of failed adjusted gastric banding to gastric sleeve: a retrospective review of 101 consecutive patients
In recent years, laparoscopic adjustable gastric banding (LAGB) has been one of the most common performed bariatric procedures worldwide. Nevertheless, its high rate of complications and failure up to 70% demands a revisional surgery. The one-stage conversion LAGB to laparoscopic sleeve gastrectomy (LSG) has been proved to be safe, but concern on efficacy on long-term weight loss has been raised. To present our long-term outcomes on this procedure. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Theodoros Thomopoulos Source Type: research

A581 Pneumoperitoneum is not an Expected Finding After Laparoscopic Sleeve Gastrectomy
This study argues that the true incidence of pneumoperitoneum following laparoscopic sleeve gastrectomy is actually very low, and therefore its presence should warrant significant concern in the proper clinical context. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Netanel Alper, sarah pearlstein, Daniel Droukas, Edward Yatco, Julio Teixeira, Mitchell Roslin Source Type: research

A579 Investigating weight-related outcomes following Laparoscopic Sleeve Gastrectomy utilizing the ACS MBSAQIP
We present a query of national bariatric surgery data investigating potential differences in surgical outcomes of laparoscopic sleeve gastrectomy (LSG) by obesity class. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Zachary Sanford, Andrew Broda Source Type: research

A577 short term oral anticoagulation may prevent porto-mesenteric vein thrombosis after sleeve gastrectomy
We report on the outcomes of short time oral anticoagulation with apixaban, in patients with recognized abnormality on a preoperatively obtained thrombophilia panel. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 1, 2019 Category: Surgery Authors: Ajay Chopra, Danielle Friedman Source Type: research