Background: Sleeve Gastrectomy is currently the most common bariatric procedure in France. It achieves both adequate excess weight loss and significant reduction of comorbidities. However, leak is still the most common complication after sleeve gastrectomy. Its risk of occurrence is, albeit, < 3 % in specialized centers. Its management is difficult, long, and challenging. Although commonly endoscopic and nonoperative, the management of post sleeve fistulas could sometimes be surgical including p
Introduction: Laparoscopic adjustable gastric banding (LABG) is a restrictive weight-loss procedure that is increasingly requiring revisional surgery for complications or failures. Removal of the band and conversion to either laparoscopic sleeve gastrectomy (LSG) or laparoscopic roux-en-y gastric bypass (LRYGB) is feasible as a single-stage procedure, but insufficient data exists regarding safety and the most effective revisional procedure. This study compares the safety and efficacy of single-s
Introduction: Staple line leak is the most feared complication after sleeve gastrectomy. Intraoperative methylene blue and air leak tests are routinely used to evaluate for leak, however the utility of these tests is controversial. The 2012 International Sleeve Gastrectomy Expert Panel failed to reach a consensus about whether routine intraoperative leak tests should be performed. Additionally, these tests are not benign – they introduce increased instrumentation, with reports of nasogastric tub
INTRODUCTION
A total of 20-30% of patients who undergo bariatric surgery will fail to lose enough weight. Multiple factors have been postulated for this including anatomical abnormalities and patient compliance. Revision by open or laparoscopic means is associated with higher morbidity and mortality compared to initial operative management, and long term results in terms of weight loss have been inconsistent. Endoscopic plication has been seen as a less invasive option, with encouraging initial
Introduction:
Laparoscopic sleeve gastrectomy (LSG) has become a widely used primary bariatric surgery. Being a restrictive procedure, calibrating bougie size is assumed to impact both morbidity and weight loss. However, no prospective studies have confirmed this hypothesis. The objective of this trial was to compare LSG outcomes using different calibrating bougie diameters.
Methods & Procedures:
Prospective randomized controlled trial. One hundred and twenty six (126) patients undergoing L