Background:
Obesity has been clearly linked to the development of type II diabetes mellitus (T2DM) contributing significantly to the substantial cost of healthcare in the United States. Medical management modalities have fallen short in the treatment of this disease process and prevention of its sequelae. Sustained weight loss is a known effective treatment of T2DM and has been further aided by the development of weight loss surgery. Among surgical therapies, laparoscopic roux-en-y gastric bypa
Introduction: Recent research by groups led by W. Admiraal (2012), K.J. Coleman (2013) and others has examined the influence of ethnicity on outcomes of bariatric surgery. Most of these studies have concluded that excess weight loss (%EWL) is greater in Caucasians than in African Americans, though the majority of these studies included significantly more Caucasians than minority patients. This study examines differences in weight loss outcomes and complication rates following bariatric surgery a
Background: Patients may have multiple Emergency Room (ER) visits following a Bariatric procedure, which may range from non-specific abdominal complaints requiring conservative management to an abdominal emergency which may require immediate surgical intervention. Following Bariatric surgery, the abdominal anatomy is often variable and complex. Frequently, surgeons with little or no bariatric expertise may feel uncomfortable taking care of these patients. We looked at our experience over a 5-yea
Introduction: The objective of this study is to analyze the effect of gastric bypass (GB) and sleeve gastrectomy (SG) on patients with preoperative gastroesophageal reflux disease (GERD).
Methods: We retrospectively reviewed the charts of patients that had bariatric surgery from 2009 to 2013 to identify those with preoperative GERD. The charts were then examined at 1 year postoperatively to identify the status of their GERD symptoms. This was evaluated to be worse, not changed, improved, or res
INTRODUCTION: Marginal ulcer is a potentially serious complication after gastric bypass surgery, occurring in 5-7% of patients. Many reports in the literature describe revisional transabdominal gastrojejunostomy for ulcers that are refractory to medical management, and only one study to date (Hunter, et al. Am Surg 2012 Jun;78(6):663-8) describes transthoracic vagotomy as an alternative approach, claiming 80% effectiveness for treating persistent GJ ulcers. The purpose of our study was to examin