Background: Anastomotic strictures at the gastrojejunal anastomosis are relatively common after a gastric bypass. There are three different ways to perform a gastrojejunal(GJ) anastomosis; circular stapled, linear stapled and hand sewn. The circular stapled technique obviously provides the most standard diameter and the other two techniques can be standardized by using a bougie to calibrate the diameter of the anastomosis. However they all have the possibility to stricture. This requires a dil
Introduction: Revisional surgery has become an important component of addressing weight regain and complications following primary bariatric surgery. A specialized multidisciplinary revision clinic has been developed to intake patients that require revisional bariatric surgery. The objective of this project will be to analyse the revisional clinic process, review revision and complication rates compared to primary bariatric surgery, and inform future programming and resource allocation in a prov
Introduction:
Laparoscopic sleeve gastrectomy (LSG) is an acceptable primary operation for morbid obesity. Leak after LSG is one of the most serious complications. However, all leaks after LSG are not the same and they differ based on the timing of presentation, and presence of peritonitis or distal stricture. Different management strategies have been described including endoscopic stents, or surgical correction. However, no clear algorithm has been described for management.
Objectives:
Des
INTRODUCTION: Bariatric surgery remains an enduring treatment to achieve long-term weight loss in the morbidly obese. While insurance now widely covers bariatric procedures, the relationship between insurance type and weight loss remains unclear. This study aims to evaluate the impact of insurance status on outcomes following three laparoscopic bariatric surgeries: Roux-en-Y gastric bypass (LRYGB), sleeve gastrectomy (LSG), and adjustable gastric banding (LAGB).
METHODS AND PROCEDURES: At a s
Introduction:
Obesity is a reported risk factor for non-alcoholic steatohepatitis (NASH), which is a common cause of cirrhosis. The estimated prevalence of nonalcoholic fatty liver disease (NAFLD) ranges from 84%-96% and for NASH 25%-55%. Up to 25% of patients with NASH will progress to liver cirrhosis. Cirrhosis is recognized incidentally in 1.4% of patients undergoing elective bariatric surgery.
Even though the marked improvement in liver fibrosis after laparoscopic Roux-en-Y gastric bypass