Introduction:
Obese patients in the Veterans Affairs (VA) Health Care System who undergo bariatric surgery differ from their civilian counterparts, as they are predominantly men, older aged, carry greater obesity related comorbidity burden and are of lower socioeconomic status. While studies have shown bariatric surgery significantly improves glycemic control and cardiometabolic risk factors, there is limited longitudinal data from the Veteran population. This study evaluated the long-term outc
Background: Laparoscopic Sleeve Gastrectomy (LSG) is gaining popularity worldwide due to its success on a short term basis. However, long term follow up results included insufficient weight loss and weight regain that required surgical intervention. Laparoscopic Roux-en-Y-Gastric Bypass (LRYGB) and Laparoscopic Re-sleeve Gastrectomy (LRSG) are currently being studied as conversional techniques for failed LSG. This study aims at assessing the success rate of these conversional techniques.
Method
Introduction: While the safety of bariatric surgery has increased significantly, complications do arise which necessitate the use of Total Parenteral Nutrition (TPN). The safety of TPN in this patient cohort is not studied. We therefore studied the outcomes of a group of patients who required TPN following bariatric surgery.
Methods and Procedures: The TPN database at our institution was queried and 24 consecutive cases of TPN usage identified. All patients had bariatric surgery between 12/2
Introduction
Non-alcoholic fatty liver disease (NAFLD), a disease highly prevalent among the morbidly obese population, is today one of the most common causes of chronic liver disease. The purpose of this study is to observe the effect of laparoscopic sleeve gastrectomy (LSG) on the resolution of NAFLD.
Methods and Procedures
A retrospective study was conducted of 84 patients diagnosed with NAFLD prior to undergoing LSG. The diagnosis of NAFLD was achieved based on transabdominal ultrasonog
Introduction
Multiple studies have demonstrated the efficacy of bariatric surgery in producing long term weight loss and resolution of medical comorbidities. Success after laparoscopic roux-en-y gastric bypass (LRYGB) is usually defined as a 50% or greater loss of excess body weight (EWL) at 1 year after surgery. Failure of a patient to achieve expected weight loss after gastric bypass is a frustrating and difficult problem for both patients and surgeons. If a better method of predicting a pati