Introduction: Since its introduction sleeve gastrectomy has become the most commonly performed resection for obesity. Percent excess weight loss is the major determinant of outcome in obesity surgery.
Aim: To analyze if the dimensions of the gastric specimen has effect on percent excess weight loss in sleeve gastrectomy.
Patients and Methods: 41 patients who had sleeve gastrectomy by the same surgeon between 2012 and 2014 were followed prospectively. Dimensions of surgical pathology specimens
Introduction
Gastro esophageal reflux disease (GERD) is estimated to affect 40% of the population in the United States. In appropriate patients, laparoscopic fundoplication is currently considered to be the anti-reflux procedure of choice, with successful re-establishment of G-E junction physiology. Failure rates are reportedly between2% and 30%. Obesity, technical approach of repair, and anatomical variation of each patient are associated with operative failure and recurrent GERD. Recent repor
Calcium is normally absorbed actively by transcellular transport in the duodenum and passively in the jejunum and ileum (and to a much lesser extent in the colon) when dietary Calcium levels are elevated. Biliopancreatic diversion with duodenal switch (BPD-DS) bypasses the active mechanism rendering the patient dependent on passive absorption via a short ileal segment.
65 year old female was requiring increasing (and eventually intolerable) amounts of oral Calcium and Vitamin D during the ten y
Introduction:
Roux-en-Y gastric bypass (RYGB) performed through open laparotomy was considered the gold standard operation for the treatment of morbid obesity for over two decades. Surgeons versed in the laparoscopic technique may find revisional surgery after open bypass challenging . Moreover, “banded –bypass” was a technique employed by some open surgeons, incorporating mesh band placement around the pouch to prevent dilatation. Obesity is a chronic condition and some patients may fail to lo
Background: Laparoscopic sleeve gastrectomy (LSG) is a recent addition to the bariatric surgery armamentarium. It has been well demonstrated to be an efficacious stand-alone bariatric procedure in regards to weight loss and comorbidity improvement. This study evaluates the progress of our initial experience with LSG at Dwight D. Eisenhower Army Medical Center (DDEAMC) during the time period of 2008-2010.
Methods: This is a retrospective review of prospective data from our LSG caseload at DDEAMC