Research Journal
Research and education are foundational to the mission of Orlando Health and our Weight Loss and Bariatric Surgery Institute. Our physicians share their research and clinical insights with a national and international community of colleagues.
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| Author(s) | Title | Description | Publish Date |
|---|---|---|---|
| Single anastomosis duodenal switch versus Roux-en-Y gastric bypass in patients with BMI50 kgmsup2sup a multi-centered comparative analysis | CONCLUSIONS: In our cohort, SADI-S was associated with higher and sustained weight-loss results compared to RYGB. Comorbidity resolution was also higher after SADI-S. Both procedures demonstrate a similar safety profile. Further studies are required to validate the long-term safety of SADI-S compare... | 3/21/2024 | |
| Reflux After Sleeve Gastrectomy Safety and Effectiveness of Laparoscopic Ligamentum Teres Cardiopexy, a Single-Center Experience | CONCLUSIONS: LTC is a safe and effective surgical alternative to treat refractory GERD symptoms after SG. | 2/27/2024 | |
| Current recommendations for procedure selection in class I and II obesity developed by an expert modified Delphi consensus | Metabolic and bariatric surgery (MBS) is widely considered the most effective option for treating obesity, a chronic, relapsing, and progressive disease. Recently, the American Society of Metabolic and Bariatric Surgery (ASMBS) and the International Federation for the Surgery of Obesity and Metaboli... | 2/10/2024 | |
| Management of Malnutrition and Hepatic Impairment After Duodenal Switch | CONCLUSIONS: While refractory malnutrition and/or liver failure are rare among patients post-DS, if underdiagnosed and untreated, this can lead to irreversible outcomes and death. All revisional procedures included in this study resulted in improvement of the nutritional status and reversal of liver... | 1/4/2024 | |
| Comparative multicenter analysis of sleeve gastrectomy, gastric bypass, and duodenal switch in patients with BMI 70kgmsup2sup a 2-year follow-up | Patients undergoing metabolic and bariatric surgery (MBS) with body mass index (BMI) ≥ 70 kg/m² are considered a high-risk group. There is limited literature to guide surgeons on the perioperative safety as well as the different procedural outcomes of MBS in this cohort. Our aim is to compare the sa... | 12/27/2023 | |
| Effect of Swallow Balloon Therapy with the Combination of Semaglutide Oral Formulation a Randomised Double-Blind Single-Centre Study | CONCLUSION: The study supports the efficacy of swallow balloon therapy combined with semaglutide oral formulation in promoting weight loss and improving comorbid conditions. The findings highlight the potential of this combined approach in managing obesity and its associated health issues. | 12/13/2023 | |
| Bariatric Evaluation Through AI a Survey of Expert Opinions Versus ChatGPT-4 BETA-SEOV | CONCLUSION: The evaluation of ChatGPT-4's role in determining bariatric surgery suitability uncovered both potential and shortcomings. Its alignment with experts was inconsistent, and it often overlooked key factors, emphasizing human expertise's value. Its current use requires caution, and further ... | 10/27/2023 | |
| Endoscopic sleeve gastroplasty as an early tool against obesity a multicenter international study on an overweight population | CONCLUSIONS: ESG is safe and effective in treating overweight patients with high BMI normalization rates. It could help halt or delay the progression to obesity. | 10/18/2023 | |
| Marginal Ulcer and Dumping Syndrome in Patients after Duodenal Switch A Multi-Centered Study | CONCLUSIONS: The incidences of MU and dumping after DS were low. NSAID use and a longer operation time were associated with an increased risk of MU, whereas dumping was attributed to poor dietary habits. | 9/9/2023 | |
| Prospective Meta-analysis of Weight Loss Regained and Success Rate of Argon Plasma Coagulation to Suture and Surgery Procedures Post-bariatric Surgery Status of the Art of Endoscopic Treatment | CONCLUSION: The APC proved to be efficient and safe like the other techniques. | 8/23/2023 | |
| Long-Term Outcomes of Sleeve Gastrectomy Weight Recurrence and Surgical Non-responders | CONCLUSIONS: Only 20% of patients who underwent SG and followed up for more than 5 years were able to maintain appropriate weight loss. | 7/18/2023 | |
| Analysis of the Impact of the Learning Curve on the Safety Outcome of the Totally Robotic-Assisted Biliopancreatic Diversion with Duodenal Switch a Single-Institution Observational Study | CONCLUSIONS: After the first 50 cases, the operative time, the length of stay, and the overall rate of complications decreased, being especially significant the decrease in the duodeno-ileal anastomosis leakage rate after reaching the learning curve. | 7/13/2023 | |
| Endoscopic resection of a gastric GI stromal tumor using the helix-snaring technique | Video 1Endoscopic resection of a gastric GI stromal tumor using the helix-snaring technique. | 5/17/2023 | |
| Implementing novel modalities into an institutional enhanced recovery after bariatric surgery ERABS protocol | CONCLUSION: Focus on optimized pain management, allied to a superior PONV control, may be relevant contributors for a lower LOS without negative impacts in complications rates. | 4/5/2023 | |
| Impact of Emend on Perioperative Bariatric Surgery Antiemetic Utilization, Patient Satisfaction, and Costs | CONCLUSION: Fosaprepitant is a relevant alternative in preventing and treating PONV in patients who underwent bariatric/metabolic surgical procedures. | 2/23/2023 | |
| Impact of Perioperative Ketamine on Postoperative Bariatric Surgery Opioid Use and Length of Stay | CONCLUSIONS: Ketamine may be a feasible alternative to reduce opioid use and hospital length of stay. We believe that ketamine can be an important contribution to ERABS pathways, being responsible for improved outcomes after bariatric/metabolic surgical procedures. | 2/2/2023 | |
| Bariatric endoscopy, care-curative medicine and legal conflicts Spanish Bariatric Endoscopy Group Gettemo-SEED Positioning | Bariatric endoscopy treats obesity as a disease, in addition to its multiple associated comorbidities, so it should be considered in the "care-curative" field and not as "satisfying, voluntary or outcoming" medicine. Insufficient weight loss cases, or complications may occur. This, in parallel with ... | 1/31/2023 | |
| Gastric Emptying and Its Correlation With Weight Loss and Body Mass Index in Patients With an Intragastric Balloon A Prospective Study With Six Years of Follow-Up | Background Obesity is the most well-established and prolonged pandemic in modern society. Having a better understanding of the available tools is important to improve weight loss and make the strategies more productive. This study aims to evaluate the effect of intragastric balloon (IGB) on gastric ... | 1/19/2023 | |
| Impact on Mid-Term Health-Related Quality of Life after Duodenal Switch a Systematic Review and Meta-Analysis | CONCLUSION: Our meta-analysis demonstrated an improvement in mid-term HrQoL after BPD-DS. Despite the promising trends demonstrated in this meta-analysis, further studies with large sample sizes are needed to evaluate the impact of HrQoL on patients with obesity after BPD-DS. | 1/7/2023 | |
| Spanish Intragastric Balloon Consensus Statement SIBC practical guidelines based on experience of over 20 000 cases | CONCLUSIONS: this consensus based on more than 20 000 cases represents practical recommendations to perform IGB procedures. This experience shows that the device leads to satisfactory weight loss with a low rate of adverse events. Most results are reproducible compared to those obtained by the BIBC. | 11/25/2022 | |
| Sleeve-Dor Fundoplication - An Innovative Surgical Technique to Avoid the Epidemic Long Term de Novo Gastroesophageal Reflux and Barretts Esophagus After Sleeve Gastrectomy for Obesity | BACKGROUND: Sleeve gastrectomy (SG) in current literature showed an increased risk of "de novo" gastroesophageal reflux disease (GERD) and increased risk for Barrett's esophagus in longer follow-up series, with a possibility of esophageal adenocarcinoma in this population. Adding primarily an anteri... | 11/22/2022 | |
| Robot-assisted duodenal switch with DaVinci Xi surgical technique and analysis of a single-institution experience of 661 cases | Metabolic and bariatric surgery is an effective treatment for the management of obesity and related comorbidities. Although the duodenal switch has demonstrated superior results in terms of resolution of obesity-related comorbidities and weight loss, it is one of the less performed procedures. The u... | 11/13/2022 | |
| Single- Versus Double-Anastomosis Duodenal Switch Outcomes Stratified by Preoperative BMI | CONCLUSION: BPD-DS achieved greater %TBWL at 2 years, but no superiority was perceived among study subgroups. SADI-S and BPD-DS showed similar overall complication rates. | 10/24/2022 | |
| Duodenal Switch Conversion in Non-responders or Weight Recurrence Patients | CONCLUSION: Duodenal switch conversions are an effective salvage procedure for insufficient weight loss and/or weight regain after adjustable gastric band, sleeve gastrectomy, and Roux-en-Y gastric bypass; it is also safe, associated to low readmission, reoperation, and mortality rates. | 10/8/2022 | |
| Four-year outcomes for endoscopic sleeve gastroplasty from a single centre in India | CONCLUSIONS: This study shows acceptable results with ESG at 4 years in our unit. Regular monitoring by a multidisciplinary nurtures weight loss, resolution or improvement of comorbidities and improvement of quality of life with low perioperative complications. There is a need for more reports with ... | 9/20/2022 | |
| Endoscopic sleeve gastroplasty for treatment of class 1 and 2 obesity MERIT a prospective, multicentre, randomised trial | BACKGROUND: Endoscopic sleeve gastroplasty (ESG) is an endolumenal, organ-sparing therapy for obesity, with wide global adoption. We aimed to explore the efficacy and safety of ESG with lifestyle modifications compared with lifestyle modifications alone. | 7/31/2022 | |
| A Delphi consensus statement for digital surgery | The use of digital technology is increasing rapidly across surgical specialities, yet there is no consensus for the term 'digital surgery'. This is critical as digital health technologies present technical, governance, and legal challenges which are unique to the surgeon and surgical patient. We aim... | 7/19/2022 | |
| Analysis of the sharpening effect in gyromagnetic nonlinear transmission lines using the unidimensional form of the Landau-Lifshitz-Gilbert equation | Continuous nonlinear transmission lines (NLTLs), also known as gyromagnetic lines, consist of ferrite-based magnetic cores biased by an external magnetic field. Over the past years, many analytical and experimental studies have predicted the rise time reduction of the input pulse to the range of a f... | 7/1/2022 | |
| Endoscopic sleeve gastroplasty a narrative review on historical evolution, physiology, outcomes, and future standpoints | Since its first description in 2013, robust evidence supporting the efficacy and safety of the endoscopic sleeve gastroplasty (ESG) has been on the rise. A large case series and meta-analysis report supported results up to 24 months, while some other studies already described 5-year data. If associa... | 6/7/2022 | |
| Prospective Multicenter Study of the Primary Obesity Surgery Endoluminal POSE 20 Procedure for Treatment of Obesity | CONCLUSION: POSE 2.0 is an effective and durable endoscopic bariatric therapy which may influence physiologic pathways impacting satiety. Larger comparative studies are needed to further elucidate these initial findings. | 5/9/2022 | |
| Persistence of Sutures and Gastric Reduction After Endoscopic Sleeve Gastroplasty Radiological and Endoscopic Assessment | CONCLUSIONS: ESG is an effective and safe weight loss strategy at 12-month follow-up with persistence of most sutures and maintenance of notable gastric reduction and remodeling. | 3/30/2022 | |
| Durable metabolic improvements 2 years after duodenal mucosal resurfacing DMR in patients with type 2 diabetes REVITA-1 Study | CONCLUSIONS: DMR is associated with durable improvements in insulin sensitivity and multiple downstream metabolic parameters through 24 months post-treatment in type 2 diabetes. Clinical trial reg. no. NCT02413567, clinicaltrials.gov. | 1/15/2022 | |
| ANTI-REFLUX PROCEDURES AFTER ROUX-EN-Y GASTRIC BYPASS | CONCLUSIONS: Female patients with a significant weight loss may develop a severe reflux symptoms years after RYGB. Complaints of reflux after RYGB should not be overlooked. Careful follow-up and appropriate treatment (including surgical intervention) is needed for this population. | 1/12/2022 | |
| Good Clinical Practices on Argon Plasma Coagulation Treatment for Weight Regain Associated with Dilated Gastrojejunostomy Following Roux-en-Y Gastric Bypass a Brazilian-Modified Delphi Consensus | CONCLUSIONS: This consensus provides several recommendations based on a highly experienced panel of endoscopists. Although it covers most aspects of the treatment, the level of evidence is low for the majority of the statements. Therefore, bariatric endoscopists should be constantly attentive to new... | 11/23/2021 | |
| Learning Process Effectiveness During the COVID-19 Pandemic Teleproctoring Advanced Endoscopic Skills by Training Endoscopists in Endoscopic Sleeve Gastroplasty Procedure | CONCLUSIONS: The proposed teleproctoring program was effective to deliver advanced endoscopic skills such as endosuturing for ESG, despite the restrictions imposed by the COVID-19 pandemic. | 10/19/2021 | |
| Banded RYGB Ring Slippage Endoscopic Removal with Self-expandable Stents a Comparative Study Between Metallic and Plastic One | CONCLUSION: Both procedures were efficient at inducing band erosion with similar safety profiles. Older and female patients are at a higher risk of treatment-related adverse events, especially those receiving SEMS. | 10/13/2021 | |
| Hydatid cyst in the neck, an unusual localization of the disease A case report | CONCLUSION: Hydatid cyst disease in the neck is extremely rare. Hydatid cyst should be included in differential diagnosis of cystic lesions in the neck especially in patients from endemic countries. Post-operative surveillance is important to diagnose the complete healing or recurrence of hydatid di... | 8/14/2021 | |
| Endoscopic Procedures for Weight Loss | PURPOSE OF REVIEW: To provide updated evidence on the endoscopic procedures for weight loss and to bring personal insights on the future of endobariatrics. | 7/23/2021 | |
| To oversew or not to oversew in robotic sleeve gastrectomy a case against oversewing the staple line | CONCLUSIONS: No significant difference in major complications was found between RSG patients with and without oversewn staple lines. Oversewing of the staple line may be associated with increased emergency room visits. | 3/26/2021 | |
| Safety and efficacy of hydrothermal duodenal mucosal resurfacing in patients with type 2 diabetes the randomised, double-blind, sham-controlled, multicentre REVITA-2 feasibility trial | CONCLUSIONS: DMR is safe and exerts beneficial disease-modifying metabolic effects in T2D with or without non-alcoholic liver disease, particularly in patients with high FPG. | 2/18/2021 | |
| Intragastric balloon | The intragastric balloon is a temporary and minimally invasive therapy for weight loss, currently being the main choice for mild obesity. As a space-occupying device, it reduces stomach capacity, resulting in decreased hunger and food intake. There are different balloon models, filled with liquid or... | 2/11/2021 | |
| Efficacy of Liraglutide to Prevent Weight Regain After Retrieval of an Adjustable Intra-gastric Balloon-a Case-Matched Study | CONCLUSION: Liraglutide has an additive benefit with respect to efficacy and a reduction in body fat when commenced after IGB retrieval. Future randomized control studies will be needed to determine the optimal dose and duration of liraglutide to achieve superior outcomes. | 11/19/2020 | |
| Endoscopic sleeve gastroplasty plus liraglutide versus endoscopic sleeve gastroplasty alone for weight loss | CONCLUSIONS: Addition of liraglutide at 5 months results in superior weight loss and improved efficacy as demonstrated by decreased body fat 12 months after ESG. Further studies are imperative to determine optimal dose, timing, and duration of liraglutide. | 10/19/2020 | |
| Brazilian Consensus on Endoscopic Sleeve Gastroplasty | CONCLUSIONS: This consensus establishes practical guidelines for performance of ESG. The experience of 1828 procedures shows the expertise of the selected specialists participating in this consensus statement. The group's experience has a satisfactory weight loss with low adverse events rate. The ma... | 8/21/2020 | |
| Endoscopic full-thickness suturing plus argon plasma mucosal coagulation versus argon plasma mucosal coagulation alone for weight regain after gastric bypass a systematic review and meta-analysis | CONCLUSIONS: This meta-analysis demonstrates that both ft-TORe and APMC-TORe offer significant and comparable weight-loss outcomes with a high and comparable safety profile. However, APMC-TORe typically required multiple endoscopic sessions. Identifying a goal for the final and change in GJA diamete... | 7/22/2020 | |
| A protocolized approach to endoscopic hydrostatic versus pneumatic balloon dilation therapy for gastric sleeve stenosis a multicenter study and meta-analysis | CONCLUSIONS: Hydrostatic balloon dilation should be considered as an initial modality for GSS given its acceptable success rate and high safety profile. In those who fail hydrostatic balloon dilation, a subsequent step-up approach to pneumatic balloon dilation or revisional surgery should be attempt... | 7/10/2020 | |
| IFSO Endoscopy Committee Position Statement on the Practice of Bariatric Endoscopy During the COVID-19 Pandemic | COVID-19 (Coronavirus disease 2019) caused by SARS-CoV-2 has become a global pandemic. Obesity is a risk factor for severe disease, and the practice of endoscopy poses special challenges and risks of SARS-CoV-2 transmission to patients and providers given the evolving role of the gastrointestinal tr... | 7/6/2020 | |
| Cardiopexy at the Time of Sleeve Gastrectomy as a Preventive Measure for Reflux | CONCLUSION: Cardiopexy was not associated with a reduced rate of symptomatic GERD and conversion to RYGB after 6 months. | 6/5/2020 | |
| Revisional endoscopic sleeve gastroplasty of laparoscopic sleeve gastrectomy an international, multicenter study | CONCLUSIONS: R-ESG is a safe and effective means of facilitating weight loss for weight recidivism after LSG, with sustained results at 1 year. R-ESG should be considered before pursuing more-invasive surgical revisional options. | 5/31/2020 | |
| Main prophylactic measures in bariatric endoscopy Spanish Expert Recommendations Guideline | Bariatric endoscopy (BE) encompasses a number of techniques -some consolidated, some under development- aiming to contribute to the management of obese patients and their associated metabolic diseases as a complement to dietary and lifestyle changes. To date different intragastric balloon models, su... | 5/27/2020 | |
| Correction to Endoscopic Argon Plasma Coagulation Vs Multidisciplinary Evaluation in the Management of Weight Regain after Gastric Bypass Surgery a Randomized Controlled Trial with SHAM Group | In the original article the captions for Figs. 1-3 are incorrect. | 5/21/2020 | |
| Does weight gain, throughout 15 years follow-up after Nissen laparoscopic fundoplication, compromise reflux symptoms control | CONCLUSION: Fundoplication was safe and effective in early and late periods. There was late weight gain, which did not influence effective symptoms control. | 5/20/2020 | |
| Feasibility and safety of robot-assisted bariatric conversions and revisions | CONCLUSIONS: Robot-assisted conversions and revisions were as feasible and safe as laparoscopic procedures. However, operative time was longer in robot-assisted conversions. | 5/20/2020 | |
| Isolated sleeve gastrectomy stricture a systematic review on reporting, workup, and treatment | The isolated stricture after the sleeve gastrectomy is one of the possible surgical complications. Previous algorithms have been proposed to address the workup and treatment of sleeve gastrectomy stricture. However, current literature lacks standardization and systematic reviews on this topic. This ... | 4/26/2020 | |
| Endoscopic duodenal mucosal resurfacing improves glycaemic and hepatic indices in type 2 diabetes 6-month multicentre results | CONCLUSION: Hydrothermal ablation of the duodenum by DMR elicits a beneficial metabolic response in patients with T2DM. DMR also improves hepatic indices, potentially through an insulin-sensitizing mechanism. These encouraging data deserve further evaluation in randomized controlled trials. | 2/11/2020 | |
| Short-term results of long biliopancreatic limb Roux-en-Y gastric bypass-is it superior | CONCLUSIONS: Short-term results show that long biliopancreatic limb RYGB was not associated with a more significant weight loss after RYGB. The 2 procedures were similar in 30-day complications. | 1/29/2020 | |
| Endoscopic Argon Plasma Coagulation vs Multidisciplinary Evaluation in the Management of Weight Regain After Gastric Bypass Surgery a Randomized Controlled Trial with SHAM Group | CONCLUSION: Treatment of the gastrojejunal anastomosis with APC was effective and safe, with significant weight loss, the return of early satiation, and an improvement in quality of life. | 1/26/2020 | |
| International multicenter expert survey on endoscopic treatment of upper gastrointestinal anastomotic leaks | Background and study aims A variety of endoscopic techniques are currently available for treatment of upper gastrointestinal (UGI) anastomotic leaks; however, no definite consensus exists on the most appropriate therapeutic approach. Our aim was to explore current management of UGI anastomotic leaks... | 12/3/2019 | |
| Conversions of Roux-en-Y gastric bypass to duodenal switch SADI-S and BPD-DS for weight regain | CONCLUSION: Conversions of RYGB to SADI-S and BPD-DS can provide significant additional weight loss. However, complications and malnutrition can develop after the conversion, and further research is needed for evaluating safety. | 10/23/2019 | |
| Safety and short-term effectiveness of endoscopic sleeve gastroplasty using overstitch preliminary report from a multicenter study | CONCLUSION: Short-term results suggest that ESG is a safe and effective option for patients with Class I and II obesity. | 10/19/2019 | |
| Resuturing of Stomach in Endoscopic Sleeve Gastroplasty 8 Months After Original Procedure | Endoluminal treatments such as endoscopic gastroplasty have been gaining ground in obesity treatment. A 52-year-old woman gained weight 5 months after endoscopic gastroplasty. Thus, it was decided to resuture the greater curvature of the stomach 8 months after the initial procedure by reducing the g... | 10/17/2019 | |
| Efficacy and Safety of Endoscopic Sleeve Gastroplasty A Systematic Review and Meta-Analysis | CONCLUSIONS: In a systematic review and meta-analysis, we found ESG to produce clinically significant weight loss that was reproducible among independent centers and to have a low rate of severe adverse events. ESG appears to be an effective intervention for patients with obesity, although comparati... | 8/24/2019 | |
| Endoscopic sleeve gastroplasty is an effective and safe minimally invasive approach for treatment of obesity First Indian experience | CONCLUSIONS: Endoscopic sleeve gastroplasty is effective and safe at promoting weight loss in the Indian population. Young age and female gender are related to better outcomes. | 8/9/2019 | |
| Endoscopic duodenal mucosal resurfacing for the treatment of type 2 diabetes mellitus one year results from the first international, open-label, prospective, multicentre study | CONCLUSIONS: In this multicentre study, DMR was found to be a feasible and safe endoscopic procedure that elicited durable glycaemic improvement in suboptimally controlled T2D patients using oral glucose-lowering medication irrespective of weight loss. Effects on the liver are examined further. | 7/24/2019 | |
| Outcomes of a novel bariatric stent in the management of sleeve gastrectomy leaks a multicenter study | CONCLUSIONS: This novel, large-caliber, fully covered stent specifically designed for sleeve leaks appears to be effective at treating acute and early leaks. However, the large flanges and long stent length do not appear to reduce migration rate and may be associated with higher overall severe AE ra... | 7/3/2019 | |
| The Effect of the Intra-gastric Balloon on Gastric Emptying and the DeMeester Score | CONCLUSION: The IGB delays GE for solids, but not for liquids, and increases the DeMeester score by a mechanism other than a loss of LES pressure. | 6/30/2019 | |
| Endoscopic sleeve gastroplasty in the management of overweight and obesity an international multicenter study | CONCLUSIONS: ESG appears to be feasible, safe, and effective in the treatment of patients with overweight and obesity according to ASGE/ASMBS thresholds. | 6/23/2019 | |
| Endoscopic techniques for weight loss and treating metabolic syndrome | PURPOSE OF REVIEW: The endoscopic armamentarium against obesity and metabolic syndrome is rapidly growing and improving. Novel devices have been tested and recent data either support or reject their use. We aim to discuss current data on new endoscopic procedures addressing overweight, diabetes, and... | 6/21/2019 | |
| Endoscopic Management of Anchor Erosion Adjacent to the Pylorus Following Duodenal-Jejunal Bypass Sleeve | CONCLUSIONS: DJBS endoscopic removal is safe and effective even in challenging cases, thus preventing the need for surgical intervention. | 4/12/2019 | |
| Duodenal mucosal resurfacing proof-of-concept, procedural development, and initial implementation in the clinical setting | CONCLUSIONS: DMR shows potential as an endoscopic intervention that improves glycemic and hepatic parameters in patients with T2D. Further mechanistic and clinical studies are underway to further explore DMR as a treatment for metabolic disease. | 4/3/2019 | |
| Pathologic findings of the removed stomach during sleeve gastrectomy | CONCLUSION: Patients with gastroesophageal reflux and hyperlipidemia might suggest higher incidence rate of gastric histopathologic abnormalities. Routine preoperative screening may not be beneficial for patients undergoing sleeve gastrectomy. | 2/17/2019 | |
| Preoperative Transversus Abdominis Plane TAP Block with Liposomal Bupivacaine for Bariatric Patients to Reduce the Use of Opioid Analgesics | CONCLUSION: The use of preoperative TAP block with liposomal bupivacaine significantly decreased the use of IV and oral opioid analgesics. A larger prospective study may be needed to further validate the results. | 1/21/2019 | |
| Negative cross-resistance between structurally different Bacillus thuringiensis toxins may favor resistance management of soybean looper in transgenic Bt cultivars | High adoption rates of single-gene Bacillus thuringiensis (Bt) Cry1Ac soybean impose selection pressure for resistance in the soybean looper, Chrysodeixis includens, a major defoliator in soybean and cotton crops. To anticipate and characterize resistance profiles that can evolve, soybean looper lar... | 1/19/2019 | |
| Safety and effectiveness of single- versus double-anastomosis duodenal switch at a single institution | CONCLUSIONS: SADI-S and double-anastomosis DS are comparable in terms of weight loss and complication rate. However, close nutritional follow-up is warranted for both procedures. | 1/5/2019 | |
| SHORT-TERM RESULTS OF MINIMALLY INVASIVE TREATMENT OF GASTROESOPHAGEAL REFLUX DISEASE BY RADIOFREQUENCY STRETTA FIRST BRAZILIAN SERIES OF CASES | CONCLUSION: Endoscopic treatment for GERD using radiofrequency was effective in the cases presented herein with no technical complications. | 12/6/2018 | |
| Increased Gastric Retention Capacity, Assessed by Scintigraphy, after APC Treatment of Dilated Gastrojejunal Anastomosis | CONCLUSION: APC proved to be a safe and efficacious method. | 11/28/2018 | |
| Exclusively endoscopic approach to treating gastric perforation caused by an intragastric balloon case series and literature review | Background and study aims Obesity is a serious disease, resulting in significant morbidity and mortality. Intragastric balloons (IGBs) have been in use since the 1980s. After the insertion of an IGB, complications such as migration of the device and even severe gastric perforation can occur, requir... | 11/10/2018 | |
| Conversions After Sleeve Gastrectomy for Weight Regain to Single and Double Anastomosis Duodenal Switch and Gastric Bypass at a Single Institution | CONCLUSION: Conversions of LSG to RYGB, double anastomosis DS, and SADI-S are safe and can provide significant additional weight loss. | 9/26/2018 | |
| Management of Bariatric Complications Using Endoscopic Stents a Multi-Center Study | CONCLUSION: Stents may be useful and effective in managing complications after different bariatric procedures, including RYGB and LSG. | 8/18/2018 | |
| Laparoscopic Greater Curvature Plication and Laparoscopic Sleeve Gastrectomy Treatments for Obesity Systematic Review and Meta-Analysis of Short- and Mid-Term Results | CONCLUSIONS: SG showed improved weight loss when compared with LGP, with better satiety, fewer symptoms in the postoperative period, and improved diabetes remission. | 6/29/2018 | |
| Efficacy and safety of transoral outlet reduction via endoscopic suturing in patients with weight regain after a surgical Roux-en-Y gastric bypass | CONCLUSIONS: endoscopic suture reduction of the dilated gastro-jejunal anastomosis and the gastric pouch seems a feasible and safe option in our limited initial experience. With a multidisciplinary approach and a short term follow-up, this seems to be a minimally invasive and effective option to con... | 5/10/2018 | |
| Efficacy of Utilizing Argon Plasma Coagulation for Weight Regain in Roux-en-Y Gastric Bypass Patients a Multi-center Study | CONCLUSION: APC can be useful in reducing the regained weight after RYGB, and patients showed 6-10% total weight loss at 12 months. Randomized trials would be needed to validate the findings. | 4/9/2018 | |
| Cirrhosis following single anastomosis duodeno-ileal switch A case report | CONCLUSION: Close laboratory monitoring is important after SADI-S in order to detect worsening hepatic dysfunction, which may occur many years after the surgery in the absence of other etiologies for liver failure. | 4/2/2018 | |
| Live surgery courses retrospective safety analysis after 11 editions | INTRODUCTION: Live surgery is a topic of interest at every meeting or course in the field of surgery. The potential of laparoscopy for live broadcasting makes it an excellent tool in continuing medical education. Surgeons who participate in live surgeries are usually experienced, but several conditi... | 3/10/2018 | |
| FUNDOPLICATION CONVERSION IN ROUX-EN-Y GASTRIC BYPASS FOR CONTROL OF OBESITY AND GASTROESOPHAGEAL REFLUX SYSTEMATIC REVIEW | CONCLUSION: Although technically more difficult, with higher incidence of complications, gastric bypass is a safe and effective option for controlling gastroesophageal reflux in obese patients previously submitted to antireflux surgery, with the added benefit of excess weight loss. | 1/18/2018 | |
| Safety and Effectiveness of Single-Anastomosis Duodenal Switch Procedure 2-Year Result from a Single US Institution | CONCLUSIONS: Loop DS seems to be effective in weight loss and is a feasible operation in the super-obese population. However, close monitoring of liver enzymes is warranted in addition to nutritional follow-up. | 12/24/2017 | |
| Conversion of Laparoscopic Adjustable Gastric Banding to Gastric Bypass a Comparison to Primary Gastric Bypass | CONCLUSION: Albeit longer operating time, revision of LAGB to LRYGB is a safe procedure, with similar complication rates when compared to primary LRYGB. Although revisional LRYGB does result in less weight loss than primary LRYGB, the procedure's safety makes it a very plausible option as a rescue o... | 12/6/2017 | |
| Assessing risk factors, presentation, and management of portomesenteric vein thrombosis after sleeve gastrectomy a multicenter case-control study | CONCLUSION: Incidence of PMVT is low after sleeve gastrectomy. A personal history of malignancy and type 2 diabetes increase the risk of PMVT. Increasing abdominal pain in a context of dehydration is common presenting symptoms with diagnosis confirmed by computed tomography. Anticoagulation is the s... | 11/28/2017 | |
| Brazilian Intragastric Balloon Consensus Statement BIBC practical guidelines based on experience of over 40,000 cases | CONCLUSIONS: The present consensus represents practical recommendations for performing IGB procedures and reflects Brazil's significant experience with this device. The experience of over 40,000 cases shows that the device leads to satisfactory weight loss with a low rate of adverse events. | 11/8/2017 | |
| Endoscopic Treatment of Weight Regain Following Roux-en-Y Gastric Bypass a Systematic Review and Meta-analysis | Roux-en-Y gastric bypass (RYGB) is the most commonly performed bariatric procedure. Despite its high efficacy, some patients regain part of their lost weight. Several endoscopic therapies have been introduced as alternatives to treat weight regain, but most of the articles are relatively small with ... | 10/31/2017 | |
| Endoscopic sutured gastroplasty procedure evolution from first-in-man cases through current technique | CONCLUSIONS: Following a methodical procedure development phase, ESG demonstrated safety and short-term efficacy in this trial. The procedure also achieved meaningful weight loss during the follow-up period. | 10/28/2017 | |
| Comparison of Banded Versus Non-banded Roux-en-Y Gastric Bypass a Series of 1150 Patients at a Single Institution | CONCLUSIONS: Banded laparoscopic RYGB with a pericardial patch may not demonstrate a significant additional weight loss or prevent future weight regain. We were not able to demonstrate a clear advantage of banded RYGB over non-banded RYGB. | 7/29/2017 | |
| Transoral outlet reduction with full thickness endoscopic suturing for weight regain after gastric bypass a large multicenter international experience and meta-analysis | CONCLUSION: When implemented as part of a multidisciplinary intervention, TORe using endolumenal suturing is safe, reproducible, and effective approach to manage weight recidivism after RYGB and should be utilized early in the management algorithm of these patients. | 7/1/2017 | |
| Transenteric ERCP for Treatment of Choledocholithiasis After Duodenal Switch | This article aims to describe step-by-step technique performed with the aid of a video. We report the performance of an endoscopic approach to the biliary tract on 2 patients who had previously undergone duodenal switch (DS). It was successfully performed a laparoscopic-assisted transenteric endosco... | 5/19/2017 | |
| An Algorithmic Approach to the Management of Gastric Stenosis Following Laparoscopic Sleeve Gastrectomy | CONCLUSIONS: Endoscopic management of GS using the described algorithmic approach is safe and effective post-LSG. Patients with severe stenosis or helical stenosis are likely to require revision RYGB. | 5/5/2017 | |
| Efficacy of Intragastric Balloon Treatment for Adolescent Obesity | CONCLUSION: Endoscopic treatment of obesity with an IGB is safe, effective, and may be an emerging therapeutic option for adolescents. | 4/29/2017 | |
| Endoscopic Sleeve Gastroplasty for Obesity a Multicenter Study of 248 Patients with 24 Months Follow-Up | CONCLUSIONS: ESG effectively induces weight loss up to 24 months in moderately obese patients. Failure to achieve adequate weight loss can be predicted early, and patients should be offered adjunctive therapies to augment it. | 4/29/2017 | |
| The Influence of the Orbera Intragastric Balloon Filling Volumes on Weight Loss, Tolerability, and Adverse Events a Systematic Review and Meta-Analysis | CONCLUSIONS: No association was observed between Orbera IGB filling volume and weight loss outcomes. Higher volumes appear to be associated with lower migration and esophagitis rates; thus, a balloon filling volume of 600-650 mL is recommended. | 3/13/2017 | |
| Single-center experience in single-stage conversions of gastric banding to sleeve gastrectomy is it as safe as 2-stage conversions | CONCLUSION: Single-stage laparoscopic conversion of LAGB to LSG is feasible and, in appropriately selected patients, does not seem to increase the risk of complications compared with 2-stage procedures. | 2/25/2017 | |
| Techniques of Single-Stage Laparoscopic Conversion of Roux-en-Y Gastric Bypass to Single Anastomosis Bilio-pancreatic Diversion with Duodenal Switch | CONCLUSION: Conversion of RYGB to single anastomosis duodenal switch can be a complicated operation, requiring a two-stage approach in most cases. With the adoption of the described technique, it can be easier to be achieved in a single-stage. | 2/18/2017 | |
| Endoscopic septotomy an effective approach for internal drainage of sleeve gastrectomy-associated collections | Background and study aims Staple-line leaks occur in 1 % - 7 % of patients who undergo sleeve gastrectomy, and can be challenging to treat. The success of endoscopic approaches decreases as leaks develop into chronic sinus tracts. Endoscopic septotomy has been used to facilitate healing of refractor... | 1/24/2017 | |
| Validation of a new method for the endoscopic measurement of post-bariatric gastric outlet using a standard guidewire an observer agreement study | CONCLUSION: The new guidewire demonstrated a high degree of observer reliability, also presenting similar results between expert endoscopists and trainees. | 1/7/2017 | |
| Safety and effectiveness of anterior fundoplication sleeve gastrectomy in patients with severe reflux | CONCLUSION: Anterior fundoplication sleeve gastrectomy may be a safe and effective alternative in obese patients with severe reflux who want to undergo sleeve gastrectomy. | 11/28/2016 | |
| Robotic-Assisted Laparoscopic Biliopancreatic Diversion, Vertical Sleeve Gastrectomy with Traditional Roux-en-Y Duodenal Switch | CONCLUSION: With the adoption of robots and the described technique, it can be easier to be achieved in less time. | 10/21/2016 | |
| FROM COMPLEX EVOLVING TO SIMPLE CURRENT REVISIONAL AND ENDOSCOPIC PROCEDURES FOLLOWING BARIATRIC SURGERY | CONCLUSION: Revisional and endoscopic procedures following bariatric surgery in patients with collateral symptomatic or treatment failure can be applied. Conventional non-surgical approaches should have been applied intensively before a revisional surgery will be indicated. Former complex surgical r... | 9/30/2016 | |
| ENDOSCOPIC SLEEVE GASTROPLASTY - MINIMALLY INVASIVE THERAPY FOR PRIMARY OBESITY TREATMENT | CONCLUSIONS: The endoscopic gastroplasty procedure was safe, with acceptable technical viability, short in duration and without early complications. | 9/30/2016 | |
| SAFETY AND EFFECTIVENESS OF SINGLE ANASTOMOSIS DUODENAL SWITCH PROCEDURE PRELIMINARY RESULT FROM A SINGLE INSTITUTION | CONCLUSIONS: SADI-S is a feasible operation with a promising weight loss and diabetes resolution in the super-obese population. | 9/30/2016 | |
| Gastrointestinal devices for the treatment of type 2 diabetes | CONCLUSIONS: There is a need for novel therapies to bridge the risk and benefit gap between medical and surgical treatment of T2D. The original indication for many of the current devices was treatment of obesity. Several devices that are currently available are promising but require more study in T2... | 8/29/2016 | |
| Endoscopic Duodenal Mucosal Resurfacing for the Treatment of Type 2 Diabetes 6-Month Interim Analysis From the First-in-Human Proof-of-Concept Study | CONCLUSIONS: Single-procedure DMR elicits a clinically significant improvement in hyperglycemia in patients with type 2 diabetes in the short-term, with acceptable safety and tolerability. Long-term safety, efficacy, and durability and possible mechanisms of action require further investigation. | 8/14/2016 | |
| Septotomy and Balloon Dilation to Treat Chronic Leak After Sleeve Gastrectomy Technical Principles | CONCLUSIONS: Septotomy and balloon dilation were initially performed on a difficult-to-treat chronic fistula after gastric bypass and named before as stricturotomy (Campos JM, Siqueira LT, Ferraz AA, et al., J Am Coll Surg 204(4):711, 2007). This procedure allows internal drainage of the fistula and... | 6/15/2016 | |
| Robot-Assisted Versus Laparoscopic Sleeve Gastrectomy Learning Curve, Perioperative, and Short-Term Outcomes | CONCLUSIONS: Our study showed similar 30-day readmission and reoperation rate between LSG and RA-LSG during the learning curve and after the proficiency has been achieved. | 3/20/2016 | |
| Endoscopic treatment of food intolerance after a banded gastric bypass inducing band erosion for removal using a plastic stent | CONCLUSIONS: Endoscopic removal of the ring using SEPS appeared to be safe and effective after a banded RYGB. | 3/17/2016 | |
| Outcomes of Roux-en-Y gastric bypass in the super obese comparison of body mass index 50-60 kgm2 and60 kgm2 with the morbidly obese | CONCLUSION: Readmission and reoperation rates were similar in the BMI 40-50, 50-60, and≥60 kg/m(2) groups. Super-obese and super-super-obese patients are not at greater risk for surgical complications compared with those with lower BMIs. | 2/1/2016 | |
| Gastrojejunal Anastomosis Perforation after Gastric Bypass on a Patient with Underlying Pancreatic Cancer A Case Report and Review of the Literature | Introduction. We describe a case of gastrojejunal anastomosis perforation after gastric bypass on a patient with underlying pancreatic cancer. Case Description. A 54-year-old female with past surgical history of gastric bypass for morbid obesity and recent diagnosis of unresectable pancreatic cancer... | 11/7/2015 | |
| C-REACTIVE PROTEIN IN DIABETIC PATIENTS BEFORE GASTRIC BYPASS AS A POSSIBLE MARKER FOR POSTOPERATIVE COMPLICATION | CONCLUSIONS: Preoperative C-reactive protein serum level was higher in the group which presented complications after Roux-en-Y gastric bypass when compared to the group without postoperative complications. | 11/6/2015 | |
| Training model for laparoscopic Heller and Dor fundoplication a tool for laparoscopic skills training and assessment-construct validity using the GOALS score | CONCLUSIONS: The laparoscopic Heller-Dor training model has construct validity. The model may be used as a tool for training of the surgical resident. | 10/31/2015 | |
| Robotic Roux-en-Y Gastric Bypass, is it Safer than Laparoscopic Bypass | CONCLUSIONS: Robot-assisted Roux-en-Y gastric bypass may result in higher leak rate at the pouch level, when compared to that of laparoscopic procedures. | 9/21/2015 | |
| Methylene Blue or Upper GI, Which is More Effective for Detecting Leaks in Gastric Bypass Patients | CONCLUSIONS: UGI studies and methylene blue challenges had no significant difference in detecting a postoperative leak. Furthermore, these tests may have limited utility and may warrant adjuncts to aid in leak detection. | 8/14/2015 | |
| Gastrobronchial Fistula in Sleeve Gastrectomy and Roux-en-Y Gastric Bypass--A Systematic Review | Gastrobronchial fistula (GBF) is a rare surgical complication after bariatric surgery. We aimed to identify the clinical aspects of GBF and establish diagnostic and treatment strategies. A literature search was conducted in December 2013, in the PubMed electronic database. Eleven studies were select... | 7/31/2015 | |
| Morbidity Rates and Weight Loss After Roux-en-Y Gastric Bypass, Sleeve Gastrectomy, and Adjustable Gastric Banding in Patients Older Than 60 Years old Which Procedure to Choose | CONCLUSIONS: LSG showed the lowest readmission and reoperation rate, and RYGB patients had the highest mortality rate. Weight loss and comorbidity resolution were effectively achieved in RYGB and LSG patients. | 7/30/2015 | |
| Duodenal stump leak following a duodenal switch A case report | CONCLUSION: Duodenal stump leaks must be diagnosed as early as possible, and treated appropriately with operative intervention. Regardless of the operative technique the key to appropriate treatment is stabilize the patient, repair the duodenal stump, and adequate drainage. | 7/27/2015 | |
| Indications and outcomes of reversal of Roux-en-Y gastric bypass | CONCLUSIONS: Reversal of RYGB to normal anatomy is reasonable in patients with severe or refractory complications. | 4/13/2015 | |
| Laparoscopic total gastrectomy as an alternative treatment to postsleeve chronic fistula | CONCLUSIONS: LTG was feasible in the management of postsleeve chronic fistulas recalcitrant to other treatment approaches with a few complications and high rate of resolution. | 4/12/2015 | |
| Total clipless cholecystectomy by means of harmonic sealing | CONCLUSION: The harmonic shears is effective and safe in laparoscopic cholecystectomy as a sole instrument for sealing and division of the artery and cystic duct. The main advantages could be related to the safety and decreased operative time. | 4/11/2015 | |
| Effects of Duodenal-Jejunal Bypass Liner EndoBarrier on Gastric Emptying in Obese and Type 2 Diabetic Patients | CONCLUSIONS: DJBL delays gastric emptying but is reversible after withdrawal. The changes in gastric emptying have no relationship to weight loss and T2DM control. | 2/19/2015 | |
| Management of staple line leaks following sleeve gastrectomy | CONCLUSION: Management of leaks after LSG can be challenging. Early diagnosis and treatment is important in the management of a leak. However, it can be treated safely via various management options depending on the time of diagnosis and size of the leak. | 12/31/2014 | |
| Is preoperative manometry necessary for evaluating reflux symptoms in sleeve gastrectomy patients | CONCLUSION: Manometric study may be necessary in LSG patients to accurately evaluate GERD and the LES pressure. | 12/31/2014 | |
| Simplified gastric bypass 13 years of experience and 12,000 patients operated | CONCLUSION: The simplified laparoscopic gastric bypass is a feasible and safe option with low complication rate and easy reproducibility for education and training in bariatric surgery. | 11/21/2014 | |
| Ultrasound evaluation of visceral and subcutaneous fat reduction in morbidly obese subjects undergoing laparoscopic gastric banding, sleeve gastrectomy, and Roux-en-Y gastric bypass a prospective comparison study | CONCLUSION: LSG and LRYGB show better preferential and overall VF reduction than LAGB. US may serve as a simple tool of evaluating postoperative fat distribution. | 11/15/2014 | |
| Bariatric postoperative fistula a life-saving endoscopic procedure | CONCLUSIONS: This novel endoscopic procedure is safe, feasible, and effective, avoiding re-operation, allowing early oral feeding and discharge. | 10/9/2014 | |
| Safety and effectiveness of Roux-en-Y gastric bypass in patients between the ages of 17 and 19 | CONCLUSION: LRYGB in younger patients almost the age of 20 is both safe and effective when compared to matched adults in regard to weight loss, comorbid condition, and complications. | 7/30/2014 | |
| Intussusception after Roux-en-Y gastric bypass | CONCLUSION: While reduction alone of the intussusception is safe and effective, there is a risk of recurrence, and imbrication of the J-J anastomosis may be a more effective means of treatment. | 6/18/2014 | |
| Laparoscopic choledochoduodenostomy as an alternate treatment for common bile duct stones after Roux-en-Y gastric bypass | CONCLUSION: This small case series suggests that, in experienced hands, laparoscopic choledochoduodenostomy is an option for safe and effective treatment of choledocholithiasis after gastric bypass. | 6/11/2014 | |
| Management and treatment outcomes of marginal ulcers after Roux-en-Y gastric bypass at a single high volume bariatric center | CONCLUSION: Despite the use of routine PPI, the incidence of MU was not insignificant. A significant portion of patients required surgical treatment. Perforations can be effectively managed by oversewing of the ulcer. | 1/28/2014 | |
| Treatment of weight regain following roux-en-Y gastric bypass revision of pouch, creation of new gastrojejunostomy and placement of proximal pericardial patch ring | In the literature, weight regain or failure of weight loss has been reported in up to 35% of patients after Roux-en-Y gastric bypass (RYGB). Several revisional procedures have been suggested to reinitiate further weight loss in this group of patients, and placing a silastic ring around the pouch pro... | 1/22/2014 | |
| Outcomes of laparoscopic sleeve gastrectomy in patients older than 60 years | CONCLUSIONS: LSG is safe and very efficient in patients aged >60, despite higher rates of perioperative comorbidities. | 1/21/2014 | |
| Causes of small bowel obstruction after Roux-en-Y gastric bypass a review of 2,395 cases at a single institution | CONCLUSIONS: Our findings indicate a 3.9 % reoperation rate for abdominal pain and SBO, and more than 45 % of these patients had symptoms secondary to adhesions. Only 1.1 % of our laparoscopic RYGB patients developed internal herniation after closure of both internal hernia spaces. | 1/2/2014 | |
| Femoral hernia sac laparoscopy a case report | We present the case of a 64-year-old female with an incarcerated right femoral hernia, associated with a small bowel obstruction that was successfully treated with an open femoral hernia repair with plug. At the same time we performed a hernia sac laparoscopy to evaluate the viability of the previou... | 9/3/2013 | |
| Comparison of cholecystectomy cases after Roux-en-Y gastric bypass, sleeve gastrectomy, and gastric banding | CONCLUSIONS: Frequency of symptomatic gallstones after LRYGB and LSG was not significantly different and after LAGB was significantly lower. Slow and less amount of weight loss would have contributed to the low rate of symptomatic gallstone formation in the LAGB patients. | 8/13/2013 | |
| Conversion of failed laparoscopic adjustable gastric banding sleeve gastrectomy or Roux-en-Y gastric bypass | CONCLUSION: Converting LAGB to LSG and LRYGB both seem feasible and resulted in substantial further weight loss. | 6/18/2013 | |
| Food intolerance after banded gastric bypass without stenosis aggressive endoscopic dilation avoids reoperation | CONCLUSIONS: Aggressive endoscopic dilation for food intolerance is a safe and minimally invasive method that promotes symptom improvement. It avoided reoperation in 96.8 % of patients and led to a low rate of weight regain. | 3/9/2013 | |
| Reinforcing the staple line with Surgicel Nu-knit in Roux-en-Y gastric bypass comparison with bovine pericardial strips | CONCLUSIONS: The use of absorbable hemostat as buttress material may be effective in reducing acute postoperative bleeding in LRYGB at a significantly lower cost. | 3/9/2013 | |
| Endoscopic dilation of gastrojejunal anastomosis after gastric bypass | CONCLUSION: Endoscopic treatment of stenosis is safe and effective; however, further high-quality randomized controlled trials should be conducted to confirm these findings. | 2/16/2013 | |
| A pilot study of the duodenal-jejunal bypass liner in low body mass index type 2 diabetes | CONCLUSIONS: The improvements in glycemic status were observed at 1 year in moderately obese subjects with T2DM, suggesting that the DJBL may represent an effective adjuvant to standard medical therapy of T2DM in this population. | 1/23/2013 | |
| Pericardial patch ring Roux-en-Y gastric bypass a preliminary report | CONCLUSIONS: Longer follow-up is needed to prove the true efficacy of this procedure in reducing weight gain. Pericardial patch ring RYGB seems to be a safe alternative for banded RYGB of other materials. | 12/15/2012 | |
| Routine gastrostomy tube placement in gastric bypass patients impact on length of stay and 30-day readmission rate | CONCLUSIONS: Routine gastrostomy tube placement in the gastric remnant at the time of RYGB seems to have contributed to our short LOS and low 30-day readmission rate. | 12/1/2012 | |
| Electrical stimulation therapy of the lower esophageal sphincter is successful in treating GERD final results of open-label prospective trial | CONCLUSIONS: Electrical stimulation of the LES is safe and effective for treating GERD. There is a significant and sustained improvement in GERD symptoms, esophageal pH, and reduction in PPI usage without any side effects with the therapy. Furthermore, the therapy can be optimized to address an indi... | 10/18/2012 | |
| Gastric plication for morbid obesity a systematic review | CONCLUSION: Laparoscopic gastric plication is still in its infancy. Prospective randomized studies comparing gastric plication to other well established bariatric procedures are needed to prove the reliability and metabolic effectiveness of such new procedure. | 9/11/2012 | |
| Comparison of pediatric appendectomy outcomes between pediatric surgeons and general surgery residents | CONCLUSIONS: The results of this study suggest that the presence of a PS does not affect the outcomes of appendectomies. | 5/15/2012 | |
| Outcomes of bariatric surgery in patients gt;70 years old | CONCLUSION: Bariatric surgery in carefully screened patients aged >70 years can be performed safely and can achieve modest improvement in co-morbidities. | 5/4/2012 | |
| Transgastric endoscopic retrograde cholangiopancreatography for the management of biliary tract disease after Roux-en-Y gastric bypass treatment for obesity | Roux-en-Y gastric bypass (RYGB) is an effective treatment for morbid obesity. However, it may lead to diseases of the bilio-pancreatic tract. We evaluated transgastric endoscopic retrograde cholangiopancreatography (ERCP) for managing common biliary tract diseases in patients that underwent RYGB tre... | 3/31/2012 | |
| International Sleeve Gastrectomy Expert Panel Consensus Statement best practice guidelines based on experience of gt;12,000 cases | CONCLUSION: The present consensus report represents the best practice guidelines for the performance of LSG, with recommendations in the 3 aforementioned areas. This report and its findings support a first effort toward the standardization of techniques and adoption of working recommendations formul... | 1/18/2012 | |
| Laparoscopic sleeve gastrectomy a first step for rapid weight loss in morbidly obese patients requiring a second non-bariatric procedure | CONCLUSIONS: In this small group, laparoscopic sleeve gastrectomy appears to be an effective and safe first surgical approach for rapid weight loss in high-risk patients that require a second non-bariatric procedure. | 12/31/2011 | |
| Extreme bariatric endoscopy stenting to reconnect the pouch to the gastrojejunostomy after a Roux-en-Y gastric bypass | CONCLUSIONS: Endoscopic treatment of some bariatric surgery complications is feasible and has been reported previously. This report presents a case of a serious leakage treated by placement of a self-expandable metal stent to bridge the fistula. | 12/20/2011 | |
| Metabolic improvements in obese type 2 diabetes subjects implanted for 1 year with an endoscopically deployed duodenal-jejunal bypass liner | CONCLUSIONS: The DJBL improves glycemic status in obese subjects with diabetes and therefore represents a nonsurgical, reversible alternative to bariatric surgery. | 9/22/2011 | |
| Gastrobronchial fistula after sleeve gastrectomy and gastric bypass endoscopic management and prevention | Gastrobronchial fistula (GBF) is a serious complication following bariatric surgery, whose treatment by thoracotomy and/or laparotomy involves a high morbidity rate. We present the outcomes of endoscopic management for GBF as a helpful technique for its healing process. This is a multicenter retrosp... | 6/7/2011 | |
| Improvement of insulin resistance and reduction of cardiovascular risk among obese patients with type 2 diabetes with the duodenojejunal bypass liner | CONCLUSIONS: The DJBL, when used for a period of 6 months, is effective in the control of diabetes, weight loss, improvement of insulin resistance, and decrease of cardiovascular risk among morbidly obese patients with type 2 diabetes mellitus. | 3/29/2011 | |
| Small erosion of adjustable gastric band endoscopic removal through incision in gastric wall | The erosion of a laparoscopic adjustable gastric band (LAGB) can cause pain that is not controlled by analgesics. In such cases, early endoscopic removal may be indicated, but only when gastric penetration is greater than 50%. We report the case of a patient with severe shoulder pain due to a small ... | 12/15/2010 | |
| International multicenter trial on clinical natural orifice surgery--NOTES IMTN study preliminary results of 362 patients | CONCLUSIONS: Results of clinical applications of NOTES in the IMTN Study showed the feasibility of different methods of this new minimally invasive alternative for laparoscopic and open surgery. | 5/28/2010 | |
| Treatment of ring slippage after gastric bypass long-term results after endoscopic dilation with an achalasia balloon with videos | CONCLUSION: The technique described promotes the relief of GPOS with low overall morbidity and avoids abdominal reoperation for ring removal. | 5/25/2010 | |
| Laparoscopic greater curvature plication initial results of an alternative restrictive bariatric procedure | CONCLUSIONS: LGCP is feasible, safe, and effective for at least 18 months when performed on morbidly obese patients. Longer follow-up and prospective comparative trials are needed. | 4/22/2010 | |
| Cholecystectomy by single trocar access SITRACC the first multicenter study | CONCLUSION: A cholecystectomy using the SITRACC method is feasible and safe. | 12/25/2009 | |
| Obese patients with type 2 diabetes submitted to banded gastric bypass greater incidence of dumping syndrome | CONCLUSIONS: Dumping syndrome is a common postoperative complication in gastric bypass. Patients with DM2 show a greater postoperative prevalence of dumping. | 8/29/2009 | |
| Chyloperitoneum after laparoscopic Roux-en-Y gastric bypass LRYGB | A true chylous effusion is defined as the presence of ascitic fluid with high fat (triglyceride) content, usually higher than 110 mg/dl. We report a case of chyloperitoneum following laparoscopic Roux-en-Y gastric bypass (LRYGB) in a 40-year-old patient who was admitted for surgery on May 31, 2007. ... | 8/25/2009 | |
| International multicenter study of safety and effectiveness of Swedish Adjustable Gastric Band in 1-, 3-, and 5-year follow-up cohorts | CONCLUSION: SAGB is safe and effective in inducing weight loss and improvement of co-morbidities in morbidly obese patients at international bariatric centers at 1, 3, and 5 years postoperatively. | 8/7/2009 | |
| Continuous positive airway pressure in immediate postoperative period after laparoscopic Roux-en-Y gastric bypass is it safe | CONCLUSION: The use of CPAP after LRYGB did not result in increased the morbidity in our patient series. | 7/31/2009 | |
| Diagnosis and treatment of megaesophagus after adjustable gastric banding for morbid obesity | CONCLUSION: Megaesophagus is a possible late complication after LAGB. The preoperative manometry results cannot predict for its occurrence. The management of megaesophagus caused by LAGB requires, in most cases, band removal. | 3/3/2009 | |
| Laparoscopic sleeve gastrectomy with NOTES visualization--a step toward NOTES procedures | CONCLUSION: Bariatric procedures can be done with NOTES with results as good as those using laparoscopic techniques. | 11/26/2008 | |
| Laparoscopic duodenal-jejunal exclusion in the treatment of type 2 diabetes mellitus in patients with BMIlt;30 kgm2 LBMI | CONCLUSIONS: Preliminary results have shown an important effect of the laparoscopic duodenal-jejunal exclusion in the treatment of T2DM. Studies with longer follow-up and a larger number of patients are necessary to better define the role of this new and promising procedure. | 11/7/2008 | |
| Human hybrid NOTES transvaginal sleeve gastrectomy initial experience | Laparoscopic sleeve gastrectomy is gaining popularity as a treatment of morbid obesity. It is a relatively new procedure with a postoperative follow-up not exceeding 5 years. The natural orifice transluminal endoscopic surgical procedures are also gaining in popularity, and we are now experiencing t... | 9/17/2008 | |
| First human experience with endoscopically delivered and retrieved duodenal-jejunal bypass sleeve | CONCLUSION: The DJBS can be safely delivered and removed endoscopically and left in situ for 12 weeks. The device had a favorable safety and encouraging efficacy profile. Randomized prospective trials are warranted. | 1/19/2008 | |
| Hypovolemic shock due to intragastric migration of an adjustable gastric band | Migration of the adjustable gastric band (AGB) is a serious complication which usually does not require emergency treatment, except when there is a risk to life. We report a 30-year-old patient who presented with syncope, melena and hypovolemic shock due to the intragastric erosion of an AGB, 13 mon... | 7/5/2007 | |
| Staplerless laparoscopic gastric bypass a new option in bariatric surgery | The staplerless Roux-en-Y gastric bypass (RYGBP) is a new option in bariatric surgery. The first to describe it was Himpens (2004) utilizing the LigaSure Atlas (LSA) in a series of 10 patients. The laparoscopic RYGBP is performed utilizing the LSA for the gastric and jejunal partition; after that, a... | 5/12/2006 |
