Articles & Issues

Safety of Laparoscopic Bariatric procedures (LBP) in super obese patients is still debatable

Patients satisfying NIH criteria and deemed appropriate candidates often do not undergo bariatric surgery due to insurance denials. Our objective was to explore the natural history of these patients c...

Data on long-term outcomes after D-GB is limited in American patients. The purpose of this study was to evaluate the long-term weight loss and metabolic outcomes of D-GB with follow-up to 24 years.

Conventional Laparoscopic Roux-en-Y Gastric Bypass (LRYGB) is a gold standard for bariatric surgery, but the procedure requires 5 to 7 incisions for trocars and may produce less-than-ideal cosmetic re...

Morbid obesity has reached an epidemic proportions in the United States. There are a number of different surgical procedures with different outcomes and safety profile that is available to a patient. ...

Our objective was to identify preoperative factors associated with Postoperative Pneumonia (PP) and Respiratory Failure (PRF), the most frequent complications of bariatric surgery.

Anastomotic stricture remains the most common complication following laparoscopic gastric bypass with circular stapled gastrojejunostomy. This study examines the effect of the use of a bioabsorbable c...

Esophageal reflux is reported to occur following sleeve gastrectomy or duodenal switch initially in over 20% of patients with symptoms diminishing as weight loss occurs but still presents at one year ...

Gastro-gastric imbrication sutures (IS) are supposed to reduce the risk of band related complications, i.e. pouch dilatation, band slippage and/or migration. There is lack of evidence, however, if IS ...

Currently many surgeons repair a hiatal hernia at the time of the primary Laparoscopic Adjustable Gastric Band (LAGB) placement. The frequency of hiatal hernia and safety of repair in primary and revi...

Laparoscopic adjustable gastric banding (LAGB) for morbid obesity is traditionally performed through five incisions in the abdomen. We report on our initial experience of LAGB performed through a sing...

Laparoscopic adjustable gastric banding (LAGB) can impair esophageal peristalsis and can also cause a lack of relaxation of the lower esophageal sphincter, leading to esophageal dilation. The aim of t...

The surgical management of morbid obesity has created a paradigm shift in general surgery. We sought to better characterize the extent to which bariatric surgery has become part of a traditional gener...

Percent Excess Weight Loss (%EWL) is a common metric for reporting weight loss outcomes after bariatric surgery. The %EWL can vary depending on the definitions of Ideal Body Weight (IBW) and preoperat...

Low daily protein intake (DPI) of 0.5 g/kg of current body weight (CBW)/day, or 58 g/day after laparoscopic Roux-en-Y Gastric Bypass (LRYGB) has been reported. DPI after LRYGP and its effect on weight...

Bariatric surgery is an effective treatment for the severely obese; however, outcomes are variable. Because the role of genetic and environmental factors is poorly understood, we lack reliable predict...

Hyperlipidemia is a known risk factor for development of atherosclerosis and coronary artery disease and one of the most common medical conditions associated with morbid obesity. The aim of our study ...

Single incision laparoscopic surgery (SILS) has emerged recently. Laparoscopic gastric bypass is an effective bariatric procedure but is technically demanding. The utilization of a “pure” SILS techniq...

Current techniques used with laparoscopic Roux-en Y gastric bypass (LRYGB) and their association with patient outcomes remain largely unexplored.

Laparoscopic mini-gastric bypass (LMGB) has been reported to be a simpler and safer procedure than laparoscopic Roux-en-Y gastric bypass and no proven disadvantage at five year follow-up. However, rev...

Current gastric restrictive procedures include either a prosthetic device or gastric resection. We present the results of a pilot study utilizing laparoscopic gastric plication for weight loss achieve...

The laparoscopic adjustable gastric band (LAGB) technique is well described. Most surgeons use a four-trocar technique, and an additional incision for a liver retractor. SI-LAGB is aimed to further de...

Silastic ring vertical gastric bypass (SRVGB) is well known in morbidly obese adults, but the current pediatric surgical literature is insufficient to determine how outcomes in adolescents may differ ...

Metabolic syndrome, the precursor to diabetes and cardivovascular disease, is present in about 40% of morbidly obese adolescents. Improving the components of the metabolic syndrome: weight, waist circ...

Studies reporting laparoscopic and endoscopic revisionary options for weight loss failure after Roux-en-Y gastric bypass (RYGB) are underpowered and lack long-term data. We have previously shown that ...

There has also been an increase in the incidence of weight loss surgical procedures in the U.S. The long-term outcome and the complications associated with the gastric bypass (GB) have been documented...

Although vertical banded gastroplasty (VBG) was endorsed by the 1991 NIH Consensus Conference for the treatment of morbid obesity, it has largely been abandoned due to poor long-term weight loss and b...

With increasing popularity of laparoscopic adjustable banding (LAGB), reoperations to deal with band complications have become increasingly more common. There are few studies that document the outcome...

Obesity is associated with oxidative stress and chronic inflammation. At a cellular level, the metabolic sensors AMPK and SIRT1 are anti-lipogenic and anti-inflammatory; nuclear transcription factors ...