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Effectiveness of intragastric balloon for obesity: A systematic review and meta-analysis based on randomized control trials
Obesity has become a worldwide epidemic, and many methods are currently used to reduce obesity. This systematic review shows the effectiveness of the intragastric balloon (IGB) method compared to the sham/diet (s/d) method.Laparoscopic reduction of small bowel intussusception in a 33-week pregnant gastric bypass patient: surgical technique and review of literature
Intussusception is a rare etiology of bowel obstruction in adults and accounts for 1–3% of those cases. It is associated with an underlying mass such as a tumor or polyp in >80% of patients [1–4]. In gastric bypass patients, intussusception is an uncommon complication [5,6]. The common channel distal to the jejunojejunostomy is the usual site of intussusceptions. The direction of intussusception can be either antegrade or retrograde, but most reported cases are retrograde in nature. The probable etiology can include the presence of an ectopic pacemaker causing retrograde peristalsis.Surgical implantation and adjustment technique with the Realize Band System
Laparoscopic adjustable gastric banding (LAGB) for the treatment of morbid obesity (body mass index ≥40 kg/m2 or ≥35 kg/m2 with co-morbidities [1]) is the safest of the bariatric procedures [2–4]. LAGB is associated with weight loss efficacy [5–10], resolution of weight-related co-morbid disease [11–13], and improvements in quality of life [14]. In widespread use in Europe and other countries since 1996 [15], LAGB has become the most prevalent bariatric operation outside of the United States [16].Laparoscopic adjustable gastric banding
Laparoscopic adjustable gastric banding (LAGB) brings several unique aspects to bariatric surgery. It has provided a very safe, effective, reversible, and adjustable system that is widely applicable. The first human LAGB procedure, using the Lap-Band system (INAMED Health, Santa Barbara, CA), was performed on September 1, 1993 [1]. Since then, more than 130,000 Lap-Band devices have been placed, and more than 100 peer-reviewed reports on its use have been published. The extent of the literature on the outcomes of LAGB surgery is comparable (and, in certain aspects, superior) to that on alternative bariatric surgery.Gastric bypass for severe obesity: Approaches and outcomes
Bariatric surgery has experienced unprecedented growth in the United States during the last 10 years [1]. Compared with the late 1980s and early 1990s, when approximately 15,000 bariatric operations were performed each year, in 2003 more than 100,000 bariatric operations were performed in the United States. This growth in bariatric surgery, the fastest-growing major operation in the United States, can be explained by 3 factors: (1) the 4-decades-old epidemic of obesity, (2) steadily improving outcomes for several bariatric operations, and (3) the introduction of laparoscopic bariatric surgery with improved perioperative outcomes.
