Median Stay in the Hospital for MGB = 1 Day; RNY Stay in Hospital 2-3 days

Median Stay in the Hospital for MGB = 1 Day; RNY Stay in Hospital 2-3 days Thinking About a RNY? Newly Published Data: RNY Bypass Hospital Stay 2-3 Times Longer than Mini-Gastric Bypass Data newly published data (Nationwide Inpatient Sample, Bariatric Outcomes Longitudinal Database and University Health Consortium) shows that hospital stay for RNY Gastric … Continue reading Median Stay in the Hospital for MGB = 1 Day; RNY Stay in Hospital 2-3 days

RNY for Diabetes: 18% Complication Rate!

Gastric bypass provided superior weight loss and diabetes remission but demonstrated more frequent complications (90-day complications: 18% vs. 3%Amplify’d from http://www.ncbi.nlm.nih.govAnn Surg. 2010 Sep;252(3):559-66; discussion 566-7.Early postoperative outcomes of metabolic surgery to treat diabetes from sites participating in the ASMBS bariatric surgery center of excellence program as reported in the Bariatric Outcomes Longitudinal Database.Demaria EJ, … Continue reading RNY for Diabetes: 18% Complication Rate!

Single Incision Mini-Gastric Bypass in Italy

Single Incision Mini-Gastric Bypass in ItalyAmplify’d from http://www.ncbi.nlm.nih.govObes Surg. 2010 Aug;20(8):1154-60.Single-incision laparoscopic gastric bypass for morbid obesity.Tacchino RM, Greco F, Matera D, Diflumeri G.Catholic University of Sacred Heart, Largo A. Gemelli 8, 00168, Rome, Italy.AbstractBACKGROUND: Single-incision laparoscopic surgery (SILS) has been developed with the aim of reducing the invasiveness of traditional laparoscopy.METHODS: The technique of … Continue reading Single Incision Mini-Gastric Bypass in Italy

Danger RNY: Complications Revision

23 patients with retrograde intussusception (RINT) in 2007. That series has increased to 54 patients. Surgical resection of the jejunojejunostomy appears to be the most effective treatment. Laparoscopic reversal of gastric bypass with sleeve gastrectomy for recurrent RINT or RINT-like symptoms (Roux stasis symptoms) resulted in a significant risk of complicationsAmplify’d from http://www.ncbi.nlm.nih.govSurg Obes Relat … Continue reading Danger RNY: Complications Revision

Bowel Obstruction After RNY

Bowel Obstruction After RNY 29/187 patients (15.5%) developed SBO at a mean follow-up of 15 ± 6.4 months. In Group 2, 2/172 patients (1.1%) developed SBO at 12.3 ± 6.7 months.Amplify’d from http://www.ncbi.nlm.nih.govObes Surg. 2010 Oct;20(10):1380-4.Small bowel obstruction after antecolic and antegastric laparoscopic Roux-en-Y gastric bypass: could the incidence be reduced?Rodríguez A, Mosti M, Sierra M, Pérez-Johnson R, Flores … Continue reading Bowel Obstruction After RNY

Excess weight loss after the MGB

Excess weight loss after the MGBAmplify’d from http://www.ncbi.nlm.nih.govObes Surg. 2005 Oct;15(9):1304-8.Continued excellent results with the mini-gastric bypass: six-year study in 2,410 patients.Rutledge R, Walsh TR.The Centers of Excellence for Laparoscopic Obesity Surgery (CELOS), Las Vegas, NV 89144, USA. dr_rrutledge@hotmail.comAbstractBACKGROUND: There is a growing body of evidence showing that the Mini-Gastric Bypass (MGB) is a safe … Continue reading Excess weight loss after the MGB

Bowel obstruction following RNY 1-15%

Bowel obstruction following RNY 1-15% Bowel obstruction following MGB 0.4%Amplify’d from http://www.ncbi.nlm.nih.govObes Surg. 2010 Oct;20(10):1380-4.Small bowel obstruction after antecolic and antegastric laparoscopic Roux-en-Y gastric bypass: could the incidence be reduced?Rodríguez A, Mosti M, Sierra M, Pérez-Johnson R, Flores S, Dominguez G, Sánchez H, Zarco A, Romay K, Herrera MF.The Obesity Clinic, American British Cowdray Medical … Continue reading Bowel obstruction following RNY 1-15%

Gastric Bypass: Longer bypass more weight loss

Gastric Bypass: Longer bypass more weight loss Longer bypass greater fat malabsorbtionAmplify’d from http://www.ncbi.nlm.nih.govAm J Clin Nutr. 2010 Oct;92(4):704-13. Epub 2010 Aug 25.The contribution of malabsorption to the reduction in net energy absorption after long-limb Roux-en-Y gastric bypass.Odstrcil EA, Martinez JG, Santa Ana CA, Xue B, Schneider RE, Steffer KJ, Porter JL, Asplin J, Kuhn … Continue reading Gastric Bypass: Longer bypass more weight loss

Sleeve is about 1/2 as effective as gastric bypass

Sleeve is about 1/2 as effective as gastric bypassAmplify’d from http://www.ncbi.nlm.nih.govSurgery. 2010 Oct 6. [Epub ahead of print]Inflammation, insulin resistance, lipid disturbances, anthropometrics, and metabolic syndrome in morbidly obese patients: A case control study comparing laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy.Iannelli A, Anty R, Schneck AS, Tran A, Gugenheim J.Pôle Digestif, Hôpital Archet … Continue reading Sleeve is about 1/2 as effective as gastric bypass

Leak Rates after RNY Gastric Bypass

** Strictures stapled 10% and 4% handsewn ** 4 stapled group 4% and 6 handsewn 5% needed early reoperation. 1 GJ anastomotic leak 1% Yikes: Leaks 1/100, Strictures 5-10% and Re-operation 5%!! If those numbers held in our 6,000 MGB patients: `600 Strictures 60 Leaks 300 Re-operations (We did better than that .Amplify’d from http://www.ncbi.nlm.nih.govSurgContinue reading Leak Rates after RNY Gastric Bypass