scholarly journals Robotic Roux-en-Y gastric bypass: operative results in 100 patients

2014 ◽  
Vol 27 (suppl 1) ◽  
pp. 9-12 ◽  
Author(s):  
Carlos Eduardo DOMENE ◽  
Paula VOLPE ◽  
Frederico A. HEITOR
Keyword(s):  
Morbid Obesity ◽  
Gastric Bypass ◽  
Gastric Pouch ◽  
The Body ◽  
Morbidly Obese ◽  
Obese Patients ◽  
Super Obese ◽  
Robotic Gastric Bypass ◽  
Operative Complications ◽  
Biliopancreatic Limb

BACKGROUND: Laparoscopic gastric bypass is gold-standard for morbid obesity treatment. AIM: To describe the results of robotic gastric bypass for morbid obesity patients. METHOD: Were operated on 100 morbidly obese patients through totally robotic gastric bypass between 2013 and 2014. They were 83% female. The age ranged from 20 to 65 years old (medium 48,5 years); the body mass index varied between 38-67 (medium 42,3 kg/cm2). The procedure was designed with 3 cm long gastric pouch, 1 m biliopancreatic limb, 1,2 m alimentary limb, manual or stapled anastomosis. There were four super-super-obese patients and four revisional surgeries. RESULTS: Docking time varied from 1 to 20 min (medium 4 min). Console time varied from 40-185 min (medium 105 min). There were no intra operative complications or mortality. There were two lower limb deep venous thrombosis. There was no readmission in the first 30 days. CONCLUSION: Totally robotic gastric bypass is safe and reproduceable, with excellent results even during the initial experience with regular surgeries, revisional surgeries or in super-obese patients. Adequate training may shortens or obviates the learning curve.

scholarly journals Gastric Bypass Prior to Simultaneous Pancreas-Kidney Transplantation for Optimization of Diabetic Management

2020 ◽  
pp. 1-3
Author(s):  
Jay A. Graham ◽  
Jay A. Graham ◽  
Juan P. Rocca ◽  
Julia Torabi ◽  
Nidal Muhdi ◽  
...  
Keyword(s):  
Morbid Obesity ◽  
Gastric Bypass ◽  
Kidney Transplantation ◽  
Morbidly Obese ◽  
Obese Patients ◽  
Increased Risk ◽  
Operative Complications ◽  
Pancreas Kidney Transplantation ◽  
Simultaneous Pancreas Kidney ◽  
Simultaneous Pancreas Kidney Transplantation

Morbid obesity is a relative contraindication for abdominal organ transplantation. Obese patients present technical challenges intra-operatively and are at increased risk of post-operative complications. Bariatric surgery has been shown to be more effective than conventional weight loss strategies in morbidly obese patients, however, current literature is limited to the kidney transplant population. Here were present a case report of a patient with morbid obesity who underwent a laparoscopic Roux-en-Y gastric bypass prior to simultaneous pancreas kidney transplantation.

Response to Starvation before and after a Jejuno-Ileal Bypass Operation for Morbid Obesity

1979 ◽  
Vol 24 (3) ◽  
pp. 206-210 ◽  
Author(s):  
G. A. A. Al Shamma ◽  
G. S. Fell ◽  
S. N. Joffe
Keyword(s):  
Morbid Obesity ◽  
Metabolic Response ◽  
Ketone Bodies ◽  
The Body ◽  
Metabolic Adaptation ◽  
Morbidly Obese ◽  
Obese Patients ◽  
Bypass Operation ◽  
Before And After ◽  
Ileal Bypass

A greater metabolic response developed during a seven day starvation in two morbidly obese patients three months after a 90 per cent jejuno-ileal bypass operation when compared with a similar fast before operation. There was a greater degree of ketosis, a decreased urinary urea excretion and an earlier utilization of ketone bodies. These changes suggest a metabolic adaptation of the body to the semistarvation state caused by the operation with a more rapid utilization of adipose tissue as a fuel and a sparing of lean body mass.

scholarly journals Management of Patients with Hernia or Incisional Hernia Undergoing Surgery for Morbid Obesity

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Ramon Vilallonga ◽  
José Manuel Fort ◽  
Oscar Gonzalez ◽  
Juan Antonio Baena ◽  
Albert Lecube ◽  
...  
Keyword(s):  
Morbid Obesity ◽  
Gastric Bypass ◽  
Incisional Hernia ◽  
Abdominal Wall ◽  
Weight Loss Surgery ◽  
Optimal Time ◽  
Morbidly Obese ◽  
Obese Patients ◽  
Potential Complication ◽  
Hernia Defect

Morbidly obese patients (MOPs) are predisposed to developing abdominal wall hernias with the potential complication of small bowel obstruction and other morbidity. We report our experience in treating morbidly obese patients. Hernia prophylaxis has been attempted as a means of decreasing the incisional hernia risk associated with weight loss surgery. The controversy regarding the optimal time and method of repair of abdominal wall hernias in patients undergoing open or laparoscopic gastric bypass is discussed with emphasis placed on either a simultaneous repair or splits of the omentum, and of leaving a plug in the hernia defect, to allow time to perform a delayed repair.

The Treatment of Achalasia in Obese Patients

2018 ◽  
Vol 84 (4) ◽  
pp. 501-505 ◽  
Author(s):  
Julie A. Wesp ◽  
Timothy M. Farrell
Keyword(s):  
Morbid Obesity ◽  
Gastric Bypass ◽  
Obese Patient ◽  
Epidemiological Studies ◽  
Laparoscopic Heller Myotomy ◽  
Bariatric Procedure ◽  
Morbidly Obese ◽  
Obese Patients ◽  
Morbidly Obese Patient ◽  
Surgical Methods

Epidemiological studies have demonstrated that obesity is frequently associated with esophageal motility disorders. Morbid obesity and achalasia may coexist in the same patient. The management of the morbidly obese patient with achalasia is complex and the most effective treatment remains controversial. The aim of this study is to review the pathophysiology, clinical presentation, diagnostic evaluation, and treatment of achalasia in morbidly obese patients. Evidence Review: PubMed search from January 1990 to July 2017, including the following terms: achalasia, morbid obesity, bariatric, and treatment. Achalasia in the setting of morbid obesity may be successfully treated by endoscopic or surgical methods. Surgeons may choose to add a bariatric procedure, with various strategies present in the literature. A review of the present literature suggests that the preferred approach to achalasia in the morbidly obese patient is to address both disease processes simultaneously with a laparoscopic Heller myotomy and a Roux-en-Y gastric bypass. Roux-en-Y gastric bypass is cited by most experts as the bariatric procedure of choice, given its antireflux benefits. A well-powered study, comparing the various approaches to the treatment of achalasia in the setting of morbid obesity, is required to establish a consensus.

Hand-assisted laparoscopic nephrectomy in morbidly obese patients

2020 ◽  
Vol 99 (6) ◽  
pp. 271-276
Keyword(s):  
Body Weight ◽  
Surgical Technique ◽  
Blood Loss ◽  
Hospital Stay ◽  
Kidney Cancer ◽  
The Body ◽  
Laparoscopic Nephrectomy ◽  
Morbidly Obese ◽  
Obese Patients ◽  
Morbid Obese

Introduction: Prevalence of obesity is 30 % in the Czech Republic and is expected to increase further in the future. This disease complicates surgical procedures but also the postoperative period. The aim of our paper is to present the surgical technique called hand-assisted laparoscopic nephrectomy (HALS), used in surgical management of kidney cancer in morbid obese patients with BMI >40 kg/m2. Methods: The basic cohort of seven patients with BMI >40 undergoing HALS nephrectomy was retrospectively evaluated. Demographic data were analyzed (age, gender, body weight, height, BMI and comorbidities). The perioperative course (surgery time, blood loss, ICU time, hospital stay and early complications), tumor characteristics (histology, TNM classification, tumor size, removed kidney size) and postoperative follow-up were evaluated. Results: The patient age was 38−67 years; the cohort included 2 females and 5 males, the body weight was 117−155 kg and the BMI was 40.3−501 kg/m2. Surgery time was 73−98 minutes, blood loss was 20−450 ml, and hospital stay was 5−7 days; incisional hernia occurred in one patient. Kidney cancer was confirmed in all cases, 48–110 mm in diameter, and the largest removed specimen size was 210×140×130 mm. One patient died just 9 months after the surgery because of metastatic disease; the tumor-free period in the other patients currently varies between 1 and 5 years. Conclusion: HALS nephrectomy seems to be a suitable and safe surgical technique in complicated patients like these morbid obese patients. HALS nephrectomy provides acceptable surgical and oncological results.

Prophylactic Cholecystectomy, a Mandatory Step in Morbidly Obese Patients Undergoing Laparoscopic Roux-en-Y Gastric Bypass?

2011 ◽  
Vol 15 (9) ◽  
pp. 1532-1536 ◽  
Author(s):  
Mathieu D’Hondt ◽  
Gregory Sergeant ◽  
Bert Deylgat ◽  
Dirk Devriendt ◽  
Frank Van Rooy ◽  
...  
Keyword(s):  
Gastric Bypass ◽  
Morbidly Obese ◽  
Obese Patients ◽  
Prophylactic Cholecystectomy
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