What Exactly Is the Magenstrasse?
Gastric emptying is a complex and highly coordinated process that remains poorly understood. Several nutrient stimulated neuro-hormonal signals emanating from the ...
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Case of The Week: Lap Band and Pseudo-achalasia
Adjustable gastric banding results in the formation of a thick fibrous capsule around the distal esophagus. In most cases the capsule ...
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Long-Term Outcomes of Lap Band Surgery: The Big Lesson
Fabrizio Vinzens et al have recently published a study titled “Long-term outcome of laparoscopic adjustable gastric banding (LAGB): Results of a ...
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A Stomach Road or ‘‘Magenstrasse’’ for Weight Loss
In 1908, Waldeyer described a longitudinal fold along the lesser curvature of the stomach that he called Magenstrasse. The Magenstrasse is ...
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Do You Suffer from Acid Reflux Following Sleeve Gastrectomy?
It has become a routine to publish at least one article on the effect of sleeve gastrectomy on GERD in the ...
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The Hairpin Sleeve Gastrectomy
The incisura angularis is the Achilles heel of sleeve gastrectomy. Preserving this natural gastric angulation is crucial to ensure proper weight ...
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Single Incision Sleeve Gastrectomy
One of the most important surgical principles in gastric sleeve surgery is contouring the stapled stomach to prevent narrowing or twisting. ...
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Sleeve Gastrectomy and Increased Intra-Gastric Pressure
Does gastric sleeve surgery increase intra-gastric pressure? The short answer to this question is unknown. There are no studies I am ...
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Gastric Electric Activity and Sleeve Gastrectomy
I read with great interest this new study published by O’Grady el al in Obesity Surgery journal and titled “Patterns of ...
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Morbid Obesity, GERD, Gastroparesis and Type 2 Diabetes: What Do They Have in Common?
Surgical manipulation of the gastric fundus by resection, plication, invagination or bypass results in physiologic changes. These changes have immediate and ...
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Who Would Have Thought About It: Gastric Balloon and Pancreatitis?
The FDA has recently confirmed that fluid filled intra-gastric balloons used for weight loss can cause acute pancreatitis. It is believed ...
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Question of The Week: Acid Reflux Following Sleeve
I had sleeve surgery about 2 years ago in Dallas. I’ve lost about 40 pounds and still eat pretty small amounts ...
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SAGES Meeting 2017: GERD and Obesity
The annual meeting for SAGES (Society of Gastrointestinal and Endoscopic Surgeons) was in Houston this year. I have attended most of ...
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Hiatal Hernia Repair During Sleeve Gastrectomy Is Safe and Feasible
“Concomitant hiatal hernia repair with laparoscopic sleeve gastrectomy is safe: analysis of the ACS-NSQIP database” by Safadi et al is a ...
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Bariatric Surgery and Esophageal Adenocarcinoma
Esophageal adenocarcinoma is the fastest rising cancer in the US. Obesity, and GERD are well known risk factors for esophageal adenocarcinoma ...
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Sleeve Gastrectomy, GLP-1 Secretion and Gastric Emptying
A prospective study titled “The effect of sleeve gastrectomy on GLP-1 secretion and gastric emptying” has recently been published in SOARD ...
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Continuous belching following gastric sleeve surgery
This case was posted on the American College of Surgeons, bariatric portal, for discussion. “A 60-year-old patient had a sleeve gastrectomy ...
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Gastric Bypass Surgery Is Not a Good Option for Gastroparesis
I was asked to review a study titled “Laparoscopic Treatment of Gastroparesis: A Single Center” submitted for publication in SOARD (Surgery ...
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Demystifying the Role of Weight Loss Surgery
There is widespread belief that weight loss surgery is a last resort treatment for patients who are struggling to lose weight. ...
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Is Weight Loss Surgery a Good Option for Achalasia Patients?
Achalasia is a rare esophageal dysmotility disorder of unknown etiology. It is characterized by loss of esophageal peristalsis and failure of ...
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Endoscopic Bariatric Surgery Revision in Houston
Patient A.S. sent us this question: “I had Bariatric Sleeve surgery in Houston, regained my weight back. I had watch a ...
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Patient Education: Gastric Balloon and Portion Control
Pamela sent us this question regarding intra-gastric balloon mechanism of action: I am looking into getting a balloon placed into my ...
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Public Service Announcement from the American Society for Metabolic and Bariatric Surgery (ASMBS)
ASMBS has just announced that Ethicon Endo-Surgery will discontinue the production of Gastric Band device for weight loss. ASMBS and FDA ...
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Heart Health for 2017
Dominik D. Alexander, PhD, MSPH and colleagues have recently published a meta-Analysis of randomized controlled trials and prospective cohort studies of ...
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Jimmy’s Success Story Could be Yours in 2017
Jimmy is a 50-year-old male who has been struggling with excess weight for the past 25 years of his life. 15 ...
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Lap Band, Achalasia, and Severe Esophagitis
The first case of the week for 2017, is a 43-year-old female who underwent lap band placement in 2013 by an ...
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Holiday Weight Gain: Now What?
Holiday Weight Gain: Now What? Most of us gain 1 to 2 pounds over the holiday period between Thanksgiving and New ...
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Question about Nissen Fundoplication
An Interesting and important Question from Julie. She writes: Hello and thank you for this article. I am currently scheduled to ...
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Question of the Month
Lauren sent us this question few days ago: “I had gastric sleeve surgery in June 2015. I recently had an unrelated ...
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One Stage Gastric Band Removal and Conversion to Gastric Sleeve
Several studies have shown that a two-stage conversion of lap band to gastric sleeve is safer than a single stage approach. ...
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