Long-Term Outcomes of Lap Band Surgery: The Big Lesson

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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

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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?

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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

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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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Houston Single Incision Sleeve Gastrectomy

Single Incision Sleeve Gastrectomy

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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

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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

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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?

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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?

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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

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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

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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

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“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

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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

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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

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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

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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

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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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Biggest Loser Weight Loss Houston

Is Weight Loss Surgery a Good Option for Achalasia Patients?

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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

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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

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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)

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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

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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

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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

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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?

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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

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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

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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

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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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The Nissen Sleeve Operation: A New Take on the Gastric Sleeve

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A group of French bariatric surgeons from the University Hospital of Montpellier have conducted a pilot study on a new weight ...

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What Type of Exercise Is Good for You?

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Exercise intensity, duration and frequency varies greatly among individuals. It is commonly recommended to do 150 minutes of moderate intensity aerobic ...

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