Sleeve Gastrectomy in Patients with Previous Nissen fundoplication

Posted by Dr. Elias Darido on November 5, 2019

I read with great interest the case series published this month in Surgery for Obesity and Related Diseases, SOARD, by Yerdel et al. “Sleeve Gastrectomy in patients with previous antireflux surgery. Preliminary results of the “no-touch to posterior wrap” technique. The authors converted 14 Nissen fundoplication patients with morbid obesity to sleeve gastrectomy. Mean follow up time was around 2 years after conversion surgery. Conversion surgery preserved the posterior and right lateral aspect of the wrap. Continue reading “Sleeve Gastrectomy in Patients with Previous Nissen fundoplication” →

Pyloric Drainage and Gastroparesis

Posted by Dr. Elias Darido on September 18, 2019

A recent study titled “Does pyloric drainage have a role in the era of minimally invasive esophagectomy?” and published in Surgical Endoscopy journal, caught my attention. The authors retrospectively analyzed 283 patients undergoing minimally invasive esophagectomy in a single institution. Continue reading “Pyloric Drainage and Gastroparesis” →

The Ketogenic Diet for Obesity and Diabetes

Posted by Dr. Elias Darido on September 2, 2019

An interesting report on keto diet for treatment of obesity and diabetes was recently published in JAMA, journal of the American Medical Association. The article is titled “The Ketogenic diet for obesity and diabetes – Enthusiasm outpaces evidence” by McMacken el al. Continue reading “The Ketogenic Diet for Obesity and Diabetes” →

Duodeno-gastric Bile Reflux after Sleeve Gastrectomy

Posted by Dr. Elias Darido on August 5, 2019

We have previously discussed the pathophysiology associated with bile reflux from duodenum into gastric sleeve lumen ending into distal esophagus in the setting of hiatal hernia. At Houston Weight loss Surgery Center, we have made the observation of increased incidence of bile gastritis in gastric sleeve patients with hiatal hernia and distal esophagitis. Continue reading “Duodeno-gastric Bile Reflux after Sleeve Gastrectomy” →

Gastric Sleeve Migration in Weight loss Surgery

Posted by Dr. Elias Darido on July 16, 2019

I read with great interest the article “Gastric Migration Crisis in Obesity Surgery” recently published in Obesity Surgery. The author, Dr. Runkel, is concerned about the increasing numbers of intra-thoracic migration of gastric sleeve leading to GERD and Barrett’s esophagus development. Continue reading “Gastric Sleeve Migration in Weight loss Surgery” →

Endoscopic Sleeve Gastroplasty Under Fire

Posted by Dr. Elias Darido on July 12, 2019

“Without data, you are just another person with an opinion”, concluded R. Cohen MD his attack and critique of the novel weight loss procedure, endoscopic sleeve gastroplasty also known as Endosleeve. Cohen et al conducted a systemic review regarding the efficacy and safety of endoscopic sleeve gastroplasty. The authors found no supporting scientific evidence to recommend the use of endoscopic sleeve gastroplasty for treatment of obesity in clinical practice. Continue reading “Endoscopic Sleeve Gastroplasty Under Fire” →

Weight Regain after Bariatric Surgery

Posted by Dr. Elias Darido on June 21, 2019

A recent study by Courcoulas et al titled “Patient behavior and Characteristics Related to Weight Regain after Roux-en-Y gastric Bypass” highlights certain behaviors associated with weight regain years after bariatric surgery. Continue reading “Weight Regain after Bariatric Surgery” →

Is Mini Gastric Bypass a Safe Option for Weight Loss?

Posted by Dr. Elias Darido on June 10, 2019

Mini-gastric bypass also known as single anastomosis gastric bypass surgery is a non-endorsed weight loss procedure by the American Society of Bariatric and Metabolic Surgery, ASMBS. Bile reflux and the risk of malignancy have been the main concern with mini gastric bypass when compared to the standard Roux-en-Y gastric bypass surgery. Continue reading “Is Mini Gastric Bypass a Safe Option for Weight Loss?” →

Processed food and Weight Gain after Gastric Sleeve

Posted by Dr. Elias Darido on May 20, 2019

The National Institute of Health, NIH, conducted a prospective randomized study on a group of twenty healthy volunteers, average BMI=27. The recruits were randomly divided into two groups. First group of individuals consumed a diet of ultra-processed food for two weeks then unprocessed diet for two more weeks. Continue reading “Processed food and Weight Gain after Gastric Sleeve” →

Is Your Gastric Sleeve Dilated?

Posted by Dr. Elias Darido on April 11, 2019

Gastric sleeve surgery is a restrictive bariatric procedure. Stomach volume is greatly reduced resulting in small meal consumption. Weight loss, however, is not related to stomach volume reduction. Gastric sleeve induced weight loss is a physiologic result of altered gastrointestinal neuro-hormonal signals secondary to increased Continue reading “Is Your Gastric Sleeve Dilated?” →