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!

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Sleeve Gastrectomy; Leak Rate 4%!

Sleeve Gastrectomy; Leak Rate 4%!Amplify’d from http://www.ncbi.nlm.nih.govSurg Laparosc Endosc Percutan Tech. 2010 Oct;20(5):351-6.Revisional surgery after sleeve gastrectomy.Lacy A, Obarzabal A, Pando E, Adelsdorfer C, Delitala A, Corcelles R, Delgado S, Vidal J.*Department of Surgery †Department Endocrinology, ICMDM, Hospital Clinic of Barcelona, Barcelona, Spain.AbstractINTRODUCTION: Worldwide, morbid obesity incidence has increased dramatically in the last decade and … Continue reading Sleeve Gastrectomy; Leak Rate 4%!

Stricture After RNY: 4-10%, Reoperation 4-5% and Leak 1%!

retrospective review of all patients who underwent LRYGBP at a single institution during a 3-year period. Stricture rate in the stapled group was 10% and 4% in the handsewn group. 4 patients from the stapled group (4%) and 6 from the handsewn group (5%) needed early reoperation. One patient in each group had a leak … Continue reading Stricture After RNY: 4-10%, Reoperation 4-5% and Leak 1%!

RNY Complication Rate 16%!

The gastric bypass is currently the most commonly performed procedure. The complication rate can be up to 16%, with a considerable proportion having nutritional implications.Amplify’d from http://www.ncbi.nlm.nih.govProc Nutr Soc. 2010 Nov;69(4):536-42. Epub 2010 Aug 10.Provision of nutritional support to those experiencing complications following bariatric surgery.Segaran E.Department of Dietetics, St Mary's Hospital, Imperial College Healthcare Trust, … Continue reading RNY Complication Rate 16%!

Complications after RNY; Lions and Tigers and Bears, Oh My!

Over two-thirds of patients with upper gastrointestinal symptoms following RYGB will have one or more abnormalities on endoscopy, including anastomotic strictures (53%), marginal ulcers (16%), functional obstructions (4%), and gastrogastric fistulas (2.6%).Amplify’d from http://www.ncbi.nlm.nih.govCurr Opin Gastroenterol. 2010 Nov;26(6):632-9.Endoscopic management in the bariatric surgical patient.Levitzky BE, Wassef WY.Department of Gastroenterology and Hepatology, University of Massachusetts Medical … Continue reading Complications after RNY; Lions and Tigers and Bears, Oh My!

“Experts”: American Surgeons Refuse to Accept Lister and the Germ Theory

For over a decade many leading British surgeons failed to recognize the merit of the antiseptic system, and much acrimonious criticism was directed at Lister and his method. When he visited the United States in 1876 to deliver an address at the International Medical Congress in Philadelphia, he was not received with any enthusiasm. The … Continue reading “Experts”: American Surgeons Refuse to Accept Lister and the Germ Theory

Expert Judgement Carefully Studied; Routinely Wrong!

Expert Judgement Carefully Studied; Routinely Wrong!Amplify’d from http://www.cxoadvisory.comExpert Political Judgment: How Good Is It? How Can We Know? (Chapter-by-Chapter Review) Posted in Investing Expertise April 18, 2006 ShareThis   In his 2005 book Expert Political Judgment: How Good is It? How Can We Know?, Philip Tetlock describes the results of his long-term systematic measurement of … Continue reading Expert Judgement Carefully Studied; Routinely Wrong!

“Experts” are Often Wrong!

Experts favored the jejuno-ileal bypass, the stomach stapling and the lap band. Most everyone now agrees these are all wrong (poor choices) When they're wrong, they're rarely held accountable, and they rarely admit it, either. Bariatric Surgery if filled with controversy. With a diversity of opinion there are still are relatively large number of surgeons … Continue reading “Experts” are Often Wrong!

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