The Effect of Bariatric Surgery upon Diabetes Mellitus: A Proof of Concept by Using the Case of the Mid-Term Effect of Lap Adjustable Gastric Banding (LAGB) on Patients with Diabetes.

Obesity is a worldwide epidemic, with numbers on the rise in the world. Obesity is strongly correlated with increased morbidity and mortality. One of the major factors affecting this increase is comorbid diseases such as diabetes mellitus (DM), which is strongly associated with and dependent on the degree of obesity.

Laparoscopic adjustable gastric band removal and outcome of subsequent revisional bariatric procedures: A retrospective review of 214 consecutive patients.

Background: Laparoscopic adjustable gastric band (LAGB) removal is required in cases of slippage, erosion, infection, intolerance, or failure in weight loss. The aim of the study was to follow up the patients who underwent band removal and analyze the outcome of subsequent revisional bariatric procedures.

Patients And Methods: A retrospective review of consecutive patients who underwent LAGB removal during 3.

Management of gastric perforations during laparoscopic gastric banding.

Background: Gastric perforations are one of the intraoperative complications of laparoscopic gastric banding (LAGB). Delayed diagnosis can increase the mortality and morbidity rates.

Methods: Retrospective analysis of surgery outcome and long-term follow-up of the patients with gastric perforations during primary LAGB and revisional band procedures was performed.

Abdominal cocoon as a rare cause of small bowel obstruction in an elderly man: report of a case and review of the literature.

Abdominal cocoon is a rare cause of intestinal obstruction usually diagnosed incidentally at laparotomy. The cause and pathogenesis of the condition have not been elucidated. It primarily affects adolescent girls living in tropical and subtropical regions.

Slit versus non-slit mesh placement in total extraperitoneal inguinal hernia repair.

Background: The goal of the present research was to study patients who underwent laparoscopic total extraperitoneal repair using slit and non-slit mesh placement.

Methods: Patients who underwent laparoscopic inguinal hernia repair in our hospital between 2005 and 2009 were interviewed and examined. Surgery outcome, hernia recurrence, postoperative pain and time to return to normal physical activities, and surgery satisfaction were compared.

Changes in headache frequency in premenopausal obese women with migraine after bariatric surgery: a case series.

Background: The association between migraine and obesity gives the clinician with an exciting possibility to alleviate migraine suffering through weight-reduction gastric-restrictive operations. We hypothesized that bariatric weight-reduction intervention (gastric banding) will be associated with reduction of migraine burden in this population.

Methods: A total of 105 women between 18 and 50 years of age, admitted for bariatric surgery between April 2006 and February 2007, were screened for migraine.

Laparoscopic appendectomy as an initial step in independent laparoscopic surgery by surgical residents.

Background: Laparoscopic appendectomy (LA) can be used as a training model for the start of the independent experience of young residents. We tried to evaluate whether LA is a risk factor for patients when it is done by novice surgeons during the different steps of their training.

Materials And Methods: A retrospective study of all the patients who underwent LA in our department between 2000 and 2008 was conducted.

Bariatric emergencies for non-bariatric surgeons: complications of laparoscopic gastric banding.

Background: Laparoscopic adjustable gastric banding (LAGB) has gained popularity for treatment of morbid obesity worldwide. With the widespread use of LAGB, an increasing number of medical specialists are dealing with the potentially life-threatening complications of this procedure.

Methods: More than 6,000 LABGs were performed by our surgeons during the past 11 years, during which various complications of LAGB were observed, including band slippage, erosion, gastric pouch dilatation, port infection, and disconnection.

EAES recommendations on methodology of innovation management in endoscopic surgery.

Background: Under the mandate of the European Association for Endoscopic Surgery (EAES) a guideline on methodology of innovation management in endoscopic surgery has been developed. The primary focus of this guideline is patient safety, efficacy, and effectiveness.

Methods: An international expert panel was invited to develop recommendations for the assessment and introduction of surgical innovations.

Gastric emptying of semisolids and pouch motility following laparoscopic adjustable gastric banding.

Background: Laparoscopic adjustable gastric banding (LAGB) has been popularized as an effective, safe, minimally invasive surgical technique for the treatment of morbid obesity. We performed a pilot study to evaluate gastric emptying of semisolid meals and antral motility following LAGB.

Methods: Gastric emptying half-time was compared in normal volunteers and morbidly obese patients before and 6-12 months after LAGB using sulfur colloid-labeled semisolid meals.

Value of laparoscopic appendectomy in the elderly patient.

Background: Acute appendicitis (AA) in elderly patients (60 years of age and older) is a challenging problem associated with significant morbidity and mortality when perforation is present. We hypothesized that laparoscopic appendectomy (LA) would enable an earlier correct diagnosis and have advantages in elderly patients.

Methods: We performed a retrospective review of patients who underwent laparoscopic appendectomy for suspected AA.

Safety of laparoscopic appendectomy during pregnancy.

Background: Use of laparoscopic appendectomy (LA) remains controversial during pregnancy because data regarding procedure safety are limited. The outcome of LA in pregnant women was evaluated and compared to results of open surgery.

Methods: Between January 1997 and December 2007, 42 pregnant women (mean age 24 years [range: 19-40 years]; range of gestation: 5-25 weeks) underwent appendectomy for suspected acute appendicitis: 23 laparoscopic (LA) and 19 open appendectomies (OA).

Laparoscopic cholecystectomy for acute cholecystitis in the elderly: is it safe?

Background: The purpose of this study was to evaluate the outcome of laparoscopic cholecystectomy (LC) in patients with acute cholecystitis aged 75 years and older.

Materials And Methods: A retrospective chart review was performed on the 1216 cholecystectomies performed in our department from 2000 to 2005. A total of 225 patients underwent attempted LC for acute cholecystitis, of whom 42 were more than 75 years old and 183 younger.

Laparoscopic diagnosis and treatment of postoperative complications.

Background: There is no unequivocal attitude to a laparoscopy as to the means in the diagnosis and treatment of postoperative surgical complications. Our study sought to determine the role of laparoscopy in the management of suspected postoperative complications.

Methods: We performed a retrospective review of the patients who underwent laparoscopy for complications of previous surgery over a 6-year period.

[Complications after the operation of laparoscopic adjustable gastric banding in treatment of patients with obesity].

Operations of laparoscopic adjustable gastric banding (LAGB) have been fulfilled on 2958 patients for treatment of different forms of obesity. The age of the patients was 38 +/- 7.5 years (from 16 to 60 years).

Early relaparoscopy for management of suspected postoperative complications.

Background: Diagnosis of complications after laparoscopic surgery is difficult and sometimes late.

Methods: We compared the outcome of patients who had early (<48 h) relaparoscopy for suspected postoperative complication to those where relaparoscopy was delayed (>48 h).

Results: During the study period, 7726 patients underwent laparoscopic surgery on our service.

Leukocyte scintigraphy SPECT/CT software fusion diagnosis of infected gastric band.

The prevalence of morbid obesity is increasing worldwide and presents a significant clinical problem. Laparoscopic adjustable gastric banding has been popularized as an effective, safe, minimally invasive surgical technique for the treatment of morbid obesity. Different diagnostic imaging modalities are crucial for follow-up of "banded" patients and detection of the different postoperative complications.

[Laparoscopic adjustable gastric banding in treatment of patients with obesity].

Laparoscopic adjustable gastric banding (LAGB) has been fulfilled in 2958 patients in the period since 1998 through 2006 for treatment of different forms of obesity. The age of the patients was from 16 to 60 years (mean age 38 years). There were 80% of women (2366) and 20% of men (592).

Presentation and management of port disconnection after laparoscopic adjustable gastric banding.

Aim: Laparoscopic adjustable gastric banding (LAGB) is a common and effective minimally invasive procedure in the treatment of morbid obesity. Port and connection tube complications are rarely reported. The aim of this study was to find presenting signs and predictors of tube disconnection from the access port that allow prompt diagnosis and appropriate treatment.

Jejunal obstruction caused by migrated gastric band.

We describe the rare complication of an eroded gastric band in the gastric cavity that passed through the pylorus and obstructed the proximal jejunum at the point allowed by the length of the connecting tube. At surgery, in addition to the expected finding, multiple necrotic pressure ulcerations in the jejunal wall were found in step ladder locations. Anyone who has adopted laparoscopic gastric banding as the modality for surgical treatment of morbid obesity should be familiar with this rare but potentially dangerous complication.

Evaluation of compensatory sweating after bilateral thoracoscopic sympathectomy for palmar hyperhidrosis.

The study is a retrospective review of 60 patients undergoing bilateral T2-T3 thoracoscopic sympathectomy for palmar hyperhidrosis in our department between 1997 and 2003. The study was based on a telephone questionnaire and medical chart review. Forty patients (67%) replied to the questionnaire and were included in the study.

Laparoscopic accessory splenectomy using intraoperative gamma probe guidance.

In cases of accessory splenic tissue in postsplenectomy patients, it is of utmost importance to localize the accessory spleen prior to surgery. Several studies have shown the feasibility of laparoscopic resection of accessory splenic tissue using preoperative scintigraphy. We present the cases of three postsplenectomy patients with accessory splenic tissue causing relapsing hematologic disease.

Use of the "Bogota bag" for temporary abdominal closure in patients with secondary peritonitis.

Various methods may be used for temporary closure of the abdomen. Use of the "Bogota bag" (BB) technique for abdominal closure has been reported primarily in the management of injuries. This review describes our experience using the BB technique in cases of secondary peritonitis.

Complicated appendicitis: laparoscopic or conventional surgery?

Background: The surgical treatment of complicated appendicitis remains controversial. The aim of this study was to evaluate the role of laparoscopic appendectomy in the treatment of complicated appendicitis in comparison with open surgery.

Methods: We reviewed the medical records of all patients who underwent an appendectomy for complicated appendicitis between January 2001 and August 2005.