Publications by authors named "Melissa Majumdar"
Background: Metabolic and bariatric surgery (MBS) venous thromboembolism (VTE) prescribing practices vary widely. Our institutional VTE prophylaxis protocol has historically been unstandardized.
Objectives: To create a standardized MBS VTE prophylaxis protocol, track protocol compliance, and identify barriers to protocol compliance and address them with Plan-Do-Study-Act (PDSA) cycles.
Article Synopsis
- - The study aimed to compare the effectiveness of suction calibration systems (SCS) and esophagogastroduodenoscopy (EGD) in laparoscopic sleeve gastrectomy (LSG) to see if SCS could reduce the number of stapler load firings during the procedure.
- - Conducted as a randomized, non-blinded trial at a single academic center, the study included 125 LSG candidates and focused on endpoints like stapler load firings, operative time, reflux symptoms, and weight change, analyzed using t-tests.
- - Results showed no significant differences between the EGD and SCS groups in terms of stapler load firings (5.43 vs. 5.31) and
Background: Venous thromboembolism (VTE) is a leading cause of 30-day mortality after metabolic and bariatric surgery (MBS). Multiple predictive tools exist for VTE risk assessment and extended VTE chemoprophylaxis determination.
Objective: To review existing risk-stratification tools and compare their predictive abilities.
Background: Enhanced recovery protocols (ERPs) after metabolic and bariatric surgery (MBS) may help decrease length of stay (LOS) and postoperative nausea/vomiting but implementation is often fraught with challenges. The primary aim of this pilot study was to standardize a MBS ERP with a real-time data support dashboard and checklist and assess impact on global and individual element compliance. The secondary aim was to evaluate 30 day outcomes including LOS, hospital readmissions, and re-operations.
View Article and Find Full Text PDFPostoperative vitamin and mineral supplementation are integral components of the management of the weight loss surgery patient. Supplements differ in type, amount, and salt form. No recent publication has compared bariatric branded commercially available products with current practice guidelines.
View Article and Find Full Text PDFBackground: Of patients undergoing Roux-en-Y gastric bypass (RYGB), 15-35% of patients fail to achieve "adequate" weight loss or regain significant weight. Multiple solutions have been proposed, but not well studied. We report our experience with limb distalization with lengthening the biliopancreatic (BP) limb and shortening the common channel (CC).
View Article and Find Full Text PDF