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Endoluminal bariatric surgery grand rounds

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Ben Gurion University of the Negev
Ben Gurion University of the Negev

Beth Israel grand rounds on endoluminal bariatric surgery

1 de 21
The Shrinking World of Bariatric Surgery – new endoscopic solutions to old surgical problems: Elliot R Goodman MD Bariatric Surgery Service Beth Israel Medical Center New York, NY
Background ,[object Object],[object Object],[object Object],Pories WJ, Swanson MS, MacDonald KG. Who would have thought it? An operation proves to be the most effective therapy for adult-onset diabetes mellitus. Ann Surg 1995;222:339-350.
Background ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Gagner M., et al. Laparoscopic Reoperative Bariatric Surgery : Experience from 27 consecutive patients. Obes Surg, (12) 254-260, 2002.
Background ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Jones KB. Revisional bariatric Surgery-potentially safe and effective. SOARDS 1 (2005) 599-603
Endoluminal Gastric Pouch Reduction StomaphyX TM
Endoluminal Gastric Pouch Reduction ,[object Object],[object Object],[object Object],[object Object]
Endoluminal Gastric Pouch Reduction ,[object Object],[object Object],[object Object],[object Object],[object Object]
Diagram for fasteners H H H H H H
Endoluminal Gastric Pouch Reduction
Endoluminal Gastric Pouch Reduction Pre anastomosis Post anastomosis
Endoluminal Gastric Pouch Reduction Gastro-esophageal Junction
Endoluminal Gastric Pouch Reduction ,[object Object],[object Object]
Endoluminal Gastric Pouch Reduction The Ohio State University Data 54.9 % % EBWL- gastric bypass 31.8 Ave. wt. loss- gastric bypass (kg) 96% female Female / Male 64.3 Height (inches) 40.4 (32.6-63.2) BMI 107.7 (75-172.2) Pre StomaphyX Weight (kg) 47 (29-57) AGE
Endoluminal Gastric Pouch Reduction The Ohio State University Data 8.6 (7.2-9.5) 12 week weight loss (kg) 10.7 (9.5-11.8) 16 week weight loss (kg) 6.6 (2.3-15) 8 week weight loss (kg) 4.9 (1.3-19) 4 week weight loss (kg) 4.1 (1.2-17.7) 2 week weight loss (kg)
Endoluminal Gastric Pouch Reduction The Ohio State University Data 20.8 (7.9-30.9) 12 week % EBWL 29.5 (21-38) 16 week % EBWL 16.8 (5.1-51) 8 week % EBWL 11.3 (3.0-41.5) 4 week % EBWL 8.4 (2.5-26.8) 2 week % EBWL
Endoluminal Gastric Pouch Reduction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Endoluminal Gastric Pouch Reduction ,[object Object],[object Object],[object Object],[object Object],[object Object]
On The Drawing Board ,[object Object]
 
 
 

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Endoluminal bariatric surgery grand rounds

  • 1. The Shrinking World of Bariatric Surgery – new endoscopic solutions to old surgical problems: Elliot R Goodman MD Bariatric Surgery Service Beth Israel Medical Center New York, NY
  • 2.
  • 3.
  • 4.
  • 5. Endoluminal Gastric Pouch Reduction StomaphyX TM
  • 6.
  • 7.
  • 8. Diagram for fasteners H H H H H H
  • 10. Endoluminal Gastric Pouch Reduction Pre anastomosis Post anastomosis
  • 11. Endoluminal Gastric Pouch Reduction Gastro-esophageal Junction
  • 12.
  • 13. Endoluminal Gastric Pouch Reduction The Ohio State University Data 54.9 % % EBWL- gastric bypass 31.8 Ave. wt. loss- gastric bypass (kg) 96% female Female / Male 64.3 Height (inches) 40.4 (32.6-63.2) BMI 107.7 (75-172.2) Pre StomaphyX Weight (kg) 47 (29-57) AGE
  • 14. Endoluminal Gastric Pouch Reduction The Ohio State University Data 8.6 (7.2-9.5) 12 week weight loss (kg) 10.7 (9.5-11.8) 16 week weight loss (kg) 6.6 (2.3-15) 8 week weight loss (kg) 4.9 (1.3-19) 4 week weight loss (kg) 4.1 (1.2-17.7) 2 week weight loss (kg)
  • 15. Endoluminal Gastric Pouch Reduction The Ohio State University Data 20.8 (7.9-30.9) 12 week % EBWL 29.5 (21-38) 16 week % EBWL 16.8 (5.1-51) 8 week % EBWL 11.3 (3.0-41.5) 4 week % EBWL 8.4 (2.5-26.8) 2 week % EBWL
  • 16.
  • 17.
  • 18.
  • 19.  
  • 20.  
  • 21.