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Abeezar I. Sarela MSc MS MD FRCS Consultant in Upper GI & Bariatric Surgery St James’s University Hospital, Leeds, UK PN Hinduja National Hospital, Mumbai, India Bariatric Surgery: What Does The Future Hold?
Surgery for Obesity ,[object Object],[object Object],[object Object],[object Object],[object Object]
The Future ,[object Object],[object Object],[object Object]
Sleeve Gastrectomy:  The Rise…
Sleeve Gastrectomy Current Status ,[object Object],[object Object],[object Object],[object Object]
Sleeve Gastrectomy Available Long-Term Follow-Up Data ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What is Success in  Bariatric Surgery? ,[object Object],[object Object]
Success & Failure Sleeve  Gastrectomy Failure Success: Sleeve with  >50% EWL Revisional Surgery Lost to Follow-Up Sleeve with  <50% EWL
Sleeve Gastrectomy:  Long-Term Follow-Up  (…and ? Fall) 45% 20 8+ years Sarela et al Leeds, 2010 64% 53 6+ years Himpens et al Brussels, 2010 Failure No. of patients Follow-Up Author
Evolution of Surgery Open Surgery (big cuts) Laparoscopic Surgery (key-hole sized cuts) Natural Orifice Surgery (no cuts)
Endoscopic Bariatric Procedures ROSE, POSE (USGI) Anchors TOGa (Satiety Inc.) Staplers EndoBarrier (GI Dynamics) ValenTx Sleeves StomaphyX (Endogastric Solutions) T-Fasteners EndoCinch (Bard) Spiderman (J&J) Suturing Sclerotherapy Product Technique
TOGA
TOGA:  ex-vivo  Anatomy
TOGA TransOral Gastroplasty ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Search Continues…… ,[object Object],[object Object],[object Object]
Implantable  Gastric Electrical Stimulators
Transcend IGS ™ System Transneuronix - Medtronics ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],IntraPace: Abiliti™ Consumption - Expenditure Wt Change =
IntraPace: abiliti ™ GSA102 Analyzer P102 Programmer W102 Programmer Wand LGS102 Stimulator LGL102 Lead
Endoscopy 6 Months Post-Implant
Abiliti ™:  Weight Loss  Unpublished data
Emerging Paradigms in  Obesity Therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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The future of bariatric surgery

  • 1. Abeezar I. Sarela MSc MS MD FRCS Consultant in Upper GI & Bariatric Surgery St James’s University Hospital, Leeds, UK PN Hinduja National Hospital, Mumbai, India Bariatric Surgery: What Does The Future Hold?
  • 2.
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  • 4. Sleeve Gastrectomy: The Rise…
  • 5.
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  • 8. Success & Failure Sleeve Gastrectomy Failure Success: Sleeve with >50% EWL Revisional Surgery Lost to Follow-Up Sleeve with <50% EWL
  • 9. Sleeve Gastrectomy: Long-Term Follow-Up (…and ? Fall) 45% 20 8+ years Sarela et al Leeds, 2010 64% 53 6+ years Himpens et al Brussels, 2010 Failure No. of patients Follow-Up Author
  • 10. Evolution of Surgery Open Surgery (big cuts) Laparoscopic Surgery (key-hole sized cuts) Natural Orifice Surgery (no cuts)
  • 11. Endoscopic Bariatric Procedures ROSE, POSE (USGI) Anchors TOGa (Satiety Inc.) Staplers EndoBarrier (GI Dynamics) ValenTx Sleeves StomaphyX (Endogastric Solutions) T-Fasteners EndoCinch (Bard) Spiderman (J&J) Suturing Sclerotherapy Product Technique
  • 12. TOGA
  • 13. TOGA: ex-vivo Anatomy
  • 14.
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  • 16. Implantable Gastric Electrical Stimulators
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  • 19. IntraPace: abiliti ™ GSA102 Analyzer P102 Programmer W102 Programmer Wand LGS102 Stimulator LGL102 Lead
  • 20. Endoscopy 6 Months Post-Implant
  • 21. Abiliti ™: Weight Loss Unpublished data
  • 22.

Hinweis der Redaktion

  1. 11/09/11