Outcomes of conversions in bariatric surgery mendoza 2011
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Outcomes of conversions in bariatric surgery mendoza 2011
- 1. Outcomes of Conversions in Bariatric Surgery Samer G. Mattar, MD, FRCS, FACS Associate Professor of Surgery Indiana University
- 3. Growth of Bariatric Surgery: 500% NEJM 350;11, 2004, March 11, 1075-1079
- 4. Bariatric Surgery Increase Total number of Roux-en-Y Gastric Bypasses Performed in the USA* *National Center for Health Statistics 1998 25000 1999 23000 2000 38000 2002 40000 2004 140000 2005 170000 2008 220,000
- 7. Incidence of Revisional Bariatric Surgery
- 22. Failed LAGB Reband or Convert? Dotted line = Re-banded patients Solid line = Patients converted to LRYGB p = 0.035 Muller MK, et al; Surg Endosc (2008);22:448-53
- 28. RYGB RYGB + Band Bessler M et al; SOARD; 6(1):31-5
- 33. Indications Patel, Szomstein, Rosenthal. Obes Surg Online first July 2010 Gastrogastric fistula 41% Ulcer, reflux, bleeding 30.5% Strictures and outlet obstructions 23 % Eroded anastomotic rings 8% Weight loss with malnutrition 7%
- 35. Outcomes * all patients required immediate operative intervention Patel, Szomstein, Rosenthal. Obes Surg Online first July 2010 Postoperative Complications n % Leaks 20 13.2 Wound infection 5 3.3 Intra-abdominal abscess 4 2.6 Trocar site hernia* 3 2.0 Gastrointestinal bleeding* 1 0.7
- 39. Thank you!