A revolutionary design change to improve stapler safety.

Abstract:

BACKGROUND:Postoperative staple line leaks and bleeding are the most common reasons for complications in surgical procedures that involve organ resection, such as sleeve gastrectomy. Increasing the safety of these operations requires improving the instruments (endostaplers or endocutters) used for stapling and sectioning the tissues. METHODS:We present a new prototype stapler for marketing in resection surgery, especially designed for the sleeve gastrectomy. RESULTS:We suggest that the medical instrument industry creates devices in which the channel along which the knife blade runs is located asymmetrically. This would allow more staples to be placed on the side of the gastric remnant, thus improving the sealing and hemostasis of the suture line and reducing the number of complications for patients as a result. CONCLUSIONS:The application of new concepts in medical surgical devices can improve the safety of the procedures in our patients.

journal_name

Obes Surg

journal_title

Obesity surgery

authors

Arteaga-González IJ

doi

10.1007/s11695-012-0792-z

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

112-4

issue

1

eissn

0960-8923

issn

1708-0428

journal_volume

23

pub_type

信件
  • Difficult Tracheal Intubation in Obese Gastric Bypass patients.

    abstract:BACKGROUND:Endotracheal intubation is commonly perceived to be more difficult in obese patients than in lean patients. Primarily, we investigated the association between difficult tracheal intubation (DTI) and obesity, and secondarily, the association between DTI and validated scoring systems used to assess the airways...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-016-2141-0

    authors: Dohrn N,Sommer T,Bisgaard J,Rønholm E,Larsen JF

    更新日期:2016-11-01 00:00:00

  • Sleeve gastrectomy plus side-to-side jejunoileal anastomosis for the treatment of morbid obesity and metabolic diseases: a promising operation.

    abstract:BACKGROUND:The continuing need for simple, safe, and effective procedures led us to design a new operation for treating morbid obesity. METHODS:Thirty-two patients underwent our novel procedure, sleeve gastrectomy plus side-to-side jejunoileal anastomosis (SG plus), and were followed for 6 to 24 months. A matched coho...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-012-0637-9

    authors: Melissas J,Peppe A,Askoxilakis J,Dimitriadis E,Grammatikakis J

    更新日期:2012-07-01 00:00:00

  • Mineral metabolism and bone disease after bariatric surgery and ways to optimize bone health.

    abstract::There is no consensus on how to protect the skeleton with adequate supplements in patients who have undergone bariatric operations. The main problem in mineral metabolism is usually related to secondary hyperparathyroidism (2 degrees HPT), often caused by a lack of dietary calcium, magnesium or vitamin D, together wit...

    journal_title:Obesity surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s11695-008-9431-0

    authors: Schweitzer DH

    更新日期:2007-11-01 00:00:00

  • Laparoscopic Roux-en-Y gastric bypass: transoral or transgastric anvil placement?

    abstract:BACKGROUND:Laparoscopic techniques have been used to perform the Roux-en-Y gastric bypass (RYGBP). The gastrojejunostomy may be constructed using an end-to-end anastomosis (EEA) stapler. Most reports describe passing the EEA anvil transorally using an esophagogastroscope and a pull-wire technique. METHOD:We describe p...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089200321629139

    authors: Scott DJ,Provost DA,Jones DB

    更新日期:2000-08-01 00:00:00

  • Reinforcing the staple line during laparoscopic sleeve gastrectomy: prospective randomized clinical study comparing two different techniques. Preliminary results.

    abstract:BACKGROUND:Sleeve gastrectomy involves the creation of small gastric reservoir based on lesser curvature of the stomach, which is fashioned by a longitudinal gastrectomy that preserves the antrum and pylorus together with its vagal innervation. The main complications in the early postoperative course are bleeding and g...

    journal_title:Obesity surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s11695-011-0421-2

    authors: Albanopoulos K,Alevizos L,Flessas J,Menenakos E,Stamou KM,Papailiou J,Natoudi M,Zografos G,Leandros E

    更新日期:2012-01-01 00:00:00

  • Macroscopic Evaluation of Gastric Specimens After Laparoscopic Sleeve Gastrectomy-an Optimum Screening Test for Incidental Pathologies?

    abstract:INTRODUCTION:Obesity is a serious lifestyle disease with various comorbidities and an augmented risk of cancer. Laparoscopic sleeve gastrectomy (LSG) has recently become the most popular bariatric procedure worldwide. While the cost-effectiveness is a major healthcare providers' concern, the point of histological exam ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-018-3485-4

    authors: Walędziak M,Różańska-Walędziak A,Janik MR,Paśnik KW,Kowalewski PK

    更新日期:2019-01-01 00:00:00

  • Laparoscopic reoperative sleeve gastrectomy for poor weight loss after biliopancreatic diversion with duodenal switch.

    abstract:BACKGROUND:The revisional surgery for patients with inadequate weight loss after biliopancreatic diversion with duodenal switch (BPD/DS) is controversial. It has not yet been determined whether a common channel should be shortened or gastric pouch volume reduced. Since the revision of the distal anastomosis remains tec...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089203322190907

    authors: Gagner M,Rogula T

    更新日期:2003-08-01 00:00:00

  • Residual gastric volume estimated with a new radiological volumetric model: relationship with weight loss after laparoscopic sleeve gastrectomy.

    abstract:BACKGROUND:The volume of the gastric reservoir appears crucial to explain the success of laparoscopic sleeve gastrectomy (LSG) in the treatment of morbid obesity. The aims of this study were to describe a new, easy model to estimate gastric reservoir volume after LSG; to evaluate the volumetric changes 1 year after sur...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-013-1113-x

    authors: Vidal P,Ramón JM,Busto M,Domínguez-Vega G,Goday A,Pera M,Grande L

    更新日期:2014-03-01 00:00:00

  • Laparoscopic Sleeve Gastrectomy With or Without Staple Line Inversion and Distal Fixation to the Transverse Mesocolon: Impact on Early Postoperative Outcomes.

    abstract:BACKGROUND AND AIM:Staple line complications and axial rotation of the gastric tube after sleeve gastrectomy are well-recognized complications of the procedure. The present study aims to investigate the role of staple line inversion and distal fixation to the transverse mesocolon in reducing these complications. PATIE...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-016-2277-y

    authors: Abdallah E,Emile SH,Elfeki H

    更新日期:2017-02-01 00:00:00

  • Technique of Hill's Gastropexy Combined with Sleeve Gastrectomy for Patients with Morbid Obesity and Gastroesophageal Reflux Disease or Hiatal Hernia.

    abstract:BACKGROUND:Observational studies based on quality-of-life and endoscopy relate sleeve gastrectomy (SG) to gastroesophageal reflux disease (GERD), while some functional studies have demonstrated a decrease in esophageal exposure to gastric acid after SG. Currently, it is recommended to treat hiatal hernia along with the...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-016-2076-5

    authors: Sánchez-Pernaute A,Talavera P,Pérez-Aguirre E,Domínguez-Serrano I,Rubio MÁ,Torres A

    更新日期:2016-04-01 00:00:00

  • Does Preincisional Infiltration with Bupivacaine Reduce Postoperative Pain in Laparoscopic Bariatric Surgery?

    abstract:BACKGROUND:Current evidence suggests that local anesthetic wound infiltration should be employed as part of multimodal postoperative pain management. There is scarce data concerning the benefits of this anesthetic modality in laparoscopic weight loss surgery. Therefore, we analyzed the influence of trocar site infiltra...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-015-1761-0

    authors: Moncada R,Martinaitis L,Landecho M,Rotellar F,Sanchez-Justicia C,Bellver M,de la Higuera M,Silva C,Osés B,Martín E,Pérez S,Hernandez-Lizoain JL,Frühbeck G,Valentí V

    更新日期:2016-02-01 00:00:00

  • Revision of failed gastric banding to mini-gastric bypass.

    abstract:BACKGROUND:Although laparoscopic adjustable gastric banding (LAGB) has been found to be a generally successful weight loss operation, there are reports of occasional LAGB failure. The results of rescue procedures for these patients are important. The mini-gastric bypass (MGB) is a safe and effective alternative to othe...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089206776327387

    authors: Rutledge R

    更新日期:2006-04-01 00:00:00

  • Establishing a Reproducible Murine Animal Model of Single Anastomosis Duodenoileal Bypass with Sleeve Gastrectomy (SADl-S).

    abstract::Single-anastomosis duodenoileal bypass with sleeve gastrectomy (SADI-S) is a simplified biliopancreatic diversion. The objective of this study was to develop a reproducible animal model for SADI-S. We used three techniques for duodenal exclusion and duodenoileal anastomosis: (a) surgical clip and side-to-side anastomo...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-018-3254-4

    authors: Laura M,Mylene L,Christophe B,Boris H,Christophe M,Konstantinos A

    更新日期:2018-07-01 00:00:00

  • Effect of Body Mass Index, Metabolic Health and Adipose Tissue Inflammation on the Severity of Non-alcoholic Fatty Liver Disease in Bariatric Surgical Patients: a Prospective Study.

    abstract:BACKGROUND:Non-alcoholic fatty liver disease (NAFLD), driven by the obesity epidemic, has become the most common form of liver disease. Despite this, there is controversy regarding the prevalence and severity of NAFLD in obesity. Obesity-related factors, such as increasing adiposity, metabolic disease and inflammation,...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-018-3479-2

    authors: Ooi GJ,Burton PR,Bayliss J,Raajendiran A,Earnest A,Laurie C,Kemp WW,McLean CA,Roberts SK,Watt MJ,Brown WA

    更新日期:2019-01-01 00:00:00

  • Anatomical Quality Criteria for Sleeve Gastrectomy.

    abstract:BACKGROUND:Sleeve gastrectomy (SG) is the most common bariatric procedure performed worldwide. However, without a standardised surgical technique, heterogeneous outcomes and complications such as gastro-oesophageal reflux disease (GERD) have been reported. The aim of this study was to identify reproducible anatomical c...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-020-05156-1

    authors: Frosio F,Suhool A,Ferraz JM,Gayet B,Boutron MC,Pourcher G

    更新日期:2021-01-26 00:00:00

  • Relationship between obstructive sleep apnea and liver abnormalities in morbidly obese patients: a prospective study.

    abstract:BACKGROUND:Morbid obesity is a risk factor of nonalcoholic steatohepatitis (NASH). Obstructive sleep apnea (OSA) could also be an independent risk factor for elevated liver enzymes and NASH. The relationships between liver injuries and OSA in morbidly obese patients requiring bariatric surgery were studied prospectivel...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-007-9085-3

    authors: Jouët P,Sabaté JM,Maillard D,Msika S,Mechler C,Ledoux S,Harnois F,Coffin B

    更新日期:2007-04-01 00:00:00

  • Surgical Management of a Chronic Sleeve Gastrocolic Fistula with Near Total Gastrectomy and Roux-en-Y Reconstruction.

    abstract:BACKGROUND:Management of the leak is determined by the duration of the leak from the initial surgery. Acute leaks occurring less than 72 hours after surgery are best managed with reoperation and primary repair. Intermediate leaks, greater than 72 hours but less than 12 weeks, can be managed with non-operative managemen...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-020-04689-9

    authors: Dugan N,Nimeri A

    更新日期:2020-09-01 00:00:00

  • Decreased Levels of Circulating Cancer-Associated Protein Biomarkers Following Bariatric Surgery.

    abstract:BACKGROUND:Epidemiological studies have identified obesity as a major risk factor for cancer in humans, and trials have demonstrated a significant reduction in the incidence of cancer after bariatric surgery. The rapidity of weight loss after bariatric surgery provides an opportunity to identify the molecular changes a...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-016-2321-y

    authors: Farey JE,Fisher OM,Levert-Mignon AJ,Forner PM,Lord RV

    更新日期:2017-03-01 00:00:00

  • Oral liquid L-thyroxine (L-t4) may be better absorbed compared to L-T4 tablets following bariatric surgery.

    abstract::Drug malabsorption is a potential concern after bariatric surgery. We present four case reports of hypothyroid patients who were well replaced with thyroxine tablets to euthyroid thyrotropin (TSH) levels prior to Roux-en-Y gastric bypass surgery. These patients developed elevated TSH levels after the surgery, the TSH ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-013-1015-y

    authors: Pirola I,Formenti AM,Gandossi E,Mittempergher F,Casella C,Agosti B,Cappelli C

    更新日期:2013-09-01 00:00:00

  • The Effect of the Intra-gastric Balloon on Gastric Emptying and the DeMeester Score.

    abstract:BACKGROUND AND AIMS:The mechanism of weight loss with the intra-gastric balloon (IGB) is thought to be a decrease in gastric emptying (GE); however the evidence is conflicting. Nausea, abdominal pain, and gastroesophageal reflux disease (GERD) can cause intolerance resulting in early removal. This is demoralizing for t...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-019-04039-4

    authors: Barrichello S,Badurdeen D,Hedjoudje A,Neto MG,Yance R,Veinert A,Fayad L,Simsek C,Grecco E,de Souza TF,Teixeira C,Nunes GC,Kalloo AN,Khashab MA,Kumbhari V

    更新日期:2020-01-01 00:00:00

  • A Comparison of the Effects of Roux-en-Y Gastric Bypass and Sleeve Gastrectomy on Body Mass Composition as Measured by Air Displacement Plethysmography.

    abstract:BACKGROUND:The laparoscopic sleeve gastrectomy (LSG) is now the most commonly performed bariatric surgery in the world. Multiple studies have demonstrated the equivalence between the LSG and Roux-en-Y gastric bypass (RYGB) with regard to weight loss and comorbidity resolution. Few studies have examined the differences ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-019-04178-8

    authors: Kavanagh R,Smith J,Avgenackis E,Jones D,Nau P

    更新日期:2020-02-01 00:00:00

  • A new surgical technique for the silicone gastric band in the presence of a large hiatus hernia.

    abstract:BACKGROUND:The purpose of this study was to establish the efficacy of a new surgical technique for the placement of the silicone gastric band (LAP-Band) in the presence of a large (>5 cm) hiatus hernia. METHOD:Hiatus hernias >5 cm were identified by endoscopy and barium meal in 6 patients. Each patient underwent hiata...

    journal_title:Obesity surgery

    pub_type: 临床试验,杂志文章

    doi:10.1381/096089299765553511

    authors: Anderson PG,Watson DI

    更新日期:1999-04-01 00:00:00

  • Short- and long-term outcomes of vertical banded gastroplasty converted to Roux-en-Y gastric bypass.

    abstract:BACKGROUND:Vertical banded gastroplasty (VBG) often necessitates revisional surgery for weight regain or symptoms related to gastric outlet obstruction. Roux-en-Y gastric bypass (RYGB) is considered as the revisional procedure of choice. However, revisional bariatric surgery is associated with relatively higher rates o...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-012-0796-8

    authors: Vasas P,Dillemans B,Van Cauwenberge S,De Visschere M,Vercauteren C

    更新日期:2013-02-01 00:00:00

  • Executive Summary: Collected Papers of the American College of Surgeons Metabolic Surgery Symposium.

    abstract::On August 9-10, 2017, the American College of Surgeons hosted a symposium on metabolic surgery, with 12 follow-on papers published serially in the Bulletin of the College. The current synopsis outlines the varied contents of these papers, often in the original words of their authors, who are cited within their topic s...

    journal_title:Obesity surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s11695-020-04451-1

    authors: Buchwald H,Buchwald JN,Pories WJ,Hoyt DB

    更新日期:2020-05-01 00:00:00

  • Knowing your bariatric practice: what's your insurance fee? What's your leverage?

    abstract::Healthcare today is a complex environment, and many states, regions and hospitals have been having problems in being solvent. Insurance co-payments have decreased, and the contract made with the physician depends on market leverage. We address contract problems in bariatric surgery and discuss how to try to divide bar...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089206777822395

    authors: Frezza EE

    更新日期:2006-07-01 00:00:00

  • "Black Esophagus" and Gastric Volvulus Following Slipped Laparoscopic Adjustable Gastric Band.

    abstract::To review the entity "black esophagus" and sequela of a slipped laparoscopic adjustable band. The patient's history, physical examination, imaging, and endoscopic findings were reviewed. Detailed review of pathophysiology, presentation, diagnosis, management, and natural history was conducted. "Black esophagus," also ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-018-3354-1

    authors: Moore C,Matthews LR,Danner O,Taha A,Bashan-Gilzenrat A,Nguyen J,Childs E,Udobi K

    更新日期:2018-09-01 00:00:00

  • Concomitant Hiatal Hernia Repair Is more Common in Laparoscopic Sleeve Gastrectomy than During Laparoscopic Roux-en-Y Gastric Bypass: an Analysis of 130,772 Cases.

    abstract::Obesity is associated with the development of gastroesophageal reflux disease (GERD) and hiatal hernia (HH). This study aimed to assess practice patterns regarding concomitant HH repair (HHR) during laparoscopic sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB). The incidence of concomitant HHR with LSG or L...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-018-3594-0

    authors: Docimo S Jr,Rahmana U,Bates A,Talamini M,Pryor A,Spaniolas K

    更新日期:2019-02-01 00:00:00

  • BAROS: an effective system to evaluate the results of patients after bariatric surgery.

    abstract:BACKGROUND:Success in bariatric surgery is most often evaluated by a sufficient loss of excess weight and an improvement in the medical conditions. The expected increase in quality of life (QoL) after weight loss, however, has not often been systematically analyzed. BAROS (Bariatric Analysis and Reporting Outcome Syste...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089200321593940

    authors: Wolf AM,Falcone AR,Kortner B,Kuhlmann HW

    更新日期:2000-10-01 00:00:00

  • Reduced cardiovascular risk following bariatric surgeries is related to a partial recovery from "adiposopathy".

    abstract:BACKGROUND:Altered cytokine secretion from dysfunctional adipose tissue or "adiposopathy" is implicated in obesity related inflammation and may mediate reduced cardiovascular disease (CVD) risk in response to weight loss after bariatric surgery. We hypothesized that bariatric surgery reduces CVD risk by favorably alter...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-011-0447-5

    authors: Appachi S,Kelly KR,Schauer PR,Kirwan JP,Hazen S,Gupta M,Kashyap SR

    更新日期:2011-12-01 00:00:00

  • No Difference in Ghrelin-Producing Cell Expression in Obese Versus Non-obese Stomach: a Prospective Histopathological Case-Control Study.

    abstract:BACKGROUND:To understand the role of ghrelin in the mechanism of action of laparoscopic sleeve gastrectomy (LSG), a prospective cohort case-control study to assess the expression of ghrelin-producing cells (GPC) in two groups of patients was designed. METHODS:Specimens of resected stomach from 26 obese patients who un...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-018-3401-y

    authors: Musella M,Di Capua F,D'Armiento M,Velotti N,Bocchetti A,Di Lauro K,Galloro G,Campione S,Petrella G,D'Armiento FP

    更新日期:2018-11-01 00:00:00