Sleeve & Band: Increased Risk of Esophageal Cancer Dr. Rutledge.

Slides:

Advertisements

Similar presentations

Fisiopatologia del Reflusso e delle Plastiche Antireflusso XXIV Congr. Naz. ACOI, Montecatini 2005 Sez. Chirurgia Esofago- Gastrica U.Fumagalli I I I C.

Advertisements

Surgical Intervention Including Devices Victor F Garcia MD.

Management of Achalasia

Multidisciplinary Approach to GE junction tumors MOTP Academic Half Day Sep PMH Boardroom Dr. Darling Dr. Wong Thoracic OncologyRadiation Oncology.

Nursing Care of Patients WithUpper GI Disturbances

BACKGROUND & AIM THE IMPACT OF GERD ON EXACERBATIONS OF COPD HAS NEVER BEEN EVALUATED. TO DETERMINE THE PREVALENSI OF GER SYMPTOMS IN COPD PATIENTS.

Revisional Bariatric Surgery Indications and potential benefits.

Sleeve Gastrectomy as the Primary Procedure

Welcome to Utah. Laparoscopic Banding with or without Gastric Imbrication The pros and cons of this evolving technique Covidian Trainer First Health.

Options for Obesity and Long-Term Results Bariatric Surgery

DEBATE: What is the Optimal Sequence of Therapies for Stage II-III Adenocarcinoma of the Proximal Stomach? Michael A. Choti, MD Department of Surgery UT.

Pediatric Laproscopic Nissen Fundoplication

LGCP  Restrictive bariatric procedure similar to vertical sleeve gastrectomy without the need for gastric resection  Reducing risks of complications.

Laparoscopic Fundoplication and Barrett’s Carlos A. Pellegrini University of Washington Seattle, WA GI Cancer Course Saint Louis University.

The Non-Medical Treatments of the Gastroesophageal Reflux Disease (GERD) Joint Hospital Grand Round Prepared by Siu Yin Yu, Eva North District.

LAPAROSCOPIC NEPHRECTOMY IN MORBIDLY OBESE PATIENT.

Obesity – Growing epidemic Center for Disease Control and Prevention 2006.

© 2003 By Default! A Free sample background from Slide 1 Complications of Bariatric Surgery Presented by: Robyn Ache, D.O. Fellowship.

Gastro-Esophageal Reflux Disease

Remesova T Jones L, Heath D, Sufi P Bariatric Surgery Department Whittington Hospital, London. United Kingdom.

Surgical treatment for morbid obesity

Other treatments for GERD… Lee L Swanstrom MD, FACS Division of Minimally Invasive Surgery Legacy Health System Portland, OR.

Hiatal Hernia Repair, Vagotomy, Gastrectomy for GERD

Gastroesophageal Reflux Disease (GERD)

MISS Journal Club 2012 Metabolic Surgery & Emerging Technologies Goal: To review 5 important and clinically relevant papers from 2011, on Metabolic Surgery.

Ninh T. Nguyen, MD Professor of Surgery Division of GI Surgery University of California, Irvine Medical Center Gastric Plication: Is it Ready for Prime.

Re-operative anti-reflux surgery: When and How? Lee L. Swanstrom, MD Division of Minimally Invasive Surgery Legacy Health System Dept of Surgery, OR Health.

2010 NOTES ® Summit Working Group Report Endolumenal July 8-10, 2010 Chicago, IL.

Experience with 458 cases of Gastric Plication Surgery Dr Ariel Ortíz Lagardere,FACS. Obesity Control Center hospital, México.

Treatment of GERD in Obese Patients David W Rattner, MD.

 Case1 :Esophageal Cancer  Diagnosis  Management  Case2 : Achalasia  Diagnosis  Management  Case3 : GERD  Diagnosis  Management.

September 26, 2008 Colorado Bariatric Surgery Institute Katayun Irani, MD.

Important questions As good or better ? Cost effective ? Overall, safer? Is it safe as a cancer operation? Can all surgeons do it? Compare to open surgery.

Gastroesophageal Reflux Disease (GERD). * Definition: inflammation of the lower part of the esophagus due to abnormal reflux of gastric contents into.

NYU Adolescent Bariatric Surgery Follow-up Program Evan P. Nadler, MD Director of Minimally Invasive Pediatric Surgery Assistant Professor of Surgery New.

O.174: Mini-Gastric Bypass as primary procedure in Super-Obesity – early results from Germany K.Rheinwalt, S. Kolec, A. Plamper IFSO 2013, 18th World Congress,

RESULTS OF ROUTINE PREOPERATIVE ENDOSCOPY FOR BARIATRIC SURGERY IN GERMANY: A STUDY OF 158 PATIENTS Rheinwalt KP¹, Plamper A¹, Kolec S¹, Kleimann E¹, Ehresmann.

Understanding Your Gastroesophageal Reflux Disease (GERD)

Minimally Invasive Techniques for GERD

Jan 2016 Solar Lunar Data.

Mini Gastric Bypass: initial experience

Stephanie G. Worrell, MD, Evan T

(OAGB) “How do I do it” Laparoscopic One Anastomosis Gastric ByPass

Q1 Jan Feb Mar ENTER TEXT HERE Notes

Electrical Stimulation of the Lower Esophageal Sphincter improves Gastroesophageal Reflux Disease in Patients after Laparoscopic Sleeve Gastrectomy Borbély,

Welcome to Las Vegas Bariatrics. Sleeve Gastrectomy Surgery.

Average Monthly Temperature and Rainfall

Gantt Chart Enter Year Here Activities Jan Feb Mar Apr May Jun Jul Aug

Stephanie G. Worrell, MD, Evan T

Text for section 1 1 Text for section 2 2 Text for section 3 3

Text for section 1 1 Text for section 2 2 Text for section 3 3

Text for section 1 1 Text for section 2 2 Text for section 3 3

Background Bariatric interventions offer a more efficacious and durable weight loss than non-surgical approaches Surgical weight loss procedures are limited.

Text for section 1 1 Text for section 2 2 Text for section 3 3

Does laparoscopic gastric banding create hiatal hernias?

Text for section 1 1 Text for section 2 2 Text for section 3 3

Text for section 1 1 Text for section 2 2 Text for section 3 3

Text for section 1 1 Text for section 2 2 Text for section 3 3

Text for section 1 1 Text for section 2 2 Text for section 3 3

Text for section 1 1 Text for section 2 2 Text for section 3 3

Text for section 1 1 Text for section 2 2 Text for section 3 3

Five-year comprehensive outcomes evaluation in 181 patients after laparoscopic Nissen fundoplication Mehran Anvari, MB, BS, PhD, FRCSC, FACS, Christopher.

The Scope of Surgery in Gall Bladder Carcinoma

Presentation transcript:

Sleeve & Band: Increased Risk of Esophageal Cancer Dr. Rutledge

MGB / OA Consensus Conference Paris Oct 18-19, Imagine; Your Post Op Pt Post Op Patient Visit" "Dr., I found out the operation that you performed on me may cause cancer." "You did not tell me this." Your answer?

Sleeve & Band, 30% Reflux (2yr FU), Leads to Esophageal Cancer Dr. Rutledge

1. GE Reflux => Esophageal Cancer Survey 120 Bariatric Surgeons "GERD Increases Risk of Cancer of Esophagus. Longer GERD = More Risk." AGREE 100%

2. Band and Sleeve => 30% GE Reflux "Sleeve gastrectomy produces an important decrease in LES pressure, which can cause reflux symptoms and esophagitis" Obes Surg Mar;20(3): Epub 2009 Dec 15.Manometric changes of the lower esophageal sphincter after sleevegastrectomy in obese patients.Braghetto I,

MGB / OA Consensus Conference Paris Oct 18-19, All patients had a pre- and postop swallow 18% New-onset GERD on UGI GERD score questionnaire, 22% New-onset GERD symptoms despite receiving daily Anti-Acid therapy Surg Obes Relat Dis Nov-Dec:Gastroesophageal reflux after sleeve gastrectomy in morbidly obese patients. Howard DD, Caban AM, Cendan JC, Ben-David K. Department of Surgery, Minimally Invasive, Gastroesophageal and Bariatric Surgery Service, University of Florida, Gainesville, Florida 32610, USA

MGB / OA Consensus Conference Paris Oct 18-19,

Survey Bariatric Surgical Experts

MGB / OA Consensus Conference Paris Oct 18-19, Band & Sleeve

MGB / OA Consensus Conference Paris Oct 18-19, Esophageal carcinoma after sleeve gastrectomy. Scheepers AF, Schoon EJ, Nienhuijs SW. Surg Obes Relat Dis Jul-Aug; Esophageal adenocarcinoma after laparoscopic gastric band placement for obesity. Stauffer JA, Mathew J, Odell JA. Dis Esophagus Jan; Adenocarcinoma of the lower esophagus after placement of a gastric band. Korswagen LA, Schrama JG, Bruins Slot W, Hunfeld MA. Obes Surg Mar;

3. Band Sleeve => Increased Risk of Esophageal Cancer 4. Surgeons Should Warn Their Patients: Risk of Esophageal Cancer after Band Sleeve

MGB / OA Consensus Conference Paris Oct 18-19, Best Practices What happens, When your sleeve patients find that They may be at increased risk for Esophageal Cancer Their surgeons could or should have known about it But Did Not Warn Them?