About us - Contact us - FAQ - Partners - Newsletter - Site map


Welcome to new Site

Welcome to our website, with an entirely new design that we hope you will like!
The forum has been replaced by interactivity, that makes it possible for you to interact with the papers that are newly released.

A newsletter will still be sent on a regular basis...
 


Bariatric surgery with a single trocar offers a real advantage!
Surgery with a single incision (so called SILS method: "Single Incision Laparoscopic Surgery") is often possible
 
European centers of excellence in bariatric surgery
A European initiative has been recently implemented regarding Obesity surgery
 
Non invasive methods in bariatric surgery - 1
Surgery through the laparoscopic approach ("keyholes operations") has been a breakthrough in general surgery for the past 20 years. It seems obvious that bariatric surgery has greatly benefited from this approach. Nowadays, almost all the current bariatric operations are performed this way.Yet this is still surgery, with a general and deep anaesthesia, an hospitalization, and post-operative risks, although this can be done also on an out-patient basis. Can we do better, i.e.operate through natural orifices
 
Non invasive methods in bariatric surgery - 2
Only two methods are available for the time being: the intragastric balloon, that we shall here once more address, and endostapling techniques.
Intragastric balloon:as our readers know, the balloon is the most ancient non invasive technique, and has provided fair results over the time provided once its limitations are understood !
 
Non invasive methods in bariatric surgery - 3
- Procedures with stapling : Whereas the gastric balloon is widely used, endoscopic stapling is a confidential and experimental method. A study has been launched in the USA (FDA), while pilot centers are operating in Mexico and Belgium. Preliminary results are acceptable, but should be improved...
 
Non invasive methods in bariatric surgery - 4
Now let's focus on the lessons we can take from the outside of bariatric surgery...
 
Intragastric Stimulation
Is there a future for gastric electrical stimulation for obesity treatment?
Some years ago (2000-2004), a promising large scale trial took place in Europe and in the US. A gastric pacemaker (Intra-gastric Stimulation or IGS), which is a simple, mini-invasive and elegant operation, was proposed to obese patients. Please refer to the chapters ('digestive surgery') dealing with this operation, technical details and initial results.
Robotic system and bariatric surgery
Robotic is a recent advance in surgery, particularly in video-assisted mini-invasive surgical procedures requiring manual sutures. Indeed using stitches and manipulating sewing intruments can be greatly facilitated by a robotic system. One of the first promising fields has been heart surgery (coronary bypass). Different procedures have been attempted in laparoscopic abdominal surgery with a robotic system, and recently gastro-jejunal bypass.
Adolescents an bariatric surgery
The obesity figures in the adult population worldwide are unsettling, but not only. 17% of American adolescents suffer from overweight, and 4% are obese, from which unfortunately 80% will remain so later on.
Sweet-eaters and surgery
The set of bariatric operations that are currently proposed require strict environmental conditions in order to achieve success in terms of weight-loss, resolution of comorbidities, and improvement of the quality of life.