The future of bariatric surgery

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 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]

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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Abiliti ™: Weight Loss Unpublished data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]

The future of bariatric surgery

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The future of bariatric surgery

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