Carandina Sergio

Clinique Saint Michel Toulon · Bariatric Surgery

Introduction: Laparoscopic BariClip Gastroplasty (LBCG) represents a new bariatric procedure that mimics the principle of the Laparoscopic Sleeve Gastrectomy (LSG), but using a completely reversible mechanism, which is essential for gastroesophageal reflux disease (GERD). The purpose of our study was to evaluate the evolution of GERD following the...

Introduction: The realization of an antireflux valve according to the Nissen technique during the operation of one-anastomosis gastric bypass (OAGB) may theoretically decrease the incidence of postoperative reflux in patients with hiatal hernia (HH). Material and methods: In this retrospective study, we included all patients operated on between...

Background The coronavirus disease 2019 (COVID-19) pandemic led to a worldwide suspension of bariatric and metabolic surgery (BMS) services. The current study analyses data on patterns of service delivery, recovery of practices, and protective measures taken during the COVID-19 pandemic by bariatric teams. Materials and Methods The current study i...

Introduction: The laparoscopic resizing of the gastric pouch (LPR) has recently been proposed as a revisional technique in the case of weight regain (WR) after gastric bypass procedures. The aim of this study was to report our experience with LPR for WR. Materials and methods: All patients with WR ≥ 25% after gastric bypass and with a dilated ga...

Introduction: Recording every procedure could diminish the postoperative complication rates in bariatric surgery. The aim of our study was to evaluate the correlation between recording every bariatric surgery and their postoperative analysis in relation to the early or late postoperative complications. Methods: Seven hundred fifteen patients who...

Purpose Less invasive endoscopic bariatric procedures are under development for the management of class I of obesity. The purpose of our study is to evaluate the safety of endoscopic sleeve gastroplasty (ESG) using the new suturing device OverStitch Sx™. Materials and Methods This is a retrospective single-center study over 191 patients using the...

Objective: This study was conducted to assess the long-term results of the Laparoscopic Sleeve Gastrectomy (LSG) in patients not compliant with follow-up, and in patients who completed a postoperative follow-up program. Patients and methods: The data concerning LSG patients operated from February 2011 to December 2013 were retrospectively review...

Background and Aims Hepatocellular carcinoma (HCC) is the third leading cause of cancer-related death worldwide, and finding a single reliable biomarker to follow liver degradation is a challenging task. To document the relationship between liver failure, hypoxia, and HCC, copper isotope variations (δ⁶⁵Cu) were evaluated in the serum of HCC-negativ...

Résumé La chirurgie bariatrique peut induire des modifications de la motilité digestive survenant de novo ou secondaires à une amélioration ou une aggravation des troubles antérieurs dus à l’obésité. Les altérations de la motilité digestive font souvent partie du mécanisme d’action et résultent de la chirurgie. Elles ne sont pas rares et ne sont pa...

Objective: When restrictive surgery fails, conversion to more malabsorptive techniques is frequently proposed. The aim of this study is to evaluate the weight loss figures between Roux-en-Y Gastric Bypass (RYGB) and One Anastomosis Gastric Bypass (OAGB) in patients who have already undergone Multiple Restrictive Procedures (MRP). Patients and met...

Bariatric surgery can induce changes in digestive motility that are de novo or secondary to an improvement or aggravation of previous disorders due to obesity. Alterations of digestive motility are frequently part of the mechanism of action and a result of surgery. They are not rare and they are not always associated with an increase in weight loss...

Background Efficacy and safety of OAGB/MGB (one anastomosis/mini gastric bypass) have been well documented both as primary and as revisional procedures. However, even after OAGB/MGB, revisional surgery is unavoidable in patients with surgical complications or insufficient weight loss. Methods A questionnaire asking for the total number and demogra...

Background Data regarding the use of one anastomosis gastric bypass (OAGB) as a conversion technique after laparoscopic adjustable gastric banding (LAGB) failure is scarce in the literature. Objectives The aim of the present study was to assess our experience with OAGB as a rescue procedure after failed LAGB. Setting This study involved patients...

Introduction: Vertical banded gastroplasty (VBG) was a common bariatric procedure by laparotomy and or at the beginning of the laparoscopy, but nowadays it is almost an abandoned procedure. However, the young generation of bariatric surgeons should be aware about this procedure especially for revisional cases. Roux-en-Y gastric bypass (RYGB) is con...

Purpose When a leak after laparoscopic sleeve gastrectomy (LSG) becomes a chronic fistula, the best surgical treatment remains controversial. The aim of study was to review our experience concerning the treatment of chronic and complex fistulas after LSG. Materials and Methods A retrospective analysis of patients with a gastric fistula following L...

Objective: The role of antral resection (AR) in laparoscopic sleeve gastrectomy (LSG) is still a greatly debated topic in the literature. The aim of this study was to evaluate the results and complications of AR in LSG. Patients and methods: In this observational comparative study, 101 patients who underwent LSG were divided into two groups base...

IntroductionLaparoscopic sleeve gastrectomy (LSG) is currently the most common procedure performed worldwide, and still the leak is considered the main limitation. After an initial enthusiasm for stents, the endoscopic treatment evolved including in the current management the septotomy with balloon dilatation and pigtails insertions. The aim of thi...

PurposeThe purpose of this study was to evaluate the efficacy and safety of the OAGB at least 10 years after surgery.Material and Methods We retrospectively reviewed our prospectively collected data on consecutive morbid patients with obesity receiving OAGB from January 2005 to December 2007.ResultsA total of 385 patients met the inclusion criteria...

Aim: Rectal GIST is a rare tumor of the gastrointestinal tract. The few literature cases didn't show significant evidence about diagnostic and therapeutic management. We present a rare case of rectal GIST treated with laparoscopic anterior rectal resection (RARLs) preceded by neoadjuvant therapy with Imatinib Mesylate (IM). Case report: A 68-yea...

Background and Objectives: The rising numbers of laparoscopic sleeve gastrectomy (LSG) procedures now being performed worldwide will likely be followed by an increasing number of patients experiencing gastro-esophageal reflux disease (GERD). The purpose of the current review was to analyze in terms of safety different techniques of fundoplication u...

INTRODUCTION Reintroducing bariatric surgery to our communities in a COVID-19 environment was particular to each country. Furthermore, no clear recommendation was made for patients with previous COVID-19 infection and favorable outcome seeking for bariatric surgery. OBJECTIVE The purpose of the current manuscript is to analyze the risk of specific...

Introduction: Nissen Sleeve (NS) was introduced in the bariatric armamentarium with the purpose to decrease the risk of reflux symptoms following sleeve gastrectomy. The aim of this study was to evaluate our personal experience with this new technique, in particular concerning early postoperative complications (<30 days). Methods: We retrospective...

PurposeLaparoscopic sleeve gastrectomy (LSG) has rapidly become increasingly popular in bariatric surgery. However, in the long-term follow-up, intractable severe gastroesophageal reflux disease (GERD) after primary LSG can necessitate further investigations. The purpose of this study was to evaluate the endoscopic results at 5-year follow-up, on a...

Les interventions bariatriques laparoscopiques faisant usage d’agrafeuses linéaires sont devenues de plus en plus populaires en France, et représentent plus de 90 % du nombre total des procédures bariatriques, soit plus de 36 000 annuellement. La sleeve gastrectomie et le by-pass gastrique sont les plus réalisés aujourd’hui. Concernant les disposit...

Background The main side effect of long-term laparoscopic sleeve gastrectomy (LSG) is the onset of severe gastroesophageal reflux disease (GERD). Objectives The aim of this study was to evaluate the effectiveness of gastric bypass conversion in controlling post-sleeve GERD. Setting University Hospital and Private Hospital, France; Private Hospita...

Obesity is becoming a global health emergency. The treatment of this chronic disease and its comorbidities is one of the most important items in the health budgets of Western countries (Stevens et al., Popul Health Metrics 10(1):22, 2012; Bult et al., Eur J Endocrinolog 158(2):135–45, 2008). Currently, the only long-term treatment proven to be effe...

Introduction: Laparoscopic adjustable gastric band (LAGB) procedures declined worldwide in the recent years. In the majority of the national registers, the numbers of gastric band removal and revisions following LAGB have surpassed the implants. Still a good knowledge of different techniques is important for young bariatric surgeons to diminish the...

La diminution de la densité osseuse a été démontrée à court terme après chirurgie malabsorptive. Aucune donnée n’est disponible sur la densité osseuse après Sleeve Gastrectomie (SG) à moyen et long terme. Tous les patients ayant bénéficié d’une SG entre avril 2008 et septembre 2014 avec un suivi complet de deux ans minimum ont été inclus, en exclua...

Background: During the last decade, laparoscopic sleeve gastrectomy (LSG) has become the most performed bariatric procedure worldwide. Objectives: To evaluate the feasibility of the use of connected devices in monitoring patients operated on by LSG and discharged 24 hours after surgery under the enhanced recovery after surgery protocol. Setting...

Background: The gastric leak (GL) is estimated to be the most serious complication of the laparoscopic sleeve gastrectomy (LSG). There are several endoscopic approaches but no clear algorithm of treatment. In the case of endoscopic treatment failure, a definitive surgical approach can be attempted. Objectives: The purpose of the present study wa...

Background The results in the literature regarding the learning curve (LC) of laparoscopic sleeve gastrectomy (LSG) are scarce and non-definitive. The purpose of the study was to evaluate the correlation between the LSG learning curve and intraoperative parameter variation, postoperative morbidity, weight loss results, and economic impact. Methods...

Background Our aim is to evaluate the effects of High Resected Gastric Volume(HRGV) on poorly Type 2 Diabetes Mellitus(DM2) after Laparoscopic Sleeve Gastrectomy(LSG). Methods 256 patients were divided into two groups according to the RGV: < 1500 mL(Group A: 131 pts) and > 1500 mL(Group B: 147 pts). % excess body mass index loss (%EBMIL), Fasting...

Background: Continuous developments in healthcare have led to an increase in average life expectancy. Obesity in aged persons is increasing and is more clearly associated with an increased risk of diabetes, cardiovascular disease, lipid abnormalities, mobility-limited problems, and other co-morbidities in this category of age. Objectives: The ai...

Introduction Gastric Carcinoid Tumors (GCT) are very rare in general population, but some studies evidenced a higher incidence among bariatric surgery patients. Laparoscopic Sleeve Gastrectomy (LSG) is a widely accepted procedure for the surgical treatment of morbid obesity. LSG acts both in reducing food intake and interfering with hormonal balanc...

Background Although the surgical technique is safe and standardized, laparoscopic sleeve gastrectomy (LSG) is associated with serious and potentially life-threatening complications, such as gastric leak and bleeding. Methods In this retrospective study, three French university hospitals reviewed their experience with LSG. Between September 2014 an...

PurposeMalnutrition after mini-gastric bypass (MGB) is a rare and dreaded complication with few data available regarding its surgical management. We aim to report the feasibility, safety, and results of laparoscopic reversal of MGB to normal anatomy (RMGB) in case of severe and refractory malnutrition syndrome after intensive nutritional support (S...

Background: Weight loss (WL) and altered gut hormonal levels are involved in glucose homeostasis after laparoscopic sleeve gastrectomy (LSG). Objectives: The aim of this study was to evaluate the time-related effects of WL, ghrelin, and glucacon-like peptide-1 (GLP-1) plasma concentrations on type 2 diabetes resolution after LSG. Setting: Univ...

Background: Patients with a body mass index (BMI) >35 kg/m(2) who need kidney transplant present with increased postoperative mortality and reduced kidney graft survival compared to patients with a lower BMI. For this reason, obese patients are often excluded from the transplantation waiting list. The aim of this study was to evaluate the feasibil...

Background Obesity is a chronic disease that requires procedures to enable to maintain good long-term results. Laparoscopic adjustable gastric banding (LAGB) studies with a long-term follow-up are limited and have often given conflicting results. We report our results in terms of banding life span and weight loss in a cohort of 301 patients operate...

Background: Laparoscopic sleeve gastrectomy (LSG) has become a valuable surgical option to rescue laparoscopic adjustable gastric banding (LAGB) failures. Objectives: The aim of this study was to determine whether conversion to LSG after failed LAGB (CLSG) is a well-tolerated and effective rescue procedure compared with primary LSG (PLSG) in the...

Background Bariatric surgery is considered to be the most effective treatment of morbid obesity and improvement of obesity-related comorbidities, such as type II diabetes. However, both peripheral and central neurological complications can occur after bariatric surgery. Such complications tend to occur more frequently after bypass surgery than afte...

Background The correlation between resected gastric volume (RGV) and neuro-humoral changes (ghrelin and GLP-1) after laparoscopic sleeve gastrectomy (LSG) and their effects on type 2 diabetes mellitus (T2DM) has been evaluated. MaterialsNinety-eight patients were divided in two groups: RGV <1200 mL (group A: 53 pts) and RGV >1200 mL (group B: 45 pt...

Background: Rapid gastric emptying has been proposed to justify the increase in glucagon-like polypeptide-1 (GLP-1) after laparoscopic sleeve gastrectomy (LSG). Objectives: To assess gastric emptying changes after LSG and their relationship with GLP-1 secretion. Setting: San Salvatore Hospital general surgery unit, University of L'Aquila, Ital...

To review our experience and outcomes after inguinal hernia repair using the lightweight self-adhering sutureless mesh "Adhesix™" and demonstrate the safety and efficacy of this mesh. This is a 3-year retrospective study that included 143 consecutive patients who underwent 149 inguinal hernia repairs at our department of surgery. All hernias were r...

Background: Laparoscopic Sleeve Gastrectomy (LSG) is one of the most widespread procedures for the treatment of obesity. The results of LSG could be related to the gastric residual volume. Our aim is to evaluate the outcomes after LSG according to the resected gastric volume (RGV). Methods: 105 patients were divided into three groups according to t...

Background: Laparoscopic sleeve gastrectomy (LSG) is associated with serious complications, such as staple line (SL) leaks and bleeding. In order to prevent the occurrence of these complications, surgeons have advocated the need to strengthen the staple line. The aim of this randomized controlled study was to compare the efficacy of three differen...

Background: Few data exist about the characteristics and management of enteric leaks after mini-gastric bypass (MGB). Objectives: We aimed to describe the incidence, presentation, and surgical management of enteric leaks in patients who underwent laparoscopic MGB for morbid obesity. Setting: Private practice. Methods: An 8-year, 9-month retr...

ABSTRACT Background: Brunner’s gland hamartoma (BGH) is a rare, proliferative entity arising from alkaline-secreting glands located mainly in the duodenum. In most cases, BGH develops as a polypoid pedunculated lesion of 1 to 2 cm in diameter, whereas in a few cases, the so-called “giant BGH” can reach 12 cm in size. Removal of BGH is required in s...

Background: The term gossypiboma denotes a mass of cotton that is accidentally retained in the body postoperatively. Case Report: Our case describes a 40-year-old female patient with a giant abdominal mass that occurred 9 years after a cesarean section delivery. Computed tomography scan and magnetic resonance imaging showed a 20-cm mass. A laparosc...

Background: Panniculectomy consistent in redundant abdominal skin and fat resection has gained popularity, especially following bariatric surgery. However, it remains unclear whether the massive weight loss induced by bariatric surgery may be a predisposition for increased complications after panniculectomy. The aim of this study was to compare pos...

INTRODUCTION: Conversion to laparoscopic gastric bypass (LRYGB) appears to be the treatment of choice after failed LAGB. To reduce the risk of postoperative complications, some surgeons routinely adopt a two-stage strategy. The purpose of this study was to analyze our institution's experience with the two-stage procedure for LAGB conversion to LRY...

INTRODUCTION: Conversion to laparoscopic gastric bypass (LRYGB) appears to be the treatment of choice after failed LAGB. To reduce the risk of postoperative complications, some surgeons routinely adopt a two-stage strategy. The purpose of this study was to analyze our institution's experience with the two-stage procedure for LAGB conversion to LRY...

Introduction: Boerhaave's syndrome is an emergency disease related to high risk of mortality and morbidity.1 Surgical treatment is usually performed by thoracotomy or thoracoscopy with the patient in lateral position.2 The author reports a patient with a distal esophageal perforation repaired by left thoracoscopy in prone position. Materials and Me...

Background Despite its worldwide popularity, laparoscopic adjustable gastric banding (LAGB) requires revisional surgery for failures or complications, in 20-60 % of cases. The purpose of this study was to compare in terms of efficacy and safety, the conversion of failed LAGB to laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic gastric...