1 / 31

Minimally Invasive Oesophagectomy

Minimally Invasive Oesophagectomy. A Review. 15th Annual Scientific Meeting of AUGIS. Belfast, September 2011. Minimally Invasive Oesophagectomy. A Review. Late hypoglycaemia following gastric bypass. Conor Magee MD FRCS. wlsinfo.org.uk/index/rheostat. Minimally Invasive Oesophagectomy.

goro
Download Presentation

Minimally Invasive Oesophagectomy

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Minimally Invasive Oesophagectomy A Review 15th Annual Scientific Meeting of AUGIS Belfast, September 2011

  2. Minimally Invasive Oesophagectomy A Review Late hypoglycaemia following gastric bypass Conor Magee MD FRCS

  3. wlsinfo.org.uk/index/rheostat Minimally Invasive Oesophagectomy A Review

  4. What we know Minimally Invasive Oesophagectomy A Review

  5. Gastric Bypass Excellent weight loss Safe Superb treatment for T2DM Minimally Invasive Oesophagectomy A Review

  6. Expected problems Operative complications Poor weight loss Weight regain Nutritional sequelae Minimally Invasive Oesophagectomy A Review

  7. Unexpected Problems Late hypoglycaemia Minimally Invasive Oesophagectomy A Review

  8. Late hypoglycaemia Minimally Invasive Oesophagectomy A Review

  9. Late hypoglycaemia Increasingly recognised 2-3h post meals Inappropriate insulin/C-peptide release Minimally Invasive Oesophagectomy A Review

  10. Late hypoglycaemia Not dumping 2-3 years after surgery Diabetics and non-diabetics Minimally Invasive Oesophagectomy A Review

  11. Late hypoglycaemia Symptomatic hypoglycaemia Neuroglycopaenia Minimally Invasive Oesophagectomy A Review

  12. Late hypoglycaemia ? predisposing factors ? exaggerated neurohumoral cause ? glycaemic thermostat problem Minimally Invasive Oesophagectomy ? nesidioblastosis A Review

  13. Late hypoglycaemia Management is difficult Diet-Drugs Reversal of RYGB, pancreatectomy Minimally Invasive Oesophagectomy A Review

  14. wlsinfo.org.uk/index/rheostat Minimally Invasive Oesophagectomy A Review

  15. 0.2% incidence Minimally Invasive Oesophagectomy A Review

  16. 0.2% incidence? Minimally Invasive Oesophagectomy A Review

  17. wlsinfo.org.uk/index/rheostat Minimally Invasive Oesophagectomy A Review

  18. The sexy acronym Minimally Invasive Oesophagectomy A Review

  19. RHEOSTAT Minimally Invasive Oesophagectomy A Review

  20. Reactive Hypoglycaemia Examination Of symptom STATistics Minimally Invasive Oesophagectomy A Review

  21. wlsinfo.org.uk/index/rheostat Minimally Invasive Oesophagectomy A Review

  22. Minimally Invasive Oesophagectomy A Review

  23. Minimally Invasive Oesophagectomy A Review

  24. Minimally Invasive Oesophagectomy A Review

  25. Minimally Invasive Oesophagectomy A Review

  26. Minimally Invasive Oesophagectomy A Review

  27. Early results n=49 Over half have significant symptoms 11 patients with BM <4 Minimally Invasive Oesophagectomy A Review

  28. Target Create a scoring system Stratify patients for investigation Improve outcomes Minimally Invasive Oesophagectomy A Review

  29. We need help! Minimally Invasive Oesophagectomy A Review

  30. wlsinfo.org.uk/index/rheostat Minimally Invasive Oesophagectomy A Review

  31. Thank You Minimally Invasive Oesophagectomy A Review

More Related