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SAGES 2010 Overstitch PPT
1) The document describes a prototype endoscopic suturing system that allows full-thickness suturing of the stomach wall for closure of openings (gastrotomies) during natural orifice translumenal endoscopic surgery (NOTES).
2) In vitro tests on isolated pig stomachs showed the system could accurately place running sutures in a pursestring configuration to securely close an 18mm gastrotomy with no leaks.
3) Edge-to-edge closure of gastotomies was also achieved in a leak-proof manner during single intubations using the suturing system.
Clinical leadership lecture - May, 2019 Ben Gurion University (Be'er Sheva, I...
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This document discusses the advantages of physician-led hospitals and why physicians must lead in healthcare. It provides examples showing that the top-rated hospitals like Mayo Clinic and Cleveland Clinic have been led by physicians for over 100 years. Physician leadership results in better patient outcomes, satisfaction, economic performance, and physician retention and satisfaction. Studies show physician-led hospitals score higher on quality metrics than non-clinician led hospitals. The document argues physicians possess credibility as leaders since they understand clinical practice from experience. It also discusses the challenges of physician burnout and need for training clinical leaders to succeed in today's team-based healthcare system.Fistula repair with Apollo Overstitch - presentation DDW 2011
This study evaluated the technical feasibility and safety of using a novel endoscopic suturing device to repair gastrointestinal fistulae in 7 patients. The procedure was technically successful in all patients with no early complications. At follow up of 5.1 months, 6 patients had resolution of symptoms and average weight loss of 22.8 pounds. While the study was limited by its small size and short follow up, the results suggest endoscopic repair of fistulae using this suturing device can be achieved safely and warrants further study.
Stomal reduction with Apollo Overstitch
Further studies are needed to validate long term efficacy and safety.
Obesity Back To Basics 2011
This document summarizes the market for obesity products and treatments. It discusses how the field is moving "back to basics" to better understand the physiological mechanisms behind obesity and weight loss. This new understanding may help develop more effective minimally invasive solutions. The US market for minimally invasive bariatric devices is expected to grow moderately over the next five years, reaching over $500 million by 2016, driven by factors like the growing obese population. However, current treatment options have only achieved limited success in treating obesity.
Endosurgery2011
This document provides details about an upcoming symposium on endosurgery to be held on September 19th, 2011 at the Apollo Hospital in New Delhi. The symposium will focus on flexible surgery techniques that minimize surgical trauma through natural orifices. Experts will present on robotics, endoscopic stitching and resection devices. The program will include training discussions on weight regain after bariatric surgery and a debate on surgical versus endoscopic solutions. Equipment demonstrations and a panel discussion on the future of endosurgery in India are also included. Attendees should include doctors from Apollo hospitals with expertise in gastroenterology, bariatrics, and endocrinology.
Endosurgery2011
Flyer for one day seminar for surgeons and gastroenterologists showcasing innovative technologies in endosurgery and robotic surgery
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Alloderm hernia paper
This study examined whether placing a biologic mesh during abdominal closure would reduce the risk of developing an incisional hernia compared to primary closure without mesh in high-risk patients undergoing gastric bypass surgery. The study found that patients who received a biologic mesh had a significantly lower rate of developing an incisional hernia (2.3%) compared to those without mesh (17.7%). After adjusting for risk factors, placement of a biologic mesh was found to significantly reduce the risk of hernia, while smoking significantly increased the risk. The study suggests prophylactic use of biologic mesh may help reduce incisional hernia rates in high-risk patients.
Recommended
SAGES 2010 Overstitch PPT
1) The document describes a prototype endoscopic suturing system that allows full-thickness suturing of the stomach wall for closure of openings (gastrotomies) during natural orifice translumenal endoscopic surgery (NOTES).
2) In vitro tests on isolated pig stomachs showed the system could accurately place running sutures in a pursestring configuration to securely close an 18mm gastrotomy with no leaks.
3) Edge-to-edge closure of gastotomies was also achieved in a leak-proof manner during single intubations using the suturing system.
Clinical leadership lecture - May, 2019 Ben Gurion University (Be'er Sheva, I...
Clinical leadership lecture - May, 2019 Ben Gurion University (Be'er Sheva, I...Ben Gurion University of the Negev
This document discusses the advantages of physician-led hospitals and why physicians must lead in healthcare. It provides examples showing that the top-rated hospitals like Mayo Clinic and Cleveland Clinic have been led by physicians for over 100 years. Physician leadership results in better patient outcomes, satisfaction, economic performance, and physician retention and satisfaction. Studies show physician-led hospitals score higher on quality metrics than non-clinician led hospitals. The document argues physicians possess credibility as leaders since they understand clinical practice from experience. It also discusses the challenges of physician burnout and need for training clinical leaders to succeed in today's team-based healthcare system.Fistula repair with Apollo Overstitch - presentation DDW 2011
This study evaluated the technical feasibility and safety of using a novel endoscopic suturing device to repair gastrointestinal fistulae in 7 patients. The procedure was technically successful in all patients with no early complications. At follow up of 5.1 months, 6 patients had resolution of symptoms and average weight loss of 22.8 pounds. While the study was limited by its small size and short follow up, the results suggest endoscopic repair of fistulae using this suturing device can be achieved safely and warrants further study.
Stomal reduction with Apollo Overstitch
Further studies are needed to validate long term efficacy and safety.
Obesity Back To Basics 2011
This document summarizes the market for obesity products and treatments. It discusses how the field is moving "back to basics" to better understand the physiological mechanisms behind obesity and weight loss. This new understanding may help develop more effective minimally invasive solutions. The US market for minimally invasive bariatric devices is expected to grow moderately over the next five years, reaching over $500 million by 2016, driven by factors like the growing obese population. However, current treatment options have only achieved limited success in treating obesity.
Endosurgery2011
This document provides details about an upcoming symposium on endosurgery to be held on September 19th, 2011 at the Apollo Hospital in New Delhi. The symposium will focus on flexible surgery techniques that minimize surgical trauma through natural orifices. Experts will present on robotics, endoscopic stitching and resection devices. The program will include training discussions on weight regain after bariatric surgery and a debate on surgical versus endoscopic solutions. Equipment demonstrations and a panel discussion on the future of endosurgery in India are also included. Attendees should include doctors from Apollo hospitals with expertise in gastroenterology, bariatrics, and endocrinology.
Endosurgery2011
Flyer for one day seminar for surgeons and gastroenterologists showcasing innovative technologies in endosurgery and robotic surgery
Sept 19, 2011 New Delhi
Alloderm hernia paper
This study examined whether placing a biologic mesh during abdominal closure would reduce the risk of developing an incisional hernia compared to primary closure without mesh in high-risk patients undergoing gastric bypass surgery. The study found that patients who received a biologic mesh had a significantly lower rate of developing an incisional hernia (2.3%) compared to those without mesh (17.7%). After adjusting for risk factors, placement of a biologic mesh was found to significantly reduce the risk of hernia, while smoking significantly increased the risk. The study suggests prophylactic use of biologic mesh may help reduce incisional hernia rates in high-risk patients.
Alloderm hernia paper
paper describing use of alloderm to reduce risk of incisional hernia after laparotomy in high risk patients
Presentation on endoluminal therapies: Homerton University Hospital, May 16 2011
Presentation on endoluminal therapies: Homerton University Hospital, May 16 2011Ben Gurion University of the Negev
1. The document discusses endoluminal procedures for weight regain after gastric bypass surgery, including endoluminal gastric pouch reduction (EGPR) and the ROSE procedure.
2. EGPR uses fasteners to narrow the gastric pouch and stoma, resulting in 10-20% excess weight loss typically. The ROSE procedure uses sutures to create folds in the pouch and around the stoma.
3. Studies found these procedures produced 12-25% excess weight loss on average and resolved issues like diarrhea and heartburn in many patients. However, long-term durability is still unknown and behavioral factors impact success.Overstitch - detailed info on this new endoluminal platform
The OverStitch Endoscopic Suturing System provides physicians the ability to perform running or interrupted stitches within the GI tract. The system is comprised of an Endoscopic Suturing System handle, End Cap, Anchor Exchange, and choice of absorbable or non-absorbable sutures. It is intended for endoscopic placement of sutures to approximate soft tissue and works by delivering anchors and sutures through the endoscope to place stitches. The system is contraindicated for use with malignant tissue or when general endoscopic techniques are contraindicated.
Overstitch by Apollo Endosurgery
The OverStitch Endoscopic Suturing System allows physicians to perform full-thickness endoscopic suturing through a flexible endoscope in a manner similar to hand suturing. It can deploy both running and interrupted stitches with a single insertion of the endoscope. The system mimics the motion of a curved surgical needle and is designed for controlled suture placement. It is a single-use device available with absorbable or non-absorbable suture materials.
Overstitch - a new endoluminal surgery system
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Coverage of transoral fundoplication
The American Society of General Surgeons (ASGS) supports the use of transoral fundoplication by trained surgeons as a treatment for chronic gastroesophageal reflux disease (GERD) in patients who do not get satisfactory relief from proton pump inhibitors or who wish to avoid lifelong medication dependence. The ASGS believes transoral fundoplication adheres to the same surgical principles as traditional fundoplication techniques by creating a full thickness wrap of the stomach around the esophagus. The ASGS position is supported by peer-reviewed literature demonstrating transoral fundoplication offers comparable results to open and laparoscopic surgery, with high patient satisfaction and relief of GERD symptoms.
New tif results
Three recent studies published over the past four months involving nearly 200 patients in total provide additional evidence of the positive outcomes of transoral fundoplication (TIF) for the treatment of gastroesophageal reflux disease (GERD). The studies demonstrated a high therapeutic response rate with patients getting off daily proton pump inhibitors, significant response to objective reflux measurements, and a low complication rate of around 2%. The largest study to date involving 124 patients showed 75-80% of patients had normalized symptom scores and 97% were off daily PPI medications post-TIF. The growing body of clinical evidence supports TIF as a safe and effective alternative to traditional anti-reflux surgeries for appropriately selected GERD patients.
Yorkshire Post piece on esophyx
The document discusses a new treatment for chronic heartburn called EsophyX that is performed at Nuffield Health Leeds Hospital. It is a minimally invasive procedure that uses plastic fasteners to pull up stomach tissue and prevent acid reflux without surgery. The procedure provides relief for over 80% of symptoms and allows patients to greatly reduce or stop medication. One patient, Patrick Senycia, flew from Australia to receive the treatment and has experienced significant reduction in symptoms. The EsophyX procedure is pioneering as one of the most advanced treatments for chronic acid reflux worldwide.
Yorkshire Post piece on Esophyx
The document discusses a new treatment for chronic heartburn called EsophyX that is performed at Nuffield Health Leeds Hospital. It is a minimally invasive procedure that uses plastic fasteners to pull up stomach tissue and prevent acid reflux without surgery. The procedure provides relief for over 80% of symptoms and allows patients to greatly reduce or stop medication. One patient, Patrick Senycia, flew from Australia to have the procedure done in Leeds and says his symptoms were greatly reduced. The EsophyX procedure is positioned as a promising new option for treating chronic acid reflux when medication is not effective.
Heliosphere balloon data
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PPT presentation on endoluminal anti-reflux surgery to be given at International Conference on the Stomach, Mumbai (India) Dec 5th 2010Innovations in endoluminal bariatric surgery
Endoluminal procedures like EGPR and ROSE aim to treat weight regain after gastric bypass through minimally invasive techniques. EGPR uses tissue fasteners to reduce the gastric pouch size and narrow the stoma, resulting in 15.5 lb weight loss on average in 6 months. ROSE uses expandable anchors to similarly reduce pouch size and stoma diameter, stopping weight regain in 88% of patients. Both procedures appear safe and can produce near 50% loss of regained weight, though long-term durability is still unknown. Success may depend on factors like a patient's initial weight loss after gastric bypass.
Heliosphere Intragastric Balloon
The document describes an intragastric balloon system called Heliosphere BAG for the non-surgical treatment of obesity. It is a temporary balloon that is placed in the stomach for up to 6 months. Clinical studies showed it helped patients lose 9-24 kg on average and had good tolerance, with vomiting lasting less than 3 days for most patients. The balloon uses a patented gold coating process to maintain inflation volume over time and make extraction easier.
Heliosphere Intragastric Balloon
This document provides instructions for the implantation and extraction of an intragastric balloon called Heliosphere for the non-surgical treatment of obesity. The implantation procedure involves visually guiding the deflated balloon through the esophagus using an endoscope, then inflating it with saline to a specific volume in the stomach. For extraction, the balloon is first deflated by puncturing it and aspirating the air, then caught and pulled out through the esophagus using grasping forceps under endoscopic guidance. Safety and careful technique are emphasized to gradually pass the balloon through the esophagus and cardia during extraction.
Heliosphere Intragastric Balloon
The document describes an intragastric balloon system called Heliosphere BAG for the non-surgical treatment of obesity. It is a temporary balloon that is placed in the stomach for up to 6 months. Clinical studies showed it helped patients lose 9-24 kg on average and had good tolerance, with vomiting lasting less than 3 days for most patients. The balloon uses a patented gold coating process to maintain inflation volume over time and make extraction easier.
Heliosphere Intragastric Balloon
The document describes an intragastric balloon system called Heliosphere BAG for the non-surgical treatment of obesity. It is a temporary balloon that is placed in the stomach for up to 6 months. Clinical studies showed it helped patients lose 9-24 kg on average and had good tolerance, with vomiting lasting less than 3 days for most patients. The balloon uses a patented gold coating process to maintain inflation volume over time and make extraction easier.
Gerd awareness week
This document provides contact information for Dr. Elliot Goodman in the Department of Surgery at a medical center, who has offices in Brooklyn and Manhattan. It notes that the week of November 21-27 is National GERD Awareness Week, and encourages learning more about treatment options.
Incision free weight loss surgery
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1. The document discusses endoluminal procedures for weight regain after gastric bypass surgery, including endoluminal gastric pouch reduction (EGPR) and the ROSE procedure.
2. EGPR uses fasteners to narrow the gastric pouch and stoma, resulting in 10-20% excess weight loss typically. The ROSE procedure uses sutures to create folds in the pouch and around the stoma.
3. Studies found these procedures produced 12-25% excess weight loss on average and resolved issues like diarrhea and heartburn in many patients. However, long-term durability is still unknown and behavioral factors impact success.Overstitch - detailed info on this new endoluminal platform
The OverStitch Endoscopic Suturing System provides physicians the ability to perform running or interrupted stitches within the GI tract. The system is comprised of an Endoscopic Suturing System handle, End Cap, Anchor Exchange, and choice of absorbable or non-absorbable sutures. It is intended for endoscopic placement of sutures to approximate soft tissue and works by delivering anchors and sutures through the endoscope to place stitches. The system is contraindicated for use with malignant tissue or when general endoscopic techniques are contraindicated.
Overstitch by Apollo Endosurgery
The OverStitch Endoscopic Suturing System allows physicians to perform full-thickness endoscopic suturing through a flexible endoscope in a manner similar to hand suturing. It can deploy both running and interrupted stitches with a single insertion of the endoscope. The system mimics the motion of a curved surgical needle and is designed for controlled suture placement. It is a single-use device available with absorbable or non-absorbable suture materials.
Overstitch - a new endoluminal surgery system
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The American Society of General Surgeons (ASGS) supports the use of transoral fundoplication by trained surgeons as a treatment for chronic gastroesophageal reflux disease (GERD) in patients who do not get satisfactory relief from proton pump inhibitors or who wish to avoid lifelong medication dependence. The ASGS believes transoral fundoplication adheres to the same surgical principles as traditional fundoplication techniques by creating a full thickness wrap of the stomach around the esophagus. The ASGS position is supported by peer-reviewed literature demonstrating transoral fundoplication offers comparable results to open and laparoscopic surgery, with high patient satisfaction and relief of GERD symptoms.
New tif results
Three recent studies published over the past four months involving nearly 200 patients in total provide additional evidence of the positive outcomes of transoral fundoplication (TIF) for the treatment of gastroesophageal reflux disease (GERD). The studies demonstrated a high therapeutic response rate with patients getting off daily proton pump inhibitors, significant response to objective reflux measurements, and a low complication rate of around 2%. The largest study to date involving 124 patients showed 75-80% of patients had normalized symptom scores and 97% were off daily PPI medications post-TIF. The growing body of clinical evidence supports TIF as a safe and effective alternative to traditional anti-reflux surgeries for appropriately selected GERD patients.
Yorkshire Post piece on esophyx
The document discusses a new treatment for chronic heartburn called EsophyX that is performed at Nuffield Health Leeds Hospital. It is a minimally invasive procedure that uses plastic fasteners to pull up stomach tissue and prevent acid reflux without surgery. The procedure provides relief for over 80% of symptoms and allows patients to greatly reduce or stop medication. One patient, Patrick Senycia, flew from Australia to receive the treatment and has experienced significant reduction in symptoms. The EsophyX procedure is pioneering as one of the most advanced treatments for chronic acid reflux worldwide.
Yorkshire Post piece on Esophyx
The document discusses a new treatment for chronic heartburn called EsophyX that is performed at Nuffield Health Leeds Hospital. It is a minimally invasive procedure that uses plastic fasteners to pull up stomach tissue and prevent acid reflux without surgery. The procedure provides relief for over 80% of symptoms and allows patients to greatly reduce or stop medication. One patient, Patrick Senycia, flew from Australia to have the procedure done in Leeds and says his symptoms were greatly reduced. The EsophyX procedure is positioned as a promising new option for treating chronic acid reflux when medication is not effective.
Heliosphere balloon data
New competitively priced intra-gastric balloon
Soon to be available in India
Cheaper than Allergan BIB
Latest presentation on endoluminal anti-reflux surgery with Esophyx
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PPT presentation on endoluminal anti-reflux surgery to be given at International Conference on the Stomach, Mumbai (India) Dec 5th 2010Innovations in endoluminal bariatric surgery
Endoluminal procedures like EGPR and ROSE aim to treat weight regain after gastric bypass through minimally invasive techniques. EGPR uses tissue fasteners to reduce the gastric pouch size and narrow the stoma, resulting in 15.5 lb weight loss on average in 6 months. ROSE uses expandable anchors to similarly reduce pouch size and stoma diameter, stopping weight regain in 88% of patients. Both procedures appear safe and can produce near 50% loss of regained weight, though long-term durability is still unknown. Success may depend on factors like a patient's initial weight loss after gastric bypass.
Heliosphere Intragastric Balloon
The document describes an intragastric balloon system called Heliosphere BAG for the non-surgical treatment of obesity. It is a temporary balloon that is placed in the stomach for up to 6 months. Clinical studies showed it helped patients lose 9-24 kg on average and had good tolerance, with vomiting lasting less than 3 days for most patients. The balloon uses a patented gold coating process to maintain inflation volume over time and make extraction easier.
Heliosphere Intragastric Balloon
This document provides instructions for the implantation and extraction of an intragastric balloon called Heliosphere for the non-surgical treatment of obesity. The implantation procedure involves visually guiding the deflated balloon through the esophagus using an endoscope, then inflating it with saline to a specific volume in the stomach. For extraction, the balloon is first deflated by puncturing it and aspirating the air, then caught and pulled out through the esophagus using grasping forceps under endoscopic guidance. Safety and careful technique are emphasized to gradually pass the balloon through the esophagus and cardia during extraction.
Heliosphere Intragastric Balloon
The document describes an intragastric balloon system called Heliosphere BAG for the non-surgical treatment of obesity. It is a temporary balloon that is placed in the stomach for up to 6 months. Clinical studies showed it helped patients lose 9-24 kg on average and had good tolerance, with vomiting lasting less than 3 days for most patients. The balloon uses a patented gold coating process to maintain inflation volume over time and make extraction easier.
Heliosphere Intragastric Balloon
The document describes an intragastric balloon system called Heliosphere BAG for the non-surgical treatment of obesity. It is a temporary balloon that is placed in the stomach for up to 6 months. Clinical studies showed it helped patients lose 9-24 kg on average and had good tolerance, with vomiting lasting less than 3 days for most patients. The balloon uses a patented gold coating process to maintain inflation volume over time and make extraction easier.
Gerd awareness week
This document provides contact information for Dr. Elliot Goodman in the Department of Surgery at a medical center, who has offices in Brooklyn and Manhattan. It notes that the week of November 21-27 is National GERD Awareness Week, and encourages learning more about treatment options.
Incision free weight loss surgery
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Tags: Information Security, ISO/IEC 27001, ISO/IEC 42001, Artificial Intelligence, GDPR
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