Weight loss after gastric bypass surgery in obese patients with NASH results in significant improvement in glucose, HgbA1c. and lipid profiles. Furthermore, RYGBP results in significant improvement in the histological features of NASH with resolution of disease in a majority of these patients.

The laparoscopic repair of paraesophageal hernias provides excellent long-term symptomatic relief in the majority of patients and has a low rate of symptomatic recurrence. The complication and death rates may be related in part to the higher incidence of comorbidities in this somewhat elderly patient population.

Hypothesis: Although perceived as a more technically demanding and time-consuming technique, the handsewn gastrojejunostomy during laparoscopic Rouxen-Y gastric bypass (RYGB) is associated with fewer complications and lower costs than stapled techniques.Design: A retrospective medical record review of prospectively collected data.

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LPD is associated with equivalent overall cost compared with OPD. While operating time and supply costs were higher for LPD, this was balanced by decreased cost of the postoperative admission.

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