Dillon Gasper

MIS and Bariatric Fellow University of Nebraska #Surgery #MIS #Bariatric #hernia #MedEd

[Ali Aminian @Ali_Aminian_MD]

Real world data presented by @krchhabra group at #ASMBS2025

Weight loss after 2 years:

✴️ Gastric bypass: 26%

✴️ Sleeve gastrectomy: 23%

✴️ Tirzepatide: 8%

✴️ Semaglutide: 5%

[Michael Albert, MD @MichaelAlbertMD]

From one of my upcoming lectures: ~90% of people living with obesity remain untreated.

[Dillon Gasper @DillonGasper]

@EzraTeitelbaum I counted 9 but one or two could be due to slow filling of duodenum. Would try glucagon and another power flush. 68 looks like a diverticulum possibly type III

[Samuel Torres Landa @sam_torreslanda]

AI Ambient listening! @npetcka2022 @EmoryUniversity @EdLinEmory @VNikolian @EricKnauerMD

[Dillon Gasper @DillonGasper]

@htjacks Congratulations! Your patients are fortunate to have you

[Michael Albert, MD @MichaelAlbertMD]

🏆 Tirzepatide vs. Semaglutide
The heavyweight bout we’ve all been waiting for—and it’s a TKO.
- - -
A new NEJM study just dropped the first head-to-head trial in people with obesity (no diabetes).
Here’s how it played out over 72 weeks:

🥇 Tirzepatide (Zepbound) vs 🥈 Semaglutide (Wegovy)
🔹 –20.2% vs –13.7% weight loss → 47% greater relative reduction
🔹 20% on tirzepatide lost ≥30% of their body weight (triple the semaglutide rate!)
🔹 Waistline: –18.4 cm vs –13.0 cm
🔹 Sex matters: women in both arms lost ~6% more than men

📉 Responder rates (tirzepatide vs semaglutide):
✅ ≥10% loss: 81.6% vs 60.5%
✅ ≥15% loss: 64.6% vs 40.1%
✅ ≥20% loss: 48.4% vs 27.3%
✅ ≥25% loss: 31.6% vs 16.1%

⚠️ Side effects?
Mostly GI. Mostly manageable. No new red flags.

Bottom line:
This isn’t incremental—it’s transformational.
GLP-1 was the revolution. Tirzepatide is the next frontier.

Let’s talk:
Access. Equity. Long-term outcomes.
Are formularies ready for this future?

🔗 Full NEJM study: https://t.co/463akhNp1K

#Zepbound #Wegovy #Tirzepatide #Semaglutide #ObesityMedicine #GLP1 #GIP #NEJM #WeightLoss #HealthTech #DigitalHealth #MedTwitter h/t @scottisaacsmd for images.

[Elizabeth Maginot, MD @e_magination95]

POV You’re a med student driving the lap scope for the first time
Your attending: “The horizon still isn't straight”
You *panics in sunset 🌇🌇*

This @BehindTheKnife video might help 👇

[Dillon Gasper @DillonGasper]

@SrineilV Congratulations 🎉

[BehindTheKnife @BehindTheKnife]

ENDOSURGERY #2: ENDOBARIATRICS

Did you know you can do a sleeve with an endoscope? How cool is that 🕶️??! Find out if it is all it's cracked up to be + watch some great footage 📹 👇🏼

https://t.co/qmEOlpuoHz

Great work from our endosurgery team @SAyusoMD @CraftsTrevor @UjikiMike @briandunkinmd

[Michael Albert, MD @MichaelAlbertMD]

🧵 IS BARIATRIC SURGERY DANGEROUS? Let’s look at the global data.
Swipe through for a data-driven breakdown.

[Dillon Gasper @DillonGasper]

Great talk by Dr. Matthew Ballweg this morning on the role of hand assisted MIS techniques for elective #diverticulitis with lower rates of ostomy formation and decreased operating time #SWSC25 #MIS

[Dillon Gasper @DillonGasper]

Great talk on robotic surgery and MIS techniques increased utilization in emergency general surgery by Dr. Anderson #Roboticsurgery #EGS

[Dillon Gasper @DillonGasper]

Had the greatest team and we preserved through adversity. Thanks for the great weekend!

[Ivy N. Haskins, MD @IvyNHaskinsMD]

Serious competition during simulation but ultimately it was Team Floppy Nissen with the 🥇💪🏼 @SAGES_Updates @RMHigginsMD @aprabhumd1 @DillonGasper @KaelaBlake3

[Dillon Gasper @DillonGasper]

Great talk at the SAGES fellows course by @htjacks on social media

[Rana Higgins MD @RMHigginsMD]

Let the ⁦@SAGES_Updates⁩ 6th annual Fellows Career Development Course begin!!! ⁦@IvyNHaskinsMD⁩

[Benjamin Poulose @BKP_Columbus]

Having an awesome time at the annual SAGES MIS Fellows' Course in Nashville! Talented group of fellows and incredible Faculty--

[Michelle Chang MD @mechang22]

The Arizona crew is learning a lot and having a great time at @ASMBS #asmbs2024 @UofAZSurgery @ImanGhaderi @SarahSohail89 @DillonGasper

[Dillon Gasper @DillonGasper]

Difference of Bariatric surgery versus medical management for prevention of diabetes in patients with obesity (15 year follow up) @LdePinaCV great work 👏🏽

[Dillon Gasper @DillonGasper]

Excited to hear the latest evidence from the experts in Bariatric and Metabolic Surgery @ASMBS

[Dillon Gasper @DillonGasper]

Inspiring to hear the work of Hall of Fame inductees and the innovative work to bring metabolic surgery from the fringe to help patients with obesity