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redo bariatric surgery

J H Beckmann, H Aselmann, J H Egberts, A Bernsmeier, M Laudes, T Becker, C Schafmayer, M Ahrens
Conventional laparoscopy is the gold standard in bariatric surgery. Internationally, robot-assisted surgery is gaining in importance. Up to now there are only few reports from Germany on the use of the system in bariatric surgery. Since January 2017 we have been performing robot-assisted gastric bypass surgery. It remains unclear whether the use of the robotic system has advantages over the well-established laparoscopic technique. Within a period from January to early August 2017 a total of 53 gastric bypass operations were performed...
March 27, 2018: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
Stephanie C W Aelfers, Wendy Schijns, Nadine Ploeger, Ignace M C Janssen, Frits J Berends, Edo O Aarts
BACKGROUND: Evidence about the impact of psychological factors on weight loss after bariatric surgery is scarce. This study explores whether patients' preoperative estimate of target weight influences actual weight loss for different types of bariatric procedures. METHODS: Patients eligible for bariatric surgery were instructed twice on how to calculate their expected target weight. They were divided into three groups based on their percentage excess weight loss (%EWL) and percentage total body weight loss (%TBWL)...
July 2017: Obesity Surgery
Udo Jahn, Thomas Schubert, Sibylle Schlepp, Heinz Jürgen Deuber
After bariatric surgery there are some favourable effects on comorbidities of obesity as glucose and lipid metabolism besides weight loss. Therefore surgical measures targeting at improvement of such metabolic disorders especially diabetes type 2 has been called "metabolic surgery". The complexity of its underlying metabolic mechanisms is not yet clear, but restriction of energy and weight loss (maintenance) seem to be the cornerstones.Risks of these procedures which are drawn of the established methods of bariatric surgery are reported to be relatively low in qualified centers...
June 2017: Wiener Medizinische Wochenschrift
Tamer M S Salama, Karim Sabry
Background. Long-term studies have reported that the rate of conversion surgeries after open VBG ranged from 49.7 to 56%. This study is aiming to compare between LMGB and LRYGB as conversion surgeries after failed open VBG with respect to indications and operative and postoperative outcomes. Methods. Sixty patients (48 females and 12 males) presenting with failed VBG, with an average BMI of 39.7 kg/m(2) ranging between 26.5 kg/m(2) and 53 kg/m(2), and a mean age of 38.7 ranging between 24 and 51 years were enrolled in this study...
2016: Minimally Invasive Surgery
Caroline M J Theunissen, Nele Guelinckx, John K Maring, Barbara S Langenhoff
BACKGROUND: The adjustable gastric band (AGB) is a bariatric procedure that used to be widely performed. However, AGB failure-signifying band-related complications or unsatisfactory weight loss, resulting in revision surgery (redo operations)-frequently occurs. Often this entails a conversion to a laparoscopic Roux-en-Y gastric bypass (LRYGB). This can be performed as a one-step or two-step (separate band removal) procedure. METHODS: Data were collected from patients operated from 2012 to 2014 in a single bariatric centre...
November 2016: Obesity Surgery
Frédéric Lemaître, Philippe Léger, Marius Nedelcu, David Nocca
INTRODUCTION: The South Pacific has a high prevalence of obesity and super-obesity. We reviewed our experience with laparoscopic sleeve gastrectomy (LSG) to evaluate its efficacy and safety. METHODS: A retrospective review of a prospectively collected database of LSGs carried out by one surgeon in one center. The percentage of excess weight loss and the rate of resolution or improvement of comorbidities reflected efficacy, and major complications or mortalities reflected safety...
June 2016: International Journal of Surgery
Boris Kirshtein, Anna Kirshtein, Zvi Perry, Amnon Ovnat, Leonid Lantsberg, Eliezer Avinoach, Solly Mizrahi
BACKGROUND: Laparoscopic adjustable gastric band (LAGB) removal is required in cases of slippage, erosion, infection, intolerance, or failure in weight loss. The aim of the study was to follow up the patients who underwent band removal and analyze the outcome of subsequent revisional bariatric procedures. PATIENTS AND METHODS: A retrospective review of consecutive patients who underwent LAGB removal during 3.5 years. All patients underwent a phone interview in early 2015...
March 2016: International Journal of Surgery
Arnaud Lemmers, Damien My Tan, Mostafa Ibrahim, Patrizia Loi, Daniel De Backer, Jean Closset, Jacques Devière, Olivier Le Moine
BACKGROUND AND AIMS: Since redo surgery is associated with a high risk of morbidity and mortality after bariatric surgery in case of leakage, we sought to evaluate whether endoscopic drainage and debridement of collections following bariatric surgery is an efficient step-up approach to the management of these complications. METHODS: From 2007 to 2011, we retrospectively studied our cohort of nine cases treated by endoscopic drainage and debridement of abdominal abscesses secondary to postbariatric surgery leaks performed via the transluminal or percutaneous route...
November 2015: Obesity Surgery
S Müller, N Runkel
INTRODUCTION: The increasing number of morbidly obese patients leads to a rising number of bariatric procedures in Germany. The operative techniques are highly standardized but such a standardization is lacking for the management of postoperative complications such as stenosis and ulceration after Roux-en-Y gastric bypass (RYGB) surgery and sleeve gastrectomy (SG). METHODS: The current literature is reviewed and a complication management is developed and presented in this article...
September 2015: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
S Weiner, T Heidsieck, S Chiappetta, C Stier, R A Weiner
BACKROUND: Metabolic surgery is internationally well-established for the treatment of obesity and its comorbidities. The numbers of procedures performed is steadily increasing. The results of surgery are superior in comparison to conservative treatment options regarding weight loss and resolution of comorbidities. The insufficiency of suture lines is a well-known and feared complication in the stapling procedures and is associated with an increased morbidity as well as mortality, especially in super obese patients...
September 2015: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
H Spieker, A Dietrich
Bariatric surgery is an elective intervention, which is also performed in patients with additional risk factors, e.g. elderly patients over 65 years old, in patients suffering from relevant comorbidities and in patients with a body mass index (BMI) greater than 60 kg/m(2). To reduce the perioperative risks comorbidities require optimal adjustment. Specialized centers have reported complication rates below 1 %. Besides leakage, bleeding is the most common surgical complication in bariatric interventions. Bleeding complications occur in up to 4 % of cases but are much more common in redo surgery...
September 2015: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
Wah Yang, Cunchuan Wang, Jingge Yang
PURPOSE: Bariatric surgery is technically complex. It is important to refine existing methods and explore new techniques to improve the outcomes of patients. We discuss the characteristics and applications of the precise laparoscopic Roux-en-Y gastric bypass (PLRYGB) in clinical practice. MATERIALS AND METHODS: We retrospectively analyzed the clinical records of obese patients who underwent laparoscopic Roux-en-Y gastric bypass between 2009 and 2012, and compared surgical data, postoperative recovery, weight loss, and complications of patients who underwent PLRYGB with those who underwent conventional laparoscopic Roux-en-Y gastric bypass (CLRYGB) surgery...
June 2015: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Jérémie Thereaux, Charles Roche, Jean-Pierre Bail
PURPOSE: Laparoscopic gastric bypass (LRYGB) is considered as the gold standard procedure for morbid obesity because of sustainable weight loss and coexisting conditions improvements (Sjostrom L et al. The New England journal of medicine 351(26):2683-93, 2004 [1]; Thereaux J et al. Surg Obesity Related Dis: Off J Am Soc Bariatric Surg, 2014 [2]). However, there are some concerns with the late risk of gastrojejunal anastomotic stenosis and of small bowel obstruction (Hamdan K et al. 98(10):1345-55, 2011 [3])...
May 2015: Obesity Surgery
Alper Çelik, Surendra Ugale, Hasan Ofluoğlu
Laparoscopic sleeve gastrectomy (LSG) recently gained popularity for the treatment of obesity and related co-morbidities. With the increasing number of bariatric operations, the requirement for redo or revision bariatric surgery seems to be increasing. In the present case, a 50-year-old female patient with failed LSG who underwent laparoscopic resleeve, duodenal diversion, and ileal transposition is presented. Her metabolic and biochemical parameters were found to be improved significantly after 18 months. To the best of our knowledge, this is the first report of a case treated with this method in the literature...
January 2015: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Christine Stroh, R Weiner, S Wolff, C Lerche, C Knoll, Th Keller, C Bruns, Th Manger
BACKGROUND: Bariatric surgery outcomes have been examined in Germany since January 1, 2005. All data were registered prospectively in cooperation with the Institute of Quality Assurance in Surgery at the Otto-von-Guericke University Magdeburg. METHODS: The data were collected from an online data bank. Data collection began in 2005 for gastric banding (GB) and Roux-en-Y gastric bypass (RYGB) results. In addition to primary bariatric operations, data regarding the complications of revision procedures and redo operations were analyzed...
May 2015: Obesity Surgery
T Hasenberg, M Niedergethmann
Morbid obesity and the associated comorbidities are rapidly increasing worldwide. Bariatric surgery has proven to be an effective treatment option. In 2011 more then 340,000 bariatric procedures were performed worldwide which is accompanied by a growing demand for revision bariatric procedures due to complications or failure, such as insufficient weight loss or weight regain.Redo operation procedures as well as the management of complications require a profound preoperative medical history and diagnostic investigation in combination with an exact knowledge of the anatomical changes made in the primary procedure...
July 2014: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
C Stroh, R Weiner, S Wolff, C Knoll, T Manger
BACKGROUND: Increasing numbers of interventions for obesity and metabolic surgery have led to an increase of primary bariatric operations as well as redo operations and revisional surgery after various primary bariatric procedures. Evidence-based guidelines for indications and choice of procedure for revisional surgery do not currently exist. AIM: The spectrum of various revisional and redo operations following standard operative procedures for obesity and metabolic surgery is presented based on current data from the German bariatric surgery registry (GBSR, German nationwide survey on quality assurance in bariatric surgery) and a literature search...
April 2015: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
W Konrad Karcz, Simon Kuesters, Goran Marjanovic, Jodok M Grueneberger
INTRODUCTION: In bariatric surgery, still new surgical techniques are developed. On the one hand, the Roux-en-Y gastric bypass (RYGB) is one of the most common procedures used. However, many patients experience dumping syndrome or pain due to bile reflux. On the other hand, revisions after gastric banding are frequent and may be technically challenging. AIM: To create a new bariatric procedure counterbalancing the drawbacks of conventional RYGB, also suitable as a redo option after gastric banding...
December 2013: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
Daniel C Steinemann, Marco Bueter, Marc Schiesser, Iakovos Amygdalos, Pierre-Alain Clavien, Antonio Nocito
BACKGROUND: Anastomotic ulcers (AUs) after Roux-en-Y gastric bypass (RYGB) occur in up to 16% of patients. In an international survey among members of the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO), current preventative and therapeutic strategies in AU were analyzed. METHODS: An Internet-based survey was performed. RESULTS: One hundred eighty-nine surgeons completed the survey. Preoperative screening for Helicobacter pylori is performed by 65%...
May 2014: Obesity Surgery
C Stroh, B Wilhelm, R Weiner, K Ludwig, F Benedix, C Knoll, H Lippert, T Manger, Kompetenznetz Adipositas
BACKGROUND: Since January 2005, the situation of metabolic and obesity surgery in Germany has been constantly evaluated by the German Bariatric Surgery Registry (GBSR). Data registration is performed using an internet online database with prospective data collection. All registered data were analysed in cooperation with the Institute of Quality Assurance at the Otto-von-Guericke University Magdeburg. METHODS: Data collection includes primary and revision/redo-procedures...
February 2016: Zentralblatt Für Chirurgie
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