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https://www.readbyqxmd.com/read/29643138/improvement-of-thoracic-myelopathy-following-bariatric-surgery-in-an-obese-patient
#1
Shota Takenaka, Yoshihiro Mukai, Noboru Hosono, Takashi Kaito
Revision spine surgery is extremely challenging in super-super obese patients (body mass index (BMI) ≥60 kg/m2 ). This is the first report describing how bariatric surgery was useful for a super-super obese patient with progressing myelopathy. A 44-year-old man with a BMI of 62.9 kg/m2 presented with an ambulatory disorder caused by thoracic ossification of the posterior longitudinal ligament (T7-8). Before this paraparesis, he had undergone four spinal operations, and was not considered a good candidate for a fifth spine surgery...
April 11, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29625744/long-term-7-or-more-years-outcomes-of-the-sleeve-gastrectomy-a-meta-analysis
#2
Benjamin Clapp, Matthew Wynn, Colin Martyn, Chase Foster, Montana O'Dell, Alan Tyroch
BACKGROUND: The laparoscopic sleeve gastrectomy is now the most common bariatric operation in the United States and has become an established procedure in the armamentarium of the bariatric surgeon. However, this has happened without the strong support of long-term outcomes data, namely the rate of revision and durability of the weight loss. Newly published data from around the world are starting to show alarming trends in these 2 areas. This paper will examine the published and presented data with at least a 7-year follow-up...
March 6, 2018: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/29616464/practices-concerning-revisional-bariatric-surgery-a-survey-of-460-surgeons
#3
Kamal K Mahawar, Abdelrahman Nimeri, Marco Adamo, Cynthia-Michelle Borg, Rishi Singhal, Omar Khan, Peter K Small
BACKGROUND: There is currently little evidence available on various aspects of Revisional Bariatric Surgery (RBS) and no published consensus amongst experts. The purpose of this study was to understand variation in practices concerning RBS. METHODS: Bariatric surgeons from around the world who perform RBS were invited to participate in a questionnaire-based survey on SurveyMonkey®. RESULTS: A total of 460 respondents from 62 countries took the survey...
April 3, 2018: Obesity Surgery
https://www.readbyqxmd.com/read/29606290/does-prior-bariatric-surgery-affect-implant-survivorship-and-complications-following-primary-total-hip-arthroplasty-total-knee-arthroplasty
#4
Gwo-Chin Lee, Kevin Ong, Doruk Baykal, Edmund Lau, Arthur L Malkani
BACKGROUND: The purpose of this study is to evaluate the impact of prior bariatric surgery on survivorship, outcome, and complications following primary total hip arthroplasty (THA)/total knee arthroplasty (TKA). METHODS: Using the Medicare 5% part B data from 1999 to 2012, we analyzed patients who underwent primary THA (n = 47,895) and primary TKA (n = 86,609). Patients with prior bariatric surgery before arthroplasty were compared to patients with other common metabolic conditions...
February 8, 2018: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29593899/feasibility-and-safety-of-bariatric-surgery-in-high-risk-patients-a-single-center-experience
#5
Yusef Moulla, Orestis Lyros, Matthias Blüher, Philipp Simon, Arne Dietrich
Introduction: Despite the feasibility and safety of bariatric procedures nowadays, high-risk patients with vast obesity and severe comorbidities demonstrate relatively high perioperative morbidity and mortality rates and, therefore, form a distinguished challenge for the bariatric surgeons. Methods: We retrospectively analyzed high-risk patients, who underwent bariatric surgery in University Hospital Leipzig between May 2012 and December 2016. High-risk patients were defined when (Bergeat et al...
2018: Journal of Obesity
https://www.readbyqxmd.com/read/29541922/the-15-cm-roux-limb-a-technical-misadventure
#6
Wesley F Kim, Thomas Sonnanstine
BACKGROUND: Despite effectively treating obesity and its comorbidities, only a fraction of the growing obese population is evaluated for bariatric surgery. Aside from barriers including resources and social support, patients report personal experience with friends and relatives suffering poor outcomes after bariatric surgery. Rates of mortality, leaks, and strictures have decreased over the past 20 years, but few instances of gross surgeon error have been reported in the literature. Our objective is to report and demonstrate the revision of a critically shortened Roux limb in a patient with chronic nausea and dysphagia found to have a 15-cm Roux limb and briefly discuss its implications...
March 14, 2018: Obesity Surgery
https://www.readbyqxmd.com/read/29520703/short-term-results-of-revisional-single-anastomosis-gastric-bypass-after-sleeve-gastrectomy-for-weight-regain
#7
Salman AlSabah, Eliana Al Haddad, Saud Al-Subaie, Shehab Ekrouf, Khaled Alenezi, Ahmad Almulla, Mohannad Alhaddad
INTRODUCTION: Laparoscopic sleeve gastrectomy (LSG) has become the most performed bariatric procedure as of 2015. However, inadequate weight loss may present the need for revisional procedures. OBJECTIVES: The objective of this study was to analyze the efficacy of single-anastomosis gastric bypass (SAGB) in attaining successful weight loss following an initial LSG. METHODS: A retrospective analysis was performed on all patients who underwent LSG at Amiri Hospital, Kuwait from 2008 to 2017...
March 8, 2018: Obesity Surgery
https://www.readbyqxmd.com/read/29496440/rate-of-revisions-or-conversion-after-bariatric-surgery-over-10-years-in-the-state-of-new-york
#8
Maria S Altieri, Jie Yang, Lizhou Nie, Robin Blackstone, Konstantinos Spaniolas, Aurora Pryor
BACKGROUND: A primary measure of the success of a procedure is the whether or not additional surgery may be necessary. Multi-institutional studies regarding the need for reoperation after bariatric surgery are scarce. OBJECTIVES: The purpose of this study is to evaluate the rate of revisions/conversions (RC) after 3 common bariatric procedures over 10 years in the state of New York. SETTING: University Hospital, involving a large database in New York State...
December 29, 2017: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/29492752/variability-in-bariatric-surgical-care-among-various-centers-a-survey-of-all-bariatric-surgeons-in-the-province-of-quebec-canada
#9
Amin Andalib, Philippe Bouchard, Alexandre Bougie, Sarah-Eve Loiselle, Sebastian Demyttenaere, Olivier Court
BACKGROUND: Despite an increase in bariatric surgery across Quebec, Canada, access is still limited. Furthermore, there are differences in resources and multidisciplinary capabilities of providing centers that may impact quality of care and outcomes. METHODS: We performed an online survey of all bariatric surgeons in the province of Quebec, Canada, using the LimeSurvey software. RESULTS: Forty-six surgeons from 15 centers were surveyed. Response rate was 87% (n = 40)...
February 28, 2018: Obesity Surgery
https://www.readbyqxmd.com/read/29492707/implementation-of-mini-gastric-bypass-in-the-netherlands-early-and-midterm-results-from-a-high-volume-unit
#10
J Apers, R Wijkmans, E Totte, M Emous
BACKGROUND: Mini gastric bypass (MGB) is a promising and attractive alternative bariatric procedure. In 2011, we introduced MGB in our high-volume bariatric unit. Subsequently, we evaluated short- and midterm results of this procedure. METHODS: A prospective cohort of patients who underwent MGB between 2012 and 2013 was retrospectively evaluated. RESULTS: From 2012 to 2013, primary MGB was performed in 287 patients with a mean BMI of 42 kg/m2 (range 32-76 kg/m2 )...
February 28, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29478815/paired-editorial-rate-of-revisions-or-conversions-after-bariatric-surgery-over-10-years-in-the-state-of-new-york
#11
EDITORIAL
Karen E Gibbs
No abstract text is available yet for this article.
February 1, 2018: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/29408400/bariatric-surgery-prior-to-elective-posterior-lumbar-fusion-is-associated-with-reduced-medical-complications-and-infection
#12
Deeptee Jain, Sigurd Berven, John Carter, Alan L Zhang, Vedat Deviren
BACKGROUND CONTEXT: Severely obese patients with operative spinal pathology present a challenge to the spine surgeon, given the increased complication risk. PURPOSE: Determine the impact of bariatric surgery on perioperative complications of posterior lumbar fusion. STUDY DESIGN: Retrospective cohort study. PATIENT SAMPLE: Patients undergoing posterior lumbar fusion surgery in the State Inpatient Databases (SID) of New York, Florida, North Carolina, Nebraska, Utah, and California...
February 2, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29390281/comparison-of-safety-and-effectiveness-between-laparoscopic-mini-gastric-bypass-and-laparoscopic-sleeve-gastrectomy-a-meta-analysis-and-systematic-review
#13
REVIEW
Fu-Gang Wang, Zhao-Peng Yu, Wen-Mao Yan, Ming Yan, Mao-Min Song
BACKGROUND: The laparoscopic mini-gastric bypass is a newly emerged surgical procedure in recent years. Owe to safe and simple process and effective outcomes, laparoscopic mini-gastric bypass has quickly become one of the most popular procedures in some countries. The safety and effectiveness of laparoscopic mini-gastric bypass versus laparoscopic sleeve gastrectomy remain unclear. METHODS: A systematic literature search was performed in PubMed, Embase, Cochrane library from inception to May 20, 2017...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29374818/long-term-effectiveness-of-laparoscopic-conversion-of-sleeve-gastrectomy-to-a-biliopancreatic-diversion-with-a-duodenal-switch-or-a-roux-en-y-gastric-bypass-due-to-weight-loss-failure
#14
Orit Shimon, Andrei Keidar, Ran Orgad, Renana Yemini, Idan Carmeli
BACKGROUND: Gastroesophageal reflux disease and inadequate weight loss (IWL) are long-term complications of laparoscopic sleeve gastrectomy (LSG) and indications for a laparoscopic conversion to an alternative bariatric procedure. The aim of this study is to report the long-term outcomes of biliopancreatic diversion with a duodenal switch (DS) or a Roux-en-Y gastric bypass (RYGB) as conversion procedures for weight loss failure after LSG. METHODS: The data of all patients who underwent post-LSG conversion to either a RYGB or a DS at our institution between November 2006 and May 2016 was retrospectively analyzed...
January 27, 2018: Obesity Surgery
https://www.readbyqxmd.com/read/29370995/american-society-for-metabolic-and-bariatric-surgery-estimation-of-metabolic-and-bariatric-procedures-performed-in-the-united-states-in-2016
#15
Wayne J English, Eric J DeMaria, Stacy A Brethauer, Samer G Mattar, Raul J Rosenthal, John M Morton
BACKGROUND: Bariatric surgery, despite being the most successful long-lasting treatment for morbid obesity, remains underused as only approximately 1% of all patients who qualify for surgery actually undergo surgery. To determine if patients in need are receiving appropriate therapy, the American Society for Metabolic and Bariatric Surgery created a Numbers Taskforce to specify annual rate of use for obesity treatment interventions. OBJECTIVES: The objective of this study was to determine metabolic and bariatric procedure trends since 2011 and to provide the best estimate of the number of procedures performed in the United States in 2016...
March 2018: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/29368284/endoscopic-gastrojejunostomy-revision-is-more-effective-than-medical-management-alone-to-address-weight-regain-after-rygb
#16
H Mason Hedberg, Alexander Trenk, Kristine Kuchta, John G Linn, JoAnn Carbray, Michael B Ujiki
BACKGROUND: Weight regain after bariatric roux-en-y gastric bypass affects up to 30% of individuals. Revisional surgery is risky, and is typically avoided in favor of dietary and psychological management. Endoscopic gastrojejunostomy revision is a low-morbidity, outpatient procedure that may be more effective than medical management alone for regain after gastric bypass. METHODS: Two patient cohorts were retrospectively assembled. Both groups had gastric bypass, regained weight, and were cleared for revision by their surgeon, dietician, and psychologist...
January 24, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29367876/insulinoma-presenting-with-post-prandial-hypoglycaemia-following-fundoplication
#17
Sarah Y Qian, Matthew J L Hare, Alan Pham, Duncan J Topliss
Insulinomas are rare neuroendocrine tumours that classically present with fasting hypoglycaemia. This case report discusses an uncommon and challenging case of insulinoma soon after upper gastrointestinal surgery. A 63-year-old man presented with 6 months of post-prandial hypoglycaemia beginning after a laparoscopic revision of Toupet fundoplication. Hyperinsulinaemic hypoglycaemia was confirmed during a spontaneous episode and in a mixed-meal test. Localisation studies including magnetic resonance imaging (MRI), endoscopic ultrasound (EUS) and gallium dotatate positron emission tomography (68 Ga Dotatate PET) were consistent with a small insulinoma in the mid-body of the pancreas...
2018: Endocrinology, Diabetes & Metabolism Case Reports
https://www.readbyqxmd.com/read/29366728/bariatric-surgery-improves-outcomes-after-lower-extremity-arthroplasty-in-the-morbidly-obese-a-propensity-score-matched-analysis-of-a-new-york-statewide-database
#18
Alexander S McLawhorn, Ashley E Levack, Yuo-Yu Lee, Yile Ge, Huong Do, Emily R Dodwell
BACKGROUND: The purpose of this study was to compare risks for revision and short-term complications after total joint arthroplasty (TJA) in matched cohorts of morbidly obese patients, receiving and not receiving prior bariatric surgery. METHODS: Patients undergoing elective TJA between 1997 and 2011 were identified in a New York Statewide database, analyzing total knee arthroplasty (TKA) and total hip arthroplasty (THA) separately. Propensity scores were used to match morbidly obese patients receiving and not receiving bariatric surgery prior to TJA...
December 5, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29350652/complications-associated-with-brachioplasty-a-literature-review
#19
Andrea Sisti, Roberto Cuomo, Luca Milonia, Juri Tassinari, Antonio Castagna, Cesare Brandi, Luca Grimaldi, Carlo D'Aniello, Giuseppe Nisi
BACKGROUND: Paralleling the growth of bariatric surgery, the demand for post-bariatric body-contouring surgery is increasing. Weight loss is the main cause, although not the only one, that drives patients to arm lift surgery. Several surgical techniques have been proposed over the years. Our aim was to consider the complications and outcomes according to the performed technique, through a wide review of the literature. METHODS: A search on PubMed/Medline was performed using "brachioplasty", "upper arm lifting", and "techniques" as key words...
January 16, 2018: Acta Bio-medica: Atenei Parmensis
https://www.readbyqxmd.com/read/29330654/risk-prediction-model-for-severe-postoperative-complication-in-bariatric-surgery
#20
Erik Stenberg, Yang Cao, Eva Szabo, Erik Näslund, Ingmar Näslund, Johan Ottosson
BACKGROUND: Factors associated with risk for adverse outcome are important considerations in the preoperative assessment of patients for bariatric surgery. As yet, prediction models based on preoperative risk factors have not been able to predict adverse outcome sufficiently. OBJECTIVE: This study aimed to identify preoperative risk factors and to construct a risk prediction model based on these. METHODS: Patients who underwent a bariatric surgical procedure in Sweden between 2010 and 2014 were identified from the Scandinavian Obesity Surgery Registry (SOReg)...
January 12, 2018: Obesity Surgery
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