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bariatric side effects

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https://www.readbyqxmd.com/read/27896648/clinical-and-metabolic-effects-of-biliopancreatic-diversion-persist-after-reduction-of-the-gastric-pouch-and-elongation-of-the-common-alimentary-tract-preliminary-report-in-a-series-of-patients-with-a-10-year-follow-up
#1
Valerio Ceriani, Francesco Cetta, Tiziana Lodi, Ferdinando Pinna, Antonio E Pontiroli
BACKGROUND: Biliopancreatic diversion (BPD) is a bariatric technique burdened, in some instances, by clinical evidence of malabsorption and malnutrition, and by intractable diarrhea. OBJECTIVE: The objective of this study was to assess metabolic and nutritional effects on patients undergoing BPD and BPD plus revisional surgery because of side effects. METHODS: Thirty-five consecutive BPD patients underwent revisional surgery (elongation of the common limb from 50 to 200 cm and reduction of the gastric pouch from 500 to 40 ml) after a median 48-month period [48...
November 29, 2016: Obesity Surgery
https://www.readbyqxmd.com/read/27768400/single-anastomosis-sleeve-ileal-bypass-new-step-in-the-evolution-of-bariatric-surgeries
#2
Tamer M S Salama, Karim Sabry, Yaser El Ghamrini
PURPOSE: Single anastomosis sleeve ileal bypass (SASI) procedure appears as a new metabolic and bariatric surgery based on Santoro's operation, in which a sleeve gastrectomy is followed by a side-to-side gastroileal anastomosis. The study is aimed to evaluate the short-term outcomes of laparoscopic single anastomosis sleeve ileal bypass with respect to postoperative weight loss and metabolic and nutritional effects on patients. METHODS: Forty-five morbidly obese patients with a mean age of 31...
October 21, 2016: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
https://www.readbyqxmd.com/read/27686232/predictive-value-of-c-reactive-protein-for-complications-post-laparoscopic-roux-en-y-gastric-bypass
#3
Murray R Williams, Samuel McMeekin, R Jonathan T Wilson, Glenn V Miller, Fiona E Langlands, Wingzou Wong, Mark Peter, Mathew S Giles
BACKGROUND: Laparoscopic roux-en-Y gastric bypass (LRYGB) has gained increasing popularity as the primary procedure of choice for the management of patients with morbid obesity. Despite the advances, a few patients will still develop complications and predicting these early complications in morbidly obese patients can prove to be difficult. Radiological investigations have limited diagnostic value and have associated side effects and cost. We propose that C-reactive protein (CRP) is a useful predictor for early postoperative complications...
September 29, 2016: Obesity Surgery
https://www.readbyqxmd.com/read/27511809/the-management-of-anovulatory-infertility-in-women-with-polycystic-ovary-syndrome-an-analysis-of-the-evidence-to-support-the-development-of-global-who-guidance
#4
REVIEW
Adam H Balen, Lara C Morley, Marie Misso, Stephen Franks, Richard S Legro, Chandrika N Wijeyaratne, Elisabet Stener-Victorin, Bart C J M Fauser, Robert J Norman, Helena Teede
BACKGROUND: Here we describe the consensus guideline methodology, summarise the evidence-based recommendations we provided to the World Health Organisation (WHO) for their consideration in the development of global guidance and present a narrative review on the management of anovulatory infertility in women with polycystic ovary syndrome (PCOS). OBJECTIVE AND RATIONALE: The aim of this paper was to present an evidence base for the management of anovulatory PCOS...
November 2016: Human Reproduction Update
https://www.readbyqxmd.com/read/27438859/dbs-for-obesity
#5
REVIEW
Ruth Franco, Erich T Fonoff, Pedro Alvarenga, Antonio Carlos Lopes, Euripides C Miguel, Manoel J Teixeira, Durval Damiani, Clement Hamani
Obesity is a chronic, progressive and prevalent disorder. Morbid obesity, in particular, is associated with numerous comorbidities and early mortality. In patients with morbid obesity, pharmacological and behavioral approaches often have limited results. Bariatric surgery is quite effective but is associated with operative failures and a non-negligible incidence of side effects. In the last decades, deep brain stimulation (DBS) has been investigated as a neurosurgical modality to treat various neuropsychiatric disorders...
July 18, 2016: Brain Sciences
https://www.readbyqxmd.com/read/27324638/the-role-of-metabolic-surgery-on-blood-pressure-control
#6
REVIEW
Carlos Aurelio Schiavon, Luciano F Drager, Luiz A Bortolotto, Celso Amodeo, Dimas Ikeoka, Otávio Berwanger, Ricardo Vitor Cohen
Obesity and hypertension are growing epidemics in the modern world. Lifestyle changes and medical treatment for obesity have disappointing long-term results and albeit drugs for hypertension are usually very effective, the necessity of multiple pills and frequent side effects make the adherence to treatment a huge challenge for healthcare systems. Bariatric/metabolic surgery is a very effective treatment and an exponential number of studies have been showing its positive impact beyond weight loss, mainly on type 2 diabetes...
August 2016: Current Atherosclerosis Reports
https://www.readbyqxmd.com/read/27178615/understanding-excess-skin-in-postbariatric-patients-objective-measurements-and-subjective-experiences
#7
Christina Biörserud, Torsten Olbers, Trude Staalesen, Anna Elander, Monika Fagevik Olsén
BACKGROUND: Excess skin is a well-known side effect of massive weight loss after bariatric surgery. However, there is a lack of longitudinal follow-ups. OBJECTIVES: The primary aims of this study were to investigate the development and amount of excess skin after laparoscopic Roux-en-Y gastric bypass and to relate objective results to subjective experiences. SETTING: University hospital. METHODS: From 2009 to 2012, 200 patients were included and assessed with respect to excess skin before and 18 months after bariatric surgery...
February 2, 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/27150339/remission-of-type-2-diabetes-in-patients-undergoing-biliointestinal-bypass-for-morbid-obesity-a-new-surgical-treatment
#8
Gianmattia Del Genio, Michel Gagner, Paolo Limongelli, Salvatore Tolone, Dimitri Pournaras, Carel W le Roux, Luigi Brusciano, Anna Licia Mozzillo, Federica Del Genio, Ludovico Docimo
BACKGROUND: Nutrient interaction with the mid-gut may play a role in improving type 2 diabetes mellitus (T2D) after bariatric surgery. However, Roux-en-Y gastric bypass, biliopancreatic diversion, and sleeve gastrectomy include diversion of food from the duodenum and/or partial gastrectomy. Biliointestinal bypass (BIBP) was introduced to eliminate the major side effects of jejunoileal bypass. It does not involve any change to the anatomy of the stomach or the duodenum. A prospective evaluation of the role of BIBP in glycemic control has not been reported...
May 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/27072022/commercial-very-low-energy-meal-replacements-for-preoperative-weight-loss-in-obese-patients-a-systematic-review
#9
REVIEW
Lynda J Ross, Siobhan Wallin, Emma J Osland, Muhammed Ashraf Memon
BACKGROUND: This systematic review assessed feasibility and effectiveness of preoperative meal replacements to improve surgical outcomes for obese patients. METHODS: PRISMA guidelines were followed and electronic databases searched for articles between January 1990 and March 2015. RESULTS: Fifteen studies (942 participants including 351 controls) were included, 13 studies (n = 750) in bariatric patients. Adverse effects and dropout rates were minimal...
June 2016: Obesity Surgery
https://www.readbyqxmd.com/read/26910303/interest-views-and-perceived-barriers-to-bariatric-surgery-in-patients-with-morbid-obesity
#10
S Wharton, K J Serodio, J L Kuk, N Sivapalan, A Craik, M-A Aarts
The objective of the study was to assess the interest, views and patient-perceived barriers to bariatric surgery among surgery-eligible patients. Surveys were completed at a weight management clinic and local hospital in Ontario, Canada. Patients were ≥18 years of age with a body mass index (BMI) >40 kg m(-2) or BMI > 35 kg m(-2) with ≥1 comorbidity. The sample included 105 participants, 73.3% female, with a mean BMI of 46.6 ± 7.1 kg m(-2) . Only 33.3% of participants were interested in surgery; 50...
April 2016: Clinical Obesity
https://www.readbyqxmd.com/read/26823089/sleeve-gastrectomy-surgery-in-obese-patients-post-organ-transplantation
#11
Enrique F Elli, Raquel Gonzalez-Heredia, Lisa Sanchez-Johnsen, Neil Patel, Raquel Garcia-Roca, Jose Oberholzer
BACKGROUND: Among organ transplant recipients, a common side effect of immunosuppressive therapy is the development of obesity, which affects a third of the patients within 3 years after transplantation. Bariatric surgery represents a possible surgical option for weight loss among posttransplant patients. OBJECTIVES: The aim of this study was to examine percent excess weight loss (%EWL), and percent weight loss (%WL) and perioperative and postoperative complications in posttransplant obese patients after sleeve gastrectomy (SG) compared with nontransplant patients...
March 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/26770722/older-adults-fighting-obesity-with-bariatric-surgery-benefits-side-effects-and-outcomes
#12
Cindy L Marihart, Ardith R Brunt, Angela A Geraci
UNLABELLED: The aging population is growing exponentially worldwide. Associated with this greater life expectancy is the increased burden of chronic health conditions, many of which are exacerbated by the continued rise in obesity. In the US, the prevalence of obesity in adults aged 60 years and older increased from 23.6% to 37% in 2010. OBJECTIVES: This review examines bariatric surgery as a treatment option for obese adults > 60 years old. The most common types of weight-loss surgery are laparoscopic adjustable gastric banding, vertical sleeve gastrectomy, Roux-en-Y gastric bypass, and the duodenal switch...
2014: SAGE Open Medicine
https://www.readbyqxmd.com/read/26740473/a-review-on-possible-therapeutic-targets-to-contain-obesity-the-role-of-phytochemicals
#13
REVIEW
Meriga Balaji, Muni Swamy Ganjayi, Gali E N Hanuma Kumar, Brahma Naidu Parim, Ramgopal Mopuri, Sreenivasulu Dasari
The prevalence and severity of obesity has increased markedly in recent decades making it a global public health concern. Since obesity is a potential risk factor in the development of hypertension, type-2 diabetes, cardiovascular diseases, infertility, etc., it is no more viewed as a cosmetic issue. Currently, only a few FDA-approved anti-obesity drugs like Orlistat, Lorcaserin and Phentermine-topiramate are available in the market, but they have considerable side effects. On the other hand, bariatric surgery as an alternative is associated with high risk and expensive...
July 2016: Obesity Research & Clinical Practice
https://www.readbyqxmd.com/read/26712980/safety-and-analgesic-efficacy-of-intravenous-dexmedetomidine-in-arthroscopic-knee-surgery
#14
Riddhi Kundu, Maya Dehran, Chandralekha, Anjan Trikha, H L Nag
CONTEXT: Dexmedetomidine, a highly selective alpha-2 agonist has been used as an adjuvant analgesic in vascular, bariatric, and thoracic surgery. We assessed the efficacy of intravenous dexmedetomidine as an analgesic adjunct to local anesthetic infiltration for control of postoperative pain in arthroscopic knee surgery. SETTINGS AND DESIGN: This was a randomized control study performed in a Tertiary Care Hospital. MATERIALS AND METHODS: Forty-five adult patients scheduled for anterior/posterior cruciate ligament reconstruction were randomized into three groups...
September 2015: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/26666154/-obesity-disease-with-diabetes-mellitus
#15
Kazuhiro Nagamine, Hiroaki Ueno, Masamitsu Nakazato
Obesity has been increasing not only in Japan but also in both developed and developing countries. Mean body mass index of Japanese patients with type 2 diabetes has been increasing, and it reached 25.0 in 2013. If body weight decreases more than 3% of initial body weight in patients with metabolic syndrome, not only glucose metabolism but also dyslipidemia and hypertension improve. To reduce the excess body weight, behavior therapy, calorie restriction, and exercise are necessary. The next strategies are drugs including mazindol, glucose-like peptide-1 receptor agonist and sodium-dependent glucose cotransporter 2 inhibitor, and bariatric surgery...
December 2015: Nihon Rinsho. Japanese Journal of Clinical Medicine
https://www.readbyqxmd.com/read/26641203/becoming-a-normal-guy-men-making-sense-of-long-term-bodily-changes-following-bariatric-surgery
#16
Karen Synne Groven, Paul Galdas, Kari Nyheim Solbrække
BACKGROUND: To date, research on bodily changes following bariatric surgery has focused predominantly on women, leaving the long-term experience of men relatively unexplored. In this paper, we draw on interviews with men who have undergone an irreversible gastric bypass procedure to explore their bodily changes more than 4 years post-surgery. We apply a phenomenological framework that draws on Leder's perspectives on the "disappearing" and "dys-appearing" body, combined with a gender-sensitive lens that draws on Connell's theory of hegemonic masculinity and Robertson's conceptions of embodied masculinity...
2015: International Journal of Qualitative Studies on Health and Well-being
https://www.readbyqxmd.com/read/26615406/pharmacotherapy-in-conjunction-with-a-diet-and-exercise-program-for-the-treatment-of-weight-recidivism-or-weight-loss-plateau-post-bariatric-surgery-a-retrospective-review
#17
Jennifer Schwartz, Umer I Chaudhry, Andrew Suzo, Nicholas Durkin, Allison M Wehr, Kathy S Foreman, Kristen Tychonievich, Dean J Mikami, Bradley J Needleman, Sabrena F Noria
BACKGROUND: Bariatric surgery is an effective therapeutic option for management of obesity. However, weight recidivism (WR) and weight loss plateau (WLP) are common problems. We present our experience with the use of two pharmacotherapies in conjunction with our standard diet and exercise program in those patients who experienced WR or WLP. METHODS: From June 2010 to April 2014, bariatric surgery patients who experienced WR or WLP after undergoing Roux-en-Y gastric bypass (RYGB) or laparoscopic adjustable gastric banding (LAGB), and who were treated with phentermine (Ph) or phentermine-topiramate (PhT), were reviewed retrospectively...
February 2016: Obesity Surgery
https://www.readbyqxmd.com/read/26559717/exploring-perceptions-of-barriers-facilitators-and-motivators-to-physical-activity-among-female-bariatric-patients-implications-for-physical-activity-programming
#18
A Dikareva, W J Harvey, M A Cicchillitti, S J Bartlett, R E Andersen
PURPOSE: To explore barriers, facilitators, and motivators to adopting and maintaining regular physical activity among women with obesity who have undergone bariatric surgery. APPROACH: Individual interviews with women 3 to 24 months post-bariatric surgery. SETTING: Participants were recruited from a bariatric clinic in Montreal, Canada. PARTICIPANTS: Twelve women were recruited (mean age = 47 ± 9 years) using poster advertisements and word of mouth...
September 2016: American Journal of Health Promotion: AJHP
https://www.readbyqxmd.com/read/26369473/bariatric-metabolic-surgery-versus-conventional-medical-treatment-in-obese-patients-with-type-2-diabetes-5-year-follow-up-of-an-open-label-single-centre-randomised-controlled-trial
#19
RANDOMIZED CONTROLLED TRIAL
Geltrude Mingrone, Simona Panunzi, Andrea De Gaetano, Caterina Guidone, Amerigo Iaconelli, Giuseppe Nanni, Marco Castagneto, Stefan Bornstein, Francesco Rubino
BACKGROUND: Randomised controlled trials have shown that bariatric surgery is more effective than conventional treatment for the short-term control of type-2 diabetes. However, published studies are characterised by a relatively short follow-up. We aimed to assess 5 year outcomes from our randomised trial designed to compare surgery with conventional medical treatment for the treatment of type 2 diabetes in obese patients. METHODS: We did our open-label, randomised controlled trial at one diabetes centre in Italy...
September 5, 2015: Lancet
https://www.readbyqxmd.com/read/26288594/malabsorption-as-a-therapeutic-approach-in-bariatric-surgery
#20
REVIEW
Adrian T Billeter, Lars Fischer, Anna-Laura Wekerle, Jonas Senft, Beat Müller-Stich
BACKGROUND: The increasing prevalence of obese patients will lead to a more frequent use of bariatric procedures in the future. Compared to conservative medical therapy, bariatric procedures achieve greater weight loss and superior control of comorbidities, resulting in improved overall mortality. METHODS: A search for current literature regarding mechanisms, indications, and outcomes of bariatric surgery was performed. RESULTS: In order to care for patients after bariatric surgery properly, it is important to understand its mechanisms of action and effects on gastrointestinal physiology...
June 2014: Viszeralmedizin
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