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Laparoscopic roux en y gastric bypass

Zubaidah Nor Hanipah, Suriya Punchai, Arthur McCullough, Srinivasan Dasarathy, Stacy A Brethauer, Ali Aminian, Philip R Schauer
INTRODUCTION: Studies on bariatric patients with cirrhosis and portal hypertension are limited. The aim of this study was to review our experience in cirrhotic patients with portal hypertension who had bariatric surgery. METHOD: All cirrhotic patients with portal hypertension who underwent laparoscopic bariatric surgery, from 2007 to 2017, were retrospectively reviewed. RESULTS: Thirteen patients were included; eight (62%) were female. The median age was 54 years (interquartile range, IQR 49-60) and median BMI was 48 kg/m2 (IQR 43-55)...
August 14, 2018: Obesity Surgery
Pirjo Käkelä, Ville Männistö, Maija Vaittinen, Sari Venesmaa, Vesa Kärjä, Kirsi Virtanen, Hannu Paajanen, Jussi Pihlajamäki
BACKGROUND AND AIMS: Different bariatric procedures have been associated with variable weight loss and decrease in serum levels of lipids and lipoproteins. This variation could be partly related to the length of the small intestinal bypass. We evaluated the association of the small intestinal length with the non-alcoholic fatty liver disease (NAFLD) at baseline and with lipid metabolism before and after laparoscopic Roux-en-Y gastric bypass (LRYGB). METHODS: Seventy consecutive morbidly obese patients were recruited to this prospective study...
August 13, 2018: Obesity Surgery
Jaime Ruiz-Tovar, Maria Blanca, Alejandro Garcia, Juan Gonzalez, Sonsoles Gutierrez, Amalia Paniagua, Maria Jose Prieto, Luisa Ramallo, Lucia Llanos, Manuel Duran
BACKGROUND: The term "Immunonutrition" (IMN) describes the enteral administration of certain substrates with a theoretical immunomodulating function. From all the elements conforming these IMN formulas, Omega-3 fatty acids (O3FA) are hypothesized to be the most important component for immunomodulation, with increased anti-inflammatory and antioxidant effect. PATIENTS AND METHODS: A prospective randomized clinical trial of all the patients undergoing laparoscopic Roux-en-Y gastric bypass was performed...
July 29, 2018: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
Joshua P Landreneau, Andrew T Strong, John H Rodriguez, Essa M Aleassa, Ali Aminian, Stacy Brethauer, Philip R Schauer, Matthew D Kroh
INTRODUCTION: A subset of patients undergoing laparoscopic sleeve gastrectomy (SG) require eventual conversion to Roux-en-Y gastric bypass (RYGB) due to complications from SG or to enhance weight loss. The aim of this study is to characterize the indications for conversion and perioperative outcomes in a large cohort of these patients at a single institution. METHODS: Patients who underwent revisional surgery to convert SG to RYGB at our institution from January 2008 through January 2017 were retrospectively reviewed...
August 9, 2018: Obesity Surgery
Farah Husain, In Ho Jeong, Donn Spight, Bruce Wolfe, Samer G Mattar
Purpose: Vertical sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) are currently the most common bariatric procedures. Although the safety of these operations has markedly improved, there continues to be a certain rate of complications. Such adverse events can have a significant deleterious effect on the outcome of these procedures and represent a costly burden on patients and society at large. A better understanding of these complications and their predictive factors may help ameliorate and optimize outcomes...
August 2018: Annals of Surgical Treatment and Research
Philippe A Topart
No abstract text is available yet for this article.
July 27, 2018: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Omar A Khan, Emma Rose McGlone, William Maynard, James Hopkins, Simon Dexter, Ian Finlay, David Hewin, Peter Sedman, Peter Walton, Shaw Somers, Marcus Reddy, Peter Small, Marco Adamo, Richard Welbourn
BACKGROUND: For patients in whom laparoscopic adjustable gastric band has failed, conversion to Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy are both options for further surgical treatment. There are limited data comparing these 2 procedures. The National Bariatric Surgery Registry is a comprehensive United Kingdom-wide database of bariatric procedures, in which preoperative demographic characteristics and clinical outcomes are prospectively recorded. OBJECTIVES: To compare perioperative complication rate and short-term outcomes of patients undergoing single-stage conversion of gastric band to Roux-en-Y gastric bypass or laparoscopic sleeve gastrectomy...
June 30, 2018: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Ramen Goel, Madhu Goel, Amrit Manik Nasta, Sharmila Vyas, Shefali Dharia, Shireen Hamrapurkar
INTRODUCTION: Bariatric surgery leads to significant weight loss but the results vary. Application of dietary principles like portion-controlled eating leads to greater weight loss and fewer complications. AIMS: To evaluate the improvement in weight loss outcomes by incorporating portion-controlled eating behavior in postbariatric patients. METHODS: All patients who underwent bariatric surgery from January 2012 to December 2013 were included in the study...
August 3, 2018: Obesity Surgery
Mahmoud Zakaria, Ahmad Elhoofy
BACKGROUND: Although the vertical banded gastroplasty (VBG) is effective in achieving weight loss without metabolic side effects during the first few years, late failures cause weight regain in about 20% of the patients. The laparoscopic Roux-en-Y gastric bypass (LRYGB) is the procedure of choice to convert a failed VBG. MATERIALS AND METHODS: Between August 2014 and June 2016, 37 patients (23 females and 14 males) underwent revisional LRYGBs after failed VBGs. Thirty-four patients had open VBGs and two patients had laparoscopic butterfly gastroplasties...
July 31, 2018: Obesity Surgery
Phillip J Dijkhorst, Abel B Boerboom, Ignace M C Janssen, Dingeman J Swank, René M J Wiezer, Eric J Hazebroek, Frits J Berends, Edo O Aarts
BACKGROUND: Sleeve gastrectomy (SG) has become the most performed bariatric procedure to induce weight loss worldwide. Unfortunately, a significant portion of patients show insufficient weight loss or weight regain after a few years. OBJECTIVE: To investigate the effectiveness of the single anastomosis duodenoileal (SADI) bypass versus the Roux-en-Y gastric bypass (RYGB) on health outcomes in morbid obese patients who had undergone SG previously, with up to 2 years of follow-up...
July 31, 2018: Obesity Surgery
Manuel Macías-González, Gracia María Martín-Núñez, Lourdes Garrido-Sánchez, Eduardo García-Fuentes, Francisco Tinahones, Sonsoles Morcillo
BACKGROUND: Obesity is characterized by a chronic, low-grade inflammation, and bariatric surgery is proposed as an effective treatment for reducing the obesity-related co-morbidities. Epigenetic modifications could be involved in the metabolic improvement after surgery. OBJECTIVE: The main aim of this study was to evaluate whether DNA methylation pattern from genes related to inflammation and insulin response is associated with the metabolic improvement after bariatric surgery in morbidly obese patients and if these changes depend on the surgical procedure...
June 23, 2018: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Muhammad Qutayba Almerie, Vittal Sree Rama Rao, Mark Bernard Peter, Peter Sedman, Prashant Jain
BACKGROUND: With population ageing, more older patients would benefit from the reduced comorbidities associated with laparoscopic Roux-en-Y gastric bypass (LRYGB). However, health care providers are still reluctant to offer bariatric surgery to older obese patients due to the perceived increased risk and possible reduced benefit. Here, we report the outcomes of first UK series of LRYGB in patients (> 60 years) with emphasis on quality of life (QoL). SETTING: University hospital...
July 28, 2018: Obesity Surgery
Yaron Rudnicki, Moran Slavin, Andrei Keidar, Ilan Kent, Liron Berkovich, Vitaly Tiomkin, Roye Inbar, Shmuel Avital
BACKGROUND: Hypothyroidism is prevalent in morbidly obese patients and may improve after a weight reduction surgery. OBJECTIVES: Laboratory and clinical changes in hypothyroid patients undergoing laparoscopic sleeve gastrectomy (LSG) or laparoscopic Roux-en-Y gastric bypass (LRYGB) were compared and evaluated. SETTINGS: Data were retrieved from a prospectively collected database of 2 public bariatric units. METHODS: Patients with hypothyroidism prior to bariatric procedure were evaluated for changes in thyroid stimulating hormone (TSH) and changes or cessation of hormone replacement therapy after surgery...
June 15, 2018: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Alexandre Amado Elias, Marcelo Roque-de-Oliveira, Josemberg Marins Campos, Walter Takeiti Sasake, Álvaro Antônio Bandeira, Lyz Bezerra Silva, Brenda Ferreira, Renato Massaru Ito, Henrique Yoshio Shirozaki, Fernanda Antico Benetti, Laércio da Silva Paiva, Arthur Belarmino Garrido Júnior
OBJECTIVE: to report a series of cases of robotic bariatric surgery in the treatment of obesity in Brazil. METHODS: we evaluated patients undergoing robotic bariatric surgery at the Garrido Institute and compared them with a group submitted to conventional laparoscopic surgery. RESULTS: we analyzed 45 patients, with a mean age of 39.44 years, of which 34 were female, with an initial mean BMI of 41.26kg/m2. Among the procedures performed, 91...
July 19, 2018: Revista do Colégio Brasileiro de Cirurgiões
Deepali Jain, Anne Sill, Andrew Averbach
BACKGROUND: As sleeve gastrectomy (SG) becomes the most common bariatric procedure, it remains unclear for which patients laparoscopic Roux-en-Y gastric bypass (LRYGB) may be advantageous. Some contend that patients with higher initial body mass index (BMI) achieve better weight loss with LRYGB. OBJECTIVES: This study evaluates weight loss in SG versus LRYGB patients based on preoperative BMI. SETTING: Community teaching hospital, Baltimore, Maryland...
May 26, 2018: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Christelle Hayoz, Thierry Hermann, Dimitri Aristotle Raptis, Alain Brönnimann, Ralph Peterli, Markus Zuber
BACKGROUND AND OBJECTIVES: Bariatric surgery is the most effective treatment for morbid obesity and is known to have beneficial effects on glycaemic control in patients with type 2 diabetes mellitus (T2DM) and in diabetes prevention. The preferred type of surgery and mechanism of action is, however, unclear. We performed a systematic review and meta-analysis of randomised controlled trials (RCTs) comparing the effects of laparoscopic roux-en-Y gastric bypass (RYGB) with those of sleeve gastrectomy (SG) on metabolic outcome, with a special focus on glycaemic control...
2018: Swiss Medical Weekly
Jennwood Chen, Margaux Miller, Anna Ibele, Ellen Morrow, Robert Glasgow, Eric Volckmann
BACKGROUND: While there are various techniques to create the gastrojejunostomy during a laparoscopic Roux-en-Y gastric bypass (LRYGB), many surgeons prefer using a circular stapler. One drawback of this method, however, is the higher incidence of surgical site infections (SSIs). To investigate the effect of a dual ring wound protector on SSIs during LRYGB. METHODS: In April 2016, our bariatric surgical group implemented an intervention whereby a dual ring wound protector in conjunction with a conical EEA stapler introducer was used when creating the gastrojejunostomy...
July 20, 2018: Obesity Surgery
Abbas Al-Kurd, Ronit Grinbaum, Ala'a Abubeih, Ariel Verbner, Amram Kupietzky, Ido Mizrahi, Haggi Mazeh, Nahum Beglaibter
INTRODUCTION: It is commonly stated in bariatric surgical forums that leaks following laparoscopic sleeve gastrectomy (LSG) are more difficult to manage than those following laparoscopic roux-en-Y gastric bypass (LRYGB). However, no previous study has provided a thorough comparison of leak management following these two operations. METHODS: Our database was retrospectively reviewed to identify patients with leak following LSG and LRYGB performed between January 2007 and December 2017...
July 19, 2018: Obesity Surgery
Fatih Mehmet Avsar, Ali Sapmaz, Ali Uluer, Nihal Zekiye Erdem
OBJECTIVES: Laparoscopic adjustable gastric banding (LAGB) was once a preferred method of obesity treatment featuring a straightforward technique, removability, and good early results. In a significant proportion of patients, however, it was not a durable weight-loss procedure and has been associated with a high longer-term complication rate. The purpose of this study was to directly compare the results of conversion to laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic sleeve gastrectomy (LSG) after failed LAGB...
July 18, 2018: Obesity Surgery
Leontine H Wijngaarden, Sophie L van Veldhuisen, René A Klaassen, Erwin van der Harst, Charles C van Rossem, Ahmet Demirkiran, Steve M M de Castro, Frederik H W Jonker
BACKGROUND: Internal herniation (IH) is one of the most common long-term complications after laparoscopic Roux-en-Y gastric bypass (LRYGB). Diagnosis of IH may be difficult, and not all patients with suspected IH will have full relief of symptoms after closure of both mesenteric defects. OBJECTIVES: To investigate possible predictive factors for relief of symptoms in patients with suspected IH. METHODS: All patients that underwent reoperation for (suspected) IH after LRYGB from June 2009 to December 2016 were retrospectively evaluated in this multicentre cohort study...
July 18, 2018: Obesity Surgery
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