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Sleeve gastrectomy and nutrition

Natalia Komorniak, Ewa Stachowska
Obesity is a civilization disease, which occurrence in the world population is gradually increasing. The basic causes of obesity include a sedentary lifestyle and energy-rich diet contributing to a positive energy balance. Methods of curing obesity contain the lifestyle modification, the pharmacological treatment and the surgical treatment. The bariatric surgery is a therapy that can be used among patients with BMI ≥40 or BMI ≥35 kg/m2 with comorbidities, e.g. hypertension, for whom previous treatment has been ineffective...
November 28, 2018: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
Inka Miñambres, Miguel Angel Rubio, Ana de Hollanda, Irene Breton, Nuria Vilarrasa, Silvia Pellitero, Marta Bueno, Albert Lecube, Clara Marcuello, Albert Goday, Maria D Ballesteros, German Soriano, Assumpta Caixàs
CONTEXT: Information concerning the risk-benefit profile of bariatric surgery in subjects with liver cirrhosis is scarce. Our aim was to describe the long-term outcomes of bariatric surgery in a cohort of patients with liver cirrhosis submitted to bariatric surgery. METHODS: This was a multicenter, retrospective observational study performed by the Obesity Group of the Spanish Society of Endocrinology and Nutrition (GOSEEN), with a review of patients with cirrhosis who had undergone bariatric surgery during the period from April 2004 to March 2017 in ten public reference hospitals in Spain...
November 5, 2018: Obesity Surgery
Claudia Gagnon, Anne L Schafer
Bariatric surgery results in long-term weight loss and improvement or resolution in obesity-related comorbidities. However, mounting evidence indicates that it adversely affects bone health. This review summarizes clinical research findings about the impact of bariatric surgery on skeletal outcomes. The literature is the largest and strongest for the Roux-en-Y gastric bypass (RYGB) procedure, as RYGB was the most commonly performed bariatric procedure worldwide until it was very recently overtaken by the sleeve gastrectomy (SG)...
May 2018: JBMR plus
Riad Sarkis, Aline Khazzaka, Radwan Kassir
BACKGROUND: Despite the availability of many gastric surgery techniques to reduce obesity and its associated comorbidities, most of these procedures can result in life-threatening conditions including lifetime chronic illnesses and death. Vertical sleeve gastrectomy and Roux-en-Y gastric bypass have been reported to improve obesity-related comorbidities such as T2DM, but the long-term efficacy of these two procedures is unknown, and their significant impact on long-term weight loss was diminished by complications as reported in previous studies...
November 2018: Obesity Surgery
Muriel Coupaye, Hélène Legardeur, Ouidad Sami, Daniela Calabrese, Laurent Mandelbrot, Séverine Ledoux
BACKGROUND: There is a lack of evidence on whether sleeve gastrectomy (SG), which induces fewer nutritional deficiencies than Roux-en-Y gastric bypass (RYGB), also affects fetal growth (FG). OBJECTIVES: To compare neonatal outcomes after RYGB and SG and to assess the impact of maternal nutritional alterations on FG after both procedures. SETTING: University Hospital, France. METHODS: Women with singleton pregnancies who had at least 1 nutritional evaluation in our institution between 2004 and 2017 were included...
July 20, 2018: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Hugo Bonatti, Naureen Iqbal, Catherine Kling, Willie Melvin, James Broome
Background: Hypocalcemia is a frequent complication of parathyroidectomy for secondary/tertiary hyperparathyroidism. In patients with a history of prior Roux-en-Y gastric bypass (RYGBP), changes in nutritional absorption make management of hypocalcemia after parathyroidectomy difficult. Case Report: A 41-old-year morbidly obese female with c-peptide negative diabetes mellitus and renal failure had RYGBP. Following significant weight loss she underwent simultaneous pancreas-kidney transplantation...
2018: Case Reports in Transplantation
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...
December 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...
December 2018: Obesity Surgery
Christiane Ramos Castanha, Álvaro Antônio Bandeira Ferraz Tcbc-Pe, Alessandra Ramos Castanha, Giselle de Queiroz Menezes Batista Belo, Rosana Maria Resende Lacerda, Lúcio Vilar
OBJECTIVE: to assess the efficacy of weight loss, the evolution of comorbidities, the quality of life and the BAROS protocol (Bariatric Analysis and Reporting Outcome System) in the postoperative period of patients undergoing bariatric surgery. METHODS: we conducted a cross-sectional, quantitative study with 95% true strength (P=0.05), with 103 patients submitted to SLEEVE Vertical Gastrectomy (40) and Roux-en-Y Gastric Bypass (63), from four months after surgery...
July 16, 2018: Revista do Colégio Brasileiro de Cirurgiões
Julien-Sami El Sayegh, Gregory Nicolas, Kabalan Yammine, Claude Tayar
Nutritional support and Antibiotics treatment can be used as conservative treatment for the resolution of gastro-colic fistula after sleeve gastrectomy in stable patients specially to prevent cumbersome redo surgeries that have higher risks of complications particularly in patients with minimal financial means.
July 2018: Clinical Case Reports
Yafit Kessler, Liraz Olmer, Asnat Raziel, David Goitein, Rachel Dankner
PURPOSE: To examine associations of patients' attendance to follow-up meetings with a registered dietitian (RD) and physical exercise practices with weight loss during the 1 year following laparoscopic sleeve gastrectomy (SG). METHODS: Of 241 patients with obesity who underwent SG during 2012, 184 (76.3%) participated in a 1-year follow-up telephone interview and had information on number of RD follow-up meetings. Clinical information was available from computerized patient files...
July 10, 2018: Eating and Weight Disorders: EWD
Emilie Montastier, Mael Chalret du Rieu, Géraud Tuyeras, Patrick Ritz
PURPOSE OF REVIEW: Bariatric surgery is an effective treatment for classes II and III obesity and its associated diseases. However, many important long-term outcomes of bariatric surgery are still poorly understood, such as neurological and psychological complications, bone health, and so on. This review summarizes the current evidence and expert opinions on nutritional care in the long-term postoperative period. RECENT FINDINGS: In the first section, we will provide an update of the main long-term complications: risk of anaemia, risk of bone fracture, neurological and psychological complications, and risk of developing Barrett's oesophagus after sleeve gastrectomy...
September 2018: Current Opinion in Clinical Nutrition and Metabolic Care
E M Kikkas, T Sillakivi, J Suumann, Ü Kirsimägi, T Tikk, P R Värk
BACKGROUND AND AIMS: The aim of this study was to evaluate the long-term (5-year follow-up) results of laparoscopic sleeve gastrectomy in terms of weight loss and obesity-related comorbidities, as well as the risk factors associated with postoperative nutritional deficiencies. MATERIAL AND METHODS: The first 99 consecutive patients who underwent laparoscopic sleeve gastrectomy for the treatment of morbid obesity between October 2008 and August 2011 at Tartu University Hospital were followed prospectively in cohort study...
July 1, 2018: Scandinavian Journal of Surgery: SJS
Mervi Javanainen, Tuula Pekkarinen, Harri Mustonen, Tom Scheinin, Marja Leivonen
INTRODUCTION: Nutritional deficiencies may occur after bariatric surgery despite supplementation. Fracture risk may also be elevated after bariatric surgery. OBJECTIVES: To compare 25-hydroxyvitamin D [25(OH)D], vitamin B12, and albumin serum concentrations in severely obese patients who had undergone either Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG). Fracture data was compared with data for a conservatively treated group of severely obese patients...
June 23, 2018: Obesity Surgery
Piotr Major, Piotr Małczak, Michał Wysocki, Grzegorz Torbicz, Natalia Gajewska, Michał Pędziwiatr, Andrzej Budzyński
BACKGROUND: The prevalence of obesity is growing worldwide. Malnutrition has been identified as a risk factor, leading to higher morbidity rate and prolonged length of hospital. So far there are no high quality data on the impact of malnutrition on length of hospital stay and morbidity regarding bariatric surgery. The aim of the study was to assess association between nutritional status and outcomes bariatric surgeries. MATERIAL AND METHODS: The study was a prospective observational study...
August 2018: International Journal of Surgery
Hinali Zaveri, Amit Surve, Daniel Cottam, Austin Cottam, Walter Medlin, Christina Richards, LeGrand Belnap, Samuel Cottam, Benjamin Horsley
BACKGROUND: Single anastomosis duodenal-ileal bypass with sleeve gastrectomy (SADI-S) is a modification of Roux-en-Y duodenal switch (RYDS). Long-term data on this operation is lacking in the literature. We reviewed our mid-term data of this RYDS modification. PURPOSE: To analyze the outcomes with SADI-S at 4 years. METHODS: Data from patients who underwent a primary SADI-S procedure performed by three surgeons at a single institution from June 2013 through February 2018 were retrospectively reviewed...
June 16, 2018: Obesity Surgery
Yoav Bichovsky, Leonid Koyfman, Michael Friger, Boris Kirshtein, Abraham Borer, Gilbert Sebbag, Dmitry Frank, Amit Frenkel, Jochanan G Peiser, Moti Klein, Evgeni Brotfain
PURPOSE: Peritonitis is a major complication of bariatric surgery due to direct damage to the natural barriers to infection. Most such secondary peritoneal infections are caused by Gram-negative microorganisms; however, under certain conditions, Candida species can infect the peritoneal cavity following bariatric surgery. MATERIALS AND METHODS: We retrospectively analyzed the clinical and microbiological data of morbidly obese patients who suffered infectious complications following laparoscopic sleeve gastrectomy (LSG) at the Soroka Medical Center between January 2010 and June 2015...
October 2018: Obesity Surgery
Liyang Tang, Hatim A Alsulaim, Joseph K Canner, Gregory P Prokopowicz, Kimberley E Steele
BACKGROUND: As the vertical sleeve gastrectomy (VSG) becomes increasingly popular, its effect on postoperative micronutrient levels, such as thiamine, becomes more important. We previously found a 1.8% prevalence of thiamine deficiency in bariatric patients before surgery. OBJECTIVE: The aims of this study were to determine the prevalence of thiamine deficiency at our center after VSG and to explore possible predictors of postoperative thiamine levels. SETTING: University hospital, United States...
July 2018: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Cosmin Sebastian Voican, Amandine Lebrun, Sophie Maitre, Panagiotis Lainas, Karima Lamouri, Micheline Njike-Nakseu, Martin Gaillard, Hadrien Tranchart, Axel Balian, Ibrahim Dagher, Gabriel Perlemuter, Sylvie Naveau
BACKGROUND AND AIM: Sarcopenic obesity is a risk factor of morbidity and mortality. The aim of this study was to generate a predictive score of sarcopenia occurrence one year after bariatric surgery. PATIENTS AND METHODS: We conducted an observational prospective cohort study on a total of 184 severely obese patients admitted to our institution to undergo sleeve gastrectomy. Skeletal muscle cross-sectional area at the third lumbar vertebrae (SMA, cm2) was measured from the routinely performed computed tomography...
2018: PloS One
Bingsheng Guan, Jingge Yang, Yanya Chen, Wah Yang, Cunchuan Wang
BACKGROUND: Nutritional deficiencies have been reported in bariatric surgery patients with inconsistent results. However, scarce data exist for Chinese patients. We aimed to assess nutritional deficiencies in Chinese patients undergoing Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG), and to identify predictors of postoperative nutritional status. METHODS: A retrospective review of a prospectively collected database was conducted in the patients undergoing RYGB and SG in our hospital between June 2013 and January 2017...
May 12, 2018: Obesity Surgery
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