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Weight regain after bariatric surgery

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https://www.readbyqxmd.com/read/28493043/revisional-surgery-after-failed-laparoscopic-sleeve-gastrectomy-retrospective-analysis-of-causes-results-and-technical-considerations
#1
Huseyin Yilmaz, Ilhan Ece, Mustafa Sahin
BACKGROUND: A failed laparoscopic sleeve gastrectomy (LSG) presents a challenging problem for bariatric surgeons. The aim of this study was to evaluate the indications, treatment strategies, and surgical outcomes of patients who underwent a revisional surgery after a failed LSG. METHODS: This retrospective study included the outcomes of 32 patients who required a revisional surgery from a series of 500 primary LSGs. The patients' demographic data, indications for revisional surgery, perioperative complications, and postoperative outcomes were recorded...
May 10, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28457649/diabetes-after-bariatric-surgery
#2
REVIEW
Ankit Shah, Blandine Laferrère
Bariatric surgery has now emerged as an effective means of glycemic control in individuals with diabetes and obesity. However, long-term data show recurrence of hyperglycemia years after the procedure. Although the exact prevalence of diabetes relapse is unknown because of attrition and limited data on long-term follow up after the surgery, a significant percentage of patients experience relapse of diabetes. The mechanism of diabetes relapse is not completely understood and is not always linked to weight regain...
April 27, 2017: Canadian Journal of Diabetes
https://www.readbyqxmd.com/read/28448862/the-first-case-report-of-failed-single-anastomosis-duodeno-ileal-bypass-converted-to-one-anastomosis-gastric-bypass-mini-gastric-bypass
#3
Sonja Chiappetta, Christine Stier, Oliver Scheffel, Sophia Theodoridou, Rudolf Weiner
INTRODUCTION: The established single-anastomosis-duodeno-ileal bypass with sleeve gastrectomy (SADI-S) is based on a sleeve gastrectomy (SG) as the restrictive part of the procedure. Due to preserved pylorus, SG has the disadvantage of a high-pressure system with de novo or worsening of existing gastroesophageal reflux disease (GERD). CASE PRESENTATION: A female patient presented herself due to protracted GERD and weight regain after multiple bariatric surgeries...
2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28446930/revisional-bariatric-surgery-after-failed-laparoscopic-adjustable-gastric-banding-a-single-center-long-term-retrospective-study
#4
Piotr K Kowalewski, Robert Olszewski, Andrzej P Kwiatkowski, Krzysztof Paśnik
INTRODUCTION: Laparoscopic adjustable gastric banding (LAGB) used to be one of the most popular bariatric procedures. AIM: To present our institution's experience with LAGB, its complications, causes of failure and revisional bariatric procedures, in a long-term follow-up. MATERIAL AND METHODS: Records of patients who underwent pars flaccida LAGB from 2003 to 2006 were gathered. We selected data on patients with a history of additional bariatric procedures...
2017: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
https://www.readbyqxmd.com/read/28438493/definition-determines-weight-regain-outcomes-after-sleeve-gastrectomy
#5
Melanie Lauti, Daniel Lemanu, Irene S L Zeng, Bruce Su'a, Andrew G Hill, Andrew D MacCormick
BACKGROUND: Sleeve gastrectomy (SG) is one of the most commonly undertaken bariatric procedures. Weight regain after bariatric surgery, when significant, may be associated with recurrence of diabetes and deterioration in quality of life. Furthermore, it may be more common after SG than bypass procedures. Yet the understanding of the significance of weight regain is hampered by poor reporting and no consensus statements or guidelines. OBJECTIVES: To illustrate how the lack of a standard definition significantly alters reported SG outcomes and to contribute to the discussion of how weight regain should be defined...
March 9, 2017: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/28386638/effect-of-diet-induced-weight-loss-on-lipoprotein-a-levels-in-obese-individuals-with-and-without-type-2-diabetes
#6
Kirsten A Berk, Reyhana Yahya, Adrie J M Verhoeven, Jeanette Touw, Frank P Leijten, Elisabeth F van Rossum, Vincent L Wester, Mirjam A Lips, Hanno Pijl, Reinier Timman, Gertraud Erhart, Florian Kronenberg, Jeanine E Roeters van Lennep, Eric J G Sijbrands, Monique T Mulder
AIMS/HYPOTHESIS: Elevated levels of lipoprotein(a) [Lp(a)] are an independent risk factor for cardiovascular disease (CVD), particularly in individuals with type 2 diabetes. Although weight loss improves conventional risk factors for CVD in type 2 diabetes, the effects on Lp(a) are unknown and may influence the long-term outcome of CVD after diet-induced weight loss. The aim of this clinical study was to determine the effect of diet-induced weight loss on Lp(a) levels in obese individuals with type 2 diabetes...
April 6, 2017: Diabetologia
https://www.readbyqxmd.com/read/28364152/sleeve-gastrectomy-revision-by-endoluminal-sleeve-plication-gastroplasty-a-small-pilot-case-series
#7
George Eid
BACKGROUND: The necessity for reoperation due to insufficient weight loss after bariatric surgery has led to a novel endoluminal plication of the gastric sleeve using a endoscopic suturing device. Advances in endoluminal endoscopy and other minimally invasive bariatric surgeries have inspired innovative techniques and have produced reliable suturing tools for gastric volume reduction. METHODS: Retrospective pilot case series of 5 patients with an enlarged gastric sleeve...
March 31, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28303505/patient-reported-outcomes-10%C3%A2-years-after-roux-en-y-gastric-bypass
#8
Florence E Turrentine, James H Mehaffey, Rachel L Mehaffey, Matthew G Mullen, Bruce D Schirmer, Peter T Hallowell
BACKGROUND: Following weight-loss surgery, patients who failed to achieve or sustain weight loss have nevertheless reported high satisfaction with their long-term bariatric experience. Understanding this phenomenon better will likely improve patients' experiences. OBJECTIVE: The purpose of this study was to explore patients' long-term experiences following bariatric surgery. SETTING: A 604-bed academic health system in the USA. METHODS: Participants rated satisfaction and shared spontaneous comments regarding their gastric bypass experience...
March 16, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28292402/endoscopic-treatments-following-bariatric-surgery
#9
REVIEW
Andrew C Storm, Christopher C Thompson
Weight regain after bariatric surgery is common and can be managed with surgical interventions or less morbid endoscopic techniques. These endoscopic approaches target structural postoperative changes that are associated with weight regain, most notably dilation of the gastrojejunal anastomosis aperture. Purse string suture placement, as well as argon plasma coagulation application to the anastomosis, may result in significant and durable weight loss. Furthermore, various endoscopic approaches may be used to safely and effectively manage other complications of bariatric surgery that may result in poor weight loss or weight regain after surgery, including fistula formation...
April 2017: Gastrointestinal Endoscopy Clinics of North America
https://www.readbyqxmd.com/read/28262676/the-effects-of-supervised-exercise-training-12-24-months-after-bariatric-surgery-on-physical-function-and-body-composition-a-randomised-controlled-trial
#10
L Y Herring, C Stevinson, P Carter, S J H Biddle, D Bowrey, C Sutton, M J Davies
BACKGROUND: Bariatric surgery is effective for the treatment of stage II and III obesity and its related diseases, although increasing evidence is showing weight regain ~12-24 months postsurgery. Weight regain increases the risk of physical function decline, which negatively affects an individual's ability to undertake activities of daily living. The study assessed the effects of a 12-week supervised exercise intervention on physical function and body composition in patients between 12 and 24 months post bariatric surgery...
March 28, 2017: International Journal of Obesity: Journal of the International Association for the Study of Obesity
https://www.readbyqxmd.com/read/28244776/effects-of-depressive-symptoms-on-clinical-outcomes-inflammatory-markers-and-quality-of-life-after-a-significant-weight-loss-in-a-bariatric-surgery-sample
#11
Joana Nicolau, Rafael Simó, Pilar Sanchís, Luisa Ayala, Regina Fortuny, Rosmeri Rivera, Lluís Masmiquel
INTRODUCTION: Obesity is linked to a low-grade chronic systemic inflammation that improves after weight loss. Depressive disorder has been suggested to be associated with systemic inflammation up regulation. OBJECTIVE: We aimed to explore whether, after a significant weight loss, the presence of depressive symptoms was associated with differences in terms of inflammatory markers and quality of life. METHODS: Sixty patients (78.3%♀, age 46...
February 1, 2017: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/28224471/five-year-outcomes-after-vertical-sleeve-gastrectomy-for-severe-obesity-a-prospective-cohort-study
#12
Tone Nygaard Flølo, John R Andersen, Ronette L Kolotkin, Anny Aasprang, Gerd K Natvig, Karl O Hufthammer, Villy Våge
BACKGROUND: We present 5-year outcomes after vertical sleeve gastrectomy (VSG), including complications and revisions, weight change, obesity-related diseases and health-related quality of life (HRQOL). METHODS: Patients operated from December 2005 to November 2010 were included. All variables except HRQOL (obtained using Short Form-36) were assessed prospectively. HRQOL data was assessed cross-sectionally, comparing 5-year results to both a baseline cohort of severely obese patients prior to bariatric surgery and to Norwegian norms...
February 21, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28209531/paired-editorial-comment-on-the-utility-of-weight-loss-medications-after-bariatric-surgery-for-weight-regain-or-inadequate-weight-loss-a-multicenter-study
#13
EDITORIAL
Gordon G Wisbach
No abstract text is available yet for this article.
December 9, 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/28176218/evaluation-of-metabolic-syndrome-in-morbidly-obese-patients-submitted-to-laparoscopic-bariatric-surgery-comparison-of-the-results-between-roux-en-y-gastric-bypass-and-sleeve-gastrectomy
#14
Rodrigo Koprovski Menguer, Antônio Carlos Weston, Helena Schmid
BACKGROUND: Morbid obesity is a state of insulin resistance combined with excess of visceral fat, which contributes to the development of metabolic syndrome (MetS). Nonsurgical treatment of obesity usually improves MetS, but there is no ultimate resolution and weight regain is common. Surgical options like Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) result in a significant and sustained weight loss accompanied by improvement of MetS. The aim of this study was to compare the weight loss and improvement of MetS parameters between degree II and III obese patients with MetS undergoing RYGB or SG in a period of 12 months...
February 7, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28159559/blunting-of-adaptive-thermogenesis-as-a-potential-additional-mechanism-to-promote-weight-loss-after-gastric-bypass
#15
Matthew G Browning, Charlotte Rabl, Guilherme M Campos
BACKGROUND: Adaptive thermogenesis (AT) is described as a change in resting metabolic rate (RMR) that is greater than would be predicted from changes in lean body mass (LBM) and fat mass (FM) alone during periods of energy imbalance. Whereas an AT-related downregulation of RMR has been implicated in suboptimal weight loss and weight regain after nonsurgical weight loss, defense against AT may underpin the durable weight loss after laparoscopic Roux-en-Y gastric bypass (LRYGB) and other bariatric surgeries...
April 2017: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/28057045/validation-of-a-new-method-for-the-endoscopic-measurement-of-post-bariatric-gastric-outlet-using-a-standard-guidewire-an-observer-agreement-study
#16
Luiz Gustavo de Quadros, Manoel Dos Passos Galvão Neto, Josemberg Marins Campos, Roberto Luiz Kaiser Junior, Eduardo Grecco, Mario Flamini Junior, Marcelo Falcao de Santana, Idiberto Jose Zotarelli Filho, Adriano Augusto Tomas Vasconcelos Almeida Alexandre
BACKGROUND AND AIMS: Between 10 and 20% of all patients undergoing bariatric surgery procedures regain weight secondary to a gastrojejunostomy enlargement. The aim of this study was to validate the interobserver agreement while measuring gastric outlet diameters using a new standard guidewire. METHODS: We selected thirty-five videos of consecutive endoscopic procedures on patients undergoing esophagogastroduodenoscopy after a Roux-en-Y gastric bypass procedure. All videos were evaluated by four raters: two expert endoscopists and two trainees...
January 3, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/28050789/weight-loss-and-nutritional-outcomes-10-years-after-biliopancreatic-diversion-with-duodenal-switch
#17
Philippe Topart, Guillaume Becouarn, Jacques Delarue
BACKGROUND: Biliopancreatic diversion with duodenal switch (BPD/DS) is the most effective bariatric surgical procedure, but major concerns exist about the nutritional consequences. OBJECTIVES: The study reported weight loss and nutritional outcomes of 80 patients with a follow-up of at least 10 years. SETTING: The follow-up was conducted at a university hospital as well as in a private practice institution in France. METHODS: Eighty patients operated on between February 2002 and May 2006 were reviewed...
January 4, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/27992541/variation-of-binge-eating-one-year-after-roux-en-y-gastric-bypass-and-its-relationship-with-excess-weight-loss
#18
Luciano Billodre Luiz, César Luis de Souza Brito, Letícia Manoel Debon, Lívia Nora Brandalise, Juliana Tainski de Azevedo, Karin Daniele Monbach, Luísa Schmidt Heberle, Cláudio Corá Mottin
BACKGROUND: Bariatric surgery is the most effective treatment for obesity classes II and III. However, some patients do not get the desired results or initially lose and then regain the lost weight. Identifying these individuals early on and treating them adequately remains a challenge. As binge eating directly affects food intake, the study of this symptom and its relation to bariatric surgery and its results is increasing, because it appears to have an influence on the results of surgery...
2016: PloS One
https://www.readbyqxmd.com/read/27986587/the-utility-of-weight-loss-medications-after-bariatric-surgery-for-weight-regain-or-inadequate-weight-loss-a-multi-center-study
#19
Fatima Cody Stanford, Nasreen Alfaris, Gricelda Gomez, Elizabeth T Ricks, Alpana P Shukla, Kathleen E Corey, Janey S Pratt, Alfons Pomp, Francesco Rubino, Louis J Aronne
BACKGROUND: Patients who undergo bariatric surgery often have inadequate weight loss or weight regain. OBJECTIVES: We sought to discern the utility of weight loss pharmacotherapy as an adjunct to bariatric surgery in patients with inadequate weight loss or weight regain. SETTING: Two academic medical centers. METHODS: We completed a retrospective study to identify patients who had undergone bariatric surgery in the form of a Roux-en-Y gastric bypass (RYGB) or a sleeve gastrectomy from 2000-2014...
October 27, 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/27966063/effects-of-neighborhood-walkability-on-physical-activity-and-sedentary-behavior-long-term-post-bariatric-surgery
#20
Ryan E R Reid, Tamara E Carver, Tyler G R Reid, Marie-Aude Picard-Turcot, Kathleen M Andersen, Nicolas V Christou, Ross E Andersen
ᅟ: Chronic inactivity and weight regain are serious health concerns following bariatric surgery. Neighborhood walkability is associated with higher physical activity and lower obesity rates in normal weight populations. PURPOSE: Explore the influence of neighborhood walkability on physical activity and sedentarism among long-term post-bariatric surgery patients. METHODS: Fifty-eight adults aged 50.5 ± 9.1 years, with a BMI of 34.6 ± 9.7 kg/m(2) having undergone surgery 9...
June 2017: Obesity Surgery
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