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https://www.readbyqxmd.com/read/29335933/cost-effectiveness-analysis-of-bariatric-surgery-for-morbid-obesity
#1
Adnan Alsumali, Tewodros Eguale, Sigrid Bairdain, Mihail Samnaliev
BACKGROUND: In the USA, three types of bariatric surgeries are widely performed, including laparoscopic sleeve gastrectomy (LSG), laparoscopic Roux-en-Y gastric bypass (LRYGB), and laparoscopic adjustable gastric banding (LAGB). However, few economic evaluations of bariatric surgery are published. There is also scarcity of studies focusing on the LSG alone. Therefore, this study is evaluating the cost-effectiveness of bariatric surgery using LRYGB, LAGB, and LSG as treatment for morbid obesity...
January 15, 2018: Obesity Surgery
https://www.readbyqxmd.com/read/29306650/common-weight-loss-procedures-and-their-complications
#2
REVIEW
Maria S Altieri, Brian Wright, Andrew Peredo, Aurora D Pryor
BACKGROUND: As the number of obese patients in the United States continues to grow, there is a parallel increase in the number of bariatric surgery patients. A quarter of these patients will return to the Emergency Department (ED) within the first two years of the index procedure. OBJECTIVE: An understanding of the most common bariatric procedures and their related complications will greatly aide the Emergency Medicine physician in the care of these patients. DISCUSSION: Abdominal pain is the most common reason for bariatric patients to present to the ED and can represent a diagnostic challenge to EM physicians...
December 2, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29280701/laparoscopic-adjustable-gastric-banding-migration-an-early-approach-for-a-late-complication
#3
G Martines, A Picciariello, I Ugenti, E Lagovardou, R Digennaro, P Capuano
AIM: Laparoscopic adjustable gastric banding (LAGB) migration is an uncommon late complication after bariatric surgery. It usually presents with an unexplained weight increase or without any symptom. Current guidelines do not establish the timing of a clear endoscopic follow-up to prevent and/or to treat this kind of complication. PATIENTS AND METHODS: Long-term follow-up was performed in 217 patients with LAGB (37 underwent surgery in other bariatric centers). At the endoscopic check, 3 patients presented banding erosion respectively 7, 9 and 11 years after surgery...
September 2017: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/29236206/management-of-slipped-gastric-bands-via-creation-of-a-de-novo-tunnel-and-band-replacement-a-single-centre-experience
#4
Roshani Vijaykumar Patel, Patrick Woodburn, James R A Skipworth, William James Buchanan Smellie
BACKGROUND: A lack of clarity remains over the optimal strategy for the management of laparoscopic adjustable gastric band (LAGB) slippage, which, although rare (around 3% in our experience), can when acute result in obstruction, gastric erosion or ischaemia. Typically, slipped bands are removed acutely. The aim of this study was to explore outcomes following immediate or delayed resiting of slipped LAGBs in a single centre, comparing simple repositioning with retunnelling and replacement...
December 13, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/29214306/seven-year-weight-trajectories-and-health-outcomes-in-the-longitudinal-assessment-of-bariatric-surgery-labs-study
#5
Anita P Courcoulas, Wendy C King, Steven H Belle, Paul Berk, David R Flum, Luis Garcia, William Gourash, Mary Horlick, James E Mitchell, Alfons Pomp, Walter J Pories, Jonathan Q Purnell, Ashima Singh, Konstantinos Spaniolas, Richard Thirlby, Bruce M Wolfe, Susan Z Yanovski
Importance: More information is needed about the durability of weight loss and health improvements after bariatric surgical procedures. Objective: To examine long-term weight change and health status following Roux-en-Y gastric bypass (RYGB) and laparoscopic adjustable gastric banding (LAGB). Design, Setting, and Participants: The Longitudinal Assessment of Bariatric Surgery (LABS) study is a multicenter observational cohort study at 10 US hospitals in 6 geographically diverse clinical centers...
December 6, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/29206636/long-term-effect-of-weight-loss-induced-by-bariatric-surgery-on-asthma-control-and-health-related-quality-of-life-in-asthmatic-patients-with-severe-obesity-a-pilot-study
#6
Mauro Maniscalco, Alessandro Sanduzzi Zamparelli, Dino Franco Vitale, Stanislao Faraone, Antonio Molino, Anna Zedda, Andrea Motta
BACKGROUND: The weight loss induced by bariatric surgery (BS) improves asthma clinical control evaluated usually after a short time. The long-term effects of weight loss attained by BS on asthma control and health related-quality of life (HRQoL) in patients affected by asthma and obesity are not known. OBJECTIVE: To investigate the five-year effect of weight reduction induced by BS on asthma control, quality of life and pulmonary functional parameters in severely obese intermittent or mild-to-moderate asthmatic patients...
September 2017: Respiratory Medicine
https://www.readbyqxmd.com/read/29204778/conversion-of-laparoscopic-adjustable-gastric-banding-to-gastric-bypass-a-comparison-to-primary-gastric-bypass
#7
Abbas Al-Kurd, Ronit Grinbaum, Ala'a Abubeih, Baha Siam, Muhammad Ghanem, Haggi Mazeh, Ido Mizrahi, Nahum Beglaibter
INTRODUCTION: Laparoscopic adjustable gastric banding (LAGB) has a considerable failure rate. Laparoscopic Roux-en-Y gastric bypass (LRYGB) is one of the rescue options. This study aims to compare the complication rates and outcomes between LAGB converted to LRYGB and primary LRYGB. MATERIALS AND METHODS: A retrospective analysis was performed in all patients converted from LAGB to LRYGB between January 2007 and March 2017. This group was compared to a matched cohort of primary LRYGB patients operated during the same period...
December 4, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/29185185/the-long-term-effects-of-the-adjustable-gastric-band-on-esophageal-motility-in-patients-who-present-for-band-removal
#8
Loic Tchokouani, Anusha Jayaram, Naif Alenazi, Gustavo Fernandez Ranvier, Gina Sam, Subhash Kini
BACKGROUND: During the past decade, laparoscopic adjustable gastric banding (LAGB) was one of the most popular surgical procedures in treating morbid obesity. Long-term effects, specifically on esophageal motility, of LAGB have not been well described in the literature despite the high prevalence of reoperations and post-operative dysphagia. We aimed to characterize esophageal dysmotility after long-term follow-up using data of high-resolution esophageal manometry (HRM) performed in patients who presented for LAGB removal...
November 29, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/29175901/impact-of-weight-loss-on-inflammation-and-red-blood-cell-biomarkers-after-laparoscopic-gastric-banding-surgery
#9
Susana Coimbra, Cátia Ferreira, Luís Belo, Petronila Rocha-Pereira, Alice Catarino, Luís Monteiro, Cristina Catarino, Alice Santos-Silva
Adipose tissue produces several adipokines that are enrolled in different metabolic and inflammatory pathways that may disturb iron metabolism and erythropoiesis. Considering that laparoscopic adjustable gastric banding (LAGB) has not been associated with a long-term risk of malabsorption, we performed a 13-month follow-up study in severe obese patients submitted to LAGB in order to clarify its impact on inflammation, iron metabolism and on red blood cell (RBC) biomarkers. Twenty obese patients were enrolled in the study, being clinical and analytically assessed before (T0) and 13 months after LAGB intervention (T1)...
November 23, 2017: Journal of Investigative Medicine: the Official Publication of the American Federation for Clinical Research
https://www.readbyqxmd.com/read/29159551/long-term-over-10%C3%A2-years-retrospective-follow-up-of-laparoscopic-adjustable-gastric-banding
#10
Dvir Froylich, Tamar Abramovich-Segal, Guy Pascal, Ivy Haskins, Boaz Appel, Naama Kafry, David Hazzan
BACKGROUND: Laparoscopic adjustable gastric banding (LAGB) placements have progressively decreased in recent years. This is related to poor long-term weight loss outcomes and necessity for revision or removal of these bands. Long-term outcome results following LAGB are limited. The aim of our study was to determine the long-term outcome after LAGB at our institution. OBJECTIVES: The aim of our study was to determine the long-term outcome after LAGB at our institution...
October 6, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/29148703/bond-energy-driven-low-or-high-angle-grain-boundary-movement-mediated-synthesis-of-porous-se-te-for-use-in-water-splitting-reactions
#11
Anup Kumar Sasmal, Arpan Kumar Nayak, Prashant Kartikeya, Debabrata Pradhan, Tarasankar Pal
Herein, for the first time, we applied the metal-metal-bond-energy factor to the evolution of a porous Se-Te alloy. The porous Se-Te material has been prepared from the constituents' elemental states, through only a heating-cooling process in silicone oil without the use of any reagent, surfactant, or capping agent. Surprisingly, the reaction occurred at a much lower temperature (240 °C) than the mp (450 °C) of Te0. The reaction's nucleation and growth by means of varied bond energy have been clarified for the first time...
November 27, 2017: ACS Applied Materials & Interfaces
https://www.readbyqxmd.com/read/29145284/effectiveness-of-bariatric-surgical-procedures-a-systematic-review-and-network-meta-analysis-of-randomized-controlled-trials
#12
Jenny H Kang, Quang A Le
BACKGROUND: Bariatric surgery has proved to be an effective strategy in treating obesity. However, randomized controlled trials (RCTs) of 3 most common bariatric surgery procedures, Roux-en-Y gastric bypass (RYGB), sleeve gastrectomy (SG), and laparoscopic adjustable gastric band (LAGB), reported inconsistent results. We performed a systematic review and network meta-analysis to synthesize evidence of effectiveness of the 3 common bariatric procedures from relevant RCTs. METHODS: The present study was a systematic review and network meta-analysis of RCTs...
November 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29114413/perioperative-factors-affecting-ambulatory-outcomes-following-laparoscopic-adjustable-gastric-banding
#13
Mirsad Dupanovic, Ron Krebill, Iris Dupanovic, John Nachtigal, Melissa Rockford, Walter Orr
Objective: Morbidly obese patients are traditionally hospitalised following bariatric surgery. However, laparoscopic-adjustable gastric banding (LAGB) is amenable for ambulatory care. We hypothesised that the majority of patients can receive an ambulatory LAGB and that both surgical and anaesthetic perioperative factors will significantly affect non-ambulatory LAGB outcomes. Methods: Medical records of 201 consecutive LAGB patients performed at the University of Kansas Medical Centre during a 3-y period were reviewed...
October 2017: Turkish Journal of Anaesthesiology and Reanimation
https://www.readbyqxmd.com/read/29110192/endoscopic-sleeve-gastroplasty-laparoscopic-sleeve-gastrectomy-and-laparoscopic-band-for-weight-loss-how-do-they-compare
#14
Aleksey A Novikov, Cheguevara Afaneh, Monica Saumoy, Viviana Parra, Alpana Shukla, Gregory F Dakin, Alfons Pomp, Enad Dawod, Shawn Shah, Louis J Aronne, Reem Z Sharaiha
BACKGROUND: Endoscopic sleeve gastroplasty (ESG) is a novel endobariatric procedure. Initial studies demonstrated an association of ESG with weight loss and improvement of obesity-related comorbidities. Our aim was to compare ESG to laparoscopic sleeve gastrectomy (LSG) and laparoscopic adjustable gastric banding (LAGB). METHODS: We included 278 obese (BMI > 30) patients who underwent ESG (n = 91), LSG (n = 120), or LAGB (n = 67) at our tertiary care academic center...
November 6, 2017: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/29103072/upper-gastrointestinal-function-in-morbidly-obese-adolescents-before-and-6%C3%A2-months-after-gastric-banding
#15
M Singendonk, S Kritas, T Omari, C Feinle-Bisset, A J Page, C L Frisby, S J Kentish, L Ferris, L McCall, L Kow, J Chisholm, S Khurana
BACKGROUND: The effects of laparoscopic adjustable gastric band (LAGB) placement on upper gastrointestinal tract function in obese adolescents are unknown. Therefore, our aim was to determine the short-term effects of LAGB on esophageal motility, gastroesophageal reflux, gastric emptying, appetite-regulatory hormones, and perceptions of post-prandial hunger and fullness. METHODS: This study was part of a prospective cohort study (March 2009-December 2015) in one tertiary referral hospital...
November 4, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/29103071/medium-to-long-term-outcomes-of-gastric-banding-in-adolescents-a-single-center-study-of-97-consecutive-patients
#16
Paul-Noël Dumont, Marie-Cécile Blanchet, Benoît Gignoux, Yann Matussière, Vincent Frering
Morbid obesity in adolescents has been treated effectively with laparoscopic adjustable gastric banding (LAGB). We prospectively studied 97 consecutive obese adolescents undergoing LAGB over the course of 10 years. The average patient age at surgery was 17.2 ± 0.7 years; mean body mass index, 44.9 ± 6.1 kg/m(2). Excluding those lost to follow-up (n = 21), respective mean total weight loss and excess weight loss were 20.0 ± 16.6 and 46.6 ± 39.5% (n = 76, 78.4%). An ascending trend line showed a significant positive correlation between excess weight loss and follow-up duration (mean 56...
November 4, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/29095195/safety-of-revision-sleeve-gastrectomy-compared-to-roux-y-gastric-bypass-after-failed-gastric-banding-analysis-of-the-mbsaqip
#17
Michał R Janik, Tomasz G Rogula, Rami R Mustafa, Adel Alhaj Saleh, Leena Khaitan
OBJECTIVE: The aim of this study was to assess the safety of revisional surgery to laparoscopic sleeve gastrectomy (LSG) compared to laparoscopic Roux-Y gastric bypass (LRYGB) after failed laparoscopic adjustable gastric banding (LAGB). BACKGROUND: The number of reoperations after failed gastric banding rapidly increased in the United States during the last several years. A common approach is band removal with conversion to another weight loss procedure such as gastric bypass or sleeve gastrectomy in a single procedure...
October 31, 2017: Annals of Surgery
https://www.readbyqxmd.com/read/29019008/retained-foreign-body-after-adjustable-gastric-band-removal-a-case-series
#18
Daniel Cattanach, Benjamin Teague
Laparoscopic adjustable gastric band (LAGB) has weight loss and associated obesity-related disease benefits. Well-recognised LABG complications lead to a higher re-operation rate when compared to other obesity surgeries and therefore potential for retained foreign body. By way of a case series, we have evaluated retained foreign body after the intended complete removal of a gastric band. Analysis focused on circumstances and similarities leading to retained foreign body. From the series, the most commonly retained band component is band tubing...
October 10, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28975466/diabetes-outcomes-more-than-a-decade-following-sustained-weight-loss-after-laparoscopic-adjustable-gastric-band-surgery
#19
John M Wentworth, Chloe Cheng, Cheryl Laurie, Stewart Skinner, Paul R Burton, Wendy A Brown, Paul E O'Brien
BACKGROUND: Long-term outcome data are needed to define the role of bariatric surgery in type 2 diabetes (T2D). To address this, we collated diabetes outcomes more than a decade after laparoscopic adjustable gastric band (LAGB) surgery. METHOD: Clinical and biochemical measures from 113 obese T2D patients who underwent LAGB surgery in 2003 and 2004 were analyzed. Diabetes remission was defined as HbA1c < 6.2% (44 mmol/mol) and fasting glucose < 7.0 mmol/L...
October 3, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28938478/roux-en-y-gastric-bypass-surgery-has-unique-effects-on-postprandial-fgf21-but-not-fgf19-secretion
#20
COMPARATIVE STUDY
Lydia-Ann L S Harris, Gordon I Smith, Bettina Mittendorfer, J Christopher Eagon, Adewole L Okunade, Bruce W Patterson, Samuel Klein
Context: Fibroblast growth factor (FGF)19 and FGF21 are secreted by the intestine and liver in response to macronutrient intake. Intestinal resection and reconstruction via bariatric surgery may alter their regulation. Objective: We tested the hypothesis that weight loss induced by Roux-en-Y gastric bypass (RYGB) surgery, but not matched weight loss induced by laparoscopic adjustable gastric banding (LAGB), increases postprandial plasma FGF19 and FGF21 concentrations...
October 1, 2017: Journal of Clinical Endocrinology and Metabolism
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