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https://www.readbyqxmd.com/read/29044465/morbidity-of-cholecystectomy-and-gastric-bypass-in-a-national-database
#1
V Wanjura, E Szabo, J Österberg, J Ottosson, L Enochsson, G Sandblom
BACKGROUND: There is a strong association between obesity and gallstones. However, there is no clear evidence regarding the optimal order of Roux-en-Y gastric bypass (RYGB) and cholecystectomy when both procedures are clinically indicated. METHODS: Based on cross-matched data from the Swedish Register for Cholecystectomy and Endoscopic Retrograde Cholangiopancreatography (GallRiks; 79 386 patients) and the Scandinavian Obesity Surgery Registry (SOReg; 36 098 patients) from 2007 to 2013, complication rates, reoperation rates and operation times related to the timing of RYGB and cholecystectomy were explored...
October 18, 2017: British Journal of Surgery
https://www.readbyqxmd.com/read/29042391/korean-obesity-surgical-treatment-study-kobess-protocol-of-a-prospective-multicentre-cohort-study-on-obese-patients-undergoing-laparoscopic-sleeve-gastrectomy-and-roux-en-y-gastric-bypass
#2
Young Suk Park, Do Joong Park, Joo Ho Lee, Hyuk-Joon Lee, Tae Kyung Ha, Yong-Jin Kim, Seung-Wan Ryu, Sang-Moon Han, Moon-Won Yoo, Sungsoo Park, Sang-Uk Han, Yoonseok Heo
INTRODUCTION: Bariatric surgery effectively induces long-term weight loss in Western populations. However, its effectiveness in Asians remains to be confirmed objectively. The Korean Society for Metabolic and Bariatric Surgery proposes the first prospective cohort study on Koreans undergoing bariatric surgery. METHODS AND ANALYSIS: The Korean OBEsity Surgical treatment Study (KOBESS) is a prospective, multicentre, single-arm, observational, cohort study on morbidly obese patients who undergo primary sleeve gastrectomy or Roux-en-Y gastric bypass in Korea...
October 16, 2017: BMJ Open
https://www.readbyqxmd.com/read/29040484/esophagocardioplasty-vagotomy-antrectomy-and-roux-en-y-gastrojejunostomy-indication-in-cases-with-severe-esophageal-motor-disfunction
#3
I Braghetto, O Korn, A Csendes, J C Frias
Almost 10% of patients with Crest syndrome associated with severe gastroesophageal reflux and 5-10% of patients with failed cardiomyotomy for achalasia present with cardial or distal esophageal organic stricture. Some of these cases are poor risk patients for surgery and therefore the surgeon must offer a safe procedure with low morbimortality, keeping in mind the pathophysiological motor pattern of these patients.In order to treat the stricture to improve the esophageal transit we treated patients with esophagocardioplasty associated with vagotomy-antrectomy and Roux-en-Y gastrojejunostomy, thereby avoiding the potential acid or biliary reflux in poor risk patients in whom esophagectomy would be a very deleterious procedure...
November 1, 2017: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
https://www.readbyqxmd.com/read/29040429/the-role-of-glp-1-in-the-metabolic-success-bariatric-surgery
#4
Chelsea R Hutch, Darleen Sandoval
Two of the most popular bariatric procedures, vertical sleeve gastrectomy (VSG) and Roux-en-Y gastric bypass (RYGB), are commonly considered 'metabolic surgeries' because they are thought to impact metabolism in a weight loss-independent manner. In support of this, improvements in glucose homeostasis, insulin sensitivity, and even discontinuation of type 2 diabetes mellitus (T2DM) medication can occur before substantial postoperative weight loss. The mechanisms that underlie this effect are unknown. However, one of the common findings after VSG and RYGB in both animal models and in humans is the sharp postprandial rise in several gut peptides, including the incretin and satiety peptide, glucagon-like peptide-1 (GLP-1)...
October 9, 2017: Endocrinology
https://www.readbyqxmd.com/read/29040424/body-contouring-surgery-and-the-maintenance-of-weight-loss-following-roux-en-y-gastric-bypass-a-retrospective-study
#5
Oliver J Smith, Nadine Hachach-Haram, Max Greenfield, Nicki Bystrzonowski, Andrea Pucci, Rachel L Batterham, Majid Hashemi, Afshin Mosahebi
Background: Bariatric surgery leads to significant weight loss with reduced morbidity and mortality. However, excess skin as a consequence of weight loss represents a major problem, impacting upon patient's functionality with potential negative effects on weight loss. Objectives: We evaluated the effect of body-contouring surgery on weight-loss maintenance following bariatric surgery. Methods: We undertook a retrospective analysis of patients undergoing Roux-en-Y gastric bypass (RYGB) +/- body-contouring surgery (BC)...
October 4, 2017: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/29039111/hooking-intestine-sign-a-typical-diagnostic-ct-finding-of-petersen-s-hernia
#6
Wataru Yamashita, Kenji Nishida, Shuichi Kawada, Kouichi Mori, Shinsuke Usui, Jun Oyama, Akira Toriihara, Ukihide Tateishi
PURPOSE: To clarify typical diagnostic computed tomography (CT) findings of Petersen's hernia for differentiation from other causes of internal hernia observed in patients having undergone gastrectomy with Roux-en-Y gastric bypass. METHODS: We retrospectively reviewed CT findings of internal hernia in patients who had undergone both gastrectomy and Roux-en-Y reconstruction and a second surgery for bowel obstruction. Thirteen patients with Petersen's hernia and 6 with internal hernia other than Petersen's hernia were investigated...
October 16, 2017: Japanese Journal of Radiology
https://www.readbyqxmd.com/read/29035973/the-relevance-of-dietary-protein-after-bariatric-surgery-what-do-we-know
#7
Nele Steenackers, Ina Gesquiere, Christophe Matthys
PURPOSE OF REVIEW: The growing obesity epidemic is associated with an increased demand for bariatric surgery with Roux-en-Y Gastric Bypass and Sleeve Gastrectomy as the most widely performed procedures. Despite beneficial consequences, nutritional complications may arise because of anatomical and physiological changes of the gastrointestinal tract. The purpose of this review is to provide an update of the recent additions to our understanding of the impact of bariatric surgery on the intake, digestion and absorption of dietary protein...
October 14, 2017: Current Opinion in Clinical Nutrition and Metabolic Care
https://www.readbyqxmd.com/read/29034446/glucose-variability-after-bariatric-surgery-is-prediction-of-diabetes-remission-possible
#8
Ana M Ramos-Leví, Andrés Sánchez-Pernaute, Clara Marcuello, Mercedes Galindo, Alfonso L Calle-Pascual, Antonio J Torres, Miguel A Rubio
We aimed to corroborate glycemic control after bariatric surgery (BS) using continuous glucose monitoring (CGM) and analyze if data could predict long-term outcome. We evaluated 24 of our patients with type 2 diabetes who underwent BS (12 Roux-en-Y gastric bypass, RYGB, and 12 single-anastomosis duodeno-ileal bypass with sleeve gastrectomy, SADI-S) and who were in remission after 18-24 months' follow-up. At this time, a CGM device was placed for 7 days. Patients were reevaluated thereafter for at least 5 years...
October 16, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/29033596/metabolic-syndrome-remission-after-roux-en-y-gastric-bypass-or-sleeve-gastrectomy
#9
Ibrahim Nassour, Jaime P Almandoz, Beverley Adams-Huet, Sachin Kukreja, Nancy Puzziferri
BACKGROUND: Bariatric surgery is known to decrease weight and the prevalence of comorbidities, but there is little evidence on the differential effect of Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) on the remission of the aggregate outcome, metabolic syndrome, 4 years after surgery. The purpose of this study was to determine the effectiveness of RYGB and SG on metabolic syndrome in veterans. METHODS: We retrospectively reviewed consecutive patients who underwent SG and RYGB at the Dallas Veterans Affairs Medical Center from 2003 to 2012...
2017: Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy
https://www.readbyqxmd.com/read/29032488/how-do-individuals-develop-alcohol-use-disorder-after-bariatric-surgery-a-grounded-theory-exploration
#10
Ruth Yoder, Padraig MacNeela, Ronan Conway, Caroline Heary
BACKGROUND: Bariatric surgery is the most effective treatment for severe obesity. However, following Roux-en-Y gastric bypass (RYGB) surgery, a small minority of patients develop new-onset alcohol use disorder (AUD), the aetiology of which is poorly understood. AIM: The aim is to construct a theory to explain the development of AUD among a sample of individuals who reported problematic drinking following RYGB. METHOD: Semi-structured interviews were conducted with eight RYGB patients diagnosed with AUD attending a multi-disciplinary outpatient weight management service at a public hospital in the Republic of Ireland...
October 14, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/29030837/totally-robotic-combined-roux-en-y-gastric-bypass-and-hiatal-hernia-repair-with-biological-mesh-technical-points
#11
Fabian Reche, Adrian Mancini, Anne-Laure Borel, Jean-Luc Faucheron, Catherine Arvieux
No abstract text is available yet for this article.
October 13, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/29030003/antegrade-ercp-via-a-spontaneous-gastrogastric-fistula-in-a-patient-with-roux-en-y-postsurgical-anatomy
#12
Theodore W James, Todd H Baron
No abstract text is available yet for this article.
October 10, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29026587/biliopancreatic-limb-obstruction-after-laparoscopic-roux-en-y-gastric-bypass-a-rare-and-potentially-fatal-condition
#13
Shireesh Saurabh
Biliopancreatic limb obstruction after laparoscopic Roux-en-Y gastric bypass is a challenging diagnosis as the symptoms are very nonspecific. CT scan is the optimal study for evaluation. Early diagnosis and treatment is essential in reducing the morbidity and mortality associated with this condition.
October 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/29025878/elevated-postoperative-endogenous-glp-1-levels-mediate-effects-of-roux-en-y-gastric-bypass-on-neural-responsivity-to-food-cues
#14
Jennifer S Ten Kulve, Dick J Veltman, Victor E A Gerdes, Liselotte van Bloemendaal, Frederik Barkhof, Carolyn F Deacon, Jens J Holst, Madeleine L Drent, Michaela Diamant, Richard G IJzerman
OBJECTIVE: It has been suggested that weight reduction and improvements in satiety after Roux-en-Y gastric bypass (RYGB) are partly mediated via postoperative neuroendocrine changes. Glucagon-like peptide-1 (GLP-1) is a gut hormone secreted after food ingestion and is associated with appetite and weight reduction, mediated via effects on the central nervous system (CNS). Secretion of GLP-1 is greatly enhanced after RYGB. We hypothesized that postoperative elevated GLP-1 levels contribute to the improved satiety regulation after RYGB via effects on the CNS...
October 12, 2017: Diabetes Care
https://www.readbyqxmd.com/read/29024252/revision-gastric-bypass-after-laparoscopic-adjustable-gastric-band-a-10-year-experience-at-a-public-teaching-hospital
#15
James Carroll, Michael Kwok, Bhavik Patel, George Hopkins
BACKGROUND: In Australia, there is limited access to public revisional bariatric procedures. However, the need for such procedures is rising. We investigated the safety and efficacy of band-to-bypass procedures in our experience at a public teaching hospital over a period of 10 years. METHODS: Using a prospectively maintained bariatric surgical database, we analysed 91 consecutive planned band-to-bypass procedures from 2007 to November 2016. All patients had prior laparoscopic adjustable gastric bands removed and formation of Roux-en-Y gastric bypass, in one or two stages...
October 11, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29023333/clinical-indicators-of-postoperative-bleeding-in-bariatric-surgery
#16
Andras B Fecso, Timothy Samuel, Ahmad Elnahas, Sanjeev Sockalingam, Timothy Jackson, Fayez Quereshy, Allan Okrainec
The purpose of this study was to evaluate the relationship between patient, clinical and laboratory characteristics, and bleeding after bariatric surgery. A retrospective chart review was performed for all patients, who underwent a laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy at our institution between March 2012 and May 2014. In total, 788 patients were included in this study. Seventeen patients had postoperative bleeding. The demographics, comorbidities, and preoperative medications were similar between the groups...
October 11, 2017: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/29019715/post-operative-insulin-requirements-in-bariatric-surgery
#17
Danielle M Diemer, Karen L Terry, Melissa Matthews, Ellen Romich, Heather Saran, M Cecilia Lansang
Though insulin dose reduction months after surgery is well-studied, there are limited data on immediate post-operative changes. OBJECTIVES: 1) To determine perioperative glycemic control in patients with type 2 diabetes (DM) on insulin who have undergone Roux-en-Y gastric bypass, and 2) to compare pre- and post-operative insulin regimens and dosage in these patients. RESEARCH DESIGN AND METHODS: A retrospective chart review was conducted on patients with type 2 DM, on insulin, who underwent Roux-en-Y bariatric surgery...
October 11, 2017: Endocrine Practice
https://www.readbyqxmd.com/read/29019565/sleeve-gastrectomy-and-fundoplication-as-a-single-procedure-in-patients-with-obesity-and-gastroesophageal-reflux
#18
Juan Pablo Lasnibat, Italo Braghetto, Luis Gutierrez, Felipe Sanchez
BACKGROUND: Bariatric surgery in Chile has seen an exponential increase in recent years, especially in sleeve gastrectomy. Its use is currently discussed in patients suffering from gastroesophageal reflux disease. Different options have been considered for the management of these patients but up to now laparoscopic Roux-en-Y gastric bypass seems to be the best option. Sleeve gastrectomy plus concomitant fundoplication or hiatal hernia repair also has been suggested in patients having reflux or small hiatal hernia...
July 2017: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/29016560/abdominal-pain-in-the-roux-en-y-gastric-bypass-patient
#19
Allison R Schulman, Christopher C Thompson
No abstract text is available yet for this article.
October 10, 2017: American Journal of Gastroenterology
https://www.readbyqxmd.com/read/28990150/biomarkers-of-colorectal-cancer-risk-decrease-6%C3%A2-months-after-roux-en-y-gastric-bypass-surgery
#20
Sorena Afshar, Fiona Malcomson, Seamus B Kelly, Keith Seymour, Sean Woodcock, John C Mathers
PURPOSE: The impact of weight loss on obesity-related colorectal cancer (CRC) risk is not well defined. Previous studies have suggested that Roux-en-Y gastric bypass (RYGB) surgery may have an unexpected adverse impact on CRC risk. This study aimed to investigate the impact of RYGB on biomarkers of CRC risk. MATERIALS AND METHODS: Rectal mucosal biopsies and blood were obtained from patients undergoing RYGB (n = 22) and non-obese control participants (n = 20) at baseline and at a median of 6...
October 8, 2017: Obesity Surgery
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