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gastric band malnutrition

Cristian Palmiere, Camilla Tettamanti, Marc Augsburger, Sandra Burkhardt, Sara Sabatasso, Christelle Lardi, Dominique Werner
Significantly increased blood ketone body levels can be occasionally observed in the forensic setting in situations other than exposure to cold, diabetic or alcoholic ketoacidosis. Though infrequent, these cases do occur and deserve thorough evaluation in order to establish appropriate differential diagnoses and quantify the role that hyperketonemia may play in the death process. Starvation ketoacidosis is a rare cause of metabolic acidosis and is a phenomenon that occurs normally during fasting, as the body switches from carbohydrate to lipid energy sources...
August 2016: Journal of Forensic and Legal Medicine
Chin Hong Lim, Cyrus Jahansouz, Anasooya A Abraham, Daniel B Leslie, Sayeed Ikramuddin
Archaic surgical procedures such as the jejunoileal bypass, vertical banded gastroplasty and duodenal switch have contributed to the current best practice of Roux-en-Y gastric bypass (RYGB) procedure for the treatment of obesity and its consequences. Despite this, RYGB has been blighted with late occurring adverse events such as severe malnutrition, marginal ulcer and reactive hypoglycemia. Despite this, RYGB has given us an opportunity to examine the effect of surgery on gut hormones and the impact on metabolic syndrome which in turn has allowed us to carry out a lower impact but equally, if not more effective, procedure - the vertical sleeve gastrectomy (VSG)...
July 2016: Expert Review of Gastroenterology & Hepatology
Andrea Lanaia, Maurizio Zizzo, Concetto M Cartelli, Matteo Fumagalli, Stefano Bonilauri
Banded gastric bypass is a bariatric surgical intervention that has been regularly performed in many centers. According to some series, banded gastric bypass is safe and feasible. We describe the case of a 42-year-old woman undergoing laparoscopic gastric bypass in 2008. Subsequently, she underwent surgery in order to place adjustable gastric banding on previous bypass because of gastric pouch dilatation. Five months later, patient showed anorexia and signs of malnutrition. For this reason, she underwent laparoscopic removal of gastric banding...
2015: Journal of Surgical Case Reports
Caroline Shannon, Ashlee Gervasoni, Trudy Williams
BACKGROUND: Bariatric surgery is an effective method of weight loss for the treatment of morbid obesity. It is more effective when combined with nutritional care, which is sometimes complex, always ongoing and differs between surgical procedures. In Australia, the three most common bariatric surgical procedures are the adjustable gastric banding, sleeve gastrectomy and the Roux-en-Y gastric bypass. OBJECTIVE: This article introduces the nutritional and dietary considerations for each procedure, and provides practical advice to support the general practitioner's role in managing patients who are considering, or who have had, bariatric surgery...
August 2013: Australian Family Physician
F Folli, B N Sabowitz, W Schwesinger, P Fanti, R Guardado-Mendoza, G Muscogiuri
The use of bariatric surgery for the treatment of morbid obesity has increased annually for the last decade. Although many studies have demonstrated the efficacy and durability of bariatric surgery for weight loss, there are limited data regarding long-term side effects of these procedures. Recently, there has been an increased focus on the impact of bariatric surgery on bone metabolism. Bariatric surgery utilizes one or more of three mechanisms of action resulting in sustained weight loss. These include restriction (gastric banding, vertical banded gastroplasty and sleeve gastrectomy), malabsorption surgery with or without associated restriction (Roux en Y gastric bypass, duodenal switch, biliopancreatic diversion and jejunoileal bypass) and changes in gut-derived hormones that control energy metabolism also referred to as neuro-hormonal control of energy metabolism (Roux en Y gastric bypass, duodenal switch, biliopancreatic diversion, jejunoileal bypass, surgical procedures as above and gastric sleeve)...
November 2012: International Journal of Obesity: Journal of the International Association for the Study of Obesity
Elias Chousleb, Sheetal Patel, Samuel Szomstein, Raul Rosenthal
Limited information is available regarding reversal of gastric bypass. While reversal will lead to weight regain and return of comorbid conditions, procedure reversal is sometimes necessary due to complications. The decision to reverse versus revise is difficult; currently, there are no established guidelines. The objective was to review one center's experience with reversals of gastric bypass and jejunoileal bypass procedures and identify potential indications as well as technical feasibility and short-term outcomes...
October 2012: Obesity Surgery
Bikram S Bal, Frederick C Finelli, Timothy R Shope, Timothy R Koch
Lifestyle intervention programmes often produce insufficient weight loss and poor weight loss maintenance. As a result, an increasing number of patients with obesity and related comorbidities undergo bariatric surgery, which includes approaches such as the adjustable gastric band or the 'divided' Roux-en-Y gastric bypass (RYGB). This Review summarizes the current knowledge on nutrient deficiencies that can develop after bariatric surgery and highlights follow-up and treatment options for bariatric surgery patients who develop a micronutrient deficiency...
September 2012: Nature Reviews. Endocrinology
Deng Ping Yin, Qiang Gao, Lian Li Ma, Wenwei Yan, Phillip E Williams, Owen P McGuinness, David H Wasserman, Naji N Abumrad
OBJECTIVE: To assess the effects of different bariatric surgical procedures on the treatment of obesity and insulin resistance in high fat diet-induced obese (DIO) mice. BACKGROUND: Bariatric surgery is currently considered the most effective treatment for morbid obesity and its comorbidities; however, a systematic study of their mechanisms is still lacking. METHODS: We developed bariatric surgery models, including gastric banding, sleeve gastrectomy, Roux-en-Y gastric bypass (RYGB), modified RYGB (mRYGB) and biliopancreatic diversion (BPD), in DIO mice...
July 2011: Annals of Surgery
David F Greenbaum, Samuel H Wasser, Tina Riley, Tinamarie Juengert, June Hubler, Karen Angel
BACKGROUND: As the number of weight loss operations has increased, the number of patients who have failed to maintain sufficient weight loss has also increased, providing a management challenge to the bariatric surgeon. Conversion to a duodenal switch with omentopexy and feeding jejunostomy was performed for these patients. METHODS: Between September 2006 and January 2010, 41 revisional operations were performed at 1 institution and by 1 operating surgeon. The data were prospectively collected and reviewed for several parameters, including excess weight loss, mortality, and morbidity...
March 2011: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
James M Swain, Paul Scott, Elizabeth Nesset, Michael G Sarr
BACKGROUND: The concept of a nonadjustable Silastic band (NASB) has been used to promote surgically induced weight loss for >30 years. Vertical banded Roux-en-Y gastric bypass is an example. Some patients develop serious, band-related complications requiring treatment. Narrowing at the NASB will lead to refractory nausea, vomiting, regurgitation, and, even, malnutrition, requiring revision of their bariatric operation. We report on the evaluation, diagnosis, and laparoscopic treatment of proximal obstructive symptoms secondary to a NASB...
March 2012: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Michel Gagner
Revision of gastric bypasses that fail is one of the most difficult challenges that face bariatric surgeons these days. Adding a foreign body like a band or a silastic may give unsatisfactory results, while increasing malabsorption may result in severe malnutrition and hypoproteinemia. Laparoscopic jejunal sleeve is based on the principles of laparoscopic sleeve gastrectomy applied to a failed Roux-en-Y gastric bypass. The procedure is simple and involves only stapling, is reproducible, accessible, effective, and safe, without foreign bodies...
October 2010: Surgical Technology International
Myur Srinivasan Srikanth, Ki Hyun Oh, Samuel Ross Fox
BACKGROUND: Twenty percent of gastric restrictive operations require revision. Conversion to Proximal Roux-en-Y gastric bypass (PRNYGBP) is associated with weight regain. Forty-one percent of these fail to achieve a body mass index (BMI) < 35. Few report follow-up (F/U) or quality of life (QOL) beyond 5 years. We report the long-term effectiveness of MRNYGBP as a revision. METHODS: Retrospective chart review of patients (1993-2005) with a failed gastric restrictive operation (S1) at least a year out from revision (S2) to a MRNYGBP: small lesser curve 22 ± 10 (11-55) cm(3) pouch, long biliopancreatic limb, 150 cm alimentary limb, 141 ± 24 (102-190) cm common channel...
July 2011: Obesity Surgery
Sheetal Patel, Samuel Szomstein, Raul J Rosenthal
BACKGROUND: The rise of bariatric surgery has lead to an increasing number of reoperations for failed bariatric procedures. The reasons and types of these operations are varied in nature and remain to be defined. METHODS: A retrospective review of a prospectively collected database was conducted to identify patients who underwent laparoscopic revisional surgery for non-gastric banding-related bariatric procedures between 2001 and 2008. RESULTS: Of 384 secondary bariatric operations, 151 reoperative procedures were performed...
August 2011: Obesity Surgery
O Ziegler, M A Sirveaux, L Brunaud, N Reibel, D Quilliot
This review is an update of the long-term follow-up of nutritional and metabolic issues following bariatric surgery, and also discusses the most recent guidelines for the three most common procedures: adjustable gastric bands (AGB); sleeve gastrectomy (SG); and roux-en-Y gastric bypass (GBP). The risk of nutritional deficiencies depends on the percentage of weight loss and the type of surgical procedure performed. Purely restrictive procedures (AGB, SG), for example, can induce digestive symptoms, food intolerance or maladaptative eating behaviours due to pre- or postsurgical eating disorders...
December 2009: Diabetes & Metabolism
J A Gracia, M Martínez, M Elia, V Aguilella, P Royo, A Jiménez, M A Bielsa, D Arribas
BACKGROUND: Many techniques have excellent results at 2 years of follow-up but some matters regarding their long-term efficacy have arisen. This is why bariatric surgery results must be analyzed in long-term follow-up. The aim of this study was to extend the analysis over 5 years, evaluating weight loss, morbidity, and mortality of the surgical procedures performed. METHODS: This was a retrospective cohort study of the different procedures for morbid obesity practiced in our Department of Surgery for morbid obesity...
April 2009: Obesity Surgery
Jonathan R Treadwell, Fang Sun, Karen Schoelles
OBJECTIVE: The prevalence of morbid obesity has risen sharply in recent years, even among pediatric patients. Bariatric surgery is used increasingly in an effort to induce weight loss, improve medical comorbidities, enhance quality of life, and extend survival. We performed a systematic review and meta-analysis of all published evidence pertaining specifically to bariatric surgery in pediatric patients. METHODS: We systematically searched MEDLINE, EMBASE, 13 other databases, and article bibliographies to identify relevant evidence...
November 2008: Annals of Surgery
Hitoshi Kanno, Teruo Kiyama, Itsuo Fujita, Shunji Kato, Toshiro Yoshiyuki, Takashi Tajiri
BACKGROUND: Adjustable gastric banding is a surgical approach to weight reduction. In this study we created a gastric banding model in rats to better understand the mechanism of body weight loss. METHODS: Male Sprague-Dawley rats weighing 260 to 280 g were subjected to gastric banding (band group) (n=8) or to a sham operation (control group) (n=8). Body weights were monitored for 14 days, and daily food and water intake and nitrogen balance were monitored for 7 days...
August 2008: Journal of Nippon Medical School, Nippon Ika Daigaku Zasshi
Muriel Coupaye, Karin Puchaux, Catherine Bogard, Simon Msika, Pauline Jouet, Christine Clerici, Etienne Larger, Séverine Ledoux
BACKGROUND: Gastric bypass (GBP) is more efficient than adjustable gastric banding (AGB) on weight loss and comorbidities, but potentially induces more nutritional deficits. However, no study has compared the prevalence of nutritional deficiencies after these two bariatric procedures. WE PROSPECTIVELY COMPARED: To prospectively compare the prevalence of nutritional deficiencies after AGB and GBP. METHODS: We have performed a 1-year prospective study of nutritional parameters in 70 consecutive severe obese patients, who had undergone bariatric surgery, 21 AGB and 49 GBP...
January 2009: Obesity Surgery
H Till, S Blüher, W Hirsch, W Kiess
BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) is basically unknown as a stand-alone technique for bariatric surgery in children and adolescents. It may be advantageous for this age group though, since it requires neither foreign body placement nor life-long malabsorption. We present the first report about the efficacy of LSG in a small pediatric series. METHODS: All patients (n = 4, female) had been in a multi-modal weight loss program for several years without long-term success...
August 2008: Obesity Surgery
H K-H Till, O Muensterer, A Keller, A Körner, S Blueher, R Merkle, W Kiess
BACKGROUND: The European guidelines for bariatric surgery clearly define criteria for operating children with morbid obesity. However the appropriate technique for this age-group has not been identified yet. So far gastric banding and Roux-Y bypass represent the standards, but they demand life-long tolerance of either an artificial device or significant malabsorption. Although laparoscopic sleeve gastrectomy (LSG) demands neither, it has not been advocated for this age-group as a stand-alone technique...
February 2008: European Journal of Pediatric Surgery
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