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https://www.readbyqxmd.com/read/27930509/current-challenges-in-providing-bariatric-surgery-in-france-a-nationwide-study
#1
Sébastien Czernichow, Michel Paita, David Nocca, Simon Msika, Arnaud Basdevant, Bertrand Millat, Anne Fagot-Campagna
Bariatric surgery is a well-accepted procedure for severe and massive obesity management. We aimed to determine trends, geographical variations, and factors influencing bariatric surgery and the choice of procedure in France in a large observational study.The Health Insurance Fund for Salaried Workers (Caisse National Assurance Maladie Travailleurs Salariés) covers about 86% of the French population. The Système National d'Information Inter-régimes de l'Assurance Maladie database contains individualized and anonymized patient data on all reimbursements for healthcare expenditure...
December 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27913235/laparoscopic-gastric-bypass-versus-laparoscopic-sleeve-gastrectomy-a-retrospective-multicenter-comparison-between-early-and-long-term-post-operative-outcomes
#2
Fabio Rondelli, Walter Bugiantella, Maria Cristina Vedovati, Enrico Mariani, Ruben Carlo Balzarotti Canger, Sara Federici, Adriano Guerra, Marcello Boni
BACKGROUND: Laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic sleeve gastrectomy (LSG) are the most commonly performed procedures for morbid obesity. METHODS: We performed a retrospective review of patients undergoing LRYGB or LSG between August 2000 and November 2014. RESULTS: Data from 581 (280 LSG and 301 LRYGB) were gathered. Operating time (77.6 vs 250.5 min; p < 0.001), post-operative complication rate (3.9% vs 11...
November 29, 2016: International Journal of Surgery
https://www.readbyqxmd.com/read/27878423/gastrointestinal-quality-of-life-improves-significantly-after-sleeve-gastrectomy-and-roux-en-y-gastric-bypass-a-prospective-cross-sectional-study-within-a-2-year-follow-up
#3
Felix Nickel, Lukas Schmidt, Thomas Bruckner, Adrian T Billeter, Hannes G Kenngott, Beat-Peter Müller-Stich, Lars Fischer
INTRODUCTION: Morbidly obese patients have lower quality of life (QOL) when compared to the general population. So far, no studies have compared gender and procedural differences in gastrointestinal QOL after sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB). METHODS: Patients before and after bariatric surgery completed the gastrointestinal quality of life index (GIQLI), a 36-item questionnaire with five subscores. Differences between SG and RYGB were analyzed, as were gender differences...
November 22, 2016: Obesity Surgery
https://www.readbyqxmd.com/read/27795552/efficacy-and-safety-of-bariatric-surgery-for-craniopharyngioma-related-hypothalamic-obesity-a-matched-case-control-study-with-two-years-of-follow-up
#4
M Wijnen, D S Olsson, M M van den Heuvel-Eibrink, V Wallenius, Jamjl Janssen, P J D Delhanty, A J van der Lely, G Johannsson, Sjcmm Neggers
BACKGROUND: Hypothalamic obesity is a devastating consequence of craniopharyngioma. Bariatric surgery could be a promising therapeutic option. However, its efficacy and safety in patients with craniopharyngioma-related hypothalamic obesity remain largely unknown. OBJECTIVES: We investigated the efficacy of bariatric surgery for inducing weight loss in patients with craniopharyngioma-related hypothalamic obesity. Additionally, we studied the safety of bariatric surgery regarding its effects on hormone replacement therapy for pituitary insufficiency...
October 31, 2016: International Journal of Obesity: Journal of the International Association for the Study of Obesity
https://www.readbyqxmd.com/read/27765899/laparoscopy-in-duodenal-switch-safe-and-halves-length-of-stay-in-a-nationwide-cohort-from-the-scandinavian-obesity-registry
#5
D Edholm, S Axer, J Hedberg, M Sundbom
BACKGROUND AND AIMS: Unsatisfactory weight loss after gastric bypass or sleeve gastrectomy in super-obese patients (body mass index > 50) is a growing concern. Biliopancreatic diversion with duodenal switch results in greater weight loss, but is technically challenging to perform, especially as a laparoscopic procedure (Lap-DS). The aim of this study was to compare perioperative outcomes of Lap-DS and the corresponding open procedure (O-DS) in Sweden. MATERIAL AND METHODS: The data source was a nationwide cohort from the Scandinavian Obesity Surgery Registry and 317 biliopancreatic diversion with duodenal switch patients (mean body mass index = 56...
October 7, 2016: Scandinavian Journal of Surgery: SJS
https://www.readbyqxmd.com/read/27761724/sleeve-gastrectomy-vs-roux-en-y-gastric-bypass-data-from-ifso-european-chapter-center-of-excellence-program
#6
John Melissas, Konstantinos Stavroulakis, Vassilis Tzikoulis, Angeliki Peristeri, John A Papadakis, Abdolreza Pazouki, Alireza Khalaj, Ali Kabir
BACKGROUND: The purpose of this study is to compare sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGBP) performed in Institutions participating in IFSO-European Chapter, Center of Excellence (COE) program. METHODS: Since the initiation of the program in January 2010, 6413 SGs and 10,622 RYGBPs performed as primary procedures by December 31, 2014, with at least 12-month follow-up, were retrospectively compared. RESULTS: There were steadily increasing numbers of patients underwent SG from 2010 to 2015...
October 20, 2016: Obesity Surgery
https://www.readbyqxmd.com/read/27736851/costs-of-bariatric-surgery-in-a-randomised-control-trial-rct-comparing-roux-en-y-gastric-bypass-vs-sleeve-gastrectomy-in-morbidly-obese-diabetic-patients
#7
Siva T Gounder, Delendra Rasith Wijayanayaka, Rinki Murphy, Delwyn Armstrong, Richard G Cutfield, David Dw Kim, Michael Graham Clarke, Nicholas J Evennett, Martyn Lee Humphreys, Steven John Robinson, Michael Wc Booth
AIM: To provide a longitudinal analysis of the direct healthcare costs of providing laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB) surgery service in the context of a randomised control trial (RCT) of obese patients with type 2 diabetes in Waitemata District Health Board, Auckland, New Zealand. METHODS: The Waitemata District Health Board costing system was used to calculate costs in New Zealand Dollars (NZD) associated with all pre- and post-operative hospital clinic visits, peri-operative care, hospitalisations and medication costs up to one year after bariatric surgery...
October 14, 2016: New Zealand Medical Journal
https://www.readbyqxmd.com/read/27729621/laparoscopic-sleeve-gastrectomy-versus-roux-en-y-gastric-bypass-for-morbid-obesity-a-1-1-matched-cohort-study-in-a-chinese-population
#8
Xiao Du, Si-Qin Zhang, Hong-Xu Zhou, Xue Li, Xiao-Juan Zhang, Zong-Guang Zhou, Zhong Cheng
OBJECTIVES: This 1:1 matched cohort study with 3-year follow-up aimed to compare the safety and efficacy of LSG with LRYGB for morbid obesity patients. METHODS: From 2009 to 2013, patients undergoing LRYGB (n = 63) were matched with LSG (n = 63) by gender, age, and body mass index (BMI). Major complications, BMI, percentage of excess weight loss (%EWL), and obesity-related comorbidities after 6, 12, 24, and 36 months were compared. RESULTS: Hospital stay and major complication rates were comparable, but operative time in LSG was significantly shorter (83...
October 8, 2016: Oncotarget
https://www.readbyqxmd.com/read/27722822/one-stage-vs-two-stage-laparoscopic-roux-en-y-gastric-bypass-in-obese-patients-with-body-mass-index-55%C3%A2-kg-m-2-5-year-follow-up
#9
María Díaz-Tobarra, Norberto Cassinello Fernández, Pablo Jordá Gómez, Mohammad Nebih Nofal, Raquel Alfonso Ballester, Joaquín Ortega Serrano
BACKGROUND: Surgical strategies in patients with BMI > 55 kg/m(2) are not well established. OBJECTIVES: The objective of this study is to compare the long term results and complications of 1- vs. 2-stage laparoscopic "Roux-en-Y″ gastric bypass (LRYGB) for patients with BMI > 55 kg/m(2). METHODS: Retrospective review of the complications and outcomes, between January 2007 and January 2010, for patients with a BMI > 55 kg/m(2) who underwent directly a LRYGB (1-stage) or a LRYGB as a 2nd stage of a laparoscopic sleeve gastrectomy (LSG)...
October 9, 2016: Obesity Surgery
https://www.readbyqxmd.com/read/27718176/lsg-vs-oagb-1%C3%A2-year-follow-up-data-a-randomized-control-trial
#10
Shivakumar Seetharamaiah, Om Tantia, Ghanshyam Goyal, Tamonas Chaudhuri, Shashi Khanna, Jagat Pal Singh, Anmol Ahuja
OBJECTIVES: Laparoscopic sleeve gastrectomy (LSG) is one of the most popular bariatric procedure. One anastomosis gastric bypass (OAGB) is rapidly emerging as a safe and effective metabolic procedure. This study aims at comparing the 1-year follow-up results of OAGB and LSG in terms of excess weight loss, complications, resolution of comorbidities, and quality of life. METHODS: A prospective randomized study of results between 100 LSG and 101 OAGB patients was done from 2012 to 2015...
October 7, 2016: Obesity Surgery
https://www.readbyqxmd.com/read/27631329/long-term-outcomes-of-bariatric-and-metabolic-surgery-in-japan-results-of-a-multi-institutional-survey
#11
Hidenori Haruta, Kazunori Kasama, Masayuki Ohta, Akira Sasaki, Hiroshi Yamamoto, Yasuhiro Miyazaki, Takashi Oshiro, Takeshi Naitoh, Yoshinori Hosoya, Takeshi Togawa, Yosuke Seki, Alan Kawarai Lefor, Toru Tani
BACKGROUND: The number of bariatric procedures performed in Japan is increasing. There are isolated reports of bariatric surgery, but there have been no nationwide surveys including long-term data. METHODS: We retrospectively reviewed data for patients who underwent bariatric and metabolic surgery throughout Japan and reviewed outcomes. Surveys were sent to ten institutions for number of procedures, preoperative patient weight and preoperative obesity-related comorbidities, and data at 1, 3, and 5 years postoperatively...
September 8, 2016: Obesity Surgery
https://www.readbyqxmd.com/read/27549594/metabolic-surgery-for-diabetes-treatment-sleeve-gastrectomy-or-gastric-bypass
#12
Wei-Jei Lee, Keong Chong, Lwin Aung, Shu-Chun Chen, Kong-Han Ser, Yi-Chih Lee
BACKGROUND: Bariatric surgery has gained reputation for its metabolic effect and is increasingly being performed to treat type 2 diabetes mellitus (T2DM). However, there is still a gray area regarding the choice of surgical procedure according to patient characteristics due to inadequate evidences, so far. We aim to compare the efficacy of two most commonly performed bariatric/metabolic surgeries, sleeve gastrectomy (SG) and gastric bypass (GB) with regard to remission of T2DM after surgery...
August 22, 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/27521041/predictors-of-high-cost-after-bariatric-surgery-a-single-institution-review
#13
Neil Shah, Jacob A Greenberg, Glen Leverson, Luke M Funk
BACKGROUND: Drivers of high cost care after bariatric operation have not been well described. We sought to compare 1-year costs between patients who underwent laparoscopic vertical sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass and identify predictors of high cost of care. METHODS: Morbidly obese patients who underwent laparoscopic vertical sleeve gastrectomy (n = 74) or laparoscopic Roux-en-Y gastric bypass (n = 270) at a single institution from 2010-2014 were identified...
October 2016: Surgery
https://www.readbyqxmd.com/read/27508205/comparing-outcomes-of-two-types-of-bariatric-surgery-in-an-adolescent-obese-population-roux-en-y-gastric-bypass-vs-sleeve-gastrectomy
#14
Giovana D Maffazioli, Fatima Cody Stanford, Karen J Campoverde Reyes, Takara L Stanley, Vibha Singhal, Kathleen E Corey, Janey S Pratt, Miriam A Bredella, Madhusmita Misra
BACKGROUND: Obesity is prevalent among adolescents and is associated with serious health consequences. Roux-en-Y Gastric Bypass (RYGB) and Sleeve Gastrectomy (SG) are bariatric procedures that cause significant weight loss in adults and are increasingly being performed in adolescents with morbid obesity. Data comparing outcomes of RYGB vs. SG in this age-group are scarce. This study aims to compare short-term (1-6 months) and longer-term (7-18 months) body mass index (BMI) and biochemical outcomes following RYGB and SG in adolescents/young adults...
2016: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/27452299/laparoscopic-sleeve-gastrectomy-versus-laparoscopic-mini-gastric-bypass-one-year-outcomes
#15
Gaby Kansou, David Lechaux, Jacques Delarue, Bogdan Badic, Morgan Le Gall, Sophie Guillerm, Jean-Pierre Bail, Jérémie Thereaux
PURPOSE: Sleeve gastrectomy (LSG) and mini gastric bypass (LMGB) was considered as emerging procedures but are now considered for many authors as an alternative of the Roux-Y gastric bypass because of similar percentages of weight loss and better postoperative morbidity profiles. However, studies comparing LSG and LMGB are scarce. MATERIALS AND METHODS: From January 2010 to July 2014, 262 and 161 patients underwent LSG or LMGB in two centre of bariatric surgery, respectively...
September 2016: International Journal of Surgery
https://www.readbyqxmd.com/read/27444823/comparison-of-mini-gastric-bypass-with-sleeve-gastrectomy-in-a-mainly-super-obese-patient-group-first-results
#16
Andreas Plamper, Philipp Lingohr, Jennifer Nadal, Karl P Rheinwalt
INTRODUCTION: Whereas sleeve gastrectomy (SG) in its beginnings was mainly performed to treat super-obesity, it has become as popular as gastric bypass in the treatment of obesity of any class. In contrast to this, the persisting problems of early staple line leaks and poor long-term results of SG regarding weight loss and new onset of gastroesophageal reflux have become increasingly obvious. The mini-gastric bypass (MGB) with its low complication rates and possibly better long-term results may be a good alternative to SG, especially in super-obesity...
July 21, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27437985/effect-of-bariatric-surgery-induced-weight-loss-on-platelet-count-and-mean-platelet-volume-a-12-month-follow-up-study
#17
Loïc Raoux, David Moszkowicz, Karina Vychnevskaia, Tigran Poghosyan, Alain Beauchet, Sylvain Clauser, Marion Bretault, Sébastien Czernichow, Claire Carette, Jean-Luc Bouillot
BACKGROUND: Abdominal obesity is strongly correlated with cardiovascular risk and associated with platelet hyperactivity. This hyperactivity is associated with an increase in mean platelet volume (MPV). Few data are available about changes in platelet counts and MPV in obese patients after bariatric surgery (BS). The purpose of this study was to describe quantitative and qualitative changes in the platelet lineage after BS. METHODS: One hundred twenty-eight consecutive patients were included...
July 20, 2016: Obesity Surgery
https://www.readbyqxmd.com/read/27423398/bariatric-surgery-outcomes-in-us-accredited-vs-non-accredited-centers-a-systematic-review
#18
Dan Azagury, John M Morton
BACKGROUND: Accreditation for bariatric surgery has been scrutinized recently for its impact on surgical outcomes. This study aimed to systematically examine the medical literature to examine the impact of bariatric accreditation on surgical outcomes. STUDY DESIGN: The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines and checklist were used. The MEDLINE database was searched for the following terms (2000 through September 2014): gastric bypass or bariatric surgery or sleeve gastrectomy or vertical banded gastroplasty or biliopancreatic diversion or duodenal switch or adjustable gastric band or weight loss surgery and accreditation or center of excellence or credentialing or national coverage decision or CMS or Medicare...
September 2016: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/27342739/roux-en-y-gastric-bypass-vs-sleeve-gastrectomy-balancing-the-risks-of-surgery-with-the-benefits-of-weight-loss
#19
Corey J Lager, Nazanene H Esfandiari, Angela R Subauste, Andrew T Kraftson, Morton B Brown, Ruth B Cassidy, Catherine K Nay, Amy L Lockwood, Oliver A Varban, Elif A Oral
BACKGROUND: The purpose of the study was to compare weight loss, metabolic parameters, and postoperative complications in patients undergoing Roux-en-Y gastric bypass (GB) and sleeve gastrectomy (SG). METHODS: We retrospectively studied 30-day postoperative complications as well as change in weight, blood pressure, cholesterol, hemoglobin, hemoglobin A1C, and creatinine from baseline to 2, 6, 12, and 24 months postoperatively in 383 patients undergoing GB and 336 patients undergoing SG at the University of Michigan from January 2008 to November 2013...
June 24, 2016: Obesity Surgery
https://www.readbyqxmd.com/read/27336358/risk-factors-for-spontaneously-self-reported-postprandial-hypoglycemia-after-bariatric-surgery
#20
Monica Nannipieri, Anna Belligoli, Daniela Guarino, Luca Busetto, Diego Moriconi, Roberto Fabris, Andrea Mari, Simona Baldi, Marco Anselmino, Mirto Foletto, Roberto Vettor, Ele Ferrannini
CONTEXT: Postprandial hypoglycemia (PPHG) is a recognized complication of Roux-en-Y gastric bypass (RYGB) surgery. Data on PPHG after laparoscopic sleeve gastrectomy (LSG) are scant. OBJECTIVE: The objective of the study was to identify preoperative predictors of PPHG in subjects spontaneously self-reporting PPHG after RYGB or LSG. Patients, Setting, and Intervention: Nondiabetic patients spontaneously self-reporting symptoms/signs of PPHG (PPHG group, 21 RYGB and 11 LSG) were compared in a case-control design with subjects who never experienced spontaneous or oral glucose tolerance test (OGTT)-induced hypoglycemia over 24 months after surgery (No-PPHG group, 13 RYGB and 40 LSG)...
October 2016: Journal of Clinical Endocrinology and Metabolism
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