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laparoscopic sleeve gastrectomy

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https://www.readbyqxmd.com/read/29333067/complications-of-staple-line-and-anastomoses-following-laparoscopic-bariatric-surgery
#1
REVIEW
Gianfranco Silecchia, Angelo Iossa
With over 600 million people being obese, and given the scientific demonstration of the advantages of surgical treatment, bariatric surgery is on the rise. The promising long-term results in terms of weight loss, and particularly in relation to comorbidities and the control/cure rate, mean that the number of procedures performed in all countries remains high. However, the risk of potentially complex or fatal complications, though small, is present and is related to the procedures per se. This review is a guide for bariatric and/or general surgeons, offering a complete overview of the pathogenesis of anastomosis and staple line following the most common laparoscopic bariatric procedures: sleeve gastrectomy, gastric bypass, and mini-gastric bypass...
January 2018: Annals of Gastroenterology: Quarterly Publication of the Hellenic Society of Gastroenterology
https://www.readbyqxmd.com/read/29313276/mesenteric-panniculitis-first-case-series-after-bariatric-surgery
#2
Amrit Manik Nasta, Dipti Patel, Om Shrivastav, Madhu Goel, Anurag Shrimal, Amit Gupte, Ramen Goel
Mesenteric panniculitis is an uncommon pathology, of poorly understood etiology, characterized by progressive inflammation and fibrosis of the small bowel mesentery. This disease has been reported usually after other abdominal surgeries. We present two cases of young male patients who underwent laparoscopic sleeve gastrectomy and developed abdominal symptoms within 45-60 days of surgery. Both were investigated for known post-bariatric complications. While first patient presented (5 months later) at an irreversible stage and died within 8-9 months of primary surgery, in second patient, the disease process could be reversed through early intervention, diagnosis, treatment, and compliance...
January 8, 2018: Obesity Surgery
https://www.readbyqxmd.com/read/29313123/15-year-experience-of-laparoscopic-single-anastomosis-mini-gastric-bypass-comparison-with-other-bariatric-procedures
#3
Nawaf Alkhalifah, Wei-Jei Lee, Tan Chun Hai, Kong-Han Ser, Jung-Chien Chen, Chun-Chi Wu
BACKGROUND: Laparoscopic single anastomosis (mini-)gastric bypass (LSAGB) has been validated as a safe and effective treatment for morbid obesity. However, data of the long-term outcome remain lacking. METHODS: Between October 2001 and December 2015, 1731 morbidly obese patients who received LSAGB as primary bariatric procedure at the Min-Sheng General Hospital were recruited. Surgical outcome, weight loss, resolution of comorbidities, and late complications were followed, then compared with groups of laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic sleeve gastrectomy (LSG)...
January 8, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29313122/influence-of-antrum-size-on-gastric-emptying-and-weight-loss-outcomes-after-laparoscopic-sleeve-gastrectomy-preliminary-analysis-of-a-randomized-trial
#4
Meritxell Garay, Carmen Balagué, Carlos Rodríguez-Otero, Berta Gonzalo, Anna Domenech, Juan Carlos Pernas, Ignasi J Gich, Inka Miñambres, Sonia Fernández-Ananín, Eduardo M Targarona
BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) has increased in popularity in recent years as a definitive bariatric procedure. Despite its growing popularity worldwide, the surgical technique is not well standardized. There is a lack of evidence on the matter of the antrum size and its relation to gastric emptying and weight-loss outcomes. The aim of the study is to evaluate the influence of antrum size over gastric emptying and weight-loss outcomes. METHODS: Twenty-five patients were prospectively randomized according to the distance between the first firing and the pylorus: AR group (antrum resection-2 cm from the pylorus) and AP group (antrum preservation-5 cm from the pylorus)...
January 8, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29310972/porto-mesenteric-venous-thrombosis-after-laparoscopic-sleeve-gastrectomy-a-case-report-and-systematic-review-of-the-104-cases
#5
Kerem Karaman, Mehmet Aziret, Ali Bal, Volkan Öter, Metin Ercan, Erdal Birol Bostancı
INTRODUCTION: Porto-mesenteric venous thrombosis (PMVT) is a rare but fatal complication after bariatric surgery. However, an increasing number of PMVT complications have been observed in the last years after laparoscopic sleeve gastrectomy (LSG) operations. CASE REPORT: A 35-year-old male was admitted to the emergency clinic in a septic status with a sudden once of abdominal pain and vomiting. The patient underwent laparoscopic sleeve gastrectomy (LSG) 15 days ago...
January 5, 2018: Obesity Research & Clinical Practice
https://www.readbyqxmd.com/read/29310815/endoluminal-stenting-for-the-management-of-leak-following-sleeve-gastrectomy-and-loop-duodenojejunal-bypass-with-sleeve-gastrectomy
#6
Ying-Nan Tsai, Hsiu-Po Wang, Chih-Kun Huang, Po-Chin Chang, I-Chang Lin, Chi-Ming Tai
Postoperative leak is a serious complication of bariatric surgery and often results in significant morbidity and mortality. Stent placement is a less invasive alternative to surgery for the treatment of bariatric surgical leak. We evaluated the efficacy and complications of covered self-expandable metal stents (SEMS) in the treatment of post-bariatric surgical leak. We retrospectively reviewed patients who underwent stent placement for leak after bariatric surgery. Leak was diagnosed by upper gastrointestinal series or was visualized during the endoscopy...
January 2018: Kaohsiung Journal of Medical Sciences
https://www.readbyqxmd.com/read/29306650/common-weight-loss-procedures-and-their-complications
#7
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/29306610/hypoglycemia-during-oral-glucose-tolerance-test-among-post-bariatric-surgery-pregnant-patients-incidence-and-perinatal-significance
#8
Amihai Rottenstreich, Ram Elazary, Yossef Ezra, Geffen Kleinstern, Nahum Beglaibter, Uriel Elchalal
BACKGROUND: While hypoglycemia during an oral glucose tolerance test (OGTT) has been shown to occur in a considerable portion of nonpregnant post-bariatric surgery (BS) patients, its incidence among pregnant post-BS patients evaluated for gestational diabetes has only been sparsely studied. OBJECTIVES: We investigated OGTT results and pregnancy outcomes in pregnant women who underwent 3 types of bariatric procedures before pregnancy. SETTING: A university hospital...
December 8, 2017: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/29306011/adaptation-of-human-gut-microbiota-to-bariatric-surgeries-in-morbidly-obese-patients-a-systematic-review
#9
Hanieh-Sadat Ejtahed, Pooneh Angoorani, Shirin Hasani-Ranjbar, Seyed-Davar Siadat, Nasrin Ghasemi, Bagher Larijani, Ahmad-Reza Soroush
BACKGROUND: Bariatric surgeries have turned to be a popular therapeutic option for morbid obesity nowadays. Gut microbiota is supposed to be responsible as a part of the bariatric surgeries success. In this systematic review, we detailed the human studies which investigated the effect of different bariatric surgeries on the composition of gut microbiota. METHODS: We did a comprehensive search in PubMed, Web of Science, and Scopus for all clinical trials and longitudinal observational studies documented up to December 2015...
January 3, 2018: Microbial Pathogenesis
https://www.readbyqxmd.com/read/29305814/histopathology-findings-in-patients-undergoing-laparoscopic-sleeve-gastrectomy
#10
Ammiel Martínez Canil, Angelo Iossa, Pietro Termine, Daniela Caporilli, Vincenzo Petrozza, Gianfranco Silecchia
BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) has gained popularity in the last 10 years for its good results in weight loss and comorbidity control. However, guidelines on the pathological examination of the specimen are lacking. The aim of this retrospective study was to determine the usefulness of the routine specimen examination when presurgery endoscopy (upper gastrointestinal endoscopy, UGIE) and multiple gastric biopsies are part of the preoperative work-up. METHODS: A retrospective review of records of the patients submitted to LSG between January 2012 and August 2017 was carried out...
January 5, 2018: Obesity Surgery
https://www.readbyqxmd.com/read/29305792/analgesic-effect-of-intraperitoneal-bupivacaine-hydrochloride-after-laparoscopic-sleeve-gastrectomy-a-randomized-clinical-trial
#11
Nasser Malekpour Alamdari, Mahmood Bakhtiyari, Barmak Gholizadeh, Catrine Shariati
BACKGROUND: The indications for sleeve gastrectomy as a primary procedure for the surgical treatment of morbid obesity have increased worldwide. Pain is the most common complaint for patients on the first day after laparoscopic sleeve gastrectomy. There are various methods for decreasing pain after laparoscopic sleeve gastrectomy such as the use of intraperitoneal bupivacaine hydrochloride. This clinical trial was an attempt to discover the effects of intraperitoneal bupivacaine hydrochloride on alleviating postoperative pain after laparoscopic sleeve gastrectomy...
January 5, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/29290011/the-outcome-of-bariatric-surgery-in-patients-aged-75%C3%A2-years-and-older
#12
Zubaidah Nor Hanipah, Suriya Punchai, Linden A Karas, Samuel Szomstein, Rahul J Rosenthal, Stacy A Brethauer, Ali Aminian, Philip R Schauer
BACKGROUND: Bariatric surgery has been shown to be safe and effective in patients aged 60-75 years; however, outcomes in patients aged 75 or older are undocumented. METHODS: Patients aged 75 years and older who underwent bariatric procedures in two academic centers between 2006 and 2015 were studied. RESULTS: A total of 19 patients aged 75 years and above were identified. Eleven (58%) were male, the median age was 76 years old (range 75-81), and the median preoperative body mass index (BMI) was 41...
December 30, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/29287735/comment-on-resected-gastric-volume-has-no-influence-on-early-weight-loss-after-laparoscopic-sleeve-gastrectomy
#13
EDITORIAL
Andrea M Pakula, Matthew J Martin
No abstract text is available yet for this article.
December 1, 2017: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/29282509/predicted-coronary-heart-disease-risk-decreases-in-obese-patients-after-laparoscopic-sleeve-gastrectomy
#14
Cheng-Chiao Huang, Weu Wang, Ray-Jade Chen, Po-Li Wei, Ching Tzao, Ping-Ling Chen
PURPOSE: To assess the reduction of 6 and 12 months postoperatively of Framingham risk score in morbidly obese patients with laparoscopic sleeve gastrectomy (LSG). MATERIAL AND METHODS: In total, 870 morbid obesity patients received LSG in Taipei Medical University Hospital from June 2007 to June 2014 were retrospectively studied preoperatively, 6 and 12 months after surgery. The coronary heart disease risk was calculated using Framingham risk score. RESULTS: The body mass index in men and women decreased from 43...
December 28, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/29280057/effects-of-sleeve-gastrectomy-on-nonalcoholic-fatty-liver-disease-in-an-obese-rat-model
#15
Kiminori Watanabe, Masayuki Ohta, Hiroomi Takayama, Kazuhiro Tada, Yuki Shitomi, Takahide Kawasaki, Yuichiro Kawano, Yuichi Endo, Yukio Iwashita, Masafumi Inomata
BACKGROUND/AIM: Laparoscopic sleeve gastrectomy (SG) is an increasingly used bariatric surgery, which is reported to be effective for nonalcoholic fatty liver disease (NAFLD). Recently, activation of farnesoid X receptor (FXR), which is a nuclear receptor of bile acid (BA), was reported to contribute to the resolution of NAFLD. However, it is unclear whether SG has an effect on expression of FXR in the liver. We aimed to investigate the expression of FXR and its related factors in the liver after SG and to clarify the relationship between changes in FXR expression and NAFLD in an obese rat model...
December 26, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/29275495/analysis-of-laparoscopic-sleeve-gastrectomy-learning-curve-and-its-influence-on-procedure-safety-and-perioperative-complications
#16
Piotr Major, Michał Wysocki, Jadwiga Dworak, Michał Pędziwiatr, Magdalena Pisarska, Mateusz Wierdak, Anna Zub-Pokrowiecka, Michał Natkaniec, Piotr Małczak, Michał Nowakowski, Andrzej Budzyński
PURPOSE: Laparoscopic sleeve gastrectomy (LSG) has become an attractive bariatric procedure with promising treatment effects yet amount of data regarding institutional learning process is limited. MATERIALS AND METHODS: Retrospective study included patients submitted to LSG at academic teaching hospital. Patients were divided into groups every 100 consecutive patients. LSG introduction was structured along with Enhanced Recovery after Surgery (ERAS) treatment protocol...
December 23, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/29259626/hiatoplasty-with-crura-buttressing-versus-hiatoplasty-alone-during-laparoscopic-sleeve-gastrectomy
#17
Andrea Balla, Silvia Quaresima, Pietro Ursi, Ardit Seitaj, Livia Palmieri, Danilo Badiali, Alessandro M Paganini
Introduction: In obese patients with hiatal hernia (HH), laparoscopic sleeve gastrectomy (LSG) with cruroplasty is an option but use of prosthetic mesh crura reinforcement is debated. The aim was to compare the results of hiatal closure with or without mesh buttressing during LSG. Methods: Gastroesophageal reflux disease (GERD) was assessed by the Health-Related Quality of Life (GERD-HRQL) questionnaire before and after surgery in two consecutive series of patients with esophageal hiatus ≤ 4 cm2...
2017: Gastroenterology Research and Practice
https://www.readbyqxmd.com/read/29251221/changes-in-serum-lipid-levels-after-laparoscopic-sleeve-gastrectomy-in-morbidly-obese-dyslipidemic-and-normolipidemic-patients
#18
Varlık Erol, Tuğba Han Yılmaz, Bahattin Tuncalı, Baha Arslan, Hüseyin Gülay
BACKGROUND: This study investigated the effect of laparoscopic sleeve gastrectomy (LSG) performed for morbid obesity on serum lipid levels of dyslipidemic and normolipidemic patients. METHODS: 141 patients who underwent LSG between September 2014 and January 2016 were included in the study. RESULTS: The patients' mean body mass index was 46.27 ± 6.79 kg/m2 preoperatively, 31.60 ± 5.37 kg/m2 in the 6th month postoperatively and 27...
December 17, 2017: Acta Chirurgica Belgica
https://www.readbyqxmd.com/read/29250751/changes-in-frequency-intake-of-foods-in-patients-undergoing-sleeve-gastrectomy-and-following-a-strict-dietary-control
#19
Jaime Ruiz-Tovar, Maryana Bozhychko, Jone Miren Del-Campo, Evangelina Boix, Lorea Zubiaga, Jose Luis Muñoz, Carolina Llavero
PURPOSE: Dietary intake and food preferences change after bariatric surgery, secondary to gastrointestinal symptoms and dietitian counseling. The aim of this study was to evaluate the changes in the frequency intake of different foods in patients undergoing sleeve gastrectomy and following a strict dietary control. PATIENTS AND METHODS: A prospective observational study of all the morbidly obese patients undergoing laparoscopic sleeve gastrectomy as bariatric procedure between 2007 and 2012 was performed...
December 17, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/29248980/delayed-intra-splenic-abscess-a-specific-complication-following-laparoscopic-sleeve-gastrectomy
#20
Fajer Nassour, Naim Michel Schoucair, Hadrien Tranchart, Sophie Maitre, Ibrahim Dagher
BACKGROUND: Delayed intra splenic abscess after laparoscopic sleeve gastrectomy (LSG) is a very rare complication with poor manifestations. METHODS: We present three cases of delayed intrasplenic abscess which were managed in our departmentof minimal invasive surgery. DISCUSSION: Splenic abscess may occur in the early post-operative period following LSG; it is usually an extra splenic event after the gastric leak or an infected hematoma. In our cases, two patients had an asymptomatic ischemic demarcation in the upper part of the spleen...
December 16, 2017: Obesity Surgery
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