keyword
https://read.qxmd.com/read/38533785/gut-motility-and-hormone-changes-after-bariatric-procedures
#1
JOURNAL ARTICLE
Khushboo Gala, Wissam Ghusn, Barham K Abu Dayyeh
PURPOSE OF REVIEW: Metabolic and bariatric surgery (MBS) and endoscopic bariatric therapies (EBT) are being increasingly utilized for the management of obesity. They work through multiple mechanisms, including restriction, malabsorption, and changes in the gastrointestinal hormonal and motility. RECENT FINDINGS: Roux-en-Y gastric bypass (RYGB) and laparoscopic sleeve gastrectomy (LSG) cause decrease in leptin, increase in GLP-1 and PYY, and variable changes in ghrelin (generally thought to decrease)...
March 28, 2024: Current Opinion in Endocrinology, Diabetes, and Obesity
https://read.qxmd.com/read/38532908/successful-treatment-of-gastric-bleeding-caused-by-left-phrenic-artery-pseudoaneurysm-post-surgery-with-endovascular-embolization-a-case-report
#2
Izzat Basahai, Meshari A Alzeer, Bader S Almuhanna
Pseudoaneurysms are rare but potentially life-threatening complications that may occur after surgical procedures. This report presents the case of a 28-year-old woman who developed a pseudoaneurysm in the Left Inferior Phrenic Artery (LIPA) following a Laparoscopic Sleeve Gastrectomy (LSG). The complication manifested as severe gastrointestinal bleeding. Upper GI Endoscopy and multislice CT scan, repeated twice, failed to localize the bleeding source to treat it. Successful endovascular embolization using a Glue/Lipidol mixture was achieved despite difficulties in localizing the pseudoaneurysm, resulting in immediate symptomatic relief and avoiding surgical intervention...
June 2024: Radiology Case Reports
https://read.qxmd.com/read/38532050/five-year-outcomes-of-revisional-bariatric-surgery-gastric-band-to-sleeve-gastrectomy-or-to-roux-en-y-gastric-bypass
#3
JOURNAL ARTICLE
Joseph Carbonaro, Tara McLaughlin, Richard Seip, Ilene Staff, Yin Wu, Connie Santana, Dale Bond, Darren Tishler, Aziz Benbrahim, Pavlos Papasavas
BACKGROUND: Revisional bariatric surgery after an index adjustable gastric band (AGB) may be indicated to remedy weight relapse or band-related complications. We examined outcomes five years following revision from AGB to laparoscopic sleeve gastrectomy (AGB-LSG) or to Roux-en-Y gastric bypass (AGB-RYGB). METHODS: We conducted a retrospective review to identify patients (men and women, age 18-80) who underwent one revisional bariatric procedure with AGB as the index procedure at two medical centers in our healthcare system between January 2012 and February 2017...
March 26, 2024: Surgical Endoscopy
https://read.qxmd.com/read/38530610/omentopexy-versus-no-omentopexy-in-sleeve-gastrectomy-an-updated-systematic-review-and-meta-analysis
#4
JOURNAL ARTICLE
Mohamed Ali Chaouch, Mehdi Khalfallah, Sadok Ben Jabra, Mariem Jouilli, Om Kalthoum Sallem, Ramzi Nouira, Faouzi Noomen
Laparoscopic sleeve gastrectomy with omentopexy (O-LSG) has been compared to laparoscopic sleeve gastrectomy with no-omentopexy (NO-LSG) in terms of postoperative outcomes and one-year anthropometric results. This systematic review with meta-analysis aimed to compare the utility of omentopexy in sleeve gastrectomy. We performed a systematic review with meta-analysis according to PRISMA 2020 and AMSTAR 2 guidelines. We included studies that systematically searched electronic databases and compared the O-LSG with the NO-LSG conducted through 1st March 2023...
March 26, 2024: Updates in Surgery
https://read.qxmd.com/read/38530550/telementoring-experience-for-complex-bariatric-operation-laparoscopic-single-anastomosis-duodeno-ileal-bypass-with-sleeve-gastrectomy-sadi-s
#5
JOURNAL ARTICLE
Donatas Danys, Kristina Marcinkeviciute, Vaidas Cereska, Povilas Miknevicius, Tomas Poskus, Javier Osorio
In a groundbreaking surgical collaboration, a team of surgeons in Lithuania successfully performed the first single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) operation under the remote telemonitoring guidance of a highly experienced surgeon from Spain.The Lithuanian surgical team, comprising skilled bariatric surgeons, meticulously prepared for the SADI-S operation under the remote guidance of their Spanish proctor. Utilizing video conferencing and real-time communication, the mentor provided step-by-step instructions, shared insights, and addressed any concerns during the procedure...
March 26, 2024: Obesity Surgery
https://read.qxmd.com/read/38519611/impact-on-carotid-intima-media-thickness-after-laparoscopic-sleeve-gastrectomy-in-patients-with-morbid-obesity
#6
JOURNAL ARTICLE
Rahil Kumar, Gyan Saurabh, Manoj Andley, Madhur Yadav, Bhawna Satija
BACKGROUND: We aimed to investigate the impact of laparoscopic sleeve gastrectomy (LSG) on carotid intima-media thickness (CIMT) & left ventricular dysfunction (LVD) which are the independent predictors of subclinical atherosclerosis. METHODS: To assess the change in CIMT & echocardiographic parameters of left ventricular function & correlate with %EWL 6 months and 12 months after LSG, the mean CIMT of bilateral common carotid arteries were measured at 3 different places & 7 parameters were assessed for left ventricular dysfunction after 6 and 12 months of LSG & correlated with the %EWL...
March 22, 2024: Surgical Endoscopy
https://read.qxmd.com/read/38515375/associations-of-change-in-body-fat-percentage-with-baseline-body-composition-and-diabetes-remission-after-bariatric-surgery
#7
JOURNAL ARTICLE
Shaobo Li, Pin Zhang, Jianzhong Di, Xiaodong Han, Yinfang Tu, Di Yang, Rongrong Xu, Yunfeng Xiao, Jian Zhou, Yuqian Bao, Jun Yin, Haoyong Yu, Weiping Jia, Junfeng Han
OBJECTIVE: The objective of this study was to determine the role of body fat percentage (BFP) changes in diabetes remission (DR) and the association between baseline body composition and its changes after bariatric surgery. METHODS: We analyzed 203 patients with type 2 diabetes who underwent Roux-en-Y gastric bypass. Body composition was measured using a gold-standard-derived predictive equation and magnetic resonance imaging. Body composition changes were calculated as 100 × (baseline value - follow-up value)/baseline value...
March 22, 2024: Obesity
https://read.qxmd.com/read/38515282/laparoscopic-sleeve-gastrectomy-combined-with-toupet-fundoplication-t-sleeve-a-short-report-of-a-japanese-obesity-patient-with-gastroesophageal-reflux-disease
#8
JOURNAL ARTICLE
Kohei Uno, Takahiro Masuda, Atsushi Watanabe, Kazuhide Sato, Naoko Fukushima, Yoshitaka Ishikawa, Keita Takahashi, Yoshihiro Shirai, Koichiro Haruki, Masami Yuda, Muneharu Fujisaki, Yuichiro Tanishima, Fumiaki Yano, Ken Eto
Laparoscopic sleeve gastrectomy (LSG) is the most frequently performed procedure in bariatric-metabolic surgery (BMS) worldwide, accounting for approximately 90% of BMS procedures in Japan. While numerous studies have reported on the safety and efficacy of LSG, gastroesophageal reflux disease (GERD) remains a major postoperative complication. Although Roux-en-Y gastric bypass (RYGB) is preferred for severe obesity with GERD, it is less suitable for Japanese patients who have a higher risk of gastric cancer due to the remnant stomach which is difficult to observe with esophago-gastro-duodenoscopy...
April 2024: Asian Journal of Endoscopic Surgery
https://read.qxmd.com/read/38512646/comparison-of-dynamic-measures-in-intraoperative-goal-directed-fluid-therapy-of-patients-with-morbid-obesity-undergoing-laparoscopic-sleeve-gastrectomy
#9
JOURNAL ARTICLE
Gökhan Urhan, İsmail Demirel, Ahmet Deniz, Ahmet Aksu, Aysun Yıldız Altun, Esef Bolat, Azize Beştaş, Gülsüm Altuntaş
INTRODUCTION: Obesity increases the risk of morbidity and mortality during surgical procedures. Goal-directed fluid therapy (GDFT) is a new concept for perioperative fluid management that has been shown to improve patient prognosis. This study aimed to investigate the role of the Pleth Variability Index (PVI), systolic pressure variation (SPV), and pulse pressure variation (PPV) in maintaining tissue perfusion and renal function during GDFT management in patients undergoing laparoscopic sleeve gastrectomy (LSG)...
March 21, 2024: Obesity Surgery
https://read.qxmd.com/read/38507149/effect-of-zusanli-acupoint-injection-with-anisodamine-on-postoperative-recovery-quality-of-patients-undergoing-bariatric-surgery
#10
JOURNAL ARTICLE
Jianxin Cheng, Xiaohan Wang, Rui Wang, Jingyi Sheng, Shanshan Guo, Tianya Liu, Zhiping Wang
PURPOSE: To evaluate the influence of anisodamine injection at the Zusanli (ST36) on early postoperative recovery quality in patients who have undergone laparoscopic sleeve gastrectomy. MATERIALS AND METHODS: 141 patients undergoing laparoscopic sleeve gastrectomy were randomly divided into the control group (group C), the normal saline group (group S) and the anisodamine group (group A). Acupuncture point injections were administered after induction of general anesthesia...
March 20, 2024: Obesity Surgery
https://read.qxmd.com/read/38503558/successful-treatment-of-gastrosplenic-fistula-after-sleeve-gastrectomy
#11
JOURNAL ARTICLE
D Toman, A Foltýs, P Ostruszka, L Tulinský, L Martínek
INTRODUCTION: Laparoscopic sleeve gastrectomy (LSG) is one of the most performed bariatric procedures. But it is also associated with serious and potentially life-threatening staple line-related complications, such as stomach leak and bleeding. CASE REPORT: The article describes a case of surgical treatment of an early fistula between the stomach and the spleen 3 weeks after LSG. We have focused our attention on the diagnosis and possible treatment options for this potentially life-threatening complication...
2024: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
https://read.qxmd.com/read/38500257/successful-anesthetic-management-for-obese-patients-with-interstitial-lung-disease-undergoing-laparoscopic-sleeve-gastrectomy-a-bridge-to-improved-lung-transplant-eligibility
#12
JOURNAL ARTICLE
Piotr Mieszczański, Marek Janiak, Paweł Ziemiański, Radosław Cylke, Wojciech Lisik, Janusz Trzebicki
BACKGROUND Patients with obesity with interstitial lung diseases (ILD) are encouraged to lose weight, as it improves lung function and lung transplant eligibility. As exercise tolerance in these patients is low and weight gain is a common adverse effect of corticosteroids, bariatric surgery can be an effective method for the management of obesity in this patient group. However, perioperative complications in such high-risk patients remain a concern. Therefore, we aimed to demonstrate successful anesthetic management for obese patients with ILD, which may be practically utilized to reduce perioperative pulmonary complications and improve outcomes...
March 19, 2024: American Journal of Case Reports
https://read.qxmd.com/read/38499943/ultrasound-guided-external-oblique-intercostal-plane-block-for-postoperative-analgesia-in-laparoscopic-sleeve-gastrectomy-a-prospective-randomized-controlled-patient-and-observer-blinded-study
#13
JOURNAL ARTICLE
Ali Sait Kavakli, Taylan Sahin, Umit Koc, Arzu Karaveli
PURPOSE: The external oblique intercostal plane (EOI) block is a novel block technique for anterolateral upper abdominal wall analgesia. The superficial nature of the external oblique intercostal plane allows it to be easily identified even in patients with obesity. The aim of this study was to test the hypothesis that EOI block would reduce IV morphine consumption within 24 h after laparoscopic sleeve gastrectomy. MATERIALS AND METHODS: Patients were randomly assigned to one of two groups: EOI block group and control group...
March 18, 2024: Obesity Surgery
https://read.qxmd.com/read/38499796/evaluation-study-of-single-anastomosis-duodenal-ileal-bypass-with-sleeve-gastrectomy-in-the-treatment-of-chinese-obese-patients-based-on-efficacy-and-nutrition
#14
JOURNAL ARTICLE
Lifu Hu, Lun Wang, Shixing Li, Yang Liu, Zheng Zhang, Minghao Xiao, Zhenhua Zhang, Zhiqiang Wei, Liang Cui, Tao Jiang
To evaluate the efficacy and nutrition of single-anastomosis duodenal-ileal bypass with sleeve gastrectomy (SADI-S) in Chinese obese patients in the first postoperative year. Clinical data of 66 obese patients who underwent SADI-S surgery at China-Japan Union Hospital of Jilin University from November 2018 to May 2022 were retrospectively collected. The weight, body mass index (BMI), percentage of excess weight loss (%EWL), and percentage of total weight loss (%TWL) were recorded at 3, 6, and 12 months after surgery...
March 19, 2024: Scientific Reports
https://read.qxmd.com/read/38496064/the-role-of-tranexamic-acid-in-sleeve-gastrectomy-a-systematic-review-and-meta-analysis
#15
REVIEW
Abdulkreem Al-Juhani, Galal F Sharaf, Saeed Aseri, Hadeel Alosaimi, Shaden A Alharkan, Joud K AlGhamdi, Faris S Hariri, Lojain Daak, Ikhlas Daak
Tranexamic acid (TXA) is an essential procoagulant drug used in various intra- and postoperative situations. Its efficacy and safety profile in obese cases undergoing laparoscopic sleeve gastrectomy (LSG) is still unresolved. Therefore, this meta-analysis evaluated and investigated the current intra- and postoperative effects and hazards of TXA on patients undergoing LSG. As for methodology, Web of Science, Cochrane Library, Scopus, and PubMed were thoroughly searched for relevant studies. Retrieved results were prepared for screening through Endnote, helping to identify eligible studies...
February 2024: Curēus
https://read.qxmd.com/read/38494184/ramadan-fasting-following-laparoscopic-sleeve-gastrectomy-a-prospective-online-survey-cohort-study-in-egypt
#16
JOURNAL ARTICLE
Tamer N Abdelbaki, Noureldin Ahmed, Mahmoud Ahmed Alhussini, Moustafa Elshafei
PURPOSE: This study aims to explore the feasibility and implications of Ramadan fasting for patients who have undergone laparoscopic sleeve gastrectomy (LSG), assessing impacts on hydration, nutrient intake, weight management, and gastrointestinal symptoms. METHODS: A prospective online survey was conducted among 218 LSG patients and 83 control individuals with obesity who had not undergone surgery. Participants were surveyed before and after Ramadan, providing data on fasting practices, hunger and satiety levels, fluid and nutrient intake, and the occurrence of gastrointestinal symptoms...
March 15, 2024: Journal of minimally invasive surgery
https://read.qxmd.com/read/38494181/comment-on-ramadan-fasting-following-laparoscopic-sleeve-gastrectomy-a-prospective-online-survey-cohort-study-in-egypt
#17
EDITORIAL
Su-Mi Kim, Sang Hyun Kim
No abstract text is available yet for this article.
March 15, 2024: Journal of minimally invasive surgery
https://read.qxmd.com/read/38493108/effect-of-deep-neuromuscular-block-on-the-quality-of-early-recovery-after-sleeve-gastrectomy-in-obese-patients-a-randomized-controlled-trial
#18
JOURNAL ARTICLE
Wan-Li Yang, Ya-Ling Wen, Wen-Mei Xu, Chi-Liang Xu, Wen-Qin Yin, Jing-Yan Lin
BACKGROUND: Deep neuromuscular block (NMB) has been shown to improve surgical conditions and alleviate post-operative pain in bariatric surgery compared with moderate NMB. We hypothesized that deep NMB could also improve the quality of early recovery after laparoscopic sleeve gastrectomy (LSG). METHODS: Eighty patients were randomized to receive either deep (post-tetanic count 1-3) or moderate (train-of-four count 1-3) NMB. The QoR-15 questionnaire was used to evaluate the quality of early recovery at 1 day before surgery (T0), 24 and 48 h after surgery (T2, T3)...
March 16, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38489003/effect-of-sarcopenic-obesity-on-weight-loss-outcomes-and-quality-of-life-after-laparoscopic-sleeve-gastrectomy-a-retrospective-cohort-study
#19
JOURNAL ARTICLE
Zhi-Xin Shang-Guan, Guang-Tan Lin, Zhi-Yu Liu, Qing Zhong, Qiang Huang, Ping Li, Jian-Wei Xie, Jia-Bin Wang, Jun Lu, Qi-Yue Chen, Long-Long Cao, Mi Lin, Hua-Long Zheng, Chao-Hui Zheng, Jian-Xian Lin, Chang-Ming Huang
BACKGROUND: Sarcopenic obesity may affect the health outcome of people with obesity after laparoscopic sleeve gastrectomy (LSG). To assess the impact of sarcopenic obesity (SO) on weight loss outcomes and improvement of quality of life after LSG. MATERIALS AND METHODS: This observational study included patients who underwent LSG with SO (99 patients) or without SO (146 patients) from a single center. The primary endpoint was weight loss and disease-specific quality of life in patients with or without SO after the operation...
March 15, 2024: Obesity Surgery
https://read.qxmd.com/read/38487395/iatrogenic-eventration-of-the-hemidiaphragm-in-a-post-bariatric-surgery-patient
#20
Leonora E Long, Sam Tharwat Alhayo, Michael Talbot
The aim of this report is to describe the management of an iatrogenic diaphragmatic eventration following surgery to relieve neurogenic symptoms of thoracic outlet syndrome in a patient with a prior history of sleeve gastrectomy. We discuss the case of a 46-year-old woman with a 6-month history of gastro-oesophageal reflux and dyspnoea. Imaging demonstrated a left hemidiaphragm eventration and hiatus hernia. The patient underwent laparoscopic plication of the left hemidiaphragm, repair of the hiatus hernia, and an omega loop gastric bypass, with satisfactory resolution of her symptoms...
March 2024: Journal of Surgical Case Reports
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