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Man Cai Wang, Xiao Hu Guo, Ya Wu Zhang, Yu Long Zhang, Hui Han Zhang, You Cheng Zhang
We aimed to evaluate the efficacy and safety of laparoscopic Roux-en-Y gastric bypass versus sleeve gastrectomy for obese patients with Type 2 diabetes. We searched the Cochrane Library, PubMed, EMBASE, Google Scholar, and the Chinese Wan fang database up to October 2013. Randomized controlled trials regarding the efficacy and safety of laparoscopic gastric bypass versus sleeve gastrectomy for obese diabetic patients were included. Two review authors independently abstracted data and assessed the risk of bias...
February 2015: American Surgeon
Jan Peter Yska, Douwe H van der Meer, Albert R Dreijer, Willeke Eilander, Jan A Apers, Marloes Emous, Erik R E Totté, Bob Wilffert, Eric N van Roon
PURPOSE: Bariatric surgery can influence the prevalence and incidence of comorbidities, as well as the pharmacokinetics of drugs. This might lead to changes in the use of drugs. This study aimed to assess the influence of bariatric surgery on the use of medication in patients before and after surgery, focusing on type, number of medications, and daily dosage. METHODS: In a retrospective and prospective observational study, drug dispensing data from pharmacies of patients undergoing their first bariatric surgery between January 2008 and September 2011 was collected...
February 2016: European Journal of Clinical Pharmacology
David Benaiges, Antonio Más-Lorenzo, Albert Goday, José M Ramon, Juan J Chillarón, Juan Pedro-Botet, Juana A Flores-Le Roux
Sleeve gastrectomy (SG) is a restrictive bariatric surgery technique that was first used as part of restrictive horizontal gastrectomy in the original Scopinaro type biliopancreatic diversion. Its good results as a single technique have led to a rise in its use, and it is currently the second most performed technique worldwide. SG achieves clearly better results than other restrictive techniques and is comparable in some aspects to the Roux-en-Y gastric bypass, the current gold standard in bariatric surgery...
November 7, 2015: World Journal of Gastroenterology: WJG
Amir A Ghaferi, Carol Lindsay-Westphal
No abstract text is available yet for this article.
March 2016: JAMA Surgery
Matthew A Bartlett, Karen F Mauck, Paul R Daniels
Bariatric surgical procedures are now a common method of obesity treatment with established effectiveness. Venous thromboembolism (VTE) events, which include deep vein thrombosis and pulmonary embolism, are an important source of postoperative morbidity and mortality among bariatric surgery patients. Due to an understanding of the frequency and seriousness of these complications, bariatric surgery patients typically receive some method of VTE prophylaxis with lower extremity compression, pharmacologic prophylaxis, or both...
2015: Vascular Health and Risk Management
L Ulas Biter, Ralph P M Gadiot, Brechtje A Grotenhuis, Martin Dunkelgrün, Stefanie R van Mil, Hans J J Zengerink, J Frans Smulders, Guido H H Mannaerts
BACKGROUND: Obesity is an increasing disease worldwide. Bariatric surgery is the only effective therapy to induce sufficient long-term weight loss for morbidly obese patients. Laparoscopic Roux-en-Y Gastric Bypass (LRYGB) is the gold standard surgical technique. Laparoscopic Sleeve Gastrectomy (LSG) is a new promising bariatric procedure which has the advantage of maintaining an intact gastrointestinal tract. The aim of this study is to evaluate the efficiency of both techniques. Our hypothesis is that LSG has a similar percentage excess BMI loss (%EBMIL) after 5 years compared to LRYGB...
2015: BMC Obesity
Karolina Machnica, Silvana Pannain, Elizabeth Schulwolf, Jessica Bartfield, Mary Ann Emanuele
BACKGROUND: Bariatric surgery is a recommended treatment for diabetes in severely obese patients. Their immediate post-operative anti-hyperglycemic requirements differ from other hospitalized diabetics, yet no standardized protocols addressing glycemic control for this group exist. OBJECTIVE: We aimed to create a safe, easily implemented protocol for immediate post-operative glycemic control, which we defined as the first 30 days. METHODS: The protocol was designed by an interdisciplinary workgroup using review of available literature, approved institutional glycemic guidelines, and team members' experience with caring for bariatric surgery patients...
November 2015: Obesity Surgery
Pierre Eisendrath, Jacques Deviere
Leaks are the most frequent early postoperative complication in the two most popular bariatric procedures, Roux-en-Y gastric bypass (RYGB) and laparoscopic sleeve gastrectomy. Multimodal therapy based on self-expandable stent insertion 'to cover' the defect is the most widely documented technique to date with a reported success rate >80%. Additional experimental techniques 'to close' the defect or 'to drain' the paradigestive cavity have been reported with encouraging results. The role of endoscopy in early postoperative bleeding is limited to management of bleeds arising from fresh sutures and the diagnosis of chronic sources of bleeding such as marginal ulcer after RYGB...
December 2015: Nature Reviews. Gastroenterology & Hepatology
David Benaiges, María Sagué, Juana A Flores-Le Roux, Juan Pedro-Botet, José M Ramón, Montserrat Villatoro, Juan J Chillarón, Manuel Pera, Antonio Más, Luis Grande, Albert Goday
BACKGROUND: Few data exist on factors associated with hypertension (HTN) remission post-bariatric surgery. No information on factors that may predict HTN relapse is available. The aims were to assess the HTN remission and relapse rates at 1 and 3 years, respectively, post-bariatric surgery, and determine predictive factors. METHODS: A nonrandomized prospective cohort study on severely obese patients undergoing laparoscopic Roux-en-Y gastric bypass (LRYGB) or laparoscopic sleeve gastrectomy (LSG) with a follow-up of 36 months was conducted between 2005 and 2011...
May 2016: American Journal of Hypertension
Gurvinder S Jammu, Rajni Sharma
BACKGROUND: The epidemic of obesity is engulfing developed as well as developing countries like India. We present our 7-year experience with laparoscopic sleeve gastrectomy (LSG), Roux-en-Y gastric bypass (RYGB), and mini-gastric bypass (MGB) to determine an effective and safe bariatric and metabolic procedure. METHODS: The study is an analysis of a prospectively collected bariatric database of 473 MGBs, 339 LSGs, and 295 RYGBs. RESULTS: Mortality rate was 2...
May 2016: Obesity Surgery
Palanivelu Praveenraj, Rachel Maria Gomes, Saravana Kumar, Palanisamy Senthilnathan, Ramakrishnan Parthasarathi, Subbiah Rajapandian, Chinnusamy Palanivelu
BACKGROUND AND AIMS: Repair of recurrent ventral hernias (RVHs) has a high failure rate more so in the presence of obesity. The chronic increase in intra-abdominal pressure (IAP) associated with obesity might, in part, be an important implicating factor that needs to be addressed in these patients. Laparoscopic ventral hernia repair (LVHR) done with concomitant bariatric surgery in morbidly obese patients with RVHs may avoid multiple failures. We report our preliminary experience in treating RVHs in morbidly obese patients with laparoscopic intra-peritoneal onlay mesh (IPOM) repair and concomitant bariatric surgery...
June 2016: Obesity Surgery
P Patel, A Hartland, A Hollis, R Ali, A Elshaw, S Jain, A Khan, S Mirza
INTRODUCTION: In 2013 the Department of Health specified eligibility for bariatric surgery funded by the National Health Service. This included a mandatory specification that patients first complete a Tier 3 medical weight management programme. The clinical effectiveness of this recommendation has not been evaluated previously. Our bariatric centre has provided a Tier 3 programme six months prior to bariatric surgery since 2009. The aim of our retrospective study was to compare weight loss in two cohorts: Roux-en-Y gastric bypass only (RYGB only cohort) versus Tier 3 weight management followed by RYGB (Tier 3 cohort)...
April 2015: Annals of the Royal College of Surgeons of England
Morteza Ghoghaei, Foad Taghdiri, Elias Khajeh, Farid Azmoudeh Ardalan, Mojtaba Sedaghat, Sepideh Hosseini Shirvani, Shadi Zarei, Karamollah Toolabi
BACKGROUND: Obesity as a worldwide health problem is associated with nonalcoholic steatohepatitis (NASH). Since severe liver injury may be present in asymptomatic obese patients and a definite diagnosis of nonalcoholic steatohepatitis can only be made after an invasive procedure of liver biopsy, there is a need for noninvasive methods to predict the probability of NASH. OBJECTIVES: To investigate the role of vitamin D endocrine system in predicting the probability of presence of NASH in asymptomatic morbidly obese candidates of bariatric surgery...
July 2015: Hepatitis Monthly
Mary Beth Spitznagel, Misty Hawkins, Michael Alosco, Rachel Galioto, Sarah Garcia, Lindsay Miller, John Gunstad
This review paper will discuss the recent literature examining the relationship between obesity and neurocognitive outcomes, with a particular focus on cognitive changes after bariatric surgery. Obesity is now recognized as an independent risk factor for adverse neurocognitive outcomes, and severely obese persons appear to be at even greater risk. Bariatric surgery is associated with rapid improvements in cognitive function that persist for at least several years, although the mechanisms underlying these improvements are incompletely understood...
November 2015: European Eating Disorders Review: the Journal of the Eating Disorders Association
Nitin Kumar
A new paradigm in the treatment of obesity and metabolic disease is developing. The global obesity epidemic continues to expand despite the availability of diet and lifestyle counseling, pharmacologic therapy, and weight loss surgery. Endoscopic procedures have the potential to bridge the gap between medical therapy and surgery. Current primary endoscopic bariatric therapies can be classified as restrictive, bypass, space-occupying, or aspiration therapy. Restrictive procedures include the USGI Primary Obesity Surgery Endolumenal procedure, endoscopic sleeve gastroplasty using Apollo OverStitch, TransOral GAstroplasty, gastric volume reduction using the ACE stapler, and insertion of the TERIS restrictive device...
July 25, 2015: World Journal of Gastrointestinal Endoscopy
Tomoyuki Kawada
No abstract text is available yet for this article.
July 15, 2015: Annals of Surgery
Thierry Manos, Marius Nedelcu, Patrick Noel, Michel Gagner
No abstract text is available yet for this article.
July 2015: Obesity Surgery
Astrid van Huisstede, Arjan Rudolphus, Manuel Castro Cabezas, Laser Ulas Biter, Gert-Jan van de Geijn, Christian Taube, Pieter S Hiemstra, Gert-Jan Braunstahl
BACKGROUND: The pathogenesis of asthma in obese subjects is poorly understood and has been described as a specific phenotype in these patients. Weight loss improves asthma control and lung function. Whether this improvement is the result of better mechanical properties of the airways or decreased systemic and bronchial inflammation remains unclear. METHODS: A longitudinal study in obese patients with asthma (bariatric surgery and asthma group (BS+A), n=27) and obese control (bariatric surgery without asthma group (BS-A), n=39) subjects undergoing bariatric surgery, and obese patients with asthma without intervention (no bariatric surgery and asthma group (NBS+A), n=12)...
July 2015: Thorax
Lionel Rebibo, Mathurin Fumery, Samy Hakim, Franck Brazier, Abdennaceur Dhahri, Jean-Marc Regimbeau
No abstract text is available yet for this article.
2015: Endoscopy
Monica T Young, Alana Gebhart, Michael J Phelan, Ninh T Nguyen
BACKGROUND: Laparoscopic sleeve gastrectomy is gaining popularity in the United States. However, few studies have examined outcomes of sleeve gastrectomy compared with those of the "gold standard" bariatric operation: Roux-en-Y gastric bypass. STUDY DESIGN: Using the American College of Surgeons National Surgical Quality Improvement Program database, clinical data were obtained for all patients who underwent laparoscopic sleeve gastrectomy or laparoscopic gastric bypass between 2010 and 2011...
May 2015: Journal of the American College of Surgeons
2015-08-28 20:53:23
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