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Obesity Surgery

Housem Fadhl, Amal Suhool, Gianfranco Donatelli, David Fuks, Guillaume Pourcher
BACKGROUND: Laparoscopic sleeve gastrectomy is the most common bariatric procedure worldwide, commonly performed using laparoscopic multiport. Feasibility and safety of single-port sleeve gastrectomy (SPSG) have been proved. We reported a standardized procedure describing the different steps as a reference for bariatric surgeons. MATERIALS: Two news concepts are necessary: "surgical corridor," surgeon working in a small intraperitoneal area is less disturbed by excess abdominal fat and liver hypertrophy; "parietal space" is the area in the abdominal wall through the instruments are introduced, it's important to preserve this...
February 19, 2019: Obesity Surgery
Sabrina Krauss, Raluca Medesan, Jaantje Black, Fabian Medved, Ruth Schaefer, Hans-Eberhard Schaller, Adrien Daigeler, Theodora Wahler
BACKGROUND: With the increased popularity of bariatric surgery, the demand for body-contouring procedures is growing. Associated with these procedures are a number of complications due to different risk factors and patients' characteristics. The aim of this study was to assess the outcome of body-contouring procedures and correlate it to possible risk factors. METHODS: The study included a collective of 112 patients who underwent 157 body-contouring procedures. Patients' characteristics, risk factors, and complications have been recorded...
February 18, 2019: Obesity Surgery
Ponnie Robertlee Dolo, Yong Shao, Chao Li, Xiaocheng Zhu, Libin Yao, Hui Wang
BACKGROUND: Gastric bypass with a proximal gastric pouch (Roux-en-Y gastric bypass) induces early diabetes remission. The effect of gastric bypass with a distal gastric pouch remains unknown. OBJECTIVE: To observe the effect on glucose tolerance and diabetes remission of gastric bypass with a distal gastric pouch. METHOD: A type 2 diabetes (T2D) model was created in 44 Sprague-Dawley (SD) rats that randomly underwent Roux-en-Y gastric bypass (RYGB, n = 8); gastric bypass with duodenal-jejunal transit (GB-DJT, n = 8); distal-pouch gastric bypass with duodenal-jejunal transit (DPGB-DJT, n = 8); distal-pouch gastric bypass with duodenal-jejunal bypass (DPGB-DJB, n = 8); sham (n = 6); and Roux-en-Y gastric bypass with esophageal re-anastomosis (RYGB-Er, n = 6) surgery...
February 18, 2019: Obesity Surgery
Yifei Lin, Youlin Long, Sike Lai, Yonggang Zhang, Qiong Guo, Jin Huang, Liang Du
BACKGROUND: Knotless barbed sutures can eliminate knot tying during the bariatric surgery (BS). Since effects reported on patients and surgeons are ambiguous, this study is determined to identify the effectiveness and safety of knotless barbed suture in BS. METHODS: PubMed, EMBASE, Cochrane Register of Clinical Studies, and were searched for randomized controlled trials (RCTs) and cohort studies comparing barbed sutures with conventional sutures in BS (until July 2, 2018)...
February 18, 2019: Obesity Surgery
Carlos Alberto Casalnuovo
No abstract text is available yet for this article.
February 18, 2019: Obesity Surgery
Alberto Aiolfi, Stefania Tornese, Gianluca Bonitta, Emanuele Rausa, Giancarlo Micheletto, Davide Bona
INTRODUCTION: The development of achalasia after Roux-en-Y gastric bypass (RYGB) is rare. Heller myotomy (HM) is the gold standard treatment while peroral endoscopic myotomy (POEM) is an emerging technique with promising results. The aim of this narrative review was to summarize the current knowledge on the treatment of esophageal achalasia after RYGB. METHODS: PubMed, EMBASE, and Web of Science databases were consulted. All articles that described the management of achalasia after RYGB were included in this narrative review...
February 18, 2019: Obesity Surgery
Gabriela Aguiluz Cornejo, Natalia Jelen, Antonio Gangemi
Laparoscopic gastric greater curvature plication (LGGCP) has been presented as an alternative to laparoscopic sleeve gastrectomy (LSG) for reversible reduction of stomach capacity without gastric reduction or stapling. We present a case of a 51-year-old Hispanic female with a BMI of 41.91 kg/m2 , who underwent (LGGCP) 5 years previously at another institution. Despite multiple interventions, the patient was unable to successfully lose weight, and the decision was made to reverse the procedure with a robot-assisted Roux-en-Y gastric bypass...
February 15, 2019: Obesity Surgery
Behrouz Keleidari, Mohsen Mahmoudieh, Amir Hosein Davarpanah Jazi, Hamid Melali, Farid Nasr Esfahani, Mohammad Minakari, Mojgan Mokhtari
INTRODUCTION: One of the most acceptable procedures in bariatric surgery is laparoscopic gastric bypass. Laparoscopic Roux-en-Y gastric bypass (RYGB) is a common technique used in bariatric surgery. Recently, one anastomosis gastric bypass (OAGB) has been suggested as a simple, fast, and effective technique for obesity treatment. This study aims to compare the frequency of histologically proven bile reflux in OAGB and RYGB among patients with morbid obesity. METHODS: This prospective cohort study was performed from 2015 to 2017 in the Department Of Bariatric Surgery of [blinded]...
February 14, 2019: Obesity Surgery
Zong Jie Koh, Bee Choo Tai, Lilian Kow, James Toouli, Muffazal Lakdawala, Tarik Delko, Marko Kraljević, Chih-Kun Huang, Praveen Raj, Anton Cheng, Jaideepraj Rao, Alvin Eng, Nik Ritza Kosai, Reynu Rajan, Guo Wei Kim, Sang-Moon Han, Jimmy Bok Yan So, Kazunori Kasama, Wei-Jei Lee, Yong Jin Kim, Simon Kin Hung Wong, Sayeed Ikramuddin, Asim Shabbir
PURPOSE: Prevalence of obesity in Asia has been on the increasing trend, with corresponding increase in utilisation of bariatric surgery. The objective of this study was to examine differences in weight loss outcomes following bariatric surgery between Asian ethnicities. MATERIALS AND METHODS: A retrospective database review was conducted of patients undergoing primary laparoscopic sleeve gastrectomy between 2009 and 2013 in 14 centres from Singapore, Malaysia, Taiwan, Hong Kong, Japan, Korea, India, Australia, Switzerland, and the USA...
February 14, 2019: Obesity Surgery
Sarah Pearlstein, Sarah A Sabrudin, Ali Shayesteh, Eric R Tecce, Mitchell Roslin
BACKGROUND: Inadequate weight loss following LAGB (laparoscopic adjusted gastric banding) requiring band removal and conversion to another bariatric procedure is common. There is a paucity of objective data to guide procedure selection. Single anastomosis modifications (SIPS, SADI, SADS) of the duodenal switch biliopancreatic division (DS-BPD) are being investigated. Laparoscopic sleeve gastrectomy (LSG) has become the most prevalent primary bariatric procedure and has been used for revision following LAGB...
February 14, 2019: Obesity Surgery
Wah Yang
No abstract text is available yet for this article.
February 13, 2019: Obesity Surgery
Ebaa Al-Ozairi, Manar M AlAwadhi, Jumana Al Kandari, Etab Taghadom, Mohammad Abdullah, Carel W Le Roux
INTRODUCTION: Bariatric operations are effective obesity treatments because of the significant reductions in food intake after surgery, but weight regain remains a problem in a small group of patients after surgery. Estimating food intake is difficult due to dieting status, weight, gender, and challenges with estimating portion size. We aimed to evaluate the use of digital food photography in comparison to conventional methods among patients after sleeve gastrectomy. METHODS: Participants used a mobile device (mHealth) to photo-document their dietary intake of all food and beverages consumed before and after eating...
February 13, 2019: Obesity Surgery
Talal Khewater, Nathalie Yercovich, Edouard Grymonprez, Isabelle Debergh, Bruno Dillemans
BACKGROUND: Conversional bariatric surgery has relatively high rates of complications. We aimed to analyze our single-center experience with patients requiring conversional laparoscopic Roux-en-Y gastric bypass (LRYGB) following a failed primary open or laparoscopic vertical banded gastroplasty (OVBG or LVBG, respectively). METHODS: The records of patients who underwent LRYGB as a conversional procedure after VBG between November 2004 and December 2017 were reviewed...
February 12, 2019: Obesity Surgery
Elias Chahine, Antonio D'Alessandro, Mostafa Elhajjam, Frédéric Moryoussef, René-Louis Vitte, Robert Carlier, Salman Alsabah, Elie Chouillard
No abstract text is available yet for this article.
February 12, 2019: Obesity Surgery
N Beghdadi, A Soprani, A Kraemer, P Bucur, C Barrat, L Genser
BACKGROUND: Severe post-operative malnutrition (SM) is a dreaded complication after gastric bypass often related to the short bowel syndrome consecutive limb length mismeasurement or intestinal resections. Patients with rapid weight loss or malnutrition can experience liver failure with cirrhosis and require liver transplantation (LT). Malnutrition can constitute a contraindication to LT since it negatively impacts on postoperative morbidity. RYGB reversal is an effective option to consider when nutritional support has failed...
February 11, 2019: Obesity Surgery
Atsushi Watanabe, Yosuke Seki, Hidenori Haruta, Eri Kikkawa, Kazunori Kasama
In Table 2 on p. 2517 the heading for Group 3 should read as follows.
February 11, 2019: Obesity Surgery
Isaac W Therneau, Erin E Martin, Juraj Sprung, Todd A Kellogg, Darrell R Schroeder, Toby N Weingarten
In the section "Discussion" on page 41, the second sentence in the second paragraph in the right-hand column should read as follows.
February 11, 2019: Obesity Surgery
Gurvinder Singh Jammu
The Editor has retracted this article (1) because it is a duplicate of an article published previously (2) in this journal. This error was the result of an incorrect file being uploaded to the submission system. [The author agrees to this retraction].
February 11, 2019: Obesity Surgery
Everton Cazzo, Almino Cardoso Ramos, Elinton Adami Chaim
BACKGROUND: Brazil currently holds the second place in the worldwide ranking of the largest number of bariatric surgical procedures performed. The offer of bariatric surgery in the public health system is not sufficient for its demand; it remains to be determined whether the recent economic downturn affected this offer. OBJECTIVE: To analyze the proportion of bariatric surgeries performed by the public system in Brazil and assess the influence of macroeconomic variables over time...
February 9, 2019: Obesity Surgery
Janelle D Vaughns, Elaine F Williams, Eleanor R Mackey, Jane C Muret, John van den Anker, Evan P Nadler, Zenaide M Quezado
AIM: To examine the impact of preexisting psychiatric/psychological diagnoses on perioperative analgesic requirements in adolescents with morbid obesity undergoing bariatric surgery. METHODS: A retrospective cohort study of adolescents with morbid obesity undergoing bariatric surgery. Primary and secondary outcomes included perioperative analgesic intake and pain scores (Numerical Rating Scale (0-10) NRS) throughout the hospital stay. RESULTS: From our Bariatric Surgery Research Registry, we identified 17 adolescents with psychiatric/psychological diagnoses prior to undergoing bariatric surgery...
February 9, 2019: Obesity Surgery
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