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Bariatric Surgical Practice and Patient Care

Fatima Cody Stanford, Alexander T Toth, Alpana P Shukla, Janey S Pratt, Hellas Cena, Ginevra Biino, Louis J Aronne
Weight loss medications are effective to confer additional weight loss after bariatric surgery in the general population, but they have not been evaluated in adults 60 years of age and older. We performed a retrospective study identifying 35 patients who were ≥60 years old and had undergone Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG) from 2000 to 2014, and were subsequently prescribed weight loss medications. Linear regression analyses were performed to determine beta coefficients of certain predictor variables being associated with weight loss...
December 1, 2018: Bariatric Surgical Practice and Patient Care
Matthew Lange, Christina W Lee, Tara Knisely, Subbaiah Perla, Kimberly Barber, Michael Kia
Background: Opiate-based pain medications may incur adverse effects following bariatric surgery. The aim of this study was to evaluate the efficacy of intravenous Acetaminophen (IVAPAP) on length of stay (LOS) after laparoscopic Roux-en-Y gastric bypass (LRYGB) surgery. Methods: This was a prospective, double-blind, randomized controlled trial conducted from October 2011 to March 2014 at a 416-bed teaching hospital. Eighty-nine total patients were included (control group, n  = 45; treatment group, n  = 44)...
September 1, 2018: Bariatric Surgical Practice and Patient Care
Kyle E Freese, Andrew D Althouse, Ramesh Ramanathan, Robert P Edwards, Dana H Bovbjerg, Faina Linkov
Purpose: To determine whether preoperative weight loss goals are associated with postoperative weight loss and whether the effect is modified by preoperative depressive symptoms. Methods: Sixty-three women from an ongoing cohort study who were undergoing first-time bariatric surgery at a large, academic hospital in Pittsburgh, PA, were included in this subanalysis. They were assessed preoperatively and 12 months postoperatively in regard to anthropometric and biobehavioral factors. Multivariable linear regression models were used to estimate associations between weight loss goals, expressed as percentage excess body mass index loss (%EBMIL), and postoperative %EBMIL, as well as test effect modification by depressive symptoms...
June 1, 2017: Bariatric Surgical Practice and Patient Care
Anna-Leena Vuorinen, Michal Ann Strahilevitz, Brian Wansink, Debra L Safer
Objective: To investigate whether bariatric patients experience changes in the enjoyment of health-promoting behaviors, and how those changes relate to weight loss success. Materials and Methods: Online lifestyle survey for bariatric patients ≥18 years old who had undergone gastric bypass or sleeve gastrectomy ≥1 year earlier. Changes in the enjoyment of eating behaviors and exercise were surveyed, and associations with weight loss success were analyzed. The role of obtaining external support since surgery was investigated...
March 1, 2017: Bariatric Surgical Practice and Patient Care
Pedro Mario Espino-Grosso, Benjamin Kirk Canales
Obesity is rampant across the spectrum of age, gender, and race in the Unites States. Paralleling this epidemic, kidney stone prevalence is also rising, affecting nearly 1 in 11 individuals. Bariatric surgical procedures, such as Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG), are the most effective weight loss options for morbidly obese or severely obese individuals with comorbidities. A number of studies have linked kidney stone development to bariatric surgical history, particularly RYGB, which portends up to a threefold increase in calcium oxalate stone risk compared with age-matched, obese controls...
March 1, 2017: Bariatric Surgical Practice and Patient Care
Esam Batayyah, Gautam Sharma, Ali Aminian, Hector Romero-Talamas, Andrea Zelisko, Kathleen Ashton, Philip R Schauer, Stacy A Brethauer, Leslie Heinberg
Background: Implementation of a multidisciplinary conference (MC) attended by medical, surgical, nutrition, bioethics, and psychology specialists may help identify treatment plans for bariatric surgery candidates with a high-risk psychiatric profile. Methods: Data were assessed for all bariatric candidates evaluated by the MC in an academic center between January 2009 and December 2010. Results: A total of 134 patients of 2798 patients assessed by four different psychologists were subsequently evaluated by the MC...
December 1, 2015: Bariatric Surgical Practice and Patient Care
William E Sherman, Aaron E Lane, Christopher W Mangieri, Yong U Choi, Byron J Faler
Background: Some institutions and insurance companies mandate a preoperative weight loss regimen prior to bariatric surgery. Previous studies suggest little to no correlation between preoperative and postoperative weight loss for laparoscopic Roux-en-Y gastric bypass (RNYGB). This study examined the impact of preoperative weight change for patients undergoing laparoscopic sleeve gastrectomy (LSG). Materials and Methods: A retrospective analysis was performed on patients undergoing LSG at the authors' institution from 2010 to 2012...
September 1, 2015: Bariatric Surgical Practice and Patient Care
Jennifer Padden Elliott, Erica L Gray, Jessie Yu, Melissa A Kalarchian
Purpose: The aims of this study were to describe the most common medications reported by candidates for weight loss surgery and to consider the potential implications for patient care. Methods: A secondary data analysis of data from bariatric surgery patients enrolled in a randomized, controlled trial. At study entry, participants recorded their use of prescription medications they had taken in the previous 90 days. The Anatomical Therapeutic Chemical (ATC)/Defined Daily Dose (DDD) Index 2014 was used to classify medications...
September 1, 2015: Bariatric Surgical Practice and Patient Care
Alice Albanese, Luca Prevedello, Daunia Verdi, Donato Nitti, Roberto Vettor, Mirto Foletto
Introduction: Laparoscopic gastric plication (LGCP) reduces gastric volume without resecting or implanting a foreign body. Although still considered investigational, it could be appropriate for young patients with a low body mass index (BMI) and for those unwilling to undergo sleeve gastrectomy, gastric banding, or bypass. Objectives: The aim of this study was to assess the mid-term results (2 years) of LGCP in terms of safety and efficacy. Methods: A total of 56 obese patients (47 female; mean age=30.5±11...
September 1, 2015: Bariatric Surgical Practice and Patient Care
Marko Nikolić, Ivan Kruljac, Lora Kirigin, Gorana Mirošević, Neven Ljubičić, Borka Pezo Nikolić, Miroslav Bekavac-Bešlin, Ivan Budimir, Milan Vrkljan
Background: Bariatric procedures are effective options for weight loss (WL) in the morbidly obese. However, some patients fail to lose any weight after bariatric surgery, and mid-term weight maintenance is variable. The aim of this study was to investigate whether initial WL could predict mid-term weight maintenance. Methods: Eighty patients were enrolled, of whom 44 were treated with the BioEnterics Intragastric Balloon (BIB), 21 with laparoscopic adjustable gastric lap-banding (LAGB), and 15 with laparoscopic sleeve gastrectomy (LSG)...
June 1, 2015: Bariatric Surgical Practice and Patient Care
Zhamak Khorgami, Chi Zhang, Sarah E Messiah, Nestor de la Cruz-Muñoz
Background: Poor adherence to post-bariatric surgery aftercare continues to challenge surgical practices. The objective of this study was to identify factors that predict poor aftercare attendance among patients who underwent Roux-en-Y Gastric Bypass (RYGB) surgery. Method: A retrospective medical chart review of patients who underwent RYGB from 2002 to 2011 was conducted. Patients with four visits or more in the first 2 years (>50%) were categorized as "acceptable follow-up" and with ≤50% as "poor follow-up...
June 1, 2015: Bariatric Surgical Practice and Patient Care
Raquel Gonzalez-Heredia, Neil Patel, Lisa Sanchez-Johnsen, Mario Masrur, Melissa Murphey, Jinsong Chen, Enrique Elli
Aim: The purpose of this study was to evaluate presurgical comorbidities, perioperative and postoperative complications, and postsurgical outcomes of minimally invasive bariatric surgery in patients aged 55 years and older to determine if age should be used as a selection criteria for bariatric surgery. Methods: A total of 750 patients underwent sleeve gastrectomy or robotic-assisted Roux-en-Y gastric bypass from January 2008 to June 2014. Patients were divided into three groups according to age: <55 years old; ≥55 to <65 years old; and ≥65 years old...
June 1, 2015: Bariatric Surgical Practice and Patient Care
Mohammad Eidy, Fatemeh Jesmi, Fahimeh Raygan, Mohadeseh Pishgahroudsari, Abdolreza Pazouki
Background: Most morbidly obese patients complain of abdominal pain after laparoscopic gastric bypass (LGBP) surgery. In this study, the relationship between the prevalence and severity of pain and the drain site was assessed. Methods: Fifty morbidly obese patients undergoing LGBP surgery were selected, and a drain was randomly inserted postoperatively to the left 5 mm port in 25 cases and to the right in the other 25. All patients filled out a questionnaire, including a visual analog scale for the quality and quantity of pain, exacerbating and alleviating factors and its relation to patient's positioning, in the first 24 hours, first week, and first month after the operation...
March 1, 2015: Bariatric Surgical Practice and Patient Care
Leopoldo M Baccaro, Kalyan Vunnamadala, Aniket Sakharpe, B Jakub Wilhelm, Artun Aksade
Background: Obesity is estimated to affect more than one and a half billion adults. Laparoscopic Roux-en-Y gastric bypass (LRYGB) has become one of the preferred weight loss procedures. However, complications can occur. Strictures at the gastrojejunal anastomosis lead to clinical symptoms such as vomiting, dysphagia, and patient discomfort. The stricture rate has been correlated with the size and type of stapler used. Methods: A retrospective review of the clinical records of patients who underwent LRYGB was performed between 2003 and 2010...
March 1, 2015: Bariatric Surgical Practice and Patient Care
Raquel Gonzalez-Heredia, Veronica Tirado, Neil Patel, Mario Masrur, Melissa Murphey, Enrique Elli
Introduction: Few studies have reported the prevalence and consequences of infection with Helicobacter pylori among obese patients undergoing sleeve gastrectomy. This study reviewed whether infection with H. pylori has any association with postoperative complications. This study also examined whether there was any difference in postoperative percent excess weight loss (%EWL). Materials and Methods: In this retrospective study, the pathology reports of 400 patients who underwent sleeve gastrectomy between 2008 and 2013 at the authors' institution were reviewed...
March 1, 2015: Bariatric Surgical Practice and Patient Care
Victoria Gómez, Rajat Bhalla, Michael G Heckman, Paul T Kröner Florit, Nancy N Diehl, Bhupendra Rawal, Scott A Lynch, David S Loeb
Background: Routine esophagogastroduodenoscopy (EGD) prior to bariatric surgery has not been consistently shown to change the management of the patient. A study was performed to estimate the proportion of patients undergoing bariatric surgery evaluation who had abnormal findings on preoperative EGD that resulted in alteration of management and, second, to evaluate potential risk factors for occurrence of abnormal findings on the EGD. Methods: An observational, retrospective study in which all 232 patients who were cleared to undergo bariatric surgery and who underwent preoperative EGD between 2006 and 2013 were included at a single tertiary dedicated bariatric center for weight loss management...
December 1, 2014: Bariatric Surgical Practice and Patient Care
S Scott Davis
No abstract text is available yet for this article.
June 1, 2014: Bariatric Surgical Practice and Patient Care
Ahmad Ibrahim Elnahas, Timothy D Jackson, Dennis Hong
Background: Laparoscopic Roux-en-Y gastric bypass (LRYGB) has emerged as the gold standard for the management of morbid obesity. Accordingly, patients who fail to lose weight after LRYGB present a difficult problem for the bariatric surgeons. A literature review was performed to evaluate the management options for this select bariatric population. Methods: A literature search was conducted in the EMBASE and MEDLINE databases using the most comprehensive timeline. All relevant articles were identified and full texts were obtained and reviewed...
March 1, 2014: Bariatric Surgical Practice and Patient Care
Emanuele Lo Menzo, Alessandro Cappellani, Antonio Zanghì, Maria Di Vita, M Berretta, Samuel Szomstein
No abstract text is available yet for this article.
March 1, 2014: Bariatric Surgical Practice and Patient Care
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