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Sleeve gastrectomy and nutrition

Valentin Mocanu, Jerry Dang, Farah Ladak, Noah Switzer, Daniel W Birch, Shahzeer Karmali
BACKGROUND: Gastrointestinal leak is one of the most severe postoperative complications after Roux-en-Y gastric bypass (RYGB), occurring in up to 2% of all patients. This has led to adoption of simpler procedures, such as sleeve gastrectomy, which have improved safety profiles but potentially less effective long-term metabolic outcomes. Yet, in contrast to sleeve gastrectomy, a paucity of modern literature exists regarding predictors of leak for RYGB. OBJECTIVES: The purpose of this study was to examine gastrointestinal leak in patients undergoing RYGB using the Metabolic and Bariatric Surgery Accreditation and Quality Improvement data registry...
January 26, 2019: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Qing He, Ning-Ning Yang, Yong-Jiu Xie, Yong-Song Guan
INTRODUCTION: Presently, bariatric surgery is a widespread treatment for obesity and its co-morbidities. Comprehensive evidence from outcomes of bariatric surgery supported that the surgery is safe and effective. However, we should be aware of the multiple risks of bariatric surgery, especially the severe infection at the operation site. CASE PRESENTATION: A 30-year-old woman was hospitalized for anastomotic leakage with abscess after laparoscopic sleeve gastrectomy...
February 12, 2019: International Journal of Surgery Case Reports
Lisa Chu, Alissa Steinberg, Michael Mehta, Carley O'Kane, Alene Toulany, Jacob C Langer, Jill K Hamilton
Background: Evidence suggests that metabolic adaptation occurs following bariatric surgery such that resting energy expenditure (REE) declines to a greater degree than accounted for by changes in body weight or body composition in adults. Little is known about REE and metabolic adaptation among adolescents following bariatric surgery. Objective: To examine changes in REE and metabolic adaptation among adolescents at 12 months (12M) post-bariatric surgery. Setting: Pediatric Hospital, Canada...
February 11, 2019: Journal of Clinical Endocrinology and Metabolism
Vitish Singla, Sandeep Aggarwal, Bhanu Singh, Gattu Tharun, Varidh Katiyar, Amit Bhambri
INTRODUCTION: The data on the role of OAGB in super obese patients and its direct comparison with LSG in super obese patients is scarce. OBJECTIVES: To compare weight loss, impact on comorbidities and nutritional parameters between LSG and OAGB in super obese patients. METHODS: Prospectively collected data of 75 matched patients with BMI > 50, who underwent either laparoscopic sleeve gastrectomy (LSG) or one anastomosis gastric bypass (OAGB), was analyzed retrospectively...
January 18, 2019: Obesity Surgery
Kamal K Mahawar, Ken Clare, Mary O'Kane, Yitka Graham, Lindes Callejas-Diaz, William R J Carr
BACKGROUND: Adherence to post-bariatric surgery nutritional supplements can be poor and is associated with higher micronutrient deficiency rates. There is currently no available study specifically seeking patients' perspectives on the reasons behind poor adherence and how to address it. METHODS: Bariatric surgery patients living in the UK were invited to take part in an anonymous survey on SurveyMonkey®. RESULTS: A total of 529 patients (92...
January 16, 2019: Obesity Surgery
Shibo Lin, Wei Guan, Ningli Yang, Yan Zang, Ruiping Liu, Hui Liang
BACKGROUND: Bariatric surgery represents the most effective treatment for obesity and its related comorbidities. The present study aims to evaluate the efficacy and safety of sleeve gastrectomy plus jejunojejunal bypass (SG + JJB). METHODS: This retrospective study included 244 obese patients with BMI ≥ 35 kg/m2 undergoing SG + JJB (n = 83), SG (n = 82), and Roux-en-Y gastric bypass (RYGB) (n = 79). Postoperative weight loss, metabolic outcomes, nutrition status, and patients' complaints at 1-year follow-up were compared...
January 11, 2019: Obesity Surgery
Jesús Montoya-Ramírez, Francisco Aguilar-Espinosa, José Gutiérrez-Salinas, Ricardo Blas-Azotla, Oscar A Aguilar-Soto
Ten years after undergoing sleeve gastrectomy, a 39-year-old man developed pancreatitis and, after recovery, presented with severe diarrhea. An image study showed barium contrast passing from the stomach to the colon. Before surgery, initial treatment consisted of parenteral nutrition and antibiotics. The patient then underwent robot-assisted resection of a gastrocolic fistula and omentoplasty. However, 72 h after surgery, the amount of suction drainage suggested that the fistulous track repair was leaking...
December 19, 2018: Asian Journal of Endoscopic Surgery
Natalia Komorniak, Ewa Stachowska
Obesity is a civilization disease, which occurrence in the world population is gradually increasing. The basic causes of obesity include a sedentary lifestyle and energy-rich diet contributing to a positive energy balance. Methods of curing obesity contain the lifestyle modification, the pharmacological treatment and the surgical treatment. The bariatric surgery is a therapy that can be used among patients with BMI ≥40 or BMI ≥35 kg/m2 with comorbidities, e.g. hypertension, for whom previous treatment has been ineffective...
November 28, 2018: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
Inka Miñambres, Miguel Angel Rubio, Ana de Hollanda, Irene Breton, Nuria Vilarrasa, Silvia Pellitero, Marta Bueno, Albert Lecube, Clara Marcuello, Albert Goday, Maria D Ballesteros, German Soriano, Assumpta Caixàs
CONTEXT: Information concerning the risk-benefit profile of bariatric surgery in subjects with liver cirrhosis is scarce. Our aim was to describe the long-term outcomes of bariatric surgery in a cohort of patients with liver cirrhosis submitted to bariatric surgery. METHODS: This was a multicenter, retrospective observational study performed by the Obesity Group of the Spanish Society of Endocrinology and Nutrition (GOSEEN), with a review of patients with cirrhosis who had undergone bariatric surgery during the period from April 2004 to March 2017 in ten public reference hospitals in Spain...
November 5, 2018: Obesity Surgery
Claudia Gagnon, Anne L Schafer
Bariatric surgery results in long-term weight loss and improvement or resolution in obesity-related comorbidities. However, mounting evidence indicates that it adversely affects bone health. This review summarizes clinical research findings about the impact of bariatric surgery on skeletal outcomes. The literature is the largest and strongest for the Roux-en-Y gastric bypass (RYGB) procedure, as RYGB was the most commonly performed bariatric procedure worldwide until it was very recently overtaken by the sleeve gastrectomy (SG)...
May 2018: JBMR plus
Riad Sarkis, Aline Khazzaka, Radwan Kassir
BACKGROUND: Despite the availability of many gastric surgery techniques to reduce obesity and its associated comorbidities, most of these procedures can result in life-threatening conditions including lifetime chronic illnesses and death. Vertical sleeve gastrectomy and Roux-en-Y gastric bypass have been reported to improve obesity-related comorbidities such as T2DM, but the long-term efficacy of these two procedures is unknown, and their significant impact on long-term weight loss was diminished by complications as reported in previous studies...
November 2018: Obesity Surgery
Muriel Coupaye, Hélène Legardeur, Ouidad Sami, Daniela Calabrese, Laurent Mandelbrot, Séverine Ledoux
BACKGROUND: There is a lack of evidence on whether sleeve gastrectomy (SG), which induces fewer nutritional deficiencies than Roux-en-Y gastric bypass (RYGB), also affects fetal growth (FG). OBJECTIVES: To compare neonatal outcomes after RYGB and SG and to assess the impact of maternal nutritional alterations on FG after both procedures. SETTING: University Hospital, France. METHODS: Women with singleton pregnancies who had at least 1 nutritional evaluation in our institution between 2004 and 2017 were included...
July 20, 2018: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Hugo Bonatti, Naureen Iqbal, Catherine Kling, Willie Melvin, James Broome
Background: Hypocalcemia is a frequent complication of parathyroidectomy for secondary/tertiary hyperparathyroidism. In patients with a history of prior Roux-en-Y gastric bypass (RYGBP), changes in nutritional absorption make management of hypocalcemia after parathyroidectomy difficult. Case Report: A 41-old-year morbidly obese female with c-peptide negative diabetes mellitus and renal failure had RYGBP. Following significant weight loss she underwent simultaneous pancreas-kidney transplantation...
2018: Case Reports in Transplantation
Ramen Goel, Madhu Goel, Amrit Manik Nasta, Sharmila Vyas, Shefali Dharia, Shireen Hamrapurkar
INTRODUCTION: Bariatric surgery leads to significant weight loss but the results vary. Application of dietary principles like portion-controlled eating leads to greater weight loss and fewer complications. AIMS: To evaluate the improvement in weight loss outcomes by incorporating portion-controlled eating behavior in postbariatric patients. METHODS: All patients who underwent bariatric surgery from January 2012 to December 2013 were included in the study...
December 2018: Obesity Surgery
Phillip J Dijkhorst, Abel B Boerboom, Ignace M C Janssen, Dingeman J Swank, René M J Wiezer, Eric J Hazebroek, Frits J Berends, Edo O Aarts
BACKGROUND: Sleeve gastrectomy (SG) has become the most performed bariatric procedure to induce weight loss worldwide. Unfortunately, a significant portion of patients show insufficient weight loss or weight regain after a few years. OBJECTIVE: To investigate the effectiveness of the single anastomosis duodenoileal (SADI) bypass versus the Roux-en-Y gastric bypass (RYGB) on health outcomes in morbid obese patients who had undergone SG previously, with up to 2 years of follow-up...
December 2018: Obesity Surgery
Christiane Ramos Castanha, Álvaro Antônio Bandeira Ferraz Tcbc-Pe, Alessandra Ramos Castanha, Giselle de Queiroz Menezes Batista Belo, Rosana Maria Resende Lacerda, Lúcio Vilar
OBJECTIVE: to assess the efficacy of weight loss, the evolution of comorbidities, the quality of life and the BAROS protocol (Bariatric Analysis and Reporting Outcome System) in the postoperative period of patients undergoing bariatric surgery. METHODS: we conducted a cross-sectional, quantitative study with 95% true strength (P=0.05), with 103 patients submitted to SLEEVE Vertical Gastrectomy (40) and Roux-en-Y Gastric Bypass (63), from four months after surgery...
July 16, 2018: Revista do Colégio Brasileiro de Cirurgiões
Julien-Sami El Sayegh, Gregory Nicolas, Kabalan Yammine, Claude Tayar
Nutritional support and Antibiotics treatment can be used as conservative treatment for the resolution of gastro-colic fistula after sleeve gastrectomy in stable patients specially to prevent cumbersome redo surgeries that have higher risks of complications particularly in patients with minimal financial means.
July 2018: Clinical Case Reports
Yafit Kessler, Liraz Olmer, Asnat Raziel, David Goitein, Rachel Dankner
PURPOSE: To examine associations of patients' attendance to follow-up meetings with a registered dietitian (RD) and physical exercise practices with weight loss during the 1 year following laparoscopic sleeve gastrectomy (SG). METHODS: Of 241 patients with obesity who underwent SG during 2012, 184 (76.3%) participated in a 1-year follow-up telephone interview and had information on number of RD follow-up meetings. Clinical information was available from computerized patient files...
July 10, 2018: Eating and Weight Disorders: EWD
Emilie Montastier, Mael Chalret du Rieu, Géraud Tuyeras, Patrick Ritz
PURPOSE OF REVIEW: Bariatric surgery is an effective treatment for classes II and III obesity and its associated diseases. However, many important long-term outcomes of bariatric surgery are still poorly understood, such as neurological and psychological complications, bone health, and so on. This review summarizes the current evidence and expert opinions on nutritional care in the long-term postoperative period. RECENT FINDINGS: In the first section, we will provide an update of the main long-term complications: risk of anaemia, risk of bone fracture, neurological and psychological complications, and risk of developing Barrett's oesophagus after sleeve gastrectomy...
September 2018: Current Opinion in Clinical Nutrition and Metabolic Care
E M Kikkas, T Sillakivi, J Suumann, Ü Kirsimägi, T Tikk, P R Värk
BACKGROUND AND AIMS: The aim of this study was to evaluate the long-term (5-year follow-up) results of laparoscopic sleeve gastrectomy in terms of weight loss and obesity-related comorbidities, as well as the risk factors associated with postoperative nutritional deficiencies. MATERIAL AND METHODS: The first 99 consecutive patients who underwent laparoscopic sleeve gastrectomy for the treatment of morbid obesity between October 2008 and August 2011 at Tartu University Hospital were followed prospectively in cohort study...
July 1, 2018: Scandinavian Journal of Surgery: SJS
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