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Gastric sleeve bypass and nutrition

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
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
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
Mervi Javanainen, Tuula Pekkarinen, Harri Mustonen, Tom Scheinin, Marja Leivonen
INTRODUCTION: Nutritional deficiencies may occur after bariatric surgery despite supplementation. Fracture risk may also be elevated after bariatric surgery. OBJECTIVES: To compare 25-hydroxyvitamin D [25(OH)D], vitamin B12, and albumin serum concentrations in severely obese patients who had undergone either Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG). Fracture data was compared with data for a conservatively treated group of severely obese patients...
June 23, 2018: Obesity Surgery
Bingsheng Guan, Jingge Yang, Yanya Chen, Wah Yang, Cunchuan Wang
BACKGROUND: Nutritional deficiencies have been reported in bariatric surgery patients with inconsistent results. However, scarce data exist for Chinese patients. We aimed to assess nutritional deficiencies in Chinese patients undergoing Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG), and to identify predictors of postoperative nutritional status. METHODS: A retrospective review of a prospectively collected database was conducted in the patients undergoing RYGB and SG in our hospital between June 2013 and January 2017...
May 12, 2018: Obesity Surgery
Nele Steenackers, Bart Van der Schueren, Ann Mertens, Matthias Lannoo, Tara Grauwet, Patrick Augustijns, Christophe Matthys
The growing prevalence of obesity explains the rising interest in bariatric surgery. Compared with non-surgical treatment options, bariatric surgery results in greater and sustained improvements in weight loss, obesity associated complications, all-cause mortality and quality of life. These encouraging metabolic and weight effects come with a downside, namely the risk of nutritional deficiencies. Particularly striking is the risk to develop iron deficiency. Postoperatively, the prevalence of iron deficiency varies between 18 and 53 % after Roux-en-Y gastric bypass and between 1 and 54 % after sleeve gastrectomy...
November 2018: Proceedings of the Nutrition Society
Piers R Boshier, Matyas Fehervari, Sheraz R Markar, Sanjay Purkayastha, Patrik Spanel, David Smith, George B Hanna
BACKGROUND: Dietary restriction together with alteration of the gastrointestinal tract results in major metabolic changes and significant weight loss in patients undergoing bariatric surgery. Current methods of measuring these changes are often inaccurate and lack a molecular basis. The objective of this study was to determine the role of exhaled ketones as non-invasive markers of nutritional status in patients undergoing surgical treatment of obesity. METHODS: Patients at different stages of treatment for obesity were recruited to this single-centre cross-sectional study...
August 2018: Obesity Surgery
Geltrude Mingrone, Stefan Bornstein, Carel W Le Roux
Bariatric surgery has many benefits beyond weight loss, including improved control of glycaemia, blood pressure, and dyslipidaemia; hence, such surgery has been rebranded as metabolic surgery. The operations are, unfortunately, also associated with major surgical and medical complications. The medical complications include gastro-oesophageal reflux disease, malnutrition, and metabolic complications deriving from vitamin and mineral malabsorption. The benefits of surgery can be optimised by implementing specific protocols before and after surgery...
June 2018: Lancet Diabetes & Endocrinology
Nele Steenackers, Ina Gesquiere, Christophe Matthys
PURPOSE OF REVIEW: The growing obesity epidemic is associated with an increased demand for bariatric surgery with Roux-en-Y Gastric Bypass and Sleeve Gastrectomy as the most widely performed procedures. Despite beneficial consequences, nutritional complications may arise because of anatomical and physiological changes of the gastrointestinal tract. The purpose of this review is to provide an update of the recent additions to our understanding of the impact of bariatric surgery on the intake, digestion and absorption of dietary protein...
January 2018: Current Opinion in Clinical Nutrition and Metabolic Care
Ramon Vilallonga, José Maria Balibrea, Anna Curell, Oscar Gonzalez, Enric Caubet, Andrea Ciudin, Angel Michael Ortiz-Zúñiga, José Manuel Fort
BACKGROUND: Laparoscopic single anastomosis duodenoileal bypass with sleeve gastrectomy (SADI-S) is a recently developed one- or two-stage operation based on biliopancreatic diversion that is used to treat morbid obesity. Some midterm outcomes suggest that malabsorption is a possible complication following the procedure. Therefore, conversion to a less malabsorptive procedure may be required. We aim to describe and analyze the outcomes after laparoscopic conversion of SADI-S to non-malabsorptive or less malabsorptive procedures...
December 2017: Obesity Surgery
Hideo Takahashi, Andrew T Strong, Alfredo D Guerron, John H Rodriguez, Matthew Kroh
INTRODUCTION: Anastomotic leaks are uncommon yet potentially devastating complications after bariatric surgery. While the initial management includes resuscitation and sepsis control, the definitive management often requires endoscopic or surgical interventions. Surgical revision of the initial surgery may be necessary for chronic non-healing fistula. PATIENTS AND METHODS: The patient is a 45-year-old female with history of laparoscopic adjustable gastric banding who underwent band removal and conversion to a sleeve gastrectomy (SG) due to her failed weight loss, which resulted in a leak at gastroesophageal junction...
January 2018: Surgical Endoscopy
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