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9 papers 25 to 100 followers Bariatric surgery
LéShon Hendricks, Emanuela Alvarenga, Nisha Dhanabalsamy, Emanuele Lo Menzo, Samuel Szomstein, Raul Rosenthal
BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) has established popularity as a weight loss procedure based on its success. However, LSG's effect on gastroesophageal reflux disease (GERD) is unknown. OBJECTIVES: To analyze the incidence of GERD after LSG and to compare the results in patients with preexisting and de novo GERD. SETTING: Tertiary Medical center. METHODS: The authors performed a retrospective review of primary LSG from 2005 to 2013 and compared patients with pre-existing and de novo GERD who underwent LSG...
March 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
J Thereaux, C Barsamian, M Bretault, H Dusaussoy, D Lamarque, J-L Bouillot, S Czernichow, C Carette
BACKGROUND: Gastro-oesophageal reflux disease (GORD) is a common obesity-related co-morbidity that is assessed objectively by 24-h pH monitoring. Some concerns have been raised regarding the risk of de novo GORD or exacerbation of pre-existing GORD after laparoscopic sleeve gastrectomy. Here, 24-h pH monitoring was used to assess the influence of laparoscopic sleeve gastrectomy on postoperative GORD in obese patients with or without preoperative GORD. METHODS: From July 2012 to September 2014, all patients scheduled for laparoscopic sleeve gastrectomy were invited to participate in a prospective follow-up...
March 2016: British Journal of Surgery
Jennifer A Kaplan, Samuel C Schecter, Stanley J Rogers, Matthew Y C Lin, Andrew M Posselt, Jonathan T Carter
BACKGROUND: Patients who take chronic corticosteroids are increasingly referred for bariatric surgery. Little is known about their clinical outcomes. OBJECTIVE: Determine whether chronic steroid use is associated with increased morbidity and mortality after stapled bariatric procedures. SETTING: American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database. METHODS: All patients who underwent laparoscopic sleeve gastrectomy or laparoscopic Roux-en-Y gastric bypass and were reported to the ACS-NSQIP from 2011 to 2013 were reviewed...
January 2017: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Eun Young Kim, Yong Jin Kim
BACKGROUND: Obesity is related to impaired renal function; bariatric surgery is associated with an improvement in renal function. OBJECTIVES: We investigated obesity-related changes in renal function after bariatric surgery and identified related clinical factors. SETTING: Soonchunhyang University Seoul Hospital, Korea. METHODS: From December 2011 to February 2014, 493 consecutive patients who met the criteria underwent bariatric surgery...
May 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Jaime Ruiz-Tovar, Carolina Llavero, Lorea Zubiaga, Evangelina Boix
INTRODUCTION: After all bariatric procedures, multivitamin supplements are uniformly prescribed to minimize eventual deficiencies. These supplements are usually maintained long time, even during the whole life after malabsorptive techniques, while these are maintained at least during 1 year after restrictive procedures. Given that sleeve gastrectomy does not alter intestinal absorption, the supplements are possibly unnecessary, once the patient can take an adequate diet. PATIENTS AND METHODS: A prospective randomized study of patients undergoing a laparoscopic sleeve gastrectomy was performed...
October 2016: Obesity Surgery
Raul J Rosenthal, Alberto Aceves Diaz, Dag Arvidsson, Randal S Baker, Nicola Basso, Drake Bellanger, Camilo Boza, Haicam El Mourad, Michael France, Michel Gagner, Manoel Galvao-Neto, Kelvin D Higa, Jacques Himpens, Colleen M Hutchinson, Moises Jacobs, John O Jorgensen, Gregg Jossart, Muffazal Lakdawala, Ninh T Nguyen, David Nocca, Gerhard Prager, Alfons Pomp, Almino Cardoso Ramos, Raul J Rosenthal, Shashank Shah, Michel Vix, Alan Wittgrove, Natan Zundel
BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) is an emerging surgical approach, but 1 that has seen a surge in popularity because of its perceived technical simplicity, feasibility, and good outcomes. An international expert panel was convened in Coral Gables, Florida on March 25 and 26, 2011, with the purpose of providing best practice guidelines through consensus regarding the performance of LSG. The panel comprised 24 centers and represented 11 countries, spanning all major regions of the world and all 6 populated continents, with a collective experience of >12,000 cases...
January 2012: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Jose Luis Leyba, Salvador Navarrete Llopis, Salvador Navarrete Aulestia
BACKGROUND: Laparoscopic Roux-en-Y gastric bypass (LRYGB) is one of the most widely used bariatric procedures today, and laparoscopic sleeve gastrectomy (LSG) is becoming increasingly popular. The aim of this study was to compare mid-term results of both procedures. METHODS: From January 2008 to December 2008, 117 obese patients were assigned by patient choice after informed consent to either a LRYGB procedure (n=75) or a LSG procedure (n=42). We determined operative time, length of stay, morbidity, comorbidity outcomes, failures, and excess weight loss at 5 years...
December 2014: Obesity Surgery
Juan P Toro, Edward Lin, Ankit D Patel, S Scott Davis, Aliu Sanni, Hernan D Urrego, John F Sweeney, Jahnavi K Srinivasan, William Small, Pardeep Mittal, Aarti Sekhar, Courtney C Moreno
BACKGROUND: Variable gastric morphology has been identified on routine upper gastrointestinal series after laparoscopic sleeve gastrectomy. This test might give us useful information beyond the presence of leak and obstruction. The aim of this study is to standardize a morphologic classification of gastric sleeve based on water-soluble contrast upper gastrointestinal series, and to determine possible clinical implications. STUDY DESIGN: One hundred morbidly obese patients underwent laparoscopic sleeve gastrectomy and had routine upper gastrointestinal on postoperative day 1 or 2...
September 2014: Journal of the American College of Surgeons
April Miller Quidley, Christopher M Bland, P Brandon Bookstaver, Kristi Kuper
PURPOSE: The perioperative management of bariatric surgery patients is described. SUMMARY: Obesity and anatomical changes create unique challenges for clinicians when caring for bariatric surgery patients. Common bariatric surgery procedures performed include Roux-en-Y gastric bypass, sleeve gastrectomy, and adjustable gastric banding. Pain management in the acute postoperative period depends on careful dosing of opioid agents and the use of adjunctive agents. Prevention and management of infectious complications include appropriate surgical prophylaxis, monitoring and rapid treatment of suspected intra-abdominal infections, and detection and treatment of Helicobacter pylori infection...
August 1, 2014: American Journal of Health-system Pharmacy: AJHP
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