History of the Development of Metabolic/Bariatric Surgery

Abstract Background Abdominal body contouring procedures are associated with the highest rates of complications among all aesthetic procedures. Patient selection and optimization of surgical variables are crucial in reducing morbidity and complications. Objectives The purpose of this single-institution study was to assess complication rates, and to evaluate BMI, operative time, and history of bariatric surgery as individual risk factors in abdominal body contouring surgery. Methods A retrospective chart review was performed of all patients who underwent abdominoplasty, circumferential lower body lift, fleur-de-lis panniculectomy (FDL), and circumferential FDL between August 2014 and February 2020. Endpoints were the incidence of venous thromboembolism, bleeding events, seroma, infection, wound complications, and reoperations. Univariate statistical analysis and multivariate logistic regressions were performed. Covariates in the multivariate logistic regression were BMI, procedure time, and history of bariatric surgery. Results A total of 632 patients were included in the study. Univariate analysis revealed that longer procedure time was associated with infection (P = 0.0008), seroma (P = 0.002), necrosis/dehiscence (P = 0.01), and reoperation (P = 0.002). These associations persisted following multivariate analyses. There was a trend toward history of bariatric surgery being associated with minor reoperation (P = 0.054). No significant increase in the incidence of major reoperation was found in association with overweight or obese patient habitus, history of bariatric surgery, or prolonged procedure time. BMI was not found to be an individual risk factor for morbidity in this patient population. Conclusions In abdominal body contouring surgery, surgery lasting longer than 6 hours is associated with higher incidence of seroma and infectious complications, as well as higher rates of minor reoperation. Level of Evidence: 4

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Hypocalcemia after thyroidectomy in patients with a history of bariatric surgery

Surgery for Obesity and Related Diseases ◽

10.1016/j.soard.2016.09.026 ◽

2017 ◽

Vol 13 (3) ◽

pp. 484-490 ◽

Cited By ~ 8

Author(s):

Nathalie Chereau ◽

Cindy Vuillermet ◽

Camille Tilly ◽

Camille Buffet ◽

Christophe Trésallet ◽

...

Keyword(s):

Bariatric Surgery ◽

History Of

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Perinatal outcomes in women with a history of bariatric surgery

American Journal of Obstetrics and Gynecology ◽

10.1016/j.ajog.2006.10.749 ◽

2006 ◽

Vol 195 (6) ◽

pp. S208 ◽

Cited By ~ 1

Author(s):

Molly Heinzen ◽

Mahmoud Ismail ◽

Jennifer Ahn

Keyword(s):

Bariatric Surgery ◽

Perinatal Outcomes ◽

History Of

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Contemporary Nationwide Heart Transplantation and Left Ventricular Assist Device Outcomes in Patients with a History of Bariatric Surgery.

Journal of Cardiac Failure ◽

10.1016/j.cardfail.2021.08.017 ◽

2021 ◽

Author(s):

Sameer A. Hirji ◽

Marlena E. Sabatino ◽

Abdul Mannan Khan Minhas ◽

Alexis K. Okoh ◽

Marat Fudim ◽

...

Keyword(s):

Bariatric Surgery ◽

Heart Transplantation ◽

Left Ventricular Assist Device ◽

Ventricular Assist Device ◽

Left Ventricular ◽

Assist Device ◽

Ventricular Assist ◽

Left Ventricular Assist ◽

History Of

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Efficacy of local treatments in Prurigo Pigmentosa after Bariatric surgery

Journal of Clinical Research and Reports ◽

10.31579/2690-1919/141 ◽

2021 ◽

Vol 07 (02) ◽

pp. 01-03

Author(s):

Mezoun Almuhaimeed

Keyword(s):

Bariatric Surgery ◽

Clinical Presentation ◽

Response To Treatment ◽

Single Female ◽

Provisional Diagnosis ◽

Patient Response ◽

Medical City ◽

History Of ◽

Multivitamin Supplements

A 22-year-old single female presented to primary care Wazarat Health Center at Prince Sultan Military Medical City in Riyadh, with a 3 weeks history of itchy erythematous papules and vesicles and papulo-vesicles over the neck, chest, and upper back and face, which started 4 to 5 days after bariatric surgery. The patient on daily multivitamin supplements, vitamin D (50,000 IU, weekly / 2 months). The patient has lost 4kg since the operation, family history of atopy was positive regarding the mother physical examination shows erythematous papules and vesicles and papulo-vesicles over the neck with crust, chest, and upper back, Based on medical history and clinical presentation a provisional diagnosis was Prurigo Pigmentosa. The patient was prescribed topical mometasone furoate cream (BID for one week). Two -week follow-up showed improvement of the eruption. The course of the disease was shorter than usual in such cases the patient response to treatment was reactive to the topical mometasone without taking the oral minocyline, which major of such cases need in the late course of the disease The patient starts to improve within 2 weeks compared to others who need an average of 6 weeks to improve in such cases

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INTESTINAL MALROTATION IN PATIENTS UNDERGOING BARIATRIC SURGERY

ABCD Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) ◽

10.1590/0102-6720201600s10007 ◽

2016 ◽

Vol 29 (suppl 1) ◽

pp. 24-26 ◽

Cited By ~ 2

Author(s):

Eduardo Arevalo VIDAL ◽

Francisco Abarca RENDON ◽

Trino Andrade ZAMBRANO ◽

Yudoco Andrade GARCÍA ◽

Mario Ferrin VITERI ◽

...

Keyword(s):

Bariatric Surgery ◽

Perioperative Complications ◽

Laparoscopic Approach ◽

Intestinal Malrotation ◽

Laparoscopic Bariatric Surgery ◽

Single Anastomosis Gastric Bypass ◽

Single Anastomosis ◽

History Of ◽

Upper Abdomen

ABSTRACT Background: Intestinal malrotation is a rare congenital anomaly. In adults is very difficult to recognize due to the lack of symptoms. Diagnosis is usually incidental during surgical procedures or at autopsy. Aim: To review the occurrence and recognition of uneventful intestinal malrotation discovered during regular cases of bariatric surgeries. Methods: Were retrospectively reviewed the medical registry of 20,000 cases undergoing bariatric surgery, from January 2002 to January 2016, looking for the occurrence of intestinal malrotation and consequences in the intraoperative technique and immediate evolution of the patients. Results: Five cases (0,025%) of intestinal malrotation were found. All of them were males, aging 45, 49, 37,52 and 39 years; BMI 35, 42, 49, 47 and 52 kg/m2, all of them with a past medical history of morbid obesity. The patient with BMI 35 kg/m2 suffered from type 2 diabetes also. All procedures were completed by laparoscopic approach, with no conversions. In one patient was not possible to move the jejunum to the upper abdomen in order to establish the gastrojejunostomy and a sleeve gastrectomy was performed. In another patient was not possible to fully recognize the anatomy due to bowel adhesions and a single anastomosis gastric bypass was preferred. No leaks or bleeding were identified. There were no perioperative complications. All patients were discharged 72 h after the procedure and no immediate 30-day complications were reported. Conclusion: Patients with malrotation can successfully undergo laparoscopic bariatric surgery. May be necessary changes in the surgical original strategy regarding the malrotation. Surgeons must check full abdominal anatomical condition prior to start the division of the stomach.

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History of Bariatric Surgery

Bariatric Surgery ◽

10.1007/978-3-642-16245-9_1 ◽

2011 ◽

pp. 1-9

Author(s):

Mervyn Deitel

Keyword(s):

Bariatric Surgery ◽

History Of

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Obstrucción intestinal, complicación inusual por banda gástrica ajustable laparoscópica: reporte de caso

Studies in the Economic History of Southern Africa ◽

10.22201/fm.24484865e.2021.64.3.05 ◽

2021 ◽

Vol 64 (3) ◽

pp. 43-47

Author(s):

María Fernanda Chimal Juáreza ◽

Enrique Fernández Rivera ◽

Fabián Gaona Reyes ◽

María del Pilar Rodríguez Reséndiz ◽

Víctor Samuel Mora Muñoz

Keyword(s):

Bariatric Surgery ◽

Clinical Case ◽

Gastric Band ◽

Laparoscopic Adjustable Gastric Band ◽

Adjustable Gastric Band ◽

Surgery Complications ◽

Bariatric Surgery Complications ◽

History Of ◽

Bariatric Patients ◽

Uncommon Complication

Background: The main goal of bariatric surgery is the reduction of Body mass index (BMI). Laparoscopic adjustable gastric band (LAGB) was the most popular method due to its relative advantages over others. Clinical case: A 44-year-old woman with abdominal pain and distension, with a history of LAGB placement had a diagnosis of intestinal occlusion secondary to a twist in the device tube, surgical management was given, the patient presented adequate evolution. Conclusion: The occlusion of the small intestine by the tube of the device is a serious and uncommon complication to be considered as a differential diagnosis in bariatric patients. Keywords: Bariatric surgery; complications; gastric band; bowel obstruction; obesity.

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