The Effect of Gastric Sleeve Resection on Menstrual Pattern and Ovulation in Premenopausal Women with Classes III–IV Obesity

2021 ◽  
Author(s):  
Tetiana Tatarchuk ◽  
Ivan Todurov ◽  
Panagiotis Anagnostis ◽  
Tetiana Tutchenko ◽  
Natalia Pedachenko ◽  
...  
2012 ◽  
Vol 13 (2) ◽  
pp. 363-368 ◽  
Author(s):  
J. K. Heimbach ◽  
K. D. S. Watt ◽  
J. J. Poterucha ◽  
N. Francisco Ziller ◽  
S. D. Cecco ◽  
...  

2019 ◽  
Vol 15 (12) ◽  
pp. 2018-2024
Author(s):  
Hira Aftab ◽  
Morten Wang Fagerland ◽  
Ghous Gondal ◽  
Waleed Ghanima ◽  
Magnus Kringstad Olsen ◽  
...  

2018 ◽  
Vol 146 (3-4) ◽  
pp. 211-214
Author(s):  
Miroslav Ilic ◽  
Srdjan Putnik ◽  
Katarina Raspopovic

Introduction. The aim of this paper was to presents long-term results of a laparoscopic gastric sleeve resection in a ?super super? obese patient and a follow-up period of eight years. Case Outline. A patient with Body Mass Index (BMI) of 70 kg/m2 and Stage 3 obesity according to ?King?s Obesity Staging Criteria? (KOSC), with metabolic syndrome and cardiovascular risk of over 20%, and a pronounced severe obstructive sleep apnea, underwent a laparoscopic gastric sleeve resection (LGS). After two years, the patient reached BMI of 28.4 kg/m2 and eight years after the surgery has BMI of 34.3 kg/m2, and %EBMIL (% Excess BMI Loss) of 79.3%. According to the KOCS, he falls under Stage 0. Conclusion. LGS resection may be performed as a stand-alone procedure in ?super super? obese patients, with excellent long-term results.


CHEST Journal ◽  
2020 ◽  
Vol 158 (4) ◽  
pp. A1277
Author(s):  
Ankur Aneja ◽  
Matt Schimmel ◽  
Keriann Van Nostrand

2021 ◽  
pp. 1-7
Author(s):  
Maciej Patrzyk ◽  
Jenny Sonke ◽  
Anne Glitsch ◽  
Rebecca Kessler ◽  
Antje Steveling ◽  
...  

Purpose: The implantation of a gastric balloon (also known as intragastric balloon) is an established and reversible endoscopic procedure for adiposity therapy. Structural changes of the stomach wall are expected to occur with gastric balloon implantation; however, until now these changes have rarely been investigated. Methods: We compared the histological structure of the stomach wall after gastric-sleeve resection in a group of patients following gastric balloon implantation and a group without previous gastric balloon implantation. Results: Following gastric balloon implantation, the tunica muscularis was found to be significantly thicker than without gastric balloon implantation. The enlarging of the tunica muscularis is not caused by hyperplasia of the leiomyocytes, but by hypertrophy of the leiomyocytes and an increase in collagen fibers (fibrosis). Conclusion: A longer-lasting hypertrophy of the tunica muscularis, particularly in the corpus, should be taken into account when surgical treatment follows gastric balloon implantation. The staple suture height should be adjusted to the altered tissue composition since reduced tissue elasticity must be expected due to fibrosis.


2019 ◽  
Vol 86 (5) ◽  
pp. 72-74
Author(s):  
О. V. Vynnychenko

Objective. To compare theoretically obtained and real indices of the occurrence rate for postoperative complications and lethality with further determination of acceptability of the indices used in practical work. Маterials and methods. The investigation was conducted in 90 patients, suffering morbid obesity, to whom the gastric sleeve resection was done in the Institute (Group А) and biliopancreatic shunting (Group B) in 2014 - 2018 yrs. For every group of patients the P-POSSUM indices were calculated. The calculation and real indices of morbidity and lethality were compared. Results. There was no lethality in both groups. The calculated rate for the complications and lethality occurrence in patients of Group B have constituted (94.7 ± 15.5) and (2.6 ± 4.4)%, accordingly, and in patients of the Group А - (18.6 ± 6.2) and (0.7 ± 0.3)% accordingly. Levine’s test was applied for estimation of the indices used acceptability in practical work. Conclusion. P-POSSUM scale has high specificity for determination of the operation risk in patients, suffering morbid obesity.


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