Body distortions after massive weight loss: lack of updating of the body schema hypothesis

2013 ◽  
Vol 18 (3) ◽  
pp. 333-336 ◽  
Author(s):  
D. Guardia ◽  
M. Metral ◽  
M. Pigeyre ◽  
I. Bauwens ◽  
O. Cottencin ◽  
...  
Keyword(s):  
Weight Loss ◽  
Body Schema ◽  
Massive Weight Loss ◽  
The Body

scholarly journals Body contouring surgery in a massive weight loss patient: An overview

2008 ◽  
Vol 41 (S 01) ◽  
pp. 114-129 ◽  
Author(s):  
Prabhat Shrivastava ◽  
Aggarwal Aditya ◽  
Khazanchi Rakesh Kumar
Keyword(s):  
Weight Loss ◽  
Positive Impact ◽  
Body Contouring ◽  
Massive Weight Loss ◽  
The Body ◽  
Successful Outcome ◽  
Exciting Field ◽  
Body Contouring Surgery ◽  
Number Of Patients ◽  
The Individual

ABSTRACTThe number of patients with history of extreme overweight and massive weight loss (MWL) has risen significantly. Majority of patients are left with loose, ptotic skin envelopes, and oddly shaped protuberances, subsequent to weight loss. Redundant skin and fat can be seen anywhere on the body following MWL. This group of population presents many unique problems and challenges. Body contouring surgery after MWL is a new and exciting field in plastic surgery that is still evolving. Conventional approaches do not adequately cater to the needs of these patients. Complete history, detailed physical examination, clinical photographs and lab investigations help to plan the most appropriate procedure for the individual patient. Proper counseling and comprehensive informed consent for each procedure are mandatory. The meticulous and precise markings based on the procedure selected are the cornerstones to achieve the successful outcome. Lower body contouring should be performed first followed six months later by breast, lateral chest and arm procedures. Thighplasty is usually undertaken at the end. Body contouring operations are staged at few months′ intervals and often result in long scars. Staging is important as each procedure can have positive impact on adjacent areas of the body. Secondary procedures are often required. However, proper planning should lead to fewer complications and improved aesthetic outcome and patient satisfaction.

Treatment of Severe Gynecomastia After Massive Weight Loss: Analysis of Long-Term Outcomes Measured with the Italian Version of the BODY-Q

2018 ◽  
Vol 42 (6) ◽  
pp. 1506-1518 ◽  
Author(s):  
M. Barone ◽  
A. Cogliandro ◽  
E. Tsangaris ◽  
R. Salzillo ◽  
M. Morelli Coppola ◽  
...  
Keyword(s):  
Weight Loss ◽  
Massive Weight Loss ◽  
The Body ◽  
Long Term Outcomes ◽  
Italian Version ◽  
Loss Analysis

scholarly journals Body contouring following massive weight loss

2011 ◽  
Vol 44 (01) ◽  
pp. 014-020
Author(s):  
Vijay Langer ◽  
Amitabh Singh ◽  
Al S. Aly ◽  
Albert E. Cram
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Weight Gain ◽  
Body Contouring ◽  
Psychological Trauma ◽  
Massive Weight Loss ◽  
The Body ◽  
Plastic Surgeon

ABSTRACTObesity is a global disease with epidemic proportions. Bariatric surgery or modified lifestyles go a long way in mitigating the vast weight gain. Patients following these interventions usually undergo massive weight loss. This results in redundant tissues in various parts of the body. Loose skin causes increased morbidity and psychological trauma. This demands various body contouring procedures that are usually excisional. These procedures are complex and part of a painstaking process that needs a committed patient and an industrious plastic surgeon. As complications in these patients can be quite frequent, both the patient and the surgeon need to be aware and willing to deal with them.

scholarly journals Post Bariatric Buttock Contouring: تجميل الأرداف ما بعد جراحات فقدان الوزن

2019 ◽  
Vol 3 (4) ◽  
Author(s):  
Mohamed Tarik Mohamed, Ramy Samy Aly
Keyword(s):  
Weight Loss ◽  
Literature Review ◽  
Literature Search ◽  
Relevant Literature ◽  
Massive Weight Loss ◽  
The Body ◽  
Exclusion Criteria ◽  
Search String ◽  
Need For Treatment ◽  
Prevalence Of Obesity

    The aim of this work is to review the literature aiming at highlighting the thoughtful drawbacks of bariatric surgeries on the buttock region. Together with understanding the best method of contouring this region back to its youthful shape as stated in previous literature. Criteria of searching used a search string to literature dating 1968 till present. Search string used on PubMed to find relevant literature. Search string involved searching for keywords; buttock contouring, post bariatric contouring, buttock lift, post massive weight loss. The repeated literature had been omitted. Exclusion criteria was any literature before 1968; as a mere factor of abundance of literature after then. Literature included was dedicated for post bariatric ptosis correction. After removal of duplicates 74 papers were included in the literature review for 6 months. literature was reviewed in pursuit of the most appropriate technique for post massive weight loss buttock contouring. The prevalence of weight loss surgeries, which has recently occurred as a treatment for the prevalence of obesity, behind the need for treatment of sagging skin around the body, including the buttocks, has been clarified many ways to resolve, including surgical and non-surgical, there is no way like me to treat that problem, but it differs from Individual to another, heavily dependent on the surgeon.    

Decreased self-face recognition: A new evidence of body image disturbances in anorexia nervosa

2013 ◽  
Vol 28 (S2) ◽  
pp. 24-24 ◽  
Author(s):  
F. Hirot ◽  
D. Guardia ◽  
M. Lesage ◽  
P. Thomas ◽  
O. Cottencin
Keyword(s):  
Weight Loss ◽  
Body Image ◽  
Anorexia Nervosa ◽  
Face Recognition ◽  
Massive Weight Loss ◽  
The Body ◽  
Significant Difference ◽  
Body Image Disturbances ◽  
Image Position ◽  
Body Concerns

ObjectiveBody image disturbances are core symptoms of Anorexia Nervosa (AN). This study investigated self-face recognition in cases of AN, and the influence of others factors associated with AN, such as massive weight loss.MethodFifteen anorexic female patients and 15 matched Healthy Controls (HC) performed a self-face recognition task. Participants viewed digital morphs between their own face and a gender-matched, unfamiliar other face presented in a random sequence (Fig. 1). For each stimulus, subjects were asked if they recognized their own face, and respond by selectively pressing a button on a computer. Participants’ self-face recognition failures, cognitive flexibility, body concerns and eating habits were assessed, respectively, with the Self-Face Recognition Questionnaire (SFRQ), the Trail Marking Task (TMT), the Body Shape Questionnaire (BSQ) and the Eating Disorder Inventory-2 (EDI-2).Fig. 1Examples of stimulus. For each subject, a photograph of an unfamiliar face was digitally morphed into a photograph of the subject's face in 10% increments.resultsAnorexic patients showed a significantly greater difficulty than healthy control in identifying their own face (P = 0.028, Fig. 2). No significant difference was observed between the two groups for TMT (all P > 0.1). However, analysis did not reveal significant correlations between behavioral data and the EDI-2 or BSQ (all P > 0.1). A correlation analysis revealed a significant, negative correlation with BMI (P < 0.001) and the SFRQ “self-face recognition” subscale (P = 0.015). Fig. 2Self response rates per stimulus ranked in increasing order of familiarity (other to self) in both groups.DiscussionWe observed a decrease in self-face recognition, correlated with BMI, suggesting this disturbance could be linked to massive weight loss. It thus supports the theory of a lack of ability to update body image by the central nervous system, underlying self-images distortion in AN patients.

scholarly journals SAT-474 Amiodarone-Induced Thyrotoxicosis After Weight Loss Following Sleeve Gastrectomy

2020 ◽  
Vol 4 (Supplement_1) ◽  
Author(s):  
Deborah Osafehinti ◽  
Luba Rakhlin ◽  
Patricia Park ◽  
Christine A Resta
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Sleeve Gastrectomy ◽  
Perianal Abscess ◽  
Massive Weight Loss ◽  
The Body ◽  
Rapid Weight Loss ◽  
Rapid Improvement ◽  
40Mg Daily ◽  
30Mg Daily

Abstract AMIODARONE-INDUCED THYROTOXICOSIS AFTER WEIGHT LOSS FOLLOWING SLEEVE GASTRECTOMY INTRODUCTION: Bariatric surgeries have shown major health benefits improvement in co-morbidities such as HTN and DM. We are less familiar with how these surgeries affect the pharmacokinetics of drugs.1,2 CLINICAL CASE: Our patient is a 65-year-old man with a fib/v tach and no prior thyroid history. He was on amiodarone 200 mg daily since September 2016. He had sleeve gastrectomy in March 2019 at weight 380 lbs. By June 2019, weight was 278 lbs. In June 2019, he had palpitations, diarrhea, and heat intolerance for one month. Labs showed: TSH &lt;0.01 (0.4 – 4.5 MCIU/L), FT4 6.5 (0.8 – 1.8 NG/DL), and TT3 309 (76 – 181 NG/DL). Other labs: TPO antibodies &lt;1 IU/mL (&lt;9 IU/mL) TSI &lt;89 (&lt;140% baseline). Thyroid sonogram was heterogeneous without nodule He started Methimazole (MMI) 20mg BID and Prednisone 40mg daily. In the next seven weeks, symptoms and TFTs improved. FT4 was 3.1 NG/DL, TT3 was 85 NG/DL, but TSH remained &lt;0.01 MCIU/L. Because of the rapid improvement, he was felt to have type 2 AIT (destructive thyroiditis). MMI was quickly tapered. Prednisone was tapered to 30mg daily. At week 8, he was hospitalized for septic shock from diverticulitis and perianal abscess. He also had leukopenia attributed to MMI and sepsis. MMI was stopped. Amiodarone was stopped by cardiology. TFTs during hospitalization improved on only steroids: TSH was 0.01 MCIU/ML, FT4 was 2.34 NG/DL, and TT3 was 0.56 NG/ML. He was discharged on Prednisone 30mg daily with plans to taper off steroids. CONCLUSION: Our patient is the second reported case of AIT after bariatric surgery-induced weight loss. Amiodarone is a highly lipophilic drug that accumulates in adipose tissue. Rapid weight loss may result in the release of large amounts of amiodarone into the circulation with resultant thyrotoxicosis. As clinicians, we should be aware that patients who undergo bariatric surgery are at risk for complications that are not only directly related to the operation but also related to rapid weight loss that affects how the body handles drugs. REFERENCES 1. Bourron O, Ciangura C, Bouillot J-L, Massias L, Poitou C, Oppert J-M. Amiodarone-induced hyperthyroidism during massive weight loss following gastric bypass. Obes Surg. 2007;17(11):1525–1528. http://www.ncbi.nlm.nih.gov/pubmed/18219784. Accessed September 21, 2019. 2. Geraldo M de SP, Fonseca FLA, Gouveia MR de FV, Feder D. The use of drugs in patients who have undergone bariatric surgery. Int J Gen Med. 2014;7:219–224. doi:10.2147/IJGM.S55332

Studies of Superobesity III: Body Image Changes after Jejuno-Ileal Bypass Surgery

1978 ◽  
Vol 8 (2) ◽  
pp. 117-123 ◽  
Author(s):  
Douglas Schiebel ◽  
Pietro Castelnuovo-Tedesco
Keyword(s):  
Weight Loss ◽  
Body Image ◽  
Bypass Surgery ◽  
Body Schema ◽  
The Body ◽  
First Year ◽  
Affective Component ◽  
Affective Components ◽  
Ileal Bypass

Changes in the perceptual-cognitive and affective components of the body image were studied in ten women who had undergone jejuno-ileal bypass surgery. As weight loss occurs, the cognitive body schema adjusts readily to the patients' new reality, whereas the affective component remains essentially unchanged during the first year after surgery. Implications of findings are discussed.

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