Metabolic syndrome after Roux-en-Y gastric bypass in patients with morbid obesity: Five years of follow-up, a before and after study

BACKGROUND: Esophagogastric abnormalities are recognized prior and after bariatric procedures, but frequency and severity are debated. Liver and biliary tract findings are also of clinical importance, especially gallstones and liver steatosis. AIM: To compare pre-operative findings of hepatobiliary ultrasound and upper digestive endoscopy with post-operative results in patients submitted to open Roux-en-Y gastric bypass for morbid obesity. METHODS: A total of 80 patients were enrolled 16.8 ± 12.1 months after operation, all of them on routine follow-up program, and 8 were excluded. Retrospective analysis aimed at pre-operative clinical, endoscopic and ultrasonographic examinations and were prospectively repeated. RESULTS: Pre-operative endoscopical report was available in 42 cases, and 52 examinations were performed post-operatively. Frequency of esophagitis changed from 16.7% (7/42) to 15.4% (8/52), and of gastritis from 45.2% (19/42) to 21.2% (11/52). Gastric or gastrojejunal ulcers were initially present in 4.8% (2/42) and increased to 9.6% (5/52). Post-operatively, an unusual abnormality was silastic band erosion: 7.7% (4/52). Helicobacter pylori was present in 50.0% (21/42) before and 3.5% (2/52) after operation. Ultrasonographic study had been done before intervention in 63 subjects, and 57 were executed on follow-up. Liver steatosis occurred previously in 58.7% (37/63) and in 43.9% (25/57) later on. Only 12.7% (8/63) of the patients had undergone cholecystectomy before bariatric operation, 29.1%(16/55) suffered simultaneous resection of gallbladder because of stones during Roux-en-Y gastric bypass, and an additional 26.8% (10/36) developed gallstones post-operatively. CONCLUSIONS: Liver steatosis did not statistically improve, nor did inflammatory conditions of the upper digestive tube, despite reduction of H. pylori infections; gallbladder stones requiring intervention were common.

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Conversion of standard Roux-en-Y gastric bypass to distal bypass for weight loss failure and metabolic syndrome: 3-year follow-up and evolution of technique to reduce nutritional complications

Surgery for Obesity and Related Diseases ◽

10.1016/j.soard.2018.01.004 ◽

2018 ◽

Vol 14 (5) ◽

pp. 554-561 ◽

Cited By ~ 35

Author(s):

Saber Ghiassi ◽

Kelvin Higa ◽

Steven Chang ◽

Pearl Ma ◽

Aaron Lloyd ◽

...

Keyword(s):

Metabolic Syndrome ◽

Weight Loss ◽

Gastric Bypass ◽

Weight Loss Failure ◽

Nutritional Complications

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INTERVENSI KOGNITIF PERILAKU DALAM KELOMPOK UNTUK MENINGKATKAN SELF-ESTEEM PADA MAHASISWI YANG TINGGAL DI ASRAMA UNIVERISTAS

SEURUNE: Jurnal Psikologi UNSYIAH ◽

10.24815/s-jpu.v1i2.11569 ◽

2018 ◽

Vol 1 (2) ◽

pp. 1-19

Author(s):

Gilberta Permata Mahanani ◽

Fivi Nurwianti

Keyword(s):

Self Esteem ◽

Before And After ◽

Before And After Study

Self-esteem merupakan sebuah proses kognitif akan evaluasi seseorang akan seberapa berharga atau bernilai dirinya sebagai individu. Pendekatan kognitif perilaku merupakan pendekatan yang paling sering digunakan dalam berbagai intervensi terkait permasalahan self-esteem. Fokus dalam intervensi kognitif perilaku adalah mengubah persepsi individu, sehingga diasumsikan dapat sesuai untuk menangani permasalahan self-esteem. Pelaksanaan intervensi dalam kelompok dipilih karena memungkinkan partisipan untuk mengatasi masalah secara bersama-sama sehingga setiap partisipan akan memperoleh dampak positif dari interaksi yang muncul dalam kelompok.Tujuan dari penelitian ini adalah untuk melihat efektivitas pelaksanaan intervensi kognitif-perilaku yang diterapkan dalam kelompok untuk meningkatkan self esteem. Peneliti menggunakan desain penelitian one group before-and-after study dalam tiga sesi intervensi kognitif-perilaku. Partisipan adalah 4 orang mahasiswi yang tinggal di Asrama Universitas X (M= 18.5 tahun) dengan tingkat self-esteem rendah. Pengukuran self-esteem dilakukan pada proses pre, post dan follow-up menggunakan Rosenberg Self-Esteem Scale. Hasil dari penelitian ini adalah 3 dari 4 partisipan mengalami peningkatan self-esteem. Peneliti mengasumsikan bahwa peningkatan self-esteem juga didukung oleh manajemen tugas yang baik dan kemampuan keterampilan sosial.

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Increased cancer awareness among British adolescents after a school-based educational intervention: a controlled before-and-after study with 6-month follow-up

BMC Public Health ◽

10.1186/1471-2458-13-190 ◽

2013 ◽

Vol 13 (1) ◽

Cited By ~ 16

Author(s):

Richard G Kyle ◽

Liz Forbat ◽

Petra Rauchhaus ◽

Gill Hubbard

Keyword(s):

Educational Intervention ◽

Cancer Awareness ◽

School Based ◽

Before And After ◽

Before And After Study

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Anemia following Roux-en-Y gastric bypass for morbid obesity; a 5-year follow-up study

Scandinavian Journal of Gastroenterology ◽

10.1080/00365521.2018.1489892 ◽

2018 ◽

Vol 53 (8) ◽

pp. 917-922 ◽

Cited By ~ 7

Author(s):

K. V. Engebretsen ◽

I. K. Blom-Høgestøl ◽

S. Hewitt ◽

H. Risstad ◽

B. Moum ◽

...

Keyword(s):

Morbid Obesity ◽

Gastric Bypass ◽

Follow Up Study

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Anemia Before and After Roux-en-Y Gastric Bypass: Prevalence and Evolution on Long-Term Follow-up

Obesity Surgery ◽

10.1007/s11695-019-03920-6 ◽

2019 ◽

Vol 29 (9) ◽

pp. 2790-2794 ◽

Cited By ~ 4

Author(s):

Roberto de Cleva ◽

Lilian Cardia ◽

Daniel Riccioppo ◽

Miwa Kawamoto ◽

Newton Kanashiro ◽

...

Keyword(s):

Gastric Bypass ◽

Before And After ◽

Long Term Follow Up

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PO234 EQUIVALENT WEIGHT LOSS BUT DIFFERENT DIABETES BENEFITS IN A MATCHED COHORT WITH AND WITHOUT METABOLIC SYNDROME IN TYPE 2 DIABETES PATIENTS WITH NON-MORBID OBESITY AFTER LAPAROSCOPIC GASTRIC BYPASS

Diabetes Research and Clinical Practice ◽

10.1016/s0168-8227(14)70528-5 ◽

2014 ◽

Vol 106 ◽

pp. S169

Author(s):

H.K. Gao ◽

J. Speckman

Keyword(s):

Type 2 Diabetes ◽

Metabolic Syndrome ◽

Morbid Obesity ◽

Weight Loss ◽

Gastric Bypass ◽

Laparoscopic Gastric Bypass ◽

Matched Cohort ◽

Equivalent Weight ◽

Diabetes Patients

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Endoscopic Management of Drain Inclusion in the Gastric Pouch after Gastrojejunal Leakage after Laparoscopic Roux-en-Y Gastric Bypass for the Treatment of Morbid Obesity (LRYGBP)

Diagnostic and Therapeutic Endoscopy ◽

10.1155/2010/891345 ◽

2010 ◽

Vol 2010 ◽

pp. 1-5 ◽

Cited By ~ 1

Author(s):

Ramon Vilallonga ◽

José Manuel Fort ◽

Oscar Gonzalez ◽

Juan Antonio Baena ◽

Albert Lecube ◽

...

Keyword(s):

Morbid Obesity ◽

Gastric Bypass ◽

Complete Resolution ◽

Abdominal Cavity ◽

Gastric Pouch ◽

Therapeutic Strategies ◽

Endoscopic Management ◽

Gastric Leak ◽

Surgical Options

Background. Drain inclusion inside the gastric pouch is rare and can represent an important source of morbidity and mortality associated with laparocopic Roux-en-Y gastric bypass (LRYGBP). These leaks can become chronic and challenging. Surgical options are often unsuccessful. We present the endoscopic management of four patients with drain inclusion. Patients. All four obese morbidly patients underwent LRYGBP and presented a gastro-jejunal fistula after acute anastomotic leakage. During follow-up endoscopy the drain was found inside the gastric pouch. It was moved into the abdominal cavity. Fistula debit reduced significantly and closed. Results. Gastric leak closure in less than 24 hours was achieved in all, with complete resolution of symptoms. These patients benefited exclusively from endoscopic treatment. Conclusions. Endoscopy is useful and technically feasible in chronic fistulas. This procedure is a less invasive alternative to traditional surgical revision. Other therapeutic strategies can be used such as clips and fibrin glue. Drains should not be placed in contact with the anastomosis or stapled lines. Drain inclusion must be suspected when fistula debit suddenly arises. If so, endoscopy is indicated for diagnostic accuracy. Under endoscopy vision, the drain is gently removed from the gastric reservoir leading to sudden and complete resolution of the fistula.

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