Access to Bariatric Surgery: A Statewide Report on Wait Times for the Surgical Treatment of Morbid Obesity

2017 ◽  
Vol 225 (4) ◽  
pp. e104
Author(s):  
Rafael Alvarez ◽  
Ruth B. Cassidy ◽  
Aaron J. Bonham ◽  
Colleen M. Buda ◽  
Oliver A. Varban
2015 ◽  
Vol 12 (3) ◽  
pp. 26-30
Author(s):  
Valeriy Nikolaevich Egiev ◽  
Yuliya Borisovna Mayorova ◽  
Evgeniy Aleksandrovich Zorin ◽  
Anastasiya Vladimirovna Мелеshko ◽  
Ekaterina Sergeevna Orlovskaya

The results of surgical treatment of morbid obesity usually considers a variety of factors and the main attention is paid to the dynamics of body weight after surgery. It is generally accepted that in the absence of reducing excess body weight or with minimum weight loss (a few kilograms), the result is considered unsatisfactory. The aim of the work was to compare an objective assessment of gastric bypass (GBS) and gastric banding (GB) and the subjective evaluation of treatment effectiveness by patients themselves. The study included 457 (69.7%) patients that underwent GB and 198 (30.3%) patients after GBS. At the late postoperative period 243 patients (53.2%) were available after the GB and 112 (56.6%) patients after GBS. The frequency of matches between objective and subjective assessment of outcomes of surgery usually did not exceed 50%. Given this, there is a need for a comprehensive analysis of the results of bariatric surgery. Developed multicomponent scale allows to evaluate the effectiveness of any bariatric surgery.


2016 ◽  
Vol 19 (7) ◽  
pp. A575-A576
Author(s):  
B Szoka ◽  
D Chudziak ◽  
P Batóg ◽  
T Macioch ◽  
M Niewada ◽  
...  

2018 ◽  
Vol 22 (3) ◽  
pp. 548-552
Author(s):  
O.V. Perekhrestenko

The rapid progress of obesity surgery dictates the necessity to study the quality of life of patients after bariatric procedures. The aim of the study is to assess the dynamics of quality of life of patients with morbid obesity after biliopancreatic diversion in the modification of Hess-Marceau and the sleeve gastrectomy in order to improve the results of surgical treatment of the specified category of patients. The results of surgical treatment of 205 patients with morbid obesity who performed sleeve gastrectomy (main group — 105 patients) or biliopancreatic diversion by Hess-Marceau (comparison group — 100 patients) were analyzed. The study of the dynamics of quality of life of patients was performed in according the Moorehead-Ardelt II method. Statistical data processing was performed using the methods of variational and descriptive statistic using Statistica 6.0 statistical analysis package. Installed that biliopancreatic diversion by Hess-Marceau and sleeve gastrectomy allowed to significantly improve the quality of life of patients with an increase of the quality of life index with -1.5±0.7 in the comparison group and -1.6±0,6 in the main group up to 1.8±0.3 and 2.0±0.4 respectively (p<0.05 compared to pre-operative data) 60 months after surgery. A more pronounced positive dynamics of quality of life in patients of the main group in the time interval of 12–24 months after the operation was achieved due to the absence of severe late metabolic complications and undesirable side effects of biliopancreatic diversion and laparoscopic access for sleeve gastrectomy in 54.3% of patients. Thus, the quality of life of patients with morbid obesity before performing bariatric surgery is critically low and significantly improved after biliopancreatic diversion by Hess-Marceau as well as sleeve gastrectomy. The impact of bariatric surgery on the duration and quality of life of patients requires further multicenter randomized trials.


2015 ◽  
Vol 28 (suppl 1) ◽  
pp. 73-78 ◽  
Author(s):  
Jean Ricardo NICARETA ◽  
Alexandre Coutinho Teixeira de FREITAS ◽  
Sheyla Maris NICARETA ◽  
Cleiton NICARETA ◽  
Antonio Carlos Ligocki CAMPOS ◽  
...  

Introduction : Although it has received several criticisms, which is considered to be the most effective method used for global assessment of morbid obesity surgical treatment, still needs to be updated. Objective : Critical analysis of BAROS constitution and method. Method : BAROS as headings was searched in literature review using data from the main bariatric surgery journals until 2009. Results : Where found and assessed 121 papers containing criticisms on BAROS constitution and methodology. It has some failures and few researches show results on the use of this instrument, although it is still considered a standard method. Several authors that used it found imperfections in its methodology and suggested some changes addressed to improving its acceptance, showing the need of developing new methods to qualify the bariatric surgery results. Conclusion: BAROS constitution has failures and its methodology needs to be updated.


2015 ◽  
Vol 28 (suppl 1) ◽  
pp. 65-68 ◽  
Author(s):  
Almino Cardoso RAMOS ◽  
Eduardo Lemos de Souza BASTOS ◽  
Manoela Galvão RAMOS ◽  
Nestor Tadashi Suguitani BERTIN ◽  
Thales Delmondes GALVÃO ◽  
...  

Background : The vertical gastrectomy indications for surgical treatment of morbid obesity have increased worldwide. Despite this increase, many aspects of surgical technique still remains in controversy. Aim : To contribute presenting surgical details in order to better realize the vertical gastrectomy technique in bariatric surgery. Methods : Technical systematization, patient preparation, positioning of the trocars, operative technique and postoperative care are presented in details. Results : During 12 months were enrolled 120 patients undergoing GV according to the technique described herein. The results are published in another ABCD article (ABCD 2015;28(Supl.1):61-64) in this same volume and number. Conclusion : The surgical technique proposed here presented itself viable and facilitating the surgeon's work on difficult points of the vertical gastrectomy.


2016 ◽  
Vol 19 (7) ◽  
pp. A588
Author(s):  
B Szoka ◽  
P Batóg ◽  
T Macioch ◽  
M Niewada ◽  
S Belarbi ◽  
...  

2012 ◽  
Vol 9 (2) ◽  
pp. 3-10 ◽  
Author(s):  
I I Dedov ◽  
Yu I Yashkov ◽  
E V Ershova

Most researchers support the important role of incretins, particularly glucagon-like peptide-1 in improving metabolic control in patients with type 2 diabetes after bariatric operations, mostly involving shunting. A positive effect of bariatric surgery for type 2 diabetes is known from numerous publications on the results of surgical treatment of morbid obesity and in this review we try to analyze the mechanisms of this effect.


ISRN Obesity ◽  
2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Lukasz Kaska ◽  
Jarek Kobiela ◽  
Anna Abacjew-Chmylko ◽  
Lukasz Chmylko ◽  
Magdalena Wojanowska-Pindel ◽  
...  

Obesity is an escalating problem in all age groups and it is observed to be more common in females than males. About 25% of women meet the criteria of obesity and one-third of them are in the reproductive age. Because morbid obesity requiring surgical treatment is observed with increasing frequency, surgeons and gynecologists are undergoing new challenges. It is not only a matter of women’s health and their quality of life but also proper development of the fetus, which should be a concern during bariatric treatment. Therefore complex perinatal care has to be provided for morbid obesity patients. The paper reviews pregnancy and fertility issues in bariatric surgery patients.


2021 ◽  
Author(s):  
Yuri V. Ivanov

Based on the available publications, the article presents an analysis of studies on the problem of simultaneous execution of cholecystectomy, ventral and paraesophageal hernia repair during bariatric intervention. If there is a clinical picture of chronic calculous cholecystitis, simultaneous cholecystectomy is justified and does not lead to a significant increase in the number of complications. In case of asymptomatic stone-bearing disease, the optimal tactic remains controversial, both surgical treatment and observation are possible. In the absence of gallstone disease, all patients after surgical correction of excess weight are shown to take ursodeoxycholic acid, while performing preventive cholecystectomy is not recommended. Simultaneous ventral hernia repair is justified only for small defects ( 10 cm) of the anterior abdominal wall. If a paraesophageal hernia is detected in patients with morbid obesity, bariatric surgery may be combined with cruroraphy.


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