The Short- and Long-Term Economic Impact of Bariatric Surgery Coverage For a Payer

2017 ◽  
Vol 13 (10) ◽  
pp. S105 ◽  
Author(s):  
Swetha Palli ◽  
Natalie Heidrich
Keyword(s):  
Bariatric Surgery ◽  
Economic Impact ◽  
Short And Long Term

scholarly journals Bariatric surgery in patients with type 1 diabetes: special considerations are warranted

2019 ◽  
Vol 10 ◽  
pp. 204201881882220 ◽  
Author(s):  
Zohar Landau ◽  
Galit Kowen-Sandbank ◽  
Daniela Jakubowicz ◽  
Asnat Raziel ◽  
Nasser Sakran ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Type 1 Diabetes ◽  
Diabetic Ketoacidosis ◽  
Glucose Control ◽  
Healthcare Services ◽  
Short And Long Term ◽  
The Mean

Objective: We examined short and long-term outcomes of bariatric surgery in patients with obesity and type 1 diabetes mellitus (T1DM). Methods: We reviewed the records of all adults insured by Maccabi Healthcare Services during 2010 -2015, with body mass index (BMI) ⩾30 kg/m2 and T1DM; and compared weight reduction and glucose control according to the performance of bariatric surgery. BMI and glycated hemoglobin (HbA1c) levels were extracted for baseline and every 6 months, for a mean 3.5 years. Results: Of 52 patients, 26(50%) underwent bariatric surgery. Those who underwent surgery were more often female and with a longer duration of diabetes. Immediately postoperative, 4(15%) developed diabetic ketoacidosis, while 6(23%) experienced severe hypoglycemic episodes. The mean BMI decreased among surgery patients: from 39.5±4.4 to 30.1±5.0 kg/m2 ( p < 0.0001); and increased among those who did not undergo surgery: from 33.6±3.9 to 35.1±4.4 kg/m2 ( p = 0.49). The mean HbA1c level decreased during the first 6 months postoperative: from 8.5±0.9% to 7.9±0.9%; however, at the end of follow-up, was similar to baseline, 8.6±2.0% (p = 0.87). For patients who did not undergo surgery, the mean HbA1c increased from 7.9±1.9% to 8.6±1.5% ( p = 0.09). Conclusions: Among individuals with obesity and T1DM, weight loss was successful after bariatric surgery, but glucose control did not improve. The postoperative risks of diabetic ketoacidosis and severe hypoglycemic episodes should be considering when performing bariatric surgery in this population.

scholarly journals Arrodált gyomorgyűrűk kezelése – irodalmi áttekintés egy eset kapcsán

2021 ◽  
Vol 74 (3) ◽  
pp. 66-70
Author(s):  
Zsolt Baranyai ◽  
Keresztély Merkel ◽  
Miklós Horváth ◽  
István Hritz ◽  
Attila Szijártó
Keyword(s):  
Bariatric Surgery ◽  
Sleeve Gastrectomy ◽  
Laparoscopic Approach ◽  
Laparoscopic Bariatric Surgery ◽  
Port Infection ◽  
Short And Long Term ◽  
Greater Curvature ◽  
Laparoscopic Removal ◽  
Incision Drainage

Összefoglaló. Bevezetés: 70 éves férfi beteg kóros kövérség (BMI: 50,1) miatt 2005-ben gyomorgyűrű beültetésben részesült. 2020 decemberében hasfali phlegmone hátterében igazolt port infekció miatt más intézetben subcutan incisió, lavage történt. CT-vizsgálattal, majd gasztroszkóppal a gyomorgyűrű arrosióját, intramurális elhelyezkedését igazoltuk. A műtét során laparoszkópos technikával a gyomor corpus nagygörbületén ejtett, kb. 2 cm nagyságú nyíláson keresztül távolítottuk el a gyűrűt. A beteg szövődménymentesen került emisszióra. Megbeszélés: Mintegy 20 évvel ezelőtt a laparoszkópos állítható gyomorgyűrű (LAGB) rendkívül népszerű volt. A LAGB azonban számtalan rövid és hosszú távú szövődménnyel jár, ezért egyre inkább kikerül a bariátriai sebészet tárházából. A gyűrű arrosiója ritka, súlyos szövődmény. Eltávolításának többféle módja lehet. A gyomorgyűrű eltávolítása általában a testsúly jelentős növekedésével jár. A betegeknél konverziós bariátriai műtétet, laparoszkópos gyomor sleeve reszekciót, vagy gyomor bypass műtétet lehet végezni. Summary. Introduction: Extreme obese (BMI: 50.1) 70 year old male patient after LAGB procedure in 2005, with abdominal wall and port infection underwent subcutaneous incision drainage of the area in December 2020. CT and Gastroscopy confirmed gastric penetration and intramural position of the Band. Using laparoscopic approach with incision of 2 cm of the stomach at the gastric greater curvature the band had been removed. Patient had been discharged without any complications. Discussion: LAGB was a very popular bariatric approach at the first decade of laparoscopic bariatric surgery. The increased incidence of short and long term complications reduced worldwide the number of LAGB procedures. Band penetration is a rare but dangerous complication. Laparoscopic removal is recommended. Usually, the intervention is followed by significant weight gain which can be treated with conversion of LAGB to Sleeve Gastrectomy or LGBP procedure.

Short‐ and long‐term mortality after bariatric surgery: A systematic review and meta‐analysis

2017 ◽  
Vol 19 (9) ◽  
pp. 1223-1232 ◽  
Author(s):  
Luís Cardoso ◽  
Dírcea Rodrigues ◽  
Leonor Gomes ◽  
Francisco Carrilho
Keyword(s):  
Systematic Review ◽  
Bariatric Surgery ◽  
Meta Analysis ◽  
Short And Long Term ◽  
Long Term Mortality

Short- and Long-Term Effects of Bariatric Surgery on Vascular Phenotype

2019 ◽  
Vol 29 (4) ◽  
pp. 1301-1308 ◽  
Author(s):  
Lukas Streese ◽  
Karsten Königstein ◽  
Lara Goricki ◽  
Denis Infanger ◽  
Bettina Wölnerhanssen ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Long Term Effects ◽  
Vascular Phenotype ◽  
Short And Long Term

scholarly journals Quality of life, sexual function, and bariatric surgery: a systematic review

2020 ◽  
Vol 17 (1) ◽  
pp. 64-72
Author(s):  
Shirko Ahmadi ◽  
Luís Felipe Milano Teixeira ◽  
José Rodrigo V. Domingues ◽  
Mara Patricia T. Chacon-Mikahil ◽  
Claudia Regina Cavaglieri ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Bariatric Surgery ◽  
Sexual Function ◽  
Methodological Quality ◽  
Assessment Tool ◽  
Control Group ◽  
Obese People ◽  
Short And Long Term

BACKGROUND: Obesity is associated with numerous comorbidities and affects various aspects of life, including quality of life (QOL) and sexual function (SF). Bariatric surgery (BS) is an effective treatment for obese people. Also QOL and SF after BS in the people are not well known. AIMS: To provide insight in the available prospective evidence regarding the short and long-term effects of BS on QOL and SF. MATERIALS AND METHODS: A systematic multi-database search was conducted for quality of life, Sexual function and Bariatric surgery. Only prospective studies with QOL or SF before and after BS were included. The quality assessment tool for beforeafter studies with no control group was used to assess the methodological quality. RESULTS: Twenty-four studies met the inclusion criteria. Most studies were assessed to be of fair to good methodological quality. Seven different questionnaires were used to measure both QOL and SF. A significant increase in QOL after BS and light increase in SF were found in all studies (P0.05). CONCLUSIONS: Both QOL and SF are increased after BS on both the short and long term. However, due to the heterogeneity of the studies and the generality of the questionnaires are them hard to make a distinction among different BS and difficult to see a relation with medical profit. Therefore, designing QOL and SF measurements to the post BS population are recommended as the focus of future studies.

scholarly journals Bariatric Surgery and Hypertension

2021 ◽  
Vol 10 (18) ◽  
pp. 4049
Author(s):  
Elisenda Climent ◽  
Anna Oliveras ◽  
Juan Pedro-Botet ◽  
Albert Goday ◽  
David Benaiges
Keyword(s):  
Blood Pressure ◽  
Bariatric Surgery ◽  
Arterial Hypertension ◽  
Severe Obesity ◽  
Surgical Techniques ◽  
Target Organs ◽  
Cardiovascular Morbidity And Mortality ◽  
Short And Long Term ◽  
Pathophysiologic Mechanisms

A clear pathogenetic association exists between obesity and arterial hypertension, becoming even more evident in subjects with severe obesity. Bariatric surgery has proved to be the most effective treatment for severe obesity, with its benefits going beyond weight loss. The present review aimed to determine the effects of bariatric surgery on arterial hypertension evident in short- and long-term follow-ups. Moreover, the differences between surgical techniques regarding hypertension remission are described as well as the possible pathophysiologic mechanisms involved. In addition, the effects of bariatric surgery beyond blood pressure normalization are also analyzed, including those on target organs and cardiovascular morbidity and mortality.

scholarly journals Bariatric Surgery Among Medicare Subgroups: Short‐ and Long‐Term Outcomes

Obesity ◽  
2019 ◽  
Vol 27 (11) ◽  
pp. 1820-1827 ◽  
Author(s):  
Elizaveta Walker ◽  
Miriam Elman ◽  
Erin E. Takemoto ◽  
Erin Fennern ◽  
James E. Mitchell ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Long Term Outcomes ◽  
Short And Long Term
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