Complications and Challenges of Bariatric Surgery in Super-Obese Patients

2018 ◽  
Author(s):  
Shai Meron Eldar ◽  
Ofer Eldar
Keyword(s):  
Bariatric Surgery ◽  
Obese Patient ◽  
Patient Population ◽  
Postoperative Morbidity ◽  
Morbidity And Mortality ◽  
Operative Risk ◽  
Obese Patients ◽  
Super Obese ◽  
Lower Weight ◽  
Operative Complications

While the lower weight limits for bariatric surgery are already strictly set, the upper weight limits are still undetermined. The extremely obese patient deserves special consideration: significant comorbidities, technical difficulties, and increased postoperative morbidity and mortality are all expected in this patient population.In view of these factors, how should super-obese patients (BMI > 50 kg/m2) be approached, and is there any preferred procedure? Is there a point where operative risk outweighs surgical benefits? Bariatric surgery for super-obese and super-super-obese patients, including the operative complications and the associated morbidity and mortality, as well as the way they influence the approach to this subgroup of patients, are the subjects of this chapter.

Impact of preoperative wireless pH monitoring in the evaluation of esophageal conditions prior to bariatric surgery in a severely obese patient population

2019 ◽  
Vol 15 (2) ◽  
pp. 288-294 ◽  
Author(s):  
Jose Melendez-Rosado ◽  
David Gutierrez-Blanco ◽  
Alison Schneider ◽  
Emanuele Lo Menzo ◽  
Samuel Szomstein ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Obese Patient ◽  
Patient Population ◽  
Ph Monitoring ◽  
Severely Obese

Outcomes of robotic bariatric surgery in super-obese patients: first report based on MBSAQIP database

2020 ◽  
Vol 16 (1) ◽  
pp. 71-79 ◽  
Author(s):  
Marlon Pastrana ◽  
Jill Stoltzfus ◽  
Leonardo Claros ◽  
Maher El Chaar
Keyword(s):  
Bariatric Surgery ◽  
Obese Patients ◽  
Super Obese ◽  
First Report ◽  
Robotic Bariatric Surgery

Is bariatric surgery effective for co-morbidity resolution in the super-obese patients?

2018 ◽  
Vol 14 (9) ◽  
pp. 1261-1268 ◽  
Author(s):  
Kamyar Hariri ◽  
Daniela Guevara ◽  
Matthew Dong ◽  
Subhash U. Kini ◽  
Daniel M. Herron ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Obese Patients ◽  
Super Obese ◽  
Co Morbidity

Laparoscopic Bariatric Surgery in Super-obese Patients (BMI>50) is Safe and Effective: A Review of 332 Patients

2005 ◽  
Vol 15 (6) ◽  
pp. 858-863 ◽  
Author(s):  
Manish S. Parikh ◽  
Roy Shen ◽  
Matt Weiner ◽  
Niccole Siegel ◽  
Christine J. Ren
Keyword(s):  
Bariatric Surgery ◽  
Laparoscopic Bariatric Surgery ◽  
Obese Patients ◽  
Super Obese

scholarly journals Mid-Term Follow Up Results of Mini-Subvastus Approach for Total Knee Arthroplasty in Obese Patients

2017 ◽  
Vol 7 (3) ◽  
Author(s):  
Aditya laxmikant Kekatpure ◽  
Nilen A Shah ◽  
Prithviraj Prabhakar Nistane ◽  
Pritam K Agrawal
Keyword(s):  
Total Knee Arthroplasty ◽  
Obese Patient ◽  
Knee Arthroplasty ◽  
Patient Population ◽  
Morbidly Obese ◽  
Obese Patients ◽  
Subvastus Approach ◽  
Functional Scores ◽  
Total Knee

Background: Use of mini-subvastus   approach for  total  knee  arthroplasty  (TKA )  in  obese  patients  is  still  debated . We had hypothesized in our  study published  in  July 2010 , that  obesity  should  not  be  considered  as  a  problem for  patients  undergoing  a  TKA  with  the  mini-subvastus  approach  as  the anatomy  of  the  quadriceps in  the  obese and  the  non-obese  patient population is  the  same. We present  a  mid-term  follow-up  study  of  the  same  set  of patients  with  an  average  follow  up  of  96 months.Materials and Methods: 97 obese patients (109 knees) 81 females + 16 males with mean age 64 years underwent TKA by mini-subvastus approach between January 2006 to July 2007. 16 patients (18 knees) were morbidly obese. Out of the total number of patients, 08 were lost in follow up and 01 died because of unrelated causes. Out of these 09 patients, two were operated for bilateral TKR. Thus, we have a midterm follow up results of 98 knees in 88 patients. Knee society and functional scores were used for patient evaluation and compared to their pre-operative and earlier follow up scores.Results: At our latest follow-up of 96 months the Knee Society Score and functional scores were 84(range 64-90) and 58(range 45-75) respectively. One morbidly obese lady had aseptic loosening of tibial component at 42 months which needed a revision.Conclusion: Our mid-term results show that the mini-subvastus approach can be  considered  for TKA in obese and morbidly obese patient population with outcomes comparable to standard surgical approach.Keywords:  Mini-subvastus approach, Total knee arthroplasty ,Obesity

Sign in / Sign up

Export Citation Format

Share Document