The Role of CT-guided Percutaneous Gastrostomy in Patients With Clinically Severe Obesity Presenting With Complications After Bariatric Surgery

2010 ◽  
Vol 20 (5) ◽  
pp. 299-305 ◽  
Author(s):  
Theodore Petsas ◽  
Pantelis Kraniotis ◽  
Charalambos Spyropoulos ◽  
Konstantinos Katsanos ◽  
Andreas Karatzas ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Severe Obesity ◽  
Percutaneous Gastrostomy ◽  
Ct Guided ◽  
Complications After Bariatric Surgery ◽  
Clinically Severe Obesity

scholarly journals The role of bariatric surgery on kidney transplantation: A systematic review and meta-analysis

2021 ◽  
Vol 15 (10) ◽  
Author(s):  
Yung Lee ◽  
Luschman Raveendran ◽  
Olivia Lovrics ◽  
Chenchen Tian ◽  
Adree Khondker ◽  
...  
Keyword(s):  
Systematic Review ◽  
Bariatric Surgery ◽  
Kidney Transplantation ◽  
Kidney Transplant ◽  
Severe Obesity ◽  
Meta Analysis ◽  
Weighted Mean ◽  
Safety And Efficacy ◽  
Baseline Bmi

Introduction: Obesity (body mass index [BMI] >35 kg/m2) remains a relative contraindication for kidney transplant, while patients after kidney transplantation (KTX) are predisposed to obesity. The present study aims to investigate the role of bariatric surgery in improving transplant candidacy in patients prior to KTX, as well its safety and efficacy in KTX patients postoperatively. Methods: A systematic search was conducted up to March 2020. Both comparative and non-comparative studies investigating the role of bariatric surgery before or after KTX were considered. Outcomes included change in BMI, rates of mortality and complications, and the rate of patients who underwent KTX following bariatric surgery. Pooled estimates were calculated using the random effects meta-analysis of proportions. Results: Twenty-one studies were eligible for final review; 11 studies investigated the role of bariatric surgery before KTX. The weighted mean BMI was 43.4 (5.7) kg/m2 at baseline and 33.9 (6.3) kg/m2 at 29.1 months followup. After bariatric surgery, 83% (95% confidence interval [CI] 57–99) were successfully listed for KTX and 83% (95% CI 65–97) patients subsequently received successful KTX. Ten studies investigated the role of bariatric surgery after kidney transplant. Weighted mean baseline BMI was 43.8 (2.2) kg/m2 and mean BMI at 19.5 months followup was 34.2 (6.7) kg/m2. Overall, all-cause 30-day mortality was 0.5% for both those who underwent bariatric surgery before or after receiving a KTX. The results of this study are limited by the inclusion of only non-randomized studies, limited followup, and high heterogeneity. Conclusions: Bariatric surgery may be safe and effective in reducing weight to improve KTX candidacy in patients with severe obesity and can also be used safely following KTX.

scholarly journals Use of Fentanyl in Adolescents with Clinically Severe Obesity Undergoing Bariatric Surgery: A Pilot Study

2017 ◽  
Vol 19 (3) ◽  
pp. 251-257 ◽  
Author(s):  
Janelle D. Vaughns ◽  
Victoria C. Ziesenitz ◽  
Elaine F. Williams ◽  
Alvina Mushtaq ◽  
Ricarda Bachmann ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Pilot Study ◽  
Severe Obesity ◽  
Clinically Severe Obesity

scholarly journals Erratum to: Use of Fentanyl in Adolescents with Clinically Severe Obesity Undergoing Bariatric Surgery: A Pilot Study

2017 ◽  
Vol 19 (3) ◽  
pp. 269-269
Author(s):  
Janelle D. Vaughns ◽  
Victoria C. Ziesenitz ◽  
Elaine F. Williams ◽  
Alvina Mushtaq ◽  
Ricarda Bachmann ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Pilot Study ◽  
Severe Obesity ◽  
Clinically Severe Obesity

scholarly journals Do Emotion Dysregulation, Alexithymia and Personality Dimensions Explain the Association Between Attention-Deficit/Hyperactivity Disorder and Binge Eating Among Bariatric Surgery Candidates?

2021 ◽  
Vol 12 ◽  
Author(s):  
Sarah El Archi ◽  
Paul Brunault ◽  
Arnaud De Luca ◽  
Samuele Cortese ◽  
Régis Hankard ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Attention Deficit Hyperactivity Disorder ◽  
Binge Eating ◽  
Emotion Dysregulation ◽  
Adult Adhd ◽  
Severe Obesity ◽  
Food Addiction ◽  
Personality Dimensions ◽  
Hyperactivity Disorder

Background: Addictive-like eating and attention-deficit/hyperactivity disorder (ADHD) are both common among persons seeking treatment for severe obesity. Given that ADHD and addictive-like eating, especially binge eating (BE) and food addiction (FA), are both strongly associated with personality dimensions and emotion dysregulation, it is possible emotional and personality characteristics contribute to the link between addictive-like eating behaviors and ADHD in people with severe obesity. This study aimed to investigate the psychological factors associated with BE and FA in bariatric surgery candidates, and to explore the mediational role of emotional factors (emotion dysregulation and alexithymia) and personality dimensions in the association between ADHD and BE.Method: Two hundred and eighty-two (n = 282) bariatric surgery candidates were recruited during the systematic preoperative psychiatric assessment (University Hospital of Tours, France). We assessed significant BE (Binge Eating Scale), probable adult ADHD (Wender Utah Render Scale and Adult ADHD Self-Report Scale), FA (Yale Food Addiction Scale 2.0, YFAS 2.0), emotion dysregulation (Difficulties in Emotion Regulation Scale-16), alexithymia (Toronto Alexithymia Scale-20) and personality dimensions (Big Five Inventory). Mediation analyses were performed using the PROCESS macro for IBM SPSS Statistics 22.Results: Prevalence of probable adult ADHD, significant BE and FA were 8.2, 19.1, and 26.6%, respectively. Participants who screened positive for addictive-like eating showed higher prevalence of probable adult ADHD, as well as higher scores on adult and childhood ADHD symptoms. They also reported lower conscientiousness, but higher emotion dysregulation, higher alexithymia, and higher neuroticism. Only BE (as opposed to FA) was also associated with lower scores on agreeableness and openness. Analysis of the association between adult ADHD and BE suggests that emotion dysregulation, conscientiousness, agreeableness, and neuroticism are total mediators and alexithymia a partial mediator.Conclusion: Our findings suggest a significant association between ADHD and addictive-like eating among bariatric surgery candidates, and also suggest a significant role of emotion dysregulation and personality dimensions in this association. For individuals with ADHD and obesity, eating may be a way to cope with negative emotions, potentially increasing the risk for addictive-like eating behavior.

The Impact of Bariatric Surgery on Diverticulitis Outcomes and Risk of Recurrent Hospitalizations in Adults with Clinically Severe Obesity

2021 ◽  
Author(s):  
Kishan Patel ◽  
Kyle Porter ◽  
Somashekar G. Krishna ◽  
Bradley J. Needleman ◽  
Stacy A. Brethauer ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Severe Obesity ◽  
Clinically Severe Obesity ◽  
The Impact

Improved Diastolic Function Three Months after Bariatric Surgery for Clinically Severe Obesity

2006 ◽  
Vol 12 (6) ◽  
pp. S74-S75
Author(s):  
Joshua G. Leichman ◽  
David Aguilar ◽  
Terry Scarborough ◽  
Erik B. Wilson ◽  
Heinrich Taegtmeyer
Keyword(s):  
Bariatric Surgery ◽  
Diastolic Function ◽  
Severe Obesity ◽  
Clinically Severe Obesity

scholarly journals Vitamin D alteration associated with obesity and bariatric surgery

2017 ◽  
Vol 242 (10) ◽  
pp. 1086-1094 ◽  
Author(s):  
Eric Lespessailles ◽  
Hechmi Toumi
Keyword(s):  
Bariatric Surgery ◽  
Vitamin D ◽  
Severe Obesity ◽  
Health Problems ◽  
Nutritional Deficiencies ◽  
Vitamin D Metabolism ◽  
Before And After ◽  
Surgical Options ◽  
The Relationship

Obesity and severe obesity constitute growing serious health problems reaching epidemic proportion in most countries. Interactions and relationships between obesity and bone tissue and its metabolism are complex but are more and more studied and recognized. Obesity is associated with an altered hormonal profile including particularly bone-regulating hormones like vitamin D. Bariatric surgery procedures, thanks to their effectiveness to achieve therapeutic endpoints for comorbidities associated with obesity, have had an increasing success. However, these surgeries by producing mechanical restriction and or malabsorption syndrome lead to nutritional deficiencies including vitamin D. In this review, we aim to (1) discuss the nutritional deficiency of vitamin D in the obese, (2) to summarize the different surgical options in bariatric surgery and to present the evidence concerning these procedures and their associated profile in vitamin D post-operative insufficiency, (3) to present the different recommendations in clinical practice to prevent or treat vitamin D deficiencies or insufficiencies in patients treated by bariatric surgery and finally to introduce emerging assumptions on the relationship between vitamin D, microbiota composition and circulating bile acids. Impact statement Obesity and severe obesity constitute growing serious health problems reaching epidemic proportion in most countries with a prevalence increasing from 6.4 in 1975 to 14.9% in 2014. This present review summarizes currently available data on vitamin D deficiencies in the obese population before and after bariatric surgery. The important evidence emerging from our evaluation confirms that obese patients are at risk of multiple nutritional deficiencies, especially vitamin D deficiency, before bariatric surgery. Our survey confirms that the precise role of the gut microbiome and its associated changes on the vitamin D metabolism after the different bariatric surgery procedures has not yet been studied. Furthermore, whether differences in the microbiota may alter the therapeutic responses to vitamin D is not known.

scholarly journals Efficacy and Mechanisms of Gastric Volume-Restriction Bariatric Devices

2021 ◽  
Vol 12 ◽  
Author(s):  
Yanmin Wang ◽  
Ghassan S. Kassab
Keyword(s):  
Bariatric Surgery ◽  
Morbid Obesity ◽  
Medical Devices ◽  
Severe Obesity ◽  
Gastric Volume ◽  
Surgical Indications ◽  
Future Studies ◽  
Underlying Mechanisms ◽  
Clinically Severe Obesity ◽  
Shed Light

Obesity is a chronic disease that affects over 795 million people worldwide. Bariatric surgery is an effective therapy to combat the epidemic of clinically severe obesity, but it is only performed in a very small proportion of patients because of the limited surgical indications, the irreversibility of the procedure, and the potential postoperative complications. As an alternative to bariatric surgery, numerous medical devices have been developed for the treatment of morbid obesity and obesity-related disorders. Most devices target restriction of the stomach, but the mechanism of action is likely more than just mechanical restriction. The objective of this review is to integrate the underlying mechanisms of gastric restrictive bariatric devices in obesity and comorbidities. We call attention to the need for future studies on potential mechanisms to shed light on how current gastric volume-restriction bariatric devices function and how future devices and treatments can be further improved to combat the epidemic of obesity.

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