Extreme weight loss: Life before and after bariatric surgery

2021 ◽  
Author(s):  
Caroline Cupit
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Before And After

scholarly journals Sleeve Gastrectomy vs. Fundus Resection in Bariatric Surgery (Animal Study)

2020 ◽  
Vol 21 (6) ◽  
Author(s):  
Alimohammad Bananzadeh ◽  
Seyed Vahid Hosseini ◽  
Hajar Khazraei ◽  
Mohammad Mehdi Lashkarizadeh ◽  
Leila Ghahramani ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Sleeve Gastrectomy ◽  
Body Weight Loss ◽  
Test Results ◽  
Significant Difference ◽  
Before And After ◽  
Total Ghrelin ◽  
The Difference ◽  
High Level

Background: Bariatric surgery has resulted in body weight loss, which claimed by surgery removal specific parts of the stomach with enzyme or sleeve gastrectomy. Objectives: The aim of this study is to determine weight loss and endocrine changes by 12-week fundus resection and sleeve gastrectomy in rabbits. Methods: Twenty-one rabbits, weighing 2.5 - 3.5 kg, were divided into three groups (n = 7): sleeve gastrectomy, experimental fundus resection, and sham group. The weight of rabbits and total ghrelin and leptin levels in the plasma before and after surgery were measured in 12 weeks. Statistical analyses were performed using the Kruskal-Walis test for comparison of the means between the groups, and the difference after months in one group was assayed by Friedman test. Results: The results showed sleeve gastrectomy had a significant weight loss after one month when compared to fundus resection and sham-operated controls (P = 0.008). There was no significant difference in the ghrelin levels after these surgeries, but leptin levels decreased significantly after the fundectomy (P = 0.025). Conclusions: Sleeve gastrectomy is more efficient than the fundus resection in weight loss. It could be suggested as a new option in metabolic disorders due to the high level of leptin.

scholarly journals Quality of Life before and after Sleeve Gastrectomy in Lebanese Population

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Marwan Alkassis ◽  
Fady Gh Haddad ◽  
Joseph Gharios ◽  
Roger Noun ◽  
Ghassan Chakhtoura
Keyword(s):  
Quality Of Life ◽  
Bariatric Surgery ◽  
Weight Loss ◽  
Sleeve Gastrectomy ◽  
Sexual Pleasure ◽  
Life Questionnaire ◽  
Before And After ◽  
The Mean ◽  
The Impact

Introduction. Obesity is increasing worldwide and in Lebanon with a negative impact on the quality of life. The primary objective of this study is to measure the quality of life in obese subjects before and after bariatric surgery, depending on age, sex, and degree of weight loss. A secondary objective is to determine the impact of bariatric surgery on comorbidities associated with obesity. Materials and methods. Patients undergoing laparoscopic sleeve gastrectomy for BMI ≥ 30 kg/m2 between August 2016 and April 2017 were included. Participants completed the Moorehead-Ardelt Quality of Life Questionnaire II (MA II) prior to operation and one year after. Statistical analysis was carried out using SPSS statistics version 20.0. Results. 75 patients participated in the study. The majority were women (75%), and the mean age was 36.3 years. The mean weight loss was 36.57 kg (16–76). Initially, the total MA II score was −0.33 ± 0.93. Postoperatively, it increased to 1.68 ± 0.62 (p≤0.001). All MA II parameters improved after surgery (p≤0.001), but this improvement was independent of age and sex. Improvement in self-esteem, physical activity, work performance, and sexual pleasure was influenced by the degree of weight loss (p≤0.001). All comorbidities associated with obesity regressed significantly after sleeve gastrectomy (p<0.05) with the exception of gastroesophageal reflux and varicose veins of the lower limbs. Conclusion. Sleeve gastrectomy improves quality of life and allows reduction of comorbidities.

scholarly journals Psychological factors in reducing excess body weight after bariatric surgery

2019 ◽  
Vol 16 (3) ◽  
pp. 62-68
Author(s):  
Aleksandr E. Neimark ◽  
Shushanna A. Eganian ◽  
Maxim I. Galchenko
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Psychological Factors ◽  
Negative Impact ◽  
Psychological State ◽  
Excess Body Weight ◽  
Factors Affecting ◽  
Before And After ◽  
Statistical Programming ◽  
Treatment Of Obesity

BACKGROUND: The relevance of the problem of obesity today is not in doubt. One of the most effective treatments today is bariatric surgery. At the same time, the effectiveness of the surgical method is not always predictable, as it is influenced by various factors, including the psychological state of the patient. AIM: To study the psychological characteristics of patients with obesity before and after surgical (bariatric) treatment and to establish the relationship with weight loss. MATERIALS AND METHOD: The study involved 32 patients with morbid obesity before and a year after laparoscopic longitudinal resection of the stomach with an initial body mass index of 45.36 (+54.90; -33.00). Questionnaire used: Symptom Check List-90-R (L.R. Derogatis). Statistical data processing was carried out using the statistical programming language R. RESULTS: The presence or increase in the level of phobic anxiety (a persistent reaction of fear to certain people, situations and places) and psychotism (isolation, interpersonal isolation, avoidance) in a patient can have a negative impact on the success of weight loss in the postoperative period. CONCLUSIONS. The psychological factors affecting the prognosis of weight loss after bariatric surgery have been identified. Psychological testing and determining the patients psychotype can be predictive in improving the outcome of surgical treatment of obesity.

scholarly journals Nutritional Management in Bariatric Surgery Patients

2021 ◽  
Vol 18 (22) ◽  
pp. 12049
Author(s):  
Andrea Deledda ◽  
Stefano Pintus ◽  
Andrea Loviselli ◽  
Michele Fosci ◽  
Giovanni Fantola ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Life Expectancy ◽  
Diabetes Remission ◽  
Lifestyle Changes ◽  
Nutritional Deficiencies ◽  
Obesity Epidemic ◽  
Sustained Weight Loss ◽  
Before And After ◽  
Reduce Life Expectancy

The obesity epidemic, mainly due to lifestyle changes in recent decades, leads to serious comorbidities that reduce life expectancy. This situation is affecting the health policies of many nations around the world. Traditional measures such as diet, physical activity, and drugs are often not enough to achieve weight loss goals and to maintain the results over time. Bariatric surgery (BS) includes various techniques, which favor rapid and sustained weight loss. BS is a useful and, in most cases, the best treatment in severe and complicated obesity. In addition, it has a greater benefit/risk ratio than non-surgical traditional therapies. BS can allow the obese patient to lose weight quickly compared with traditional lifestyle changes, and with a greater probability of maintaining the results. Moreover, BS promotes improvements in metabolic parameters, even diabetes remission, and in the quality of life. These changes can lead to an increase of life expectancy by over 6 years on average. The nutrition of people before and after BS must be the subject of indications from a trained staff, and patients must be followed in the subsequent years to reduce the risk of malnutrition and the associated problems. In particular, it is still debated whether it is necessary to lose weight prior to surgery, a procedure that can facilitate the surgeon’s work reducing the surgical risk, but at the same time, lengthens preparation times increasing the risks associated with concomitant pathologies. Furthermore, preventing nutritional deficiencies prior to the intervention can improve the results and reduce short- and long-term mortality.

scholarly journals Bariatric surgery before and after kidney transplantation: long-term weight loss and allograft outcomes

2019 ◽  
Vol 15 (6) ◽  
pp. 935-941 ◽  
Author(s):  
Jordana B. Cohen ◽  
Mary Ann Lim ◽  
Colleen M. Tewksbury ◽  
Samuel Torres-Landa ◽  
Jennifer Trofe-Clark ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Kidney Transplantation ◽  
Before And After

Designing digital health technology to support patients before and after bariatric surgery: a qualitative study exploring patient desires, suggestions and reflections to support lifestyle behaviour change. (Preprint)

2021 ◽  
Author(s):  
Anna Robinson ◽  
Andy Husband ◽  
Robert Slight ◽  
Sarah Slight
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Behaviour Change ◽  
Digital Technologies ◽  
Lifestyle Changes ◽  
Lifestyle Behaviour ◽  
Surgical Success ◽  
Before And After ◽  
Surgical Pathway

BACKGROUND A patient’s capability, motivation, and opportunity to change their lifestyle are significant determinants of successful outcomes following bariatric surgery. Healthier lifestyle changes before and after surgery, including improved dietary intake and physical activity levels, have been shown to contribute to greater post-surgical weight loss and improved long-term health. Integrating patient-centered digital technologies within the bariatric surgical pathway could form part of an innovative strategy to promote and sustain healthier behaviours and provide holistic patient support, to improve surgical success. Research has focused on implementing digital technologies and measuring their effectiveness in various surgical cohorts, yet there is limited work concerning the desires, suggestions and reflections of patients undergoing bariatric surgery. This qualitative investigation explores patient perspectives on technology features that would support them to change their lifestyle behaviours during the pre- and post-operative periods, to potentially maintain long-term healthy lifestyles following surgery. OBJECTIVE To understand how digital technologies could be used to better support patients across the perioperative pathway to improve weight-loss outcomes and surgical success. Specifically, the objectives concerned: 1) what do patients want from digital technologies, 2) how do they want to use them, and 3) when would they be of most benefit during their surgical journey? METHODS Patients attending bariatric surgery clinics within one hospital in the North of England were invited to take part. Semi-structured interviews were conducted with purposively sampled pre- and post-operative bariatric surgical patients to discuss lifestyle behaviour change and the use of digital technologies to complement their care. Interviews were audio-recorded and transcribed verbatim. Reflexive thematic analysis enabled the development of themes from the data. Ethical approval was obtained from the NHS Health Research Authority. RESULTS Twenty patients were interviewed. Four overarching themes were developed from the data relating to perspectives of optimised technology functionality. These centered on providing tailored content and support; facilitating self-monitoring and goal-setting; delivering information in an accessible, trusted, and usable manner; and meeting patient information-seeking and engagement needs. Interventions that supported the delivery of personalized feedback and post-operative follow-up were perceived as beneficial. Individualized goal- and target-setting could further support a generation of digitally engaged patients with bariatric conditions. Working towards achievable targets was deemed an effective strategy to successfully motivate behaviour change. The creation of digital ‘package of care’ checklists between patients and clinicians was a novel finding from this research. CONCLUSIONS Perceptions of patients undergoing bariatric surgery validated the integration of digital technologies within the surgical pathway, offering enhanced connectedness and support. Recommendations are made that relate to the design, content and functionality of digital interventions to best address the needs of this patient cohort. These findings have the potential to influence future co-design and integration of person-centered, perioperative technologies within surgical pathways. CLINICALTRIAL N/A

Effect of Weight Loss on Aerobic Capacity in Patients with Severe Obesity Before and After Bariatric Surgery

2010 ◽  
Vol 20 (7) ◽  
pp. 871-875 ◽  
Author(s):  
Shirley Aparecida Fabris de Souza ◽  
Joel Faintuch ◽  
Antonio Fernando Sant’Anna
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Aerobic Capacity ◽  
Severe Obesity ◽  
Before And After

scholarly journals DEPRESSION, ANXIETY, AND BINGE EATING BEFORE AND AFTER BARIATRIC SURGERY: PROBLEMS THAT REMAIN

2018 ◽  
Vol 31 (1) ◽  
Author(s):  
Graziela Aparecida Nogueira de Almeida RIBEIRO ◽  
Helenice Brizolla GIAPIETRO ◽  
Lídia Barbieri BELARMINO ◽  
Wilson SALGADO-JUNIOR
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Binge Eating ◽  
Public Service ◽  
Structured Interview ◽  
The Public ◽  
Elapsed Time ◽  
Before And After ◽  
Anxiety Depression ◽  
Binge Eating Scale

ABSTRACT Background: As the number of surgeries increases and the elapsed time of the realization increases as well, the postoperative evaluations would become increasingly necessary. Aim: To assess the psychological profile before and after surgery. Methods: Were evaluated 281 patients from the public service of bariatric surgery. In this study, 109 patients completed the evaluations before surgery (T0) and up to 23 months after surgery (T1); 128 completed the evaluations in T0 and between 24 months and 59 months after surgery (T2); and 44 completed the evaluations in T0 and 60 months after surgery (T3). A semi-structured interview, the Beck Depression Inventory (BDI), Beck Anxiety (BAI), and the Binge Eating Scale (BES) were used. Results: There was a higher prevalence of female (83%), patients with less than 12 years of education (83%), and patients who have a partner (64%). Analyzing all times of evaluation, regarding anxiety, depression, and binge eating, there was a reduction in all symptoms in T1, pointing to significant improvements in the first 23 months after surgery. Already, in T2 and T3, there was an increase in all indicators of anxiety, depression, and binge eating pointing to the transient impact of weight loss or bariatric surgery on these symptoms. Conclusions: This study shows the importance of the continuous psychological evaluation and needs for the appropriate interventions for these patients who have undergone bariatric surgery, even after weight loss.

scholarly journals Effect of bariatric surgery on blood pressure and workload-indexed pressure during submaximal and maximal exercise

2021 ◽  
Vol 28 (Supplement_1) ◽  
Author(s):  
F Battista ◽  
M Baldan ◽  
G Quinto ◽  
G Foccardi ◽  
M Vecchiato ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Bariatric Surgery ◽  
Weight Loss ◽  
Systolic Blood Pressure ◽  
Diastolic Blood Pressure ◽  
Cardiovascular Events ◽  
Severe Obesity ◽  
Recovery Phase ◽  
Pressure Response ◽  
Before And After

Abstract Funding Acknowledgements Type of funding sources: None. Background Obesity is a disease characterized by an increase of resting blood pressure and by an increased risk of developing hypertension and cardiovascular events. Exaggerated blood pressure during exercise increases risk of cardiovascular events independently from the baseline blood pressure levels. Purpose to evaluate the blood pressure response and the Workload-indexed blood pressure, during a cardio-pulmonary exercise test (CPET) before and after bariatric surgery (BS). Methods 257 patients with severe obesity performed maximal incremental CPET one month before and six months after BS under the same experimental protocol. The systolic blood pressure was measured at rest (SBPrest), at the submaximal effort (SBPsubmax) at the same exercise intensity (3 METs), at the exercise peak (SBP max) and lastly in the recovery phase (SBPrec). The submaximal and maximal Workload-indexed Sistolic Blood Pressure (W-SBPsubmax and W-SBPmax, respectively) were calculated with the formula: ΔBP/ΔMETs. Diastolic blood pressure was analysed at rest (DBPrest) and during the recovery phase (DBPrec). Results Age was on average 45 ± 10.3 years, BMI before BS was equal to 43.9 ± 6.4 Kg/m2 and 73.5% were females. After BS, there was a significant weight loss (-25.9 ± 6.2%). SBPrest and DBPrest decrease significantly after BS (ΔSBP: -10.2 ± 15.8 and -5.2 ± 11.6 mmHg; p &lt;0.001, respectively), also when considering percentage variation of pre BS values (ΔSBP%: -7.4 ±12.3% and -5.9 ± 15.9%; p&lt; 0.001, respectively). Submaximal and maximal systolic blood pressure showed significant reduction after BS both as ΔSBP (-15.0 ± 19.7 mmHg and -10.3 ± 25.1mmHg; p &lt; 0.001, respectively) and ΔSBP% (-9.6 ± 13.0% and -5.0 ± 14.0%; p &lt; 0.001, respectively). Furthermore, W-SBP decreased significantly during submaximal exercise (-3.0 ± 12.2 mmHg/METs; p 0.001) and at peak of exercise (-2.1 ± 4.8 mmHg/METs; p &lt; 0.001). Lastly, also systolic and diastolic blood pressure during the recovery phase showed a significant reduction (-7.5 ± 7.0 mmHg and -3.3 ± 6.0 mmHg; p &lt; 0.001). A Spearman’s correlation analysis showed a significant but weak correlation between ΔSBP%submax and % of weight loss (rho = 0.138; p = 0.027). Conclusions After BS, a marked reduction of all blood pressure values was detectable in all phases of CPET. W-SBPsubmax and W-SBPmax, as expression of load independent pressure response, decreased significantly. The reduction in the submaximal blood pressure was significantly but only weakly correlated with changes in body weight, suggesting its substantial independence from weight loss. These findings also support a potential role of CPET in detecting, high risk patients and adequate treatment effectiveness in patients with severe obesity. Abstract Figure. Exercise SBP before and after BS

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