scholarly journals Evaluation of liquid ingestion after bariatric surgery

2011 ◽  
Vol 48 (1) ◽  
pp. 15-18 ◽  
Author(s):  
Roberto Oliveira Dantas ◽  
Leda Maria Tavares Alves ◽  
Rachel de Aguiar Cassiani ◽  
Carla Manfredi dos Santos
Keyword(s):  
Bariatric Surgery ◽  
Body Mass Index ◽  
Normal Values ◽  
Normal Body Mass Index ◽  
Class Iii ◽  
Entire Volume ◽  
Solid Foods ◽  
Class Iii Obesity ◽  
Swallowing Capacity ◽  
Liquid Bolus

CONTEXT: Bariatric surgery is an effective treatment for obesity; however, after surgery the patient may have difficulty in swallowing liquid and solid foods. OBJECTIVES: To evaluate liquid ingestion in patients who had undergone bariatric surgery. METHOD: We studied 43 volunteers with normal body mass index (BMI) (BMI: 18.5-24.9 kg/m²), 55 subjects with class III obesity (BMI: >40.0 kg/m²), and 48 subjects with bariatric surgery for treatment of class III obesity. The method chosen for evaluation was the water swallowing test. The subjects drank in triplicate 50 mL of water while being precisely timed and the number of swallows were counted. RESULTS: There was no difference between subjects with normal BMI and subjects with class III obesity. During the first 2 months after bariatric surgery the patients showed an increase in the time needed to drink the entire volume, in the number of swallows, and in the inter-swallow interval, and a decrease in the volume swallowing capacity (volume/swallowing) and swallowing flow rate (volume swallowed/second). After 2 months, the results of the swallowing measurements moved in the direction of normal values. CONCLUSION: Bariatric surgery may cause more intense alterations of liquid bolus swallowing within 2 months after the procedure, which moved to normal values after this time.

Body mass index and the visceral adipose tissue expression of IL-6 and TNF-alpha are associated with the morphological severity of non-alcoholic fatty liver disease in individuals with class III obesity

2018 ◽  
Vol 12 (1) ◽  
pp. 1-8 ◽  
Author(s):  
Antônio Sérgio Barcala Jorge ◽  
João Marcus Oliveira Andrade ◽  
Alanna Fernandes Paraíso ◽  
Gislaine Candida Batista Jorge ◽  
Christine Mendes Silveira ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Adipose Tissue ◽  
Fatty Liver Disease ◽  
Tissue Expression ◽  
Tnf Alpha ◽  
Class Iii ◽  
Alcoholic Fatty Liver ◽  
Class Iii Obesity ◽  
Visceral Adipose ◽  
Alcoholic Fatty Liver Disease

Effect of weight loss via bariatric surgery for class III obesity on exertional breathlessness

2019 ◽  
Vol 266 ◽  
pp. 130-137 ◽  
Author(s):  
Amar Mainra ◽  
Sara J. Abdallah ◽  
Ryan E.R. Reid ◽  
Ross E. Andersen ◽  
Dennis Jensen
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Class Iii ◽  
Class Iii Obesity

scholarly journals Persistently High Hip Circumference after Bariatric Surgery Is a Major Hurdle to Successful Hip Replacement

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Menachem M. Meller ◽  
Amber B. Courville ◽  
Anne E. Sumner
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Gastric Bypass ◽  
Black Women ◽  
Soft Tissue ◽  
Hip Replacement ◽  
Functional Independence ◽  
Class Iii ◽  
Hip Circumference ◽  
Class Iii Obesity

The prevalence of class III obesity (BMI≥40 kg/m2) in black women is 18%. As class III obesity leads to hip joint deterioration, black women frequently present for orthopedic care. Weight loss associated with bariatric surgery should lead to enhanced success of hip replacements. However, we present a case of a black woman who underwent Roux-en-Y gastric bypass with the expectation that weight loss would make her a better surgical candidate for hip replacement. Her gastric bypass was successful as her BMI declined from 52.0 kg/m2to 33.7 kg/m2. However, her hip circumference after weight loss remained persistently high. Therefore, at surgery the soft tissue tunnel geometry presented major challenges. Tunnel depth and immobility of the soft tissue interfered with retractor placement, tissue reflection, and surgical access to the acetabulum. Therefore a traditional cup placement could not be achieved. Instead, a hemiarthroplasty was performed. After surgery her pain and reliance on external support decreased. But her functional independence never improved. This case demonstrates that a lower BMI after bariatric surgery may improve the metabolic profile and decrease anesthesia risk, but the success of total hip arthroplasties remains problematic if fat mass in the operative field (i.e., high hip circumference) remains high.

Twin Pregnancy Outcomes in Women With Class III Obesity (Body Mass Index Less Than 40 kg/m2)

2014 ◽  
Vol 123 ◽  
pp. 161S
Author(s):  
Ivan Ngai ◽  
Shravya Govindappagari ◽  
Sahar Zaghi ◽  
Melissa Marji ◽  
Peʼer Dar ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Pregnancy Outcomes ◽  
Twin Pregnancy ◽  
Class Iii ◽  
Class Iii Obesity

scholarly journals COMPARATIVE FEASIBILITY OF DOBUTAMINE STRESS ECHOCARDIOGRAPHY PERFORMED WITH AND WITHOUT INTRAVENOUS CONTRAST IN PATIENTS WITH CLASS III OBESITY

2021 ◽  
Author(s):  
Carl Carlino ◽  
Saravanan Kuppuswamy ◽  
Lerin McCray ◽  
Kul Aggarwal ◽  
Martin Alpert
Keyword(s):  
Bariatric Surgery ◽  
Stress Echocardiography ◽  
Dobutamine Stress Echocardiography ◽  
Peak Stress ◽  
Dobutamine Stress ◽  
Left Ventricular ◽  
Class Iii ◽  
Intravenous Contrast ◽  
Class Iii Obesity ◽  
Contrast Group

Background: Concern exists regarding adequacy of visualization of stress echocardiograms performed without intravenous contrast in persons with Class III obesity (body mass index ≥ 40 kg/m2). Methods: Dobutamine stress echocardiography (DSE) was performed on 128 candidates for bariatric surgery with class III obesity without chest pain or pre-existent coronary artery disease (CAD). DSE without intravenous contrast was initially performed on 62 patients with class III obesity, then was subsequently was performed with intravenous contrast on 66 patients with class III obesity. Left ventricular (LV) regional wall motion was assessed at baseline and peak stress using the 16-segment model. Results: In the intravenous contrast group 1046 of 1056 LV segments studied (99.1%) were well-visualized and interpretable at baseline and 1044 of 1056 LV segments studied (98.9%) were well-visualized and interpretable at peak stress. In the non-contrast group 905 of 992 segments studied (91.2%) were well-visualized and interpretable at baseline and 886 of 992 segments studied (89.3%) were well-visualized and interpretable at peak stress. A significantly greater number of LV segments were well-visualized and interpretable in the intravenous contrast group than in the group compared to the non-contrast group, at baseline and at peak stress (p < 0.00001 for both). DSE was positive for ischemia in 1 patient. All patients underwent bariatric surgery without cardiovascular complications. Six months after surgery, all patients were alive; none developed cardiovascular events. Conclusion: The use of intravenous contrast during DSE significantly improves visualization and interpretability of LV segments in patients with class III obesity.

KEJADIAN PENYAKIT HIPERTENSI DAN INDEKS MASSA TUBUH PADA PEREMPUAN YANG TINGGAL DI PEDESAAN DAN PERKOTAAN

2019 ◽  
pp. 127-136
Author(s):  
Venti Agustina
Keyword(s):  
Blood Pressure ◽  
Body Mass Index ◽  
Body Mass ◽  
Rural Women ◽  
Urban Areas ◽  
Stage I ◽  
Normal Body Mass Index ◽  
Cross Sectional ◽  
Normal Body ◽  
Stadium I

Hipertensiadalah penyebab kematian utama di Indonesia. Kematian akibat hipertensi lebih banyak terjadi di perkotaan dibandingkan di desa. Tingginya kejadian hipertensi dipengaruhi oleh faktor yang dapat dikontrol (obesitas,berat badan lebih, konsumsi garam berlebih,aktivitas fisik rendah, perokok, dan konsumsi alkohol) dan faktor yang tidak dapat dikontrol (genetik, usia, dan jenis kelamin). Penelitian bertujuan memberikan gambarandistribusi tekanan darah dan indeks massa tubuh (IMT) pendudukperempuan di kota maupun di desa.Desain penelitian adalah deskriptif kuatitatif dengan pendekatan cross sectional. Data primer didapatkan melalui pengukuran tekanan darah, tinggi badan dan berat badan. Penelitian dilakukan di Desa Kutowinangun Kidul, Kecamatan Tingkir,Salatiga yang mewakili penduduk perempuan di perkotaan dan Desa Batur, Kecamatan Getasan, Kabupaten Semarangyang mewakili penduduk perempuan pedesaan. Adapun jumlah sampel masing-masing 66 respondendan 72responden. Hasil penelitian menunjukkan bahwa kejadian penyakit hipertensi, resiko obese dan obese lebih didominasi oleh respondendi perkotaan dibandingkan di pedesaan dengan rentang usia di atas 46 tahun. Respondendi desa dengan indeks massa tubuh normal cenderung mengalami pre-hipertensi (8,3%) dan hipertensi stadium I (6,9%) sementararesponden dengan resiko obese dan obese cenderung mengalami hipertensi stadium I (1,4%).Respondendi kota dengan indeks massa tubuh normal cenderung mengalami pre hipertensi (6,06%), hipertensi stadium I (4,5%) dan II (7,5%). Responden dengan resiko obese cenderung mengalami hipertensi stadium I (4,5%), dan responden dengan obese I dan II cenderung mengalami pre-hipertensi (4,5%).   Hypertension is the leading cause of death in Indonesia. Deaths due to hypertension are more common in urban areas than in villages. The high incidence of hypertension is influenced by factors that can be controlled (obesity, overweight, excessive salt consumption, low physical activity, smokers, and alcohol consumption) and factors that cannot be controlled (genetic, age, and sex). The study aimed to provide an overview of blood pressure distribution and body mass index (BMI) of female residents in cities and villages. The study design was descriptive quantitative with a cross sectional approach. Primary data was obtained through measurements of blood pressure, height and weight. The study was conducted in Kutowinangun Kidul Village, Tingkir Subdistrict, Salatiga representing women in urban areas and Batur Village, Getasan Subdistrict, Semarang Regency, representing rural women. The number of samples was 66 respondents and 72 respondents respectively. The results showed that the incidence of hypertension, the risk of obese and obese was more dominated by respondents in urban areas than in rural areas with ages above 46 years. Respondents in villages with normal body mass index tended to experience pre-hypertension (8.3%) and stage I hypertension (6.9%) while respondents with obese and obese risk tended to experience stage I hypertension (1.4%). Respondents in cities with normal body mass index tended to experience pre-hypertension (6.06%), stage I hypertension (4.5%) and II (7.5%). Respondents with obese risk tended to experience stage I hypertension (4.5%), and respondents with obese I and II tended to experience pre-hypertension (4.5%).

scholarly journals Lifestyle modification for weight loss: effects on cardiorespiratory capacity in Patients with Class II and Class III Obesity

2021 ◽  
Author(s):  
Finn Wammer ◽  
Andrea Haberberger ◽  
Anita Dyb Linge ◽  
Tor Åge Myklebust ◽  
Sveinung Vemøy ◽  
...  
Keyword(s):  
Weight Loss ◽  
Lifestyle Modification ◽  
Class Ii ◽  
Class Iii ◽  
Class Iii Obesity
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