scholarly journals Pregnancy as a cause of gastroesophageal reflux after mini-gastric bypass bariatric surgery (MGB-OAGB). A clinical case

2018 ◽  
Vol 12 (2) ◽  
pp. 76-79
Author(s):  
V. S. Samoylov ◽  
V. V. Novomlinskiy ◽  
N. А. Malkina
Keyword(s):  
Bariatric Surgery ◽  
Gastric Bypass ◽  
Gastroesophageal Reflux ◽  
Clinical Symptoms ◽  
Late Complications ◽  
Mini Gastric Bypass ◽  
Major Type ◽  
Abdominal Pressure ◽  
Complete Relief ◽  
Bariatric Patients

The number of post-bariatric patients is increasing from year to year; any medical specialist can see consequences and sometimes complications of these interventions. The variety of different scenarios associated with such patients is not well studied. Mini-gastric bypass (MGB-OAGB) is a major type of primary or recurrent bariatric surgery in obese patients. Biliary reflux (BR) is one of the most significant late complications of this operation. An increase in the intra-abdominal pressure during pregnancy can lead to the development of BR with its typical clinical symptoms, which may sometimes puzzle an obstetrician-gynecologist. In these cases, there are limitations in using traditional diagnostic approaches and regular medications for conservative treatment of BR. This report presents a clinical observation on a patient who underwent MGB-OAGB as a recurrent bariatric intervention for her morbid obesity. With no signs of gastroesophageal reflux before surgery, soon after it or in the I trimester of pregnancy, a typical clinical picture of BR developed in the II and III trimesters. A complete relief of the BR symptoms after the childbirth (confirmed by gastro-esophago-scopy) suggested a direct connection between the BR and the increase in intra-abdominal pressure during pregnancy.

scholarly journals Lipid profile changes in patients undergoing bariatric surgery: A comparative study between sleeve gastrectomy and mini-gastric bypass

2015 ◽  
Vol 14 ◽  
pp. 28-32 ◽  
Author(s):  
Marco Milone ◽  
Roberta Lupoli ◽  
Paola Maietta ◽  
Alessandro Di Minno ◽  
Paolo Bianco ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Gastric Bypass ◽  
Sleeve Gastrectomy ◽  
Comparative Study ◽  
Lipid Profile ◽  
Mini Gastric Bypass ◽  
Profile Changes

scholarly journals GERD after Bariatric Surgery. Can We Expect Endoscopic Findings?

Medicina ◽  
2021 ◽  
Vol 57 (5) ◽  
pp. 506
Author(s):  
Ramon Vilallonga ◽  
Sergi Sanchez-Cordero ◽  
Nicolas Umpiérrez Mayor ◽  
Alicia Molina ◽  
Arturo Cirera de Tudela ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Gastric Bypass ◽  
Sleeve Gastrectomy ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Morbidly Obese ◽  
Review Of The Literature ◽  
Endoscopic Findings ◽  
Asymptomatic Patients ◽  
Bariatric Patients ◽  
Specific Care

Background and Objectives: Bariatric surgery remains the gold standard treatment for morbidly obese patients. Roux-en-y gastric bypass and laparoscopic sleeve gastrectomy are the most frequently performed surgeries worldwide. Obesity has also been related to gastroesophageal reflux disease (GERD). The management of a preoperative diagnosis of GERD, with/without hiatal hernia before bariatric surgery, is mandatory. Endoscopy can show abnormal findings that might influence the final type of surgery. The aim of this article is to discuss and review the evidence related to the endoscopic findings after bariatric surgery. Materials and Methods: A systematic review of the literature has been conducted, including all recent articles related to endoscopic findings after bariatric surgery. Our review of the literature has included 140 articles, of which, after final review, only eight were included. The polled articles included discussion of the endoscopy findings after roux-en-y gastric bypass and laparoscopic sleeve gastrectomy. Results: We found that the specific care of bariatric patients might include an endoscopic diagnosis when GERD symptoms are present. Conclusions: Recent evidence has shown that endoscopic follow-up after laparoscopic sleeve gastrectomy could be advisable, due to the pathological findings in endoscopic procedures in asymptomatic patients.

Bariatric tourists. Foreign bariatric patients treated in Poland – a survey based study.

2020 ◽  
Vol 92 (3) ◽  
pp. 1-5
Author(s):  
Piotr Kowalewski ◽  
Michał Janik ◽  
Andrzej Kwiatkowski ◽  
Krzysztof Paśnik ◽  
Maciej Walędziak
Keyword(s):  
Gastric Bypass ◽  
Online Survey ◽  
Country Of Origin ◽  
High Volume ◽  
International Standards ◽  
Mini Gastric Bypass ◽  
Bariatric Patients ◽  
Personal Visit

Introduction: Bariatric procedures are becoming more popular worldwide. We present current situation of foreign patients treated by high-volume bariatric surgeons in Poland in 2016. Material and Methods: We sent an online survey to twenty high-volume bariatric surgeons. The questionnaire regarded 2016. We asked for number and types of bariatric procedures performed or supervised, number of foreign bariatric patients, their qualification process, country of origin, types of procedure, and post-op recommendations. Results: We received 9 surveys (45%). Five surgeons performed or supervised from 100 to 300 bariatric procedures, 2 performed or supervised over 300 procedures, 2 performed or supervised from 50 to 100 procedures. All of the respondents performed laparoscopic sleeve gastrectomy (LSG) and laparoscopic gastric bypass (LRYGB), four carried out mini gastric bypass, two – gastric banding (LAGB), one – SADI-S and duodenal switch (DS). Six surgeons operated on the total of 64 foreign patients, mainly performing LSG, LRYGB and mini gastric bypass. Most of the patients were qualified based on international criteria (BMI over 40 kg/m2 or BMI over 35 kg/m2 with comorbidities). United Kingdom was the most popular country of origin, followed by Germany, USA, Ireland and Sweden. Qualification for surgery was based on personal visit. After surgery 83.3% (n=5) of the respondents gave out discharge documents in English, recommending long term bariatric follow-up in the country of origin. Every respondent maintained 3-month personal follow-up of every foreign patient. Conclusions: Foreign bariatric patients travelling to Poland are qualified for surgery according to known international standards. Most of the patients receive post-op discharge documents in English, with a 3-month follow-up performed by their surgeon. Further bariatric supervision in the country of origin is routinely recommended.

scholarly journals One Anastomosis Gastric Bypass Reconstitutes the Appropriate Profile of Serum Amino Acids in Patients with Morbid Obesity

2019 ◽  
Vol 9 (1) ◽  
pp. 100 ◽  
Author(s):  
Lukasz P. Halinski ◽  
Alicja Pakiet ◽  
Patrycja Jablonska ◽  
Lukasz Kaska ◽  
Monika Proczko-Stepaniak ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Amino Acids ◽  
Gastric Bypass ◽  
One Anastomosis Gastric Bypass ◽  
Metabolic Pathway Analysis ◽  
Protein Food ◽  
Principle Components Analysis ◽  
Control Subjects ◽  
Serum Amino Acids ◽  
Bariatric Patients

Bariatric surgery leads to metabolic benefits in patients with obesity, but their mechanisms are not well understood. The appropriate composition of serum amino acids (AA) is important for sufficient supply of these components into various tissues and organs. Obesity leads to alterations in serum AA concentrations. The aim of this study was to examine the effect of one anastomosis gastric bypass (OAGB), a promising type of bariatric surgery, on serum AA concentrations, which were assayed by LC-MS in serum of 46 bariatric patients prior to and 6–9 months after OAGB, as well as in 30 lean control subjects. The results were analyzed by principle components analysis and metabolic pathway analysis. PCA analysis showed that OAGB led to normalization of serum AA concentrations of patients with obesity to a pattern similar to the control subjects, and the concentrations of essential AA remained decreased after OAGB. Changes of individual AA and their associated metabolic pathways were also presented. OAGB caused normalization of the AA profile, which may contribute to improvement of glucose homeostasis and reduction of cardiovascular risk. Considering decreased essential AA concentrations after OAGB, increased intake of high protein food should be recommended to the patients after this type of bariatric surgery.

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