scholarly journals Revision procedures in bariatric surgery

2019 ◽  
Vol 10 (3) ◽  
pp. 81-91
Author(s):  
Yuriy I. Yashkov ◽  
Yuriy I. Sedletskiy ◽  
Dmitriy I. Vasilevskiy ◽  
Boris Yurievich Tsvetkov ◽  
Alexander M. Krichmar
Keyword(s):  
Bariatric Surgery ◽  
Weight Regain ◽  
Recurrent Disease ◽  
Negative Effects ◽  
Surgical Interventions ◽  
Technical Errors ◽  
Primary Surgery ◽  
Revision Bariatric Surgery ◽  
Key Issues ◽  
Treatment Of Obesity

Searching the optimal options for reoperations in overweight patients has the same lengthy and difficult history as all bariatric surgery. The key issues of this aspect of obesity surgery are inefficiency (inadequate weight reduction or it regain) and the unavoidable complications of conservative methods and the negative effects of primary surgery. Weight regain after bariatric surgery is a multicomponent problem. The main reason for the unsatisfactory results of surgical (and conservative) treatment of obesity in some patients is the nature of obesity – the lifelong chronic recurrent disease. A certain role in the return of excess weight is played by the imperfection of the currently existing surgical procedures for the correction of overweight, as well as the wrong choice of options for surgical interventions and technical errors in their implementation. Increase the number of worldwide operations for obesity and its associated diseases translates the problem of revision bariatric surgery from the category of narrow questions in this field of medicine into a serious problem. The article describes modern approaches to the surgical treatment of re-gaining weight after bariatric operations. It considered options for audit procedures, depending on the previously performed surgery. Original techniques of repeated operations for effective correction of the relapse of overweight are described in article.

Endoscopic Approaches to Obesity Management

2021 ◽  
Vol 73 (1) ◽  
Author(s):  
Russell D. Dolan ◽  
Allison R. Schulman
Keyword(s):  
Metabolic Disease ◽  
Weight Loss ◽  
Small Bowel ◽  
Weight Regain ◽  
Caloric Intake ◽  
Annual Review ◽  
Publication Date ◽  
Obesity Management ◽  
Surgical Interventions ◽  
Treatment Of Obesity

The field of endoscopic bariatric and metabolic therapy has rapidly evolved from offering endoscopic treatment of weight regain following bariatric surgery to providing primary weight loss options as alternatives to pharmacologic and surgical interventions. Gastric devices and remodeling procedures were initially designed to work through a mechanism of volume restriction, leading to earlier satiety and reduced caloric intake. As the field continues to grow, small bowel interventions are evolving that may have some effect on weight loss but focus on the treatment of obesity-related comorbidities. Future implementation of combination therapy that utilizes both gastric and small bowel interventions offers an exciting option to further augment weight loss and alleviate metabolic disease. This review considers gastric devices and techniques including space-occupying intragastric balloons, aspiration therapy, endoscopic tissue suturing, and plication interventions, followed by a review of small bowel interventions including endoluminal bypass liners, duodenal mucosal resurfacing, and endoscopically delivered devices to create incisionless anastomoses. Expected final online publication date for the Annual Review of Medicine, Volume 73 is January 2022. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.

scholarly journals Principles of bariatric surgery (review of literature)

2019 ◽  
Vol 26 (2) ◽  
pp. 9-11
Author(s):  
D. I. Vasilevskiy ◽  
Yu. I. Sedletskiy ◽  
L. I. Davletbaeva
Keyword(s):  
Bariatric Surgery ◽  
Surgical Treatment ◽  
Historical Perspective ◽  
Review Of Literature ◽  
Negative Experience ◽  
Practical Medicine ◽  
Surgical Interventions ◽  
Associated Diseases ◽  
Treatment Of Obesity ◽  
Surgical Treatment Of Obesity

Surgical treatment of obesity and associated diseases, like any other field of practical medicine, is based on certain laws and conditions. All the principles of bariatric surgery were formulated in the process of accumulating a positive and negative experience of using various surgical interventions. The article presents an historical perspective on the evolution of views on the fundamental principles of the operative treatment of obesity and associated diseases.

scholarly journals Obesity, bariatric surgery, and weight regain parameters: a concise systematic review

2021 ◽  
Vol 14 (3) ◽  
Author(s):  
Sibelle Grätsch
Keyword(s):  
Public Health ◽  
Bariatric Surgery ◽  
Weight Loss ◽  
Weight Regain ◽  
Excess Weight Loss ◽  
Total Weight Loss ◽  
Surgical Success ◽  
The Subject ◽  
Treatment Of Obesity

Introduction: Obesity, an easily diagnosed disease, is multifactorial, chronic, and difficult to manage. It has increased alarmingly and is now one of the main public health problems. It is associated with several comorbidities and poorer quality of life. Bariatric surgery is currently widely accepted and described in the literature as the most effective method for the treatment of obesity. Even though this is the best method, weight regain (WR) is also checked. In the literature, there are several parameters used to configure WR, and with that, several results are presented. Objective: This paper aims to review the parameters used to assess WR after bariatric surgery. Method: A bibliographic review of the last 5 years was carried out in the PubMed and Scielo virtual databases with the following keywords: bariatric surgery, obesity, and weight regain, in October and November 2019. Result: Lack of unanimity in the definition and parameters for WR is still a reason for further studies. And with that, the results are also presented in a varied way, depending on the parameter used. Conclusion: The subject is relatively new and there is a need for more studies to define and quantify the meaning of WR, to also improve the approach and management of the patient with weight regain. But there seems to be a tendency to adapt itself as a favorable response to surgical success when at least 50% excess weight loss (%EWL) and > 20% total weight loss is achieved, and that any regain should not be used. as a parameter to define it.

Accuracy of High-Resolution Manometry in Hiatal Hernia Diagnosis in Primary and Revision Bariatric Surgery

2021 ◽  
Author(s):  
Daniel L. Chan ◽  
Tien Y. Chern ◽  
Jim Iliopoulos ◽  
Annemarie Hennessy ◽  
Simon K. H. Wong ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
High Resolution ◽  
Hiatal Hernia ◽  
High Resolution Manometry ◽  
Revision Bariatric Surgery

scholarly journals Outcomes After Lumbar Disk Herniation Surgery in the Dutch Population

2021 ◽  
pp. 219256822199112
Author(s):  
Maike H. J. Schepens ◽  
Miranda L. van Hooff ◽  
Judith A. van Erkelens ◽  
Ronald Bartels ◽  
Eric Hoebink ◽  
...  
Keyword(s):  
Nerve Root ◽  
Volume Effect ◽  
Complication Rates ◽  
Disk Herniation ◽  
Opioid Use ◽  
Lumbar Disk Herniation ◽  
Surgical Interventions ◽  
Nerve Root Block ◽  
Lumbar Disk ◽  
Primary Surgery

Study Design: Retrospective cohort study. Objective: There is only limited data on the outcome of primary surgery of lumbar disk herniation (LDH) in Dutch patients. The objective of this study is to describe undesirable outcomes after primary LDH. Methods: The National Claims Database (Vektis) was searched for primary LDH operations performed from July 2015 until June 2016, for reoperations within 18 months, prescription of opioids between 6 to 12 months and nerve root block within 1 year. A combined outcome measure was also made. Group comparisons were analyzed with the Student’s t-test. Results: Primary LDH surgery was performed in 6895 patients in 70 hospitals. Weighted mean of reoperations was 7.3%, nerve root block 6.7% and opioid use 15.6%. In total, 23.0% of patients had one or more undesirable outcomes after surgery. The 95% CI interval exceeded the 50% incidence line for 14 out of 26 hospitals with less than 50 surgical interventions per year. Although the data suggested a volume effect on undesired outcomes, the t-tests between hospitals with volume thresholds of 100, 150 and 200 interventions per year did not support this ( P values 0.078, 0.129, 0.114). Conclusion: This unique nationwide claims-based study provides insight into patient-relevant undesirable outcomes such as reoperation, nerve root block and opioid use after LDH surgery. About a quarter of the patients had a serious complication in the first follow up year that prompted further medical treatment. There is a wide variation in complication rates between hospitals with a trend that supports concentration of LDH care.

scholarly journals Weight regain among women after metabolic and bariatric surgery: a qualitative study in Brazil

2014 ◽  
Vol 36 (3) ◽  
pp. 140-146 ◽  
Author(s):  
Ataliba de Carvalho Jr. ◽  
Egberto Ribeiro Turato ◽  
Elinton Adami Chaim ◽  
Ronis Magdaleno Jr.
Keyword(s):  
Bariatric Surgery ◽  
Psychological Factors ◽  
Qualitative Method ◽  
Weight Regain ◽  
Structured Interview ◽  
Qualitative Investigation ◽  
Health Team ◽  
Open Questions ◽  
Metabolic And Bariatric Surgery ◽  
Degree Of Participation

INTRODUCTION: Due to the increased number of bariatric surgeries over the years, aspects contributing or hindering the achievement of outcomes, among them weight regain, have acquired increased significance. Psychological factors directly influence on this unwanted situation, but there are few studies and controversies about the degree of participation of these factors. We propose a qualitative investigation to analyze the meanings of weight regain after surgery among women and how these factors influence this outcome.METHOD: This study uses the clinical-qualitative method, by means of a semi-structured interview with open questions in an intentional sample, closed by saturation, with eight women who underwent surgery at the Bariatric Surgery Outpatient Clinic of Hospital das Clínicas, Universidade Estadual de Campinas (UNICAMP), in the state of São Paulo, Brazil.RESULTS: A feeling of defeat and failure emerges with weight regain, which contributes to social isolation; there is no regret, but gratitude for the surgery; among patients, there is a sense of feeling rejected greater than a rejection that actually exists.CONCLUSION: We found out the need for further qualitative studies that help the health team to better understand the dynamic psychological factors involved in the meaning of weight regain after bariatric surgery among women, in order to adopt appropriate conducts to deal with this problem.

scholarly journals Laparoscopic Sleeve Gastrectomy for the Surgical Treatment of Obesity: Is It an Easy Procedure?

2021 ◽  
Vol 6 (1) ◽  
pp. e1-e1
Author(s):  
Emilio Manno ◽  
Keyword(s):  
Bariatric Surgery ◽  
Sleeve Gastrectomy ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Simple Procedure ◽  
Longitudinal Gastrectomy ◽  
Technical Simplicity ◽  
Treatment Of Obesity ◽  
Malabsorptive Procedure ◽  
Global Registry ◽  
Registry Report

Laparoscopic sleeve gastrectomy (LSG) is currently the most performed bariatric procedure in the world. The 4th International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) Global registry report (2014-18) estimates 87,015 procedures, equal to 45.9% of all bariatric procedures. Initially performed as the first step of the duodenals witch (biliopancreatic diversion with duodenal switch (BPD-DS)), a very complex malabsorptive procedure invented by a Canadian Surgeon P. Marceau as an evolution of the BPD, invented by N. Scopinaro, an Italian surgeon, LSG established itself in the early 2000s as a stand alone procedure, especially following the observations of Michael Gagner, pioneer of bariatric surgery. Over the years LSG has grown rapidly. The reasons for this popularity are the relative technical simplicity compared to other procedures, efficacy, good quality. For these reasons there has been a real explosion of bariatric surgery: many surgeons, driven by the relative simplicity of the procedure (longitudinal gastrectomy on the guide of a probe), begun to propose this procedure. So is LSG really an effective simple procedure that is good for all patients? Absolutely not. Performing a longitudinal gastrectomy can be simple; performing a good LSG is not.

scholarly journals Surgical approach of weight regain after bariatric surgery

2020 ◽  
Vol 3 ◽  
pp. 54-54
Author(s):  
Xavier Guarderas ◽  
Ramiro Cadena-Semanate ◽  
Glenda Herrera ◽  
A. Daniel Guerron
Keyword(s):  
Bariatric Surgery ◽  
Surgical Approach ◽  
Weight Regain
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