Incidental Chylous Ascites Associated With Internal Hernial After Bariatric Surgery. Case Series

2021 ◽  
Author(s):  
Mª Carmen Azorín ◽  
María Jesús Segura ◽  
Matías Gómez ◽  
Isabel Fernández ◽  
Rodolfo Rodríguez ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Morbid Obesity ◽  
Gastric Bypass ◽  
Late Complication ◽  
Lymphatic Vessels ◽  
Case Series ◽  
Chylous Ascites ◽  
Internal Hernias ◽  
High Incidence ◽  
Late Postoperative Period

Abstract Bariatric surgery is of great importance due to the high incidence of morbid obesity. Techniques such as gastric bypass laparoscopic, tubular gastrectomy laparoscopic and other bariatric techniques with gastrointestinal anastomosis are used for its treatment. The incidence of internal hernias in the late postoperative period after bariatric surgery ranges from 0.4 to 8.8%. As a consequence, there may be obstruction of the lymphatic vessels. Although chylous ascites is a rare pathology in bariatric surgery, several cases have been reported in the literature. We present two cases of patients who presented as a late complication an internal hernia associated with chyloperitoneum.

Deep brain stimulation compared with bariatric surgery for the treatment of morbid obesity: a decision analysis study

2010 ◽  
Vol 29 (2) ◽  
pp. E15 ◽  
Author(s):  
Jared M. Pisapia ◽  
Casey H. Halpern ◽  
Noel N. Williams ◽  
Thomas A. Wadden ◽  
Gordon H. Baltuch ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Morbid Obesity ◽  
Sensitivity Analysis ◽  
Gastric Bypass ◽  
Deep Brain Stimulation ◽  
Decision Analysis ◽  
Success Rate ◽  
Brain Stimulation ◽  
Surgical Complications ◽  
Deep Brain

Object Roux-en-Y gastric bypass is the gold standard treatment for morbid obesity, although failure rates may be high, particularly in patients with a BMI > 50 kg/m2. With improved understanding of the neuropsychiatric basis of obesity, deep brain stimulation (DBS) offers a less invasive and reversible alternative to available surgical treatments. In this decision analysis, the authors determined the success rate at which DBS would be equivalent to the two most common bariatric surgeries. Methods Medline searches were performed for studies of laparoscopic adjustable gastric banding (LAGB), laparoscopic Roux-en-Y gastric bypass (LRYGB), and DBS for movement disorders. Bariatric surgery was considered successful if postoperative excess weight loss exceeded 45% at 1-year follow-up. Using complication and success rates from the literature, the authors constructed a decision analysis model for treatment by LAGB, LRYGB, DBS, or no surgical treatment. A sensitivity analysis in which major parameters were systematically varied within their 95% CIs was used. Results Fifteen studies involving 3489 and 3306 cases of LAGB and LRYGB, respectively, and 45 studies involving 2937 cases treated with DBS were included. The operative successes were 0.30 (95% CI 0.247–0.358) for LAGB and 0.968 (95% CI 0.967–0.969) for LRYGB. Sensitivity analysis revealed utility of surgical complications in LRYGB, probability of surgical complications in DBS, and success rate of DBS as having the greatest influence on outcomes. At no values did LAGB result in superior outcomes compared with other treatments. Conclusions Deep brain stimulation must achieve a success rate of 83% to be equivalent to bariatric surgery. This high-threshold success rate is probably due to the reported success rate of LRYGB, despite its higher complication rate (33.4%) compared with DBS (19.4%). The results support further research into the role of DBS for the treatment of obesity.

Preoperative intragastric balloon in morbid obesity is unable to decrease early postoperative morbidity of bariatric surgery (sleeve gastrectomy and gastric bypass): a clinical assay

2019 ◽  
Vol 34 (6) ◽  
pp. 2519-2531 ◽  
Author(s):  
Cristina Vicente Martin ◽  
Luis R. Rabago Torre ◽  
Luis A. Castillo Herrera ◽  
Marisa Arias Rivero ◽  
Miguel Perez Ferrer ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Morbid Obesity ◽  
Gastric Bypass ◽  
Sleeve Gastrectomy ◽  
Intragastric Balloon ◽  
Postoperative Morbidity ◽  
Clinical Assay

scholarly journals Impact of Excessive Weight Loss on Cardiovascular Risk After Two Years of Bariatric Surgery

2021 ◽  
Author(s):  
FLAVIANA FREITAS PEDRON ◽  
Glauco da Costa Alvarez ◽  
Luciana Dapieve Patias ◽  
Ana Cristina de Assunção Machado ◽  
Lidiany Oliveira de Lima ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Gastric Bypass ◽  
Cardiovascular Risk ◽  
Medical Records ◽  
Positive Impact ◽  
Excessive Weight ◽  
High Incidence ◽  
Group 1

Abstract Overweightness is related to a high incidence of dyslipidemia, being considered a risk factor for cardiovascular diseases.Objective: Analysis of the effect of weight loss in reducing type 2 diabetes mellitus and cardiovascular risk 2 years after Roux-en-Y gastric bypass.Methods: A retrospective study with patients who underwent Roux-en-Y gastric bypass involving accessing the database of an Obesity Surgery Clinic from March 2018 to March 2019. Male and female patients, aged 18 and over, who underwent bariatric surgery from March 2014 to March 2016 were analyzed. The following data were obtained from the medical records of patients: body weight, height, age, sex, glucose and glycated hemoglobin (HbA1C) after 24 months of surgery.Results: In total, 351 patients were studied, 80.9% of whom were female. There was a reduction in weight and in the concentrations of all biochemical parameters, except HDLc, along with a decrease in the frequency of dyslipidemia and cardiovascular risk 24 months after surgery. When comparing variations between 6 and 12 months, only group 1 reduced Hb1Ac and decreased CVR. There was a significant reduction in the level of glucose in group 1 (p = 0.036) at T4 (18 months) and T5 (24 months).Conclusion: The positive impact determined by bariatric surgery on weight loss was shown to be effective in improving the dyslipidemic profile, reducing morbidities associated with obesity and, consequently, reducing CVR after 24 months.

scholarly journals Evaluation of metabolic syndrome parameters after Roux-y gastric bypass

2020 ◽  
pp. 92-106
Author(s):  
Antônio Nelson Alencar de Araújo ◽  
Marcos Alexandre Casimiro de Oliveira
Keyword(s):  
Bariatric Surgery ◽  
Metabolic Syndrome ◽  
Morbid Obesity ◽  
Gastric Bypass ◽  
Healthy Lifestyle ◽  
Positive Impact ◽  
Portuguese Text ◽  
Abdominal Circumference ◽  
Fasting Glycemia ◽  
Great Relevance

Introduction: Morbid obesity is characterized by a state of insulin-resistance and is often associated with metabolic syndrome, increasing overall and cardiovascular mortality. Due to the unsatisfactory results in conventional treatment in specific groups of patients, invasive intervention is an alternative. However, it may be indicated, especially in situations where the patient has severe obesity or morbid obesity. Objective: The present study aims to evaluate the changes in metabolic syndrome parameters after bariatric surgery. Methodology: This is an integrative review of the literature performed through searches in the Scielo, LILACS and PUBMED databases using the following Controlled Health Sciences Descriptors (DeCS): Bariatric Surgery, Gastric Bypass, Obesity and Metabolic Syndrome. The inclusion criteria were: articles in English or Portuguese, text in full, publications in the period from 2009 to 2019 in article format that addressed the theme described. Duplicate publications, articles that did not address the theme after reading the respective abstracts and articles that do not meet the objectives of this study were excluded. Results: According to the analysis of the results, a reduction of 86.1% in the prevalence of metabolic syndrome was observed; 65.3% in arterial hypertension and 84.2% in altered fasting glycemia. A normalization of abdominal circumference in 35.4% of patients, an increase in 35.8% in HDL levels and high triglyceride values may be observed. Among the results obtained, the increase in HDL did not obtain great relevance, as well as the decrease in abdominal circumference. Conclusion: The study showed a positive relationship between bariatric surgery and metabolic syndrome parameters. The results presented were favorable when surgery was associated with a healthy lifestyle and factors that contribute to the effective coping of this condition in most of the cases analyzed. However, multiprofessional follow-up, particularly for medical, nutritional and psychological care, is essential to have a positive impact on the quality of life of these patients.

scholarly journals Chylous ascites as a late complication of one anastomosis gastric bypass-minigastric bypass: case report

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ibrahim Abu Shakra ◽  
Maxim Bez ◽  
Amitai Bickel ◽  
Walid Kassis ◽  
Samer Ganam ◽  
...  
Keyword(s):  
Gastric Bypass ◽  
Case Report ◽  
Late Complication ◽  
Chylous Ascites ◽  
One Anastomosis Gastric Bypass

scholarly journals Gastropulmonary Fistula after Bariatric Surgery

2009 ◽  
Vol 23 (3) ◽  
pp. 215-216 ◽  
Author(s):  
Maya Doumit ◽  
Gaby Doumit ◽  
Farid M Shamji ◽  
Sylvie Gregoire ◽  
Richard E Seppala
Keyword(s):  
Bariatric Surgery ◽  
Morbid Obesity ◽  
Gastric Bypass ◽  
Laparoscopic Gastric Bypass ◽  
Bypass Surgery ◽  
Present Report ◽  
Gastric Bypass Surgery ◽  
Important Complication

The Roux-en-Y gastric bypass is one of the most common operations for morbid obesity. Although rare, gastropulmonary fistulas are an important complication of this procedure. There is only one recently reported case of this complication. The present report describes the serious nature of this complication in a patient after an uneventful laparoscopic gastric bypass surgery.

scholarly journals A case report of chylous ascites after gastric bypass for morbid obesity

2016 ◽  
Vol 29 ◽  
pp. 133-136 ◽  
Author(s):  
Esmeralda Capristo ◽  
Valerio Spuntarelli ◽  
Giorgio Treglia ◽  
Vincenzo Arena ◽  
Alessandro Giordano ◽  
...  
Keyword(s):  
Morbid Obesity ◽  
Gastric Bypass ◽  
Case Report ◽  
Chylous Ascites
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