Conclusion Laparoscopic surgery may be a safer treatment than open surgery for patients requiring bariatric surgery. (Source: Archives of Surgery)
Conclusions Although weight reduction with a 14-day VLCD regimen before laparoscopic gastric bypass performed in high-volume centers seems to reduce the perceived difficulty of the procedure, only minor effects on operating time, intraoperative complications, and short-term weight loss could be expected. However, the finding of reduced postoperative complication rates suggests that such a regimen should be recommended before bariatric surgery. (Source: Archives of Surgery)
CONCLUSION: Although bariatric surgery is the only path towards sustained weight loss for morbidly obese patients, the direct costs over the first year after the procedure are greater. Further studies, with longer follow-up, might elucidate whether long-term reversal of this trend would occur.
PMID: 22069127 [PubMed – in process] (Source: Sao Paulo Medical Journal)
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Conclusions Surplus skin resulting from gastric bypass surgery is a common issue that causes functional and aesthetic impairments in patients.
Consequently, this increases the desire for body contouring surgery with high expectations for the aesthetic outcome as well
as improved life satisfaction.
Content Type Journal ArticleCategory Clinical ResearchPages 1-5DOI 10.1007/s11695-011-0551-6Authors
Hugo B. Kitzinger, Divison of Plastic and Reconstructive Surgery, Department of Surgery, Medical University of Vienna, General Hospital Vienna, Waehringer Guertel 18-20, 1090 Vienna, AustriaSara Abayev, Divison of Plastic and Reconstructive Surgery, Department of Surgery, Medical University of Vienna, General Hospital Vienna, Waehringer Guertel 18-20, 1090 Vienna, AustriaAnn…
Conclusion The pK(a), log P, and intestinal transport mechanisms should be considered when determining which drugs may have altered pharmacokinetics in patients who have undergone RYGB.
PMID: 22095812 [PubMed – in process] (Source: American Journal of Health-System Pharmacy : AJHP)
Conclusions Individuals with extreme obesity, compared to the nonobese, obtain less sleep and experience poorer sleep quality. Bariatric
surgery improves sleep duration and quality.
Content Type Journal ArticleCategory Clinical ResearchPages 1-6DOI 10.1007/s11695-011-0541-8Authors
Patricia Toor, Metabolic Medicine and Surgery Institute, Florida Hospital Celebration Health, 400 Celebration Place, Suite 250A, Celebration, FL 34747, USAKeith Kim, Metabolic Medicine and Surgery Institute, Florida Hospital Celebration Health, 400 Celebration Place, Suite 250A, Celebration, FL 34747, USACynthia K. Buffington, Metabolic Medicine and Surgery Institute, Florida Hospital Celebration Health, 400 Celebration Place, Suite 250A, Celebration, FL 34747, USA
Journal Obesity Su…
(MedPage Today) — Endoscopic bariatric therapy could be a key clinical niche between medical and lifestyle therapies without the morbidity risks of bariatric surgery, according to a white paper on the issue. (Source: MedPage Today Endocrinology)
Abstract Routine drain use after laparoscopic Roux-en-y gastric bypass (LRYGB) is still practiced by many bariatric surgeons. After
a patient in our program experienced intestinal obstruction secondary to a drain, we reevaluated our practice and hypothesized
drains would be of no benefit and potentially harmful after LRYGB. Retrospective record review of all patients undergoing
LRYGB from August 2005 to August 2009 was performed. As we changed our practice in December 2006, we have two comparable groups:
one with a drain placed at surgery and one without. All operations were otherwise performed in an identical fashion by three
fellowship-trained university surgeons. We compared outcomes between the two groups, particularly regarding gastrojejunal
(GJ) leaks. Jejunojejunal …
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The twin epidemics of obesity and diabetes threaten the health and well-being of millions of Americans. As these conditions rise in tandem, bariatric surgery has become an increasingly popular treatment option. In the United States alone, over 220,000 bariatric surgery procedures were performed in 2009. At present, bariatric surgery is the only therapy that produces mean long-term weight losses of 15% or more of initial weight. (Source: The Psychiatric Clinics of North America)
We present a literature review of the possible mechanisms of early normalization of glycemic homeostasis
after bariatric surgery, including intestinal gluconeogenesis, increased antidiabetogenic signals from L cells located in
the distal small intestine, and impaired secretion of diabetogenic signals in the upper part of the small intestine. Adding
to these potential mechanisms, unknown factors that regulate insulin sensitivity may be involved and altered by bariatric
surgery. This review discusses the various hypotheses about the mechanisms of glycemic control after bariatric surgery involving
intestinal bypass. Further research is essential to better understand these mechanisms and to identify potential new mechanisms
that might help in developing less invasive and safer alternativ…
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