Effect of the Volume of Fluids Administered on Intraoperative Oliguria in Laparoscopic Bariatric Surgery: A Randomized Controlled Trial [Original Article]

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Conclusions  In patients undergoing laparoscopic bariatric surgery, intraoperative urine output is low regardless of the use of relatively high-volume fluid therapy. The results suggest that we should reconsider the common practice to administer intraoperative fluids in response to low urine output. Further studies are required to evaluate these data in other surgical patient populations.
Trial Registration  clinicaltrials.gov Identifier: NCT00753402 (Source: Archives of Surgery)

Bariatric Surgery in High-Risk Patients: Is it Time to Reconsider? [From JAMA]

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(Source: Archives of Surgery)

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Safety of Laparoscopic vs Open Bariatric Surgery: A Systematic Review and Meta-analysis [Review Article]

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Conclusion  Laparoscopic surgery may be a safer treatment than open surgery for patients requiring bariatric surgery. (Source: Archives of Surgery)

Preoperative Very Low-Calorie Diet and Operative Outcome After Laparoscopic Gastric Bypass: A Randomized Multicenter Study [Original Article]

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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)

Weight Loss Preceding Laparoscopic Gastric Bypass Improves Acute Outcomes: Comment on "Preoperative Very Low-Calorie Diet and Operative Outcome After Laparoscopic Gastric Bypass" [Invited Critique]

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(Source: Archives of Surgery)

Costs and usage of healthcare services before and after open bariatric surgery.

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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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After Massive Weight Loss: Patients’ Expectations of Body Contouring Surgery

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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…

Pharmacokinetic considerations in Roux-en-Y gastric bypass patients.

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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)

Sleep Quality and Duration Before and After Bariatric Surgery

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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…

Task Force Looks at Less Invasive Weight Loss Surgery

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(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)