Tag Archive for: Weight Loss

Outcomes of Revisional Procedures for Insufficient Weight Loss or Weight Regain After Roux-En-Y Gastric Bypass

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Background  

The Roux-en-Y gastric bypass (RYGB) performed laparoscopically (LRYGB) is the most frequently performed bariatric procedure in Belgium. However, late results in terms of weight loss or weight regain are inconsistent and may warrant a second procedure. This retrospective study analyzes the laparoscopic options for revisional surgery after LRYGB.

Methods  

Between January 1, 2001 and December 31, 2009, 70 patients underwent a new laparoscopic procedure for poor weight loss or weight regain after LRYGB. The revisional procedure was performed a median of 2.6 years after the initial bypass operation. Fifty-eight patients were available for follow-up (82.9 %); 19 underwent distalization; and 39 a new restrictive procedure.

Results  

The mean mass index (BMI) before the revisional procedure was 39.1?+?11.3 kg/m2 (30.8–51.8), down from 42.7?+?19.7 kg/m2 (33.0–56.6) initially, which corresponded to a percentage of excess weight loss (EWL) of 12.4?+?9.3 % (?1.0–29.1). After the corrective procedure, with a follow-up of approximately 4 years, mean BMI was 29.6?+?12.4 kg/m2 (18.0–45.5), for a significant additional percentage of EWL of 53.7?+?9.8 % (2.0–65.8). The overall complication rate was 20.7 %, and the reoperation rate was 7.3 %. The overall leak rate was 12.1 %. Patients suffering from leaks could consistently be treated conservatively or by stent placement. Two patients needed reconversion after distal bypass. The satisfaction index was good in just over 50 % of the patients.

Conclusion  

Revisional laparoscopic surgery after RYGB performed for weight issues provides good additional weight loss but carries significant morbidity. Leaks can usually be handled non-surgically. Patient satisfaction is only fair.

Keywords  Laparoscopic Roux-en-Y gastric bypass – Revisional surgery – Weight regain – Insufficient weight loss – Complications

Are Knee and Foot Orthopedic Problems More Disabling in the Superobese?

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Background

Aiming to ascertain whether frequency and severity of knee and foot problems were different between morbid obesity (MO) and superobesity (SO), a prospective clinical study was designed. Read more

Drug lobby wants clearer FDA rules for diet pills

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WASHINGTON (Reuters) – The pharmaceutical industry may stop investing in medicines to treat diseases like diabetes or obesity without more explicit guidelines from U.S. regulators, the chairman of the drug trade group said on Thursday.

The Food and Drug Administration must approve any medical products sold in the United States, but drug companies say they cannot always predict how the agency weighs risks and benefits for medicines that could be widely used. Read more

Bipolar Drug May Spur Weight Gain, Thyroid Problems: Review

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THURSDAY, Jan. 19 (HealthDay News) — A new medical review finds that lithium, a common treatment for bipolar disorder, can lead to weight gain and causes high rates of abnormalities in the thyroid and parathyroid glands. Read more

Robin Quivers working on diet memoir

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NEW YORK (AP) — Robin Quivers doesn’t kid around — not too much — when it comes to her diet.

Howard Stern‘s longtime sidekick is working on a memoir about her struggles with her weight and health and her decision to eat vegan. Read more

Federal appeals court hears Ky. diet drug pair

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CINCINNATI (AP) — Two former attorneys serving prison time for scamming their clients of $94.6 million from a $200 million settlement over the diet drug fen-phen may have a valid point about the trial judge making an error, but “it looks wrong” that they took the bulk of the settlement for themselves, a federal appeals court judge said Tuesday. Read more

Health Tip: Get More Veggies Into Your Diet

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New research could mean millions of older women can skip frequent screening tests for osteoporosis: Read more

R.I.P. Krispy Kreme Burger, says top Bariatric surgeon on Deen Diabetes news

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Food Network star Paula Deen made a deal with devil in Georgia it seems, as the butter loving Southern fried food queen is suffering from Type 2 diabetes and has hid the diagnosis for years. Read more

Is Intake of Vitamin D and Calcium Important for Cardiovascular Health in Elderly Obese Patients?

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Abstract  There is compelling evidence that bariatric weight loss reduces cardiovascular complications; however, these still tend to
be the most common cause of late death after surgical intervention. In a prospective cohort study, correlations of dietary
nutrients with indexes of vascular health were sought, with emphasis on vitamin D and calcium. Clinically stable obese outpatient
subjects (>60 years old, N = 44) were interviewed about dietary macro and micronutrients. Nutritional assessment targeted anthropometric and bioimpedance
analysis (BIA), hematologic counts, lipid profile, glucose homeostasis, and inflammatory markers. Carotid intima-media thickness
(IMT) and brachial flow-mediated dilation (FMD), along with related vascular measurements, were document…

Bariatric Surgery and Diabetic Retinopathy: a Pilot Analysis

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Content Type Journal ArticleCategory Letter to the EditorPages 1-2DOI 10.1007/s11695-012-0600-9Authors
Lakshminarayanan Varadhan, Department of Diabetes and Endocrinology, University Hospital of North Staffordshire NHS Trust, Springfield Unit, North Buildings, Stoke on Trent, Staffordshire, ST4 6QG UKTracy Humphreys, Department of Diabetes and Endocrinology, University Hospital of North Staffordshire NHS Trust, Springfield Unit, North Buildings, Stoke on Trent, Staffordshire, ST4 6QG UKAdrian B. Walker, Department of Diabetes and Endocrinology, University Hospital of North Staffordshire NHS Trust, Springfield Unit, North Buildings, Stoke on Trent, Staffordshire, ST4 6QG UKChandra V. N. Cheruvu, Department of Surgery, University Hospital of North Staffordshire NHS Trust, Stoke on Trent,…