Tag Archive for: Weight Loss

Evolving Pattern of Laparoscopic Gastric Band Access Port Complications

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Abstract  Laparoscopic gastric banding (LGB) is the commonest bariatric procedure in Australia. The commonest complication of LGB is
access port or tubing (AP/T) problems, requiring revisional surgery. The aim of this study was to document the evolving pattern
of AP/T complications. All patients whose LGB procedure (AllerganTM Bands) and AP/T revision (AllerganTM port revision sets) were performed by one surgeon (1999 to 2008) were included, giving 167 AP/T revisions in 124 patients
out of a total 1,928 LGB patients. All patient follow-up details were prospectively recorded and retrospectively analysed.
Incidence of LGB AP/T problems was 8.7%. Mean time to first AP/T revision was 2 years. Over the last 4 years of the series,
the number of LGB insertions was constan…

Economic Benefits of Bariatric Surgery

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The objective of this work was to evaluate the economic benefits of bariatric surgery and to relate the costs to the impact
on the health of the individual. A historic cohort study was conducted, with review of medical charts of 194 patients who
fulfilled the inclusion criteria for the study. The costs for medications, professional care, and examinations in the pre-
and postoperative periods were analyzed, taking into consideration the comorbidities DM2, SAH, and dyslipidemia. The study
demonstrated a reduction in the medical costs in the course of the postoperative period, in relation to expenses for medications,
professional care, and examinations in the preoperative period. Comparing the preoperative expenses with different times in
the postoperative period, a statistically signif…

Overexpression of 11β�hydroxysteroid dehydrogenase type 1 in visceral adipose tissue and portal hypercortisolism in non�alcoholic fatty liver disease

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ConclusionMurine NAFLD is associated with portal hypercortisolism and11β�HSD1 overexpression in VAT. In humans, 11β�HSD1 VAT expression was associated with the presence of NAFLD. Thus, local corticosteroid production in VAT may contribute to NAFLD pathogenesis. (Source: Liver International)

C-peptide Predicts the Remission of Type 2 Diabetes After Bariatric Surgery

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Conclusions  Baseline C-peptide is commonly elevated in morbidly obese patients with T2DM. There was a marked reduction in C-peptide after
a significant weight reduction 1 year after surgery with a T2DM remission rate of 78.0%. Thus, bariatric surgery is recommended
for obesity-related T2DM patients with elevated C-peptide.

Content Type Journal ArticleCategory Clinical ResearchPages 1-6DOI 10.1007/s11695-011-0565-0Authors
Wei-Jei Lee, Department of Surgery, Min-Sheng General Hospital, No. 168, Chin Kuo Road, Tauoyan, Taiwan, Republic of ChinaKeong Chong, Internal Medicine, Min-Sheng General Hospital, Tauoyan, TaiwanKong-Han Ser, Department of Surgery, Min-Sheng General Hospital, No. 168, Chin Kuo Road, Tauoyan, Taiwan, Republic of ChinaJung-Chien Chen, Departmen…

Comment on: The effects of surgically-induced weight loss via Roux-en-Y gastric bypass on cardiovascular autonomic nerve function.

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Authors: Lambert GW
PMID: 22206612 [PubMed – as supplied by publisher] (Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery)

Effects of surgically induced weight loss by Roux-en-Y gastric bypass on cardiovascular autonomic nerve function.

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CONCLUSION: Surgically induced weight loss has a favorable effect on autonomic function, but it does not appear to be directly attributable to reduced insulin resistance.
PMID: 22222304 [PubMed – as supplied by publisher] (Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery)

Superior calcium bioavailability of effervescent potassium calcium citrate over tablet formulation of calcium citrate after Roux-en-Y gastric bypass.

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CONCLUSION: In patients who have undergone Roux-en-Y gastric bypass, PCC was superior to Citracal Petite in conferring bioavailable calcium and suppressing parathyroid hormone secretion. PCC also provided an alkali load.
PMID: 22222299 [PubMed – as supplied by publisher] (Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery)

Surgical site infections after post-bariatric abdominoplasty and flank liposuction: a case–control study focusing on the quantity of tissue removed

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Abstract  We evaluated whether the quantity of fat removed during abdominoplasty and liposuction correlated with the occurrence of surgical
site infection (SSI). We selected patients of similar age, sex, smoking status, obesity, and post-bariatric weight loss, retrospectively,
and classified them into groups according to the development of SSI. The total amount of fat removed and aspirated was compared.
The size of the flap removed from the abdomen and the amount of fat aspirated with liposuction differed significantly between
the SSI and no-SSI groups (1.6 Â± 0.2 vs. 0.6 Â± 0.3 kg and 2 Â± 0.2 vs. 0.9 Â± 0.3 l, respectively; p < 0.001). The four SSI patients with the most fat removed (1.4 Â± 0.2 kg…

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Relative Contributions of Afferent Vagal Fibers to Resistance to Diet-Induced Obesity

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Conclusions  Truncal vagotomy led to significant reductions in both diet-induced weight gain and visceral abdominal fat deposition. Vagal
de-afferentation led to a more modest, but clinically and statistically significant, reduction in visceral abdominal fat.
As increased visceral abdominal fat is associated with excess morbidity and mortality, vagal de-afferentation may be a useful
adjunct in bariatric surgery.

Content Type Journal ArticleCategory Original ArticlePages 1-10DOI 10.1007/s10620-011-1968-4Authors
A. T. Stearns, Department of Surgery, Brigham and Women’s Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USAA. Balakrishnan, Department of Surgery, Brigham and Women’s Hospital, Harvard Medical School, 75 Francis Street, Boston, MA …

Bariatric surgery can give teens new life

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At more than 400 pounds, Keenan Henderson knew he was overweight. But he thought bariatric surgery was too drastic a step for his age. (Source: USATODAY.com Health)