7,304 results match your criteria: "Laparoscopic Gastric Bypass"

Disordered Eating Behaviors and Weight Regain in Post-Bariatric Patients.

Nutrients

December 2024

Postgraduate Program in Clinical and Experimental Physiopathology, Faculty of Medical Sciences, State University of Rio de Janeiro, Rio de Janeiro 20550-013, RJ, Brazil.

Background/objective: Weight regain has serious health consequences after bariatric surgery, and disordered eating behaviors (EBs) may be involved in it. We compared disordered EB symptoms in post-bariatric patients according to low vs. high ratio of weight regain (RWR) and investigated associations between disordered EB symptoms with weight regain and time since surgery.

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Endoscopic gastric plication is an emerging procedure for obesity management, facilitated by advances in intraluminal suturing technology. However, concerns persist regarding the complete transfixion of sutures and their long-term durability. We present the case of a 28-year-old patient with a BMI of 31 kg/m² who underwent laparoscopic gastric plication using nonabsorbable sutures to ensure complete transfixion under direct visualization.

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Understanding the Role of Different ERCP Techniques in Post-Roux-en-Y Gastric Bypass Patients: a Systematic Review and Meta-analysis.

Obes Surg

December 2024

Department of Surgery, Transplantation and Gastroenterology, Division of Interventional Gastroenterology, Semmelweis University, Üllői Út 78, 1082, Budapest, Hungary.

Article Synopsis
  • The study compared three techniques for ERCP (endoscopic retrograde cholangiopancreatography) in patients who had undergone Roux-en-Y gastric bypass: enteroscopy-assisted (EA-ERCP), laparoscopy-assisted (LA-ERCP), and endoscopic ultrasound-directed (EDGE).
  • 67 studies were analyzed, showing that EDGE had the highest technical success rate at 96%, followed by LA-ERCP at 93%, and EA-ERCP at 77%, with significant differences between EA-ERCP and the other methods.
  • The overall rates of adverse events were similar across all techniques, suggesting that EDGE and LA-ERCP are both effective and as safe
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Background: Patients who are under consideration for or have undergone metabolic and bariatric surgery frequently have comorbid medical conditions that may make their perioperative care more complex. These recommendations address routine intraoperative cholangiography in patients with bypass-type anatomy, the management of reflux disease after sleeve gastrectomy, and the optimal bariatric procedure for patients with comorbid inflammatory bowel disease.

Methods: A systematic review was conducted including studies published from 1990 to 2022 to address these questions.

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Article Synopsis
  • A 60s male patient diagnosed with advanced gastric cancer (with pyloric stenosis and enlarged lymph nodes) experienced significant tumor reduction after two courses of chemotherapy before surgery.
  • He underwent laparoscopic gastric jejunal bypass followed by distal gastrectomy and para-aortic lymph node dissection, with positive surgical results and no further tumor growth observed.
  • After the operation, he received a year of adjuvant chemotherapy and has remained recurrence-free for 1.5 years, highlighting the effectiveness of preoperative treatment for this condition.
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[Laparoscopic Roux-en-Y Gastric Bypass for Grade III Obesity].

Zentralbl Chir

December 2024

Chirurgische Klinik, Universitätsmedizin Mannheim, Medizinische Fakultät Mannheim, Universität Heidelberg, Mannheim, Deutschland.

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Background: Bariatric surgery is associated with decreasing bone mineral density (BMD).

Objective: To assess the long-term vertebral BMD, measured by opportunistic quantitative CT (QCT), and body mass index (BMI) in patients undergoing proximal laparoscopic Roux-en-Y surgery (LRYGB).

Methods: In 62 patients undergoing LRYGB, opportunistic QCT measurements were performed extracting BMD and BMI on day 1 and years 1, 3, and 5 postoperatively.

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Background: Obesity is a multifactorial disease affecting a significant portion of the population. Bariatric surgery emerges as a prominent approach in this context, representing an effective treatment both in the short and long term. The costs associated with bariatric surgery vary depending on the characteristics of the patients, current hospital practices, and available funding sources.

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We present the case of a 52-year-old woman with grade III obesity, type II diabetes, sleep apnea, and severe myasthenia gravis. Due to prolonged corticosteroid treatment, she had gained weight and experienced difficulty moving. To improve her condition, a laparoscopic gastric bypass was performed with good results.

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A prospective study on the effect of reoperations on abdominal pain after bariatric surgery: the OPERATE study.

Surg Obes Relat Dis

October 2024

Department of Internal and Vascular Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands; Amsterdam Cardiovascular Sciences, Diabetes & Metabolism, Amsterdam, The Netherlands; Department of Internal Medicine, Spaarne Gasthuis, Hoofddorp, the Netherlands.

Background: Abdominal pain after bariatric surgery (BS) is not uncommon. A number of patients require reoperation. Limited studies have investigated the outcome of reoperations for abdominal pain after BS.

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Article Synopsis
  • The study aimed to compare how well calcium citrate and calcium carbonate are absorbed after different weight loss surgeries: Roux-en-Y gastric bypass, laparoscopic sleeve gastrectomy, and one-anastomosis gastric bypass.
  • It involved 150 participants, focusing on measuring calcium levels in blood and urine, as well as parathyroid hormone levels, over a controlled testing period.
  • Results showed that calcium citrate resulted in lower parathyroid hormone levels and better calcium absorption than calcium carbonate, indicating it may be the more effective supplement post-surgery.
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Overweight and obesity are well-known conditions that negatively impact the health and lifestyle of an individual. Bariatric surgery is one of the most efficient weight loss techniques. Besides the main effect on the bodyweight, improvement in the levels of inflammatory biomarkers, such as interleukin 6 (IL-6), tumor necrosis factor alpha (TNFalfa), and others, has been observed.

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Article Synopsis
  • Metabolic and bariatric surgery (MBS) can lead to postoperative complications, particularly acute kidney injury (AKI), with historical rates ranging from 5.8% to 8.6% but more recent findings show a lower incidence of 3% among participants.
  • The study aimed to identify the risk factors contributing to AKI after MBS, which included male gender, hypertension, and extended surgical duration, using data from adult patients treated between 2008 and 2022.
  • Notably, among those who experienced AKI, 13.7% required dialysis, and 5.9% progressed to chronic renal failure necessitating a transplant, highlighting the critical nature of monitoring kidney health post-surgery.
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Background: Candy cane syndrome (CCS) is a rare complication of laparoscopic Roux-en-Y gastric bypass (LRYGB). It occurs due to redundancy in the blind loop at the gastro-jejunal anastomosis.

Objective: To evaluate the type of symptoms, anatomic and functional findings, and outcome after treatment.

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Bariatric and metabolic surgery is the most invasive but also the most effective treat-ment for severe obesity and associated comorbidities. The most common procedures performed are laparoscopic sleeve gastrectomy and Roux-Y gastric bypass. Postoperative complications occur in 4-10% cases.

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This comprehensive literature review explores the efficacy of real-time perfusion and leak assessment methods in bariatric surgery, comparing traditional techniques with advanced imaging modalities. As the global incidence of obesity and related comorbidities rises, the demand for bariatric surgeries such as Roux-en-Y gastric bypass and sleeve gastrectomy has increased, along with the risk of serious complications like anastomotic and staple line leaks. Traditional intraoperative leak testing methods, including the air leak and methylene blue dye tests, are commonly employed but exhibit inconsistent sensitivity in leak detection.

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Article Synopsis
  • One anastomosis gastric bypass (OAGB) is a recognized method in metabolic and bariatric surgery, making up 7.6% of global procedures, but still has several ongoing controversies despite its approval as a standalone procedure.
  • A modified Delphi consensus was conducted with 86 experts from 25 countries, addressing 29 key questions about patient selection and surgical standards, achieving agreement on 22 items, including patient suitability and post-operative care protocols.
  • Important findings include that OAGB is suitable for adolescents over 15 and those with class 1 obesity with uncontrolled type 2 diabetes, while highlighting the need for tailored surgical practices and continued research for better patient outcomes.
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Article Synopsis
  • Obesity is a chronic disease with effective treatment options through bariatric surgeries, specifically Roux-en-Y gastric bypass (RYGB) and one-anastomosis gastric bypass (OAGB), both of which can lead to malnutrition risks.
  • OAGB results in greater weight loss and diabetes remission but has a higher incidence of folate deficiency compared to RYGB, with 30.8% of OAGB patients experiencing this compared to 8.0% in the RYGB group.
  • The study found no significant differences in deficiencies of vitamin B12, vitamin D, or ferritin between the two surgery groups despite varying outcomes in folate levels post-surgery.
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Primary division of annular pancreas: a surgical technique.

J Surg Case Rep

November 2024

Department of Surgery, Monash Health, 246 Clayton Road, Melbourne VIC 3168, Australia.

Article Synopsis
  • * During a diagnostic laparoscopy, surgeons opted for a primary division of the annular pancreas instead of a gastrojejunostomy due to the patient's clear anatomy and extensive abdominal adhesions.
  • * One year later, the patient shows significant symptom relief and radiological improvement, suggesting this surgical approach is effective with reduced recovery time compared to more invasive procedures.
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Article Synopsis
  • A morbidly obese patient with type 2 diabetes experienced a failure of diabetes remission after undergoing laparoscopic sleeve gastrectomy (LSG), prompting a revision to Roux-en-Y gastric bypass (RYGB).
  • Following the RYGB surgery, the patient showed significant improvement in hyperglycemia and resolved issues with food intake at the gastric angle.
  • Notably, the patient exhibited increased glicentin and insulin secretion during an oral glucose tolerance test (OGTT) after RYGB, but more research is needed to understand the relationship between glicentin secretion and insulin stimulation.
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Background: Long-term data on the likelihood of undergoing additional related operations after Laparoscopic Roux-en-Y Gastric Bypass (LRYGB) remain scarce.

Objectives: The aims of this study are to identify the long-term incidence of bariatric related operations, patient's predictive factors, and most common operations in the 15-20 years following LRYGB.

Setting: Single Academic Institution, Center of Bariatric Excellence.

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Surgical treatment strategies for gastroesophageal reflux after laparoscopic sleeve gastrectomy.

Front Endocrinol (Lausanne)

November 2024

Department of General Surgery and Obesity and Metabolic Disease Center, China-Japan Friendship Hospital, Beijing, China.

Article Synopsis
  • Bariatric surgery, particularly laparoscopic sleeve gastrectomy (LSG), is effective for obesity but may lead to increased gastroesophageal reflux disease (GERD) among patients.
  • For those with GERD who don't respond to medication, the Roux-en-Y gastric bypass is a common surgical option that helps reduce reflux symptoms and promotes ongoing weight loss.
  • Innovative methods like laparoscopic magnetic sphincter augmentation (MSA) are being tested for GERD treatment post-LSG, but the efficacy of endoscopic interventions needs more clinical data; combining LSG with hiatal hernia repairs may also help reduce reflux symptoms.
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Obesity has been recognized as the main pandemic of this century. Multiple treatments have been developed: the use of medications, exercise, diet, and surgery. Bariatric surgery is one of the treatments that has shown the greatest effectiveness.

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