Abstract：
:In an attempt to improve the results of biliopancreatic diversion in the treatment of morbid obesity, two aspects of the procedure performed at Laval Hospital were modified to reduce adverse physiological consequences. The distal gastrectomy was replaced by a parietal gastrectomy which preserves vagal continuity along with the lesser curvature, and leaves intact the antro-pyloroduodenal pump. The duodenum was stapled shut and nutrients were diverted through a duodeno-ileal anastomosis. The biliopancreatic diverting intestinal limb was anastomosed to the nutrient ileal limb 100 cm proximal to the ileocaecal valve instead of 50 cm proximal to it, thus doubling the length of the common ileal absorptive segment. Weight loss after either operation was greater than 70% of initial excess weight. Following the new operation, there was a lesser prevalence of side-effects, especially loose stools and malodorous gas, a lesser degree of hypocalcemia and no hypoalbuminemia. The duodenum recanalized at the staple line in 20% of the patients who had the new operation. When data from these patients were excluded, weight loss following the new operation was greater than that seen after the old one. The prevalence of side-effects and the degree of calcium and protein malabsorption remained significantly lower. Weight loss remained satisfactory with a common limb measuring 100 cm. The parietal gastrectomy was not restrictive as shown by the failure to lose further weight when the duodenal stapled diversion failed. Weight loss was thus mainly a function of biliopancreatic diversion, but increased weight loss in the new procedure despite a doubling of the common ileal limb suggests that parietal gastrectomy contributed to weight loss. Because duodenal recanalization can be corrected surgically and now prevented, the modified biliopancreatic bypass is preferred.
journal_name
Obes Surgjournal_title
Obesity surgeryauthors
Marceau P,Biron S,Bourque RA,Potvin M,Hould FS,Simard Sdoi
10.1381/096089293765559728subject
Has Abstractpub_date
1993-02-01 00:00:00pages
29-35issue
1eissn
0960-8923issn
1708-0428journal_volume
3pub_type
杂志文章相关文献
OBESITY SURGERY文献大全abstract：:Duodenal mucosal resurfacing (DMR) is an innovative endoscopic bariatric and metabolic therapy (EBMT) emerging in recent years. It uses the duodenum to achieve better glycemic and weight control. This study aimed to evaluate in a critical and systematic way the metabolic effects of this procedure. Electronic searches ...
journal_title：Obesity surgery
pub_type： 杂志文章,评审
doi：10.1007/s11695-020-05170-3
更新日期：2021-01-08 00:00:00
abstract：:Obesity is linked to inferior transplant outcome. Bariatric surgery (BS) is an established treatment of morbid obesity. We provide an overview on BS in the field of kidney (KT) and liver transplantation (LT). In end-stage renal disease (ESRD) and KT patients, BS seems safe and feasible. Complication rates were slightl...
journal_title：Obesity surgery
pub_type： 杂志文章,评审
doi：10.1007/s11695-017-2854-8
更新日期：2017-10-01 00:00:00
abstract：BACKGROUND:Psychological comorbidity is common in bariatric surgery candidates. Many multidisciplinary teams incorporate psychometric testing to screen for psychological factors that, if left unattended, may negatively impact surgical results. Here, we report descriptive findings and empirical correlates of Minnesota M...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-013-1024-x
更新日期：2013-11-01 00:00:00
abstract：BACKGROUND:The incidence of obesity and related metabolic disorders in India and that of stomach carcinoma is one of the highest in the world. Hence, one requires a procedure that allows postoperative surveillance of the stomach with the best outcomes in terms of weight control and resolution of co-morbidities. Here, w...
journal_title：Obesity surgery
pub_type： 杂志文章,随机对照试验
doi：10.1007/s11695-011-0507-x
更新日期：2012-03-01 00:00:00
abstract：BACKGROUND:In Russia, 40% of the population are overweight, and 26% are obese. As was mentioned at the IFSO Symposium in Cancun, very little is known about obesity surgery in Russia. METHODS:The authors undertook a literature search and interviewed surgeons who are known to perform bariatric procedures. RESULTS:Jejun...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089299765553737
更新日期：1999-02-01 00:00:00
abstract：BACKGROUND:Single anastomosis gastric bypass (SAGB) has been established as a safe and effective bariatric procedure. SAGB has also been suggested as a conversion option from other procedures, but so far not extensively explored in that direction. METHODS:The study retrospectively reviewed and analyzed 154 consecutive...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-016-2336-4
更新日期：2017-02-01 00:00:00
abstract：BACKGROUND:The Beck Depression Inventory (BDI) is commonly used in the screening and evaluation process with bariatric surgery candidates despite relatively limited psychometric evidence in this patient group. We examined the validity of the BDI and its clinical utility for subtyping women seeking gastric bypass surger...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-016-2047-x
更新日期：2016-09-01 00:00:00
abstract：BACKGROUND:Severe obesity may substantially impact quality of life. We estimated the health-related quality of life (HRQoL) in patients with class II and class III obesity, and explored the impact of patient characteristics and co-morbidities on quality of life. METHODS:110 patients with BMI > or = 35 kg/m2 presenting...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/0960892054621323
更新日期：2005-08-01 00:00:00
abstract：:Severe hypocalcemia complicating cervical endocrine surgery in patients with gastric bypass can constitute a major concern. When usual therapies fail to maintain calcemia within the normal range without secondary adverse events, reversal of the bariatric surgery should be considered. We herein report the outcomes of l...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-019-04132-8
更新日期：2020-04-01 00:00:00
abstract：BACKGROUND:Venous thromboembolic (VTE) disease is a much-feared complication of bariatric surgery. The most common unexpected cause of death in the morbidly obese patient is pulmonary embolism (PE). Recent data supports the expanded use of systemic thrombolytics in hemodynamically stable patients with PE and echocardio...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089203322509426
更新日期：2003-10-01 00:00:00
abstract：:Intussusception after open Roux-en-Y gastric bypass procedure (RYGBP) is a rare complication. We present a retrospective review of three cases of antegrade intussusception occurring after laparoscopic RYGBP. To our knowledge, these are the first documented cases of intussusception after laparoscopic RYGBP. We describe...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-007-9291-z
更新日期：2007-12-01 00:00:00
abstract：BACKGROUND:Roux-en-Y gastric bypass (RYGB) may improve beta cell function by mechanisms other than caloric restriction and body weight loss. We aimed to assess the impact of anatomical and hormonal alterations specific to RYGB on glucose homeostasis, β cell function and morphology. METHODS:Male Zucker(fa/fa) rats unde...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-015-1882-5
更新日期：2016-06-01 00:00:00
abstract：BACKGROUND:The relationship between morbid obesity (MO) and insulin resistance (IR) has been widely demonstrated. The euglycemic-hyperglycemic clamp method for diagnosis of IR is neither practical nor cost-effective for population-based studies. However, the application of mathematical models (HOMA, QUICKI and Mf(fm) i...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089206776945048
更新日期：2006-05-01 00:00:00
abstract：BACKGROUND:There is strong evidence that morbid obesity is often accompanied by gastroesophageal reflux. Gastroesophageal reflux is caused predominantly by transient lower esophageal sphincter relaxations (TLESRs). Only few data are available about TLESRs in patients with stage III obesity (body mass index > 35). The a...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-009-9809-7
更新日期：2009-05-01 00:00:00
abstract：BACKGROUND AND AIMS:The mechanism of weight loss with the intra-gastric balloon (IGB) is thought to be a decrease in gastric emptying (GE); however the evidence is conflicting. Nausea, abdominal pain, and gastroesophageal reflux disease (GERD) can cause intolerance resulting in early removal. This is demoralizing for t...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-019-04039-4
更新日期：2020-01-01 00:00:00
abstract：:The purpose of this study is to evaluate the food intolerance after banded Roux-en-Y gastric bypass (RYGB), correlating the data of food ingestion. METHODS: This is an observational prospective study, which evaluated the individuals before and 3, 6, and 12 months after banded RYGB. We performed an anthropometric evalu...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-018-3544-x
更新日期：2019-02-01 00:00:00
abstract：INTRODUCTION/PURPOSE:The assessment of the patients' motivation as a predictor of behavioral change via five stages (pre-contemplation, contemplation, preparation, action, and maintenance) and four processes (emotional re-evaluation, weight management actions, environmental restructuring, and weight consequences evalua...
journal_title：Obesity surgery
pub_type： 杂志文章,多中心研究
doi：10.1007/s11695-019-04001-4
更新日期：2019-10-01 00:00:00
abstract：PURPOSE:Pregnant women who have undergone bariatric surgery must be followed to ensure healthy mother-child nutritional status. This study aimed to compare weight status of mother-child dyad after maternal bariatric surgery in public and private Brazilian healthcare system units. MATERIALS AND METHODS:This retrospecti...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-020-04605-1
更新日期：2020-09-01 00:00:00
abstract：BACKGROUND:Morbidity and mortality following laparoscopic sleeve gastrectomy (LSG) occur at acceptable rates, but its safety and efficacy in the elderly are unknown. METHODS:A retrospective review was performed of all patients aged >60 years who underwent LSG from 2008 to 2012. These patients were 1:2 matched, by gend...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-014-1177-2
更新日期：2014-06-01 00:00:00
abstract：PURPOSE:Although it is well known that obesity increases the risk of atherosclerosis in carotid arteries, it is not clear whether this risk changes after obesity surgery. The aim of this study was to investigate whether weight reduction with a laparoscopic sleeve gastrectomy (LSG) has any effect on distensibility and e...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-020-04725-8
更新日期：2020-11-01 00:00:00
abstract：:A peculiar category of persons with obesity lacking common metabolic disturbances has been depicted and termed as metabolically healthy obesity (MHO). Yet, although MHO patients are free of obesity-associated complications, they might not be entirely precluded from developing cardio-metabolic disorders. Among patients...
journal_title：Obesity surgery
pub_type： 杂志文章,评审
doi：10.1007/s11695-019-03964-8
更新日期：2019-09-01 00:00:00
abstract：BACKGROUND:Erosion, slippage, and esophageal dilatation have been acknowledged as typical long-term issues after lap banding. Yet it seems from our experience that isolated food intolerance has become a leading cause for band removal, although not reported as such in the literature. METHODS:There were 1,450 patients w...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-008-9495-x
更新日期：2008-07-01 00:00:00
abstract：BACKGROUND:Abnormal glucose profiles have been described after Roux-en-Y gastric bypass (RYGB) with intense postprandial hyperglycemic peaks in some but not all the patients. The underlying mechanisms of these anomalies are not totally understood. OBJECTIVE:The aim of this study is to determine whether or not the comp...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-015-1930-1
更新日期：2016-07-01 00:00:00
abstract：BACKGROUND:Surgical correction of hiatal hernia (HH) during bariatric surgery has been found to improve patient outcomes and decrease reoperation rate. Although barium esophagram is more sensitive than endoscopy for detection of HH, accurate preoperative diagnosis remains a challenge. The aim of this study is to determ...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-012-0721-1
更新日期：2012-11-01 00:00:00
abstract：BACKGROUND:While numerous promising short-term results of open gastric bypass for morbid obesity were published, the long-term outcome of earlier versions was somewhat disappointing. Thus, it was not until 1993 that this procedure was reintroduced with current modifications and now performed laparoscopically. Published...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089206776116543
更新日期：2006-03-01 00:00:00
abstract：BACKGROUND AND AIMS:Novel endoscopic procedures (endoscopic sleeve gastroplasty (ESG), AspireAssist (AA), and primary obesity surgery endolumenal (POSE)) have been developed for treatment of obesity. We aimed to conduct a systematic review and meta-analysis to evaluate and compare the efficacy of these three endoscopic...
journal_title：Obesity surgery
pub_type： 杂志文章,meta分析
doi：10.1007/s11695-019-03865-w
更新日期：2019-07-01 00:00:00
abstract：:Surgery is the only therapeutic modality that has shown lasting results in the treatment of morbid obesity. Ability to lose weight by voluntary dieting has been associated with unsatisfactory weight loss after gastroplasty. This report examines the effect of preoperative inter-maxillary fixation (IMF) on weight reduct...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089293765559287
更新日期：1993-08-01 00:00:00
abstract：BACKGROUND:The aim of the study was to prospectively evaluate the feasibility and clinical efficacy of a strategy of performing simultaneous balloon removal and sleeve gastrectomy in the super-super obese patients. METHODS:Forty consecutive super-super obese patients underwent intra-gastric balloon insertion followed ...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-013-0871-9
更新日期：2013-04-01 00:00:00
abstract：:The prevalence of obesity continues to escalate in the USA; however, there is no consensus regarding the optimal therapy for obesity. For the vast majority of severely obese patients, conventional medical therapies (i.e., diet, exercise, behavioral counseling) often fail over the long term. Existing pharmacotherapy ad...
journal_title：Obesity surgery
pub_type： 杂志文章,评审
doi：10.1007/s11695-012-0634-z
更新日期：2012-06-01 00:00:00
abstract：BACKGROUND:Excess dietary fat has been implicated in the etiology of obesity. METHODS:This study examined the fat intake of three weight groups, normal (20.0 < or = BMI < or = 27.0), moderately obese (27.1 < or = BMI < or = 39.9) and severely obese (BMI > or = 40.0). Each group contained 50 subjects. Detailed 3-day fo...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089297765556150
更新日期：1997-02-01 00:00:00
