Dynamic radioisotope scintigraphy for gastric banding adjustment.

Abstract:

BACKGROUND:Gastric banding is today a common restrictive procedure to treat morbid obesity. After operation, adjustment of the band is required to adequately restrict food intake, allowing better results. The aim of this study was to evaluate the results of a unique method of adjustment using dynamic radioisotope scintigraphy. METHODS:40 patients after Laparoscopic Adjustable Gastric Banding (LAGB) were prospectively divided into 2 equal groups, and the results of adjustment analyzed using the conventional method of fluoroscopic image and barium swallow (FA Group), and our proposed new method of dynamic radioisotope scintigraphy (DRS Group) using Tc99-phytate labeled plain yogurt. RESULTS:After 6 months follow-up, the FA group lost 12.34%, while the DRS group lost 20.34% of their initial weight. In the FA group, we found that 95% of the patients needed re-adjustments versus only 25% in the DRS group (P <0.0001). Vomiting was more frequent in the FA group than in the DRS group, mean 0.65 and 0.2, respectively (P < 0.009). The radiation exposure was 4 times higher in the FA group, but the cost of the 2 adjustment procedures was similar. CONCLUSION:DRS is a more physiologically friendly and accurate method of gastric banding adjustment than the conventional barium swallow adjustment; it also results in a better weight loss during the first 6 months after operation.

journal_name

Obes Surg

journal_title

Obesity surgery

authors

Susmallian S,Filyavich A,Maiershon I,Charuzi I,Lorberboym M

doi

10.1381/096089204323013532

subject

Has Abstract

pub_date

2004-04-01 00:00:00

pages

520-3

issue

4

eissn

0960-8923

issn

1708-0428

journal_volume

14

pub_type

临床试验,杂志文章,随机对照试验
  • Psychiatric diagnosis and weight loss following gastric surgery for obesity.

    abstract:BACKGROUND:The authors examined associations between lifetime Axis I and Axis II disorders and weight loss following gastric surgery for morbid obesity. METHODS:44 morbidly obese subjects who had undergone vertical banded gastroplasty (VBG) were systematically interviewed with the Diagnostic Interview Schedule (DIS) a...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089203322509327

    authors: Black DW,Goldstein RB,Mason EE

    更新日期:2003-10-01 00:00:00

  • Intimate saboteurs.

    abstract:BACKGROUND:The bariatric patient exists in dynamic relationship with family members and friends who have considerable influence upon the patient and his or her surgical outcome. When family members and friends behave as intimate saboteurs, they attempt to hamper, hurt, or subvert the bariatric patient's goal of achievi...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089297765555449

    authors: Andrews G

    更新日期:1997-10-01 00:00:00

  • A review of unmet needs in obesity management.

    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

    authors: Nguyen N,Champion JK,Ponce J,Quebbemann B,Patterson E,Pham B,Raum W,Buchwald JN,Segato G,Favretti F

    更新日期:2012-06-01 00:00:00

  • Pre- and postoperative esophageal and gastric pH levels in morbidly obese patients undergoing vertical gastroplasty.

    abstract:BACKGROUND:The aim of this study was to determine whether the anatomicofunctional changes induced by vertical gastroplasty lead to pH alterations in the esophagus and body and antrum of the stomach. MATERIALS AND METHODS:23 non-smoking volunteers (3 men, 20 women) mean age 35.29 +/- SD 6.85 years, mean weight 163.17 +...

    journal_title:Obesity surgery

    pub_type: 临床试验,杂志文章

    doi:10.1381/096089204322857690

    authors: Papavramidis TS,Papavramidis ST,Sapalidis KG,Kessisoglou II,Gamvros OI

    更新日期:2004-02-01 00:00:00

  • Surgical Management of a Chronic Sleeve Gastrocolic Fistula with Near Total Gastrectomy and Roux-en-Y Reconstruction.

    abstract:BACKGROUND:Management of the leak is determined by the duration of the leak from the initial surgery. Acute leaks occurring less than 72 hours after surgery are best managed with reoperation and primary repair. Intermediate leaks, greater than 72 hours but less than 12 weeks, can be managed with non-operative managemen...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-020-04689-9

    authors: Dugan N,Nimeri A

    更新日期:2020-09-01 00:00:00

  • Comparison of Great Curvature Plication with Duodenal-Jejunal Bypass (GCP-DJB) and Sleeve Gastrectomy (SG) on Metabolic Indices and Gut Hormones in Type 2 Diabetes Mellitus Rats.

    abstract:OBJECTIVE:The present study compared the therapeutic effects of great curvature plication with duodenal-jejunal bypass (GCP-DJB) and the commonly used sleeve gastrectomy (SG) in rats with type 2 diabetes mellitus (T2DM). METHODS:The rats were randomly divided into three groups: Control group (n = 6), SG group (n = 6),...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-018-3459-6

    authors: Qiu NC,Li W,Liu ME,Cen XX,Shan CX,Zhang W,Liu Q,Wang Y,Zhu YT,Qiu M

    更新日期:2018-12-01 00:00:00

  • Antiobesity Surgery: Is a Structured Support Group Desirable? Preliminary.

    abstract::The relevance of a post-gastroplasty physician-and dietitian-supervised support group for weight loss, dietary habits, dietary knowledge, and exercise has been assessed. Two post vertical banded gastroplasty groups were compared: those who did (n = 10) and those who did not (n = 11) attend a monthly post-gastroplasty ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089293765559070

    authors: Rabner JG,Greenstein RJ

    更新日期:1993-11-01 00:00:00

  • Metabolic Implications of Obesity, Weight Loss and Energy Expenditure following Gastric Restrictive Surgery.

    abstract::This review examines the energetics and metabolic parameters which influence the effectiveness of gastric restrictive surgery in achieving weight loss in the clinically severely obese patient. Among the subjects discussed are the metabolic determinants and consequences of obesity, energy expenditure and its components...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089294765558700

    authors: Macgregor AM

    更新日期:1994-05-01 00:00:00

  • Impact of gastric banding on plasma adiponectin levels.

    abstract:BACKGROUND:Several endocrine abnormalities are reported in obesity. In an earlier study, we found that the changes in BMI following laparoscopic adjustable gastric banding (LAGB) were associated with changes in hormone profiles such as insulin and proinsulin. In the current study, we explored the changes in plasma adip...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089206778026244

    authors: Diker D,Vishne T,Maayan R,Weizman A,Vardi P,Dreznik Z,Seror D,Ram E

    更新日期:2006-08-01 00:00:00

  • Impact of morbid obesity on chewing ability.

    abstract:BACKGROUND:This study compared the chewing parameters in a group of obese adult patients scheduled for gastric bypass surgery with those of a control group. METHODS:Chewing parameters were measured in two groups of subjects, one of 44 obese patients scheduled for gastric bypass surgery (body mass index [BMI] = 49.1 +/...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-008-9443-9

    authors: Veyrune JL,Miller CC,Czernichow S,Ciangura CA,Nicolas E,Hennequin M

    更新日期:2008-11-01 00:00:00

  • SADI-S 250 vs Roux-en-Y Duodenal Switch (RY-DS): Results of 5-Year Observational Study.

    abstract:PURPOSE:There are only a small number of studies providing a comparison between SADI-S and Hess-Marceau's BPD/Duodenal Switch (RY-DS) operations. We aimed to compare 5-year results of SADI-S 250 (common limb 250 cm) with RY-DS. MATERIAL AND METHODS:Data of patients who underwent open SADI-S (n 226) and RY-DS (n 528) w...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-020-05031-z

    authors: Yashkov Y,Bordan N,Torres A,Malykhina A,Bekuzarov D

    更新日期:2020-10-12 00:00:00

  • Gastroesophageal reflux disease in morbid obesity: the effect of Roux-en-Y gastric bypass.

    abstract:BACKGROUND:Gastroesophageal reflux disease (GERD) is a common condition in obesity. The impact of Roux-en-Y gastric bypass (RYGBP) on GERD is poorly known. We studied the effect of the RYGBP on GERD in patients with morbid obesity (MO). METHODS:Twenty consecutive patients with MO (BMI > 40 kg/m(2)) were studied before...

    journal_title:Obesity surgery

    pub_type: 临床试验,杂志文章

    doi:10.1007/s11695-008-9474-2

    authors: Mejía-Rivas MA,Herrera-López A,Hernández-Calleros J,Herrera MF,Valdovinos MA

    更新日期:2008-10-01 00:00:00

  • The mini-gastric bypass: experience with the first 1,274 cases.

    abstract:BACKGROUND:Results of the laparoscopic Mini-Gastric Bypass (MGB) are reported. METHODS:1,274 MGB patients are continuously monitored as part of an online computer tracking data-base system. RESULTS:Mean preoperative weight (+/- Standard Deviation) was 132 +/- 21 kg, BMI 47 +/- 7. Mean excess weight loss was 51% at 6 ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089201321336584

    authors: Rutledge R

    更新日期:2001-06-01 00:00:00

  • Routine trans-abdominal ultrasonography before laparoscopic sleeve gastrectomy: the findings.

    abstract::Although some bariatric guidelines reserve pre-operative trans-abdominal ultrasonography screening for symptomatic patients and those with elevated liver enzymes, there has yet to exist a general consensus regarding this issue. Some centers still employ its use as a vital step in the workup of the bariatric patient. T...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-013-1092-y

    authors: Almazeedi S,Al-Sabah S,Alshammari D

    更新日期:2014-03-01 00:00:00

  • Conversion to modified duodenal switch for relieving intractable dumping syndrome and constipation after laparoscopic Roux-en-Y gastric bypass.

    abstract:BACKGROUND:Dumping syndrome is not infrequent after laparoscopic Roux-en-Y gastric bypass and could result in dreaded complications, such as hypoglycemia or syncope. Those patients who failed medical therapy and diet modification, regarded as intractable dumping syndrome, may be considered as candidates for revisional ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-015-1607-9

    authors: Huang CK,Wang MY,Hsin MC,Chang PC

    更新日期:2015-05-01 00:00:00

  • Rhabdomyolysis after bariatric surgery by Roux-en-Y gastric bypass: a prospective study.

    abstract:BACKGROUND:Obesity is a worldwide epidemic associated to comorbidities and increased mortality. Because it is chronic and recurrent and has little response to clinical measures, surgical treatment (bariatric surgery) is a therapeutic option frequently used. Different surgical complications have been associated with thi...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-008-9780-8

    authors: de Oliveira LD,Diniz MT,de Fátima H S Diniz M,Savassi-Rocha AL,Camargos ST,Cardoso F

    更新日期:2009-08-01 00:00:00

  • Resolution of Female Sexual Dysfunction (FSD) Among the Obese Multiethnic Malaysian Women Now a Reality with Bariatric Surgery: a Prospective Pilot Study in Malaysia.

    abstract:INTRODUCTION:Female sexual dysfunction (FSD) among the obese women is often under diagnosed and ignored especially in Malaysia, a nation of conservative multiethnic society. There are only a few studies on FSD resolution post-bariatric surgery. The objective was to identify the rate and resolution or improvement of FSD...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-019-03722-w

    authors: Lechmiannandan S,Panirselvam M,Muninathan P,Hussin N,Rajan R,Sidi H,Kosai NR,Vinayak CR

    更新日期:2019-05-01 00:00:00

  • Waist circumference is useless to assess the prevalence of metabolic abnormalities in severely obese women.

    abstract:BACKGROUND:The present retrospective study aims to provide additional evidence supporting the fact that waist circumference, in severe obesity, is not a good clinical marker to identify individuals with the metabolic syndrome or an altered metabolic profile. METHODS:Relationships between waist circumference and metabo...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-007-9168-1

    authors: Drapeau V,Lemieux I,Richard D,Bergeron J,Tremblay A,Biron S,Marceau P,Mauriège P

    更新日期:2007-07-01 00:00:00

  • Endobarrier as a Pre Bariatric Surgical Intervention in High-Risk Patients: a Feasibility Study.

    abstract:BACKGROUND:Obesity surgery mortality risk scoring system (OS-MRS) classifies patients into high, intermediate and low risk, based on age, body mass index, sex and other comorbidities such as hypertension and history of pulmonary embolism. High-risk patients not only have a higher mortality but are more likely to develo...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-018-3322-9

    authors: Younus H,Chakravartty S,Sarma DR,Patel AG

    更新日期:2018-10-01 00:00:00

  • Impact of Routine 12 mm Epigastric Trocar Site Closure on Incisional Hernia After Sleeve Gastrectomy: a Prospective Before/After Study.

    abstract:BACKGROUND:Recent studies have reported trocar site hernia (TSH) rates after bariatric surgery ranging from 0 to 45.2% based on imaging assessment. The objective of this study was to evaluate the TSH rate after sleeve gastrectomy (SG) comprising routine 12 mm epigastric trocar site closure (TSC). MATERIAL:Prospective ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-019-03971-9

    authors: Rebibo L,Demouron M,Dembinski J,Dhahri A,Yzet T,Regimbeau JM

    更新日期:2019-11-01 00:00:00

  • König's Syndrome After Roux-en-Y Gastric Bypass: Candy Cane Twist.

    abstract:BACKGROUND:A König's syndrome is referred to abdominal pain in relation to meals with constipation alternated with diarrhea, meteorism, and abdominal distension. A postoperative long-term complication after Roux-en-Y gastric bypass could be the appearance of chronic abdominal pain associated with vomiting, dysphagia, a...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-020-04563-8

    authors: Cartillone M,Kassir R,Mis TC,Falsetti E,D'Alessandro A,Chahine E,Chouillard E

    更新日期:2020-08-01 00:00:00

  • Does Robotic Roux-en-Y Gastric Bypass Provide Outcome Advantages over Standard Laparoscopic Approaches?

    abstract:OBJECTIVE:The aim was to compare clinical outcomes of patients treated with totally robotic Roux-en-Y gastric bypass (TRRYGB) with those treated with the different laparoscopic Roux-en-Y gastric bypass (LRYGB) techniques. The clinical benefit of the robotic approach to bariatric surgery compared to the standard laparos...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-018-3228-6

    authors: Rogula T,Koprivanac M,Janik MR,Petrosky JA,Nowacki AS,Dombrowska A,Kroh M,Brethauer S,Aminian A,Schauer P

    更新日期:2018-09-01 00:00:00

  • Standardization of the fully stapled laparoscopic Roux-en-Y gastric bypass for obesity reduces early immediate postoperative morbidity and mortality: a single center study on 2606 patients.

    abstract:BACKGROUND:Various techniques of laparoscopic Roux-en-Y gastric bypass have been described. We completely standardized this procedure to minimize its sometimes substantial morbidity and mortality. This study describes our experience with the standardized fully stapled laparoscopic Roux-en-Y gastric bypass (FS-LRYGB) an...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-009-9933-4

    authors: Dillemans B,Sakran N,Van Cauwenberge S,Sablon T,Defoort B,Van Dessel E,Akin F,Moreels N,Lambert S,Mulier J,Date R,Vandelanotte M,Feryn T,Proot L

    更新日期:2009-10-01 00:00:00

  • Are we operating too late? Mortality Analysis and Stochastic Simulation of Costs Associated with Bariatric Surgery: Reconsidering the BMI Threshold.

    abstract:BACKGROUND:Present guidelines recommend bariatric surgery at BMI ≥ 40 kg/m2 or BMI ≥ 35 kg/m2 with obesity-related morbidity. METHODS:Evidence for cost and mortality/morbidity risk of bariatric surgery and obesity-related diseases was evaluated determining equivalency point of absolute incremental mortality risk by BM...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-015-1934-x

    authors: Sinha AC,Singh PM,Bhat S

    更新日期:2016-01-01 00:00:00

  • Vertical Banded Gastroplasty in the Severely Obese under Age Twenty-One.

    abstract::BACKGROUND: The severely obese under 21 years of age are at high risk of missing normal development during a crucial period of life and should be considered for surgical treatment. Vertical banded gastroplasty allows patients to be treated effectively while continuing to have normal digestion and absorption without th...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089295765558114

    authors: Mason EE,Scott DH,Doherty C,Cullen JJ,Rodriguez EM,Maher JW,Soper RT

    更新日期:1995-02-01 00:00:00

  • Employment Outcomes 2 Years After Bariatric Surgery: Relationship to Quality of Life and Psychosocial Predictors.

    abstract:OBJECTIVES:Bariatric surgery is the most effective long-term treatment for severe obesity. In addition to sustained weight loss, bariatric surgery can result in improvements in mental and physical health-related quality of life (HRQOL) and, consequently, work capacity. The purpose of our study was to evaluate changes t...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-019-03905-5

    authors: Kantarovich K,Wnuk S,Cassin S,Hawa R,Sockalingam S

    更新日期:2019-09-01 00:00:00

  • The longer-term effects of Roux-en-Y gastric bypass surgery on sodium excretion.

    abstract:BACKGROUND:Obesity is an independent risk factor for hypertension and chronic kidney disease. During the first months after bariatric surgery, an improvement of sodium excretion has been described. The aim of this work was to study the influence of bariatric surgery on sodium excretion at more than a year after the int...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-012-0764-3

    authors: Celik F,Ahdi M,Meesters EW,van de Laar A,Brandjes DP,Gerdes VE

    更新日期:2013-03-01 00:00:00

  • Effects of two variants of Roux-en-Y Gastric bypass on metabolism behaviour: focus on plasma ghrelin concentrations over a 2-year follow-up.

    abstract:BACKGROUND:To study the effects of two variants of Roux-en-Y gastric bypass (RYGBP) on plasma ghrelin concentrations according to different exposure of gastric fundus to the nutrient pathway. METHODS:A prospective longitudinal 2-year follow-up study was conducted. Ninety-six morbidly obese (MO) patients (age range: 41...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-009-0035-0

    authors: Pérez-Romero N,Serra A,Granada ML,Rull M,Alastrué A,Navarro-Díaz M,Romero R,Fernández-Llamazares J

    更新日期:2010-05-01 00:00:00

  • Early clinical and surgical results of biliopancreatic diversion.

    abstract:BACKGROUND:Scopinaro biliopancreatic diversion (BPD) for morbid obesity results in significant longterm weight loss and reduction or resolution of obesity-associated co-morbidities. The aim of our work was to describe the early results after BPD. METHODS:59 morbidly obese patients (BMI >40) underwent open BPD from Dec...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/0960892054222740

    authors: de Luis DA,Pacheco D,Izaola O,Romero A,Marcos JL,Pelaz J,Barrera A,Cabezas G,Terroba MC,Cuellar L,Anta A

    更新日期:2005-06-01 00:00:00

  • Obstructive sleep-related breathing disorders in patients evaluated for bariatric surgery.

    abstract:BACKGROUND:Obesity is a well known risk factor for obstructive sleep apnea (OSA). Medical therapy is not effective for morbid obesity. Bariatric surgery is therefore a reasonable option for weight reduction for patients with clinically severe obesity. Unrecognized OSA, especially in those patients receiving abdominal s...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089203322509228

    authors: Frey WC,Pilcher J

    更新日期:2003-10-01 00:00:00