Abstract：
BACKGROUND:Obese patients occasionally require either elective or emergency critical care services following bariatric surgery. We describe this subgroup of patients. METHODS:From July 1, 1991 to July 31, 2004, we performed 1,279 bariatric operations; 241 (19%) required admission to the surgical critical care service. We retrospectively reviewed medical records for gender, body mass index (BMI), age, whether the operation was initial or revisional, and whether critical care admission was elective or emergent. 3 complication clusters (thromboembolic, pulmonary, and anastomotic) were identified using discharge ICD-9 codes. The costs and length of stay of these subpopulations was calculated. RESULTS:Patients were on average 46+/-10 years old, with BMI 59+/-13. Critical care admission was emergent in 52.7% (n=127) of cases. Revisional cases did not differ from the initial cases in BMI (56.4 vs 59.2, P=0.42) and they were no more likely to require emergent critical care admission than initial cases (P=0.16). Revisional cases were hospitalized longer (27.2+/-25.6 vs 12.5+/-18.7 days, P=0.003); had higher total hospital costs (US$ 60,631+/-78,337 vs 27,697+/-52,351, P=0.025); and were more likely to die from their complications (revisional surgery mortality 6.5% vs 1.9% for initial surgery [P=0.002]). CONCLUSIONS:An increasing number of surgical revisions will likely accompany the recent increase in popularity of bariatric surgery. In our experience, these patients require significant critical care services, and have longer, complicated, and more costly hospitalizations.
journal_name
Obes Surgjournal_title
Obesity surgeryauthors
Cendán JC,Abu-aouf D,Gabrielli A,Caruso LJ,Rout WR,Hocking MP,Layon AJdoi
10.1381/096089205774512681subject
Has Abstractpub_date
2005-10-01 00:00:00pages
1247-51issue
9eissn
0960-8923issn
1708-0428journal_volume
15pub_type
杂志文章相关文献
OBESITY SURGERY文献大全abstract：BACKGROUND:Researchers have found that zinc nutritional status in obese and diabetic subjects is altered: low zinc concentrations in plasma and erythrocytes, with high urinary zinc excretion, were observed. This study evaluated the effect of Roux-en-Y gastric bypass (RYGBP) on plasma, erythrocyte and urinary zinc conce...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-007-9105-3
更新日期：2007-05-01 00:00:00
abstract：BACKGROUND:The present study aimed to investigate the effects of Roux-en-Y gastric bypass (RYGB) and prosthesis placement on gastric emptying rate in conjunction with serum ghrelin-obestatin-leptin responses in non-obese rats with intact or denervated afferent innervation. METHODS:Under anesthesia, male Sprague-Dawley...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-016-2420-9
更新日期：2017-04-01 00:00:00
abstract：BACKGROUND:The effective long-term treatments for morbid obesity is bariatric surgery. However, the associated surgical and anesthetic risks led the authors to evaluate intermaxillary fixation, a less aggressive procedure, as a preoperative treatment in selected patients with morbid obesity. METHODS:22 patients (5 mal...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/0960892041590881
更新日期：2004-06-01 00:00:00
abstract：BACKGROUND:Among the different techniques of surgical treatment for morbid obesity, silastic ring vertical gastroplasty (SRVG) is an alternative, effective and easily reproducible technique. The aim of this study is to evaluate a cohort of patients >6 years after SRVG for morbid obesity. METHODS:From 1991 to 1996, 273...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/0960892042386995
更新日期：2004-10-01 00:00:00
abstract：BACKGROUND:Laparoscopic sleeve forming gastrectomy (SFG) is a commonly performed bariatric procedure for the surgical management of morbid obesity. Staple line gastric leaks occur infrequently but are the most feared complication causing prolonged morbidity (Burgos et al., Obes Surg 19(12):1672-7, 2009; Márquez et al.,...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-015-1813-5
更新日期：2015-10-01 00:00:00
abstract：:We reviewed the evidence for bariatric surgery reducing the risk of breast cancer. Data was extracted from multiple libraries, including PubMed, EMBASE, and Medline, to perform a systematic review. Abstracts were reviewed by two independent reviewers. Thirty-eight full-text articles were identified from 1171 abstracts...
journal_title：Obesity surgery
pub_type： 杂志文章,meta分析,评审
doi：10.1007/s11695-017-2901-5
更新日期：2017-11-01 00:00:00
abstract：BACKGROUND:The HospitAl stay, Readmission, and Mortality rates (HARM) score is a quality indicator that is easily determined from routine administrative data. However, the HARM score has not yet been applied to patients undergoing bariatric surgery. OBJECTIVE:The aims of the present study were to adjust the HARM score...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-018-3253-5
更新日期：2018-09-01 00:00:00
abstract：BACKGROUND:Malnutrition and overweight is a common problem in modern societies. Primary abdominal lipectomy is a standard surgical tool in patients with these problems. However, unknown secondary problems result from recent advances in obesity surgery. Plication of the anterior musculoaponeurotic wall is a widely and c...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-008-9559-y
更新日期：2009-11-01 00:00:00
abstract：:Vertical banded gastroplasty-gastric bypass is a surgical technique combining the advantages of the vertical banded gastroplasty with those of gastric bypass. The procedure was performed on 148 morbidly obese individuals: 83% were female, and 17% were male. Ages ranged from 15 to 64 years, with a mean age of 35. Mean ...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089291765560782
更新日期：1991-12-01 00:00:00
abstract：INTRODUCTION:miRNAs are small non-coding RNAs, some of which are expressed in adipose tissues, are present in the circulation, and are regulated in obesity. Bariatric surgery (BS) has been proposed to lead to activation of brown adipose tissue, an effect that may be related to beneficial effects of BS on systemic metab...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-019-04104-y
更新日期：2020-01-01 00:00:00
abstract：:Our study investigated how demographic, health, and behavioral factors interacted to affect weight outcomes in bariatric patients. Roux-en-Y gastric bypass (RYGB) patients who were non-Hispanic black, Hispanic, or non-Hispanic white race/ethnicity, had no revisions to their RYGB during 2004-2009, and had at least 1 ye...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-014-1268-0
更新日期：2014-10-01 00:00:00
abstract：BACKGROUND:The Bioenterics Intragastric Balloon (BIB) is effective for weight loss. However, comparisons of its effectiveness between groups with different body mass index (BMI) are rare. This study compared the effectiveness of BIB treatment in patients with BMI <32 kg/m(2) and those with BMI ≥ 32 kg/m(2) at the time ...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-013-1027-7
更新日期：2013-12-01 00:00:00
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
更新日期：2004-02-01 00:00:00
abstract：:Lithium is one of the major treatment options in bipolar disorder. Bariatric surgery can significantly modify the oral bioavailability of drugs, and lithium is no exception; although in most cases drug absorption seems to decrease, in the case of lithium, toxicity is the risk. In this article, we describe a 61-year-ol...
journal_title：Obesity surgery
pub_type： 杂志文章,评审
doi：10.1007/s11695-018-3597-x
更新日期：2019-02-01 00:00:00
abstract：:Limited information is available regarding reversal of gastric bypass. While reversal will lead to weight regain and return of comorbid conditions, procedure reversal is sometimes necessary due to complications. The decision to reverse versus revise is difficult; currently, there are no established guidelines. The obj...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-012-0715-z
更新日期：2012-10-01 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：BACKGROUND:Patients with laparoscopic adjustable gastric bands (LAGB) present at times with adverse symptoms or unsatisfactory weight loss, where a liquid contrast swallow or upper gastrointestinal endoscopy is not diagnostic. Stress barium and high resolution manometry are promising investigations, however, have not y...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-010-0258-0
更新日期：2010-11-01 00:00:00
abstract：INTRODUCTION:Obesity in the world has been increasing, and the number of diabetic patients will increase by 114%, and the best treatment results are achieved through surgery. Several techniques have been described; the gastric bypass of an anastomosis (MGB/OAGB) has been gaining popularity for its simplicity and good r...
journal_title：Obesity surgery
pub_type： 临床试验,杂志文章
doi：10.1007/s11695-019-04071-4
更新日期：2019-12-01 00:00:00
abstract：:The relationship between bariatric surgery and gastric cancer is conjectural. We present a 52-year-old woman with BMI 45 operated initially by a Lap-Band procedure complicated by gastric wall erosion of the band 9 months later. She was re-operated and the band was removed. She subsequently underwent a Roux-en-Y gastri...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/0960892055002383
更新日期：2005-09-01 00:00:00
abstract：BACKGROUND:Laparoscopic adjustable gastric banding is a safe and effective treatment method for morbid obesity. Injection port dislocation, tube perforation and access port infection are generally classified among the minor complications, although they can require a reoperation at the port-site or even at the level of ...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089202762552791
更新日期：2002-04-01 00:00:00
abstract：:Bariatric Surgery Centres of Excellence have been promoted by the International Federation for the Surgery of Obesity and Metabolic Disorders European Chapter to improve outcomes and security of patients. A retrospective analysis of our prospective database has been performed. Between May 2001 and September 2012, we o...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-013-0980-5
更新日期：2013-08-01 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：:Eating pathology is common pre-operatively and continues to be prevalent following bariatric surgery. A new version of the Minnesota Multiphasic Personality Inventory (MMPI), the MMPI-3, contains a new scale called Eating Concerns (EAT) that aims to assess problematic eating behaviors. The current investigation seeks ...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-020-05113-y
更新日期：2020-11-16 00:00:00
abstract：BACKGROUND:Operations for morbid obesity that are effective in inducing weight loss improve blood pressure, glycemic control and dyslipidemia. Our purpose was to study the effectiveness of VBG in improving hypertension, diabetes and dyslipidemias in morbidly obese patients. METHODS:Retrospective analysis of a cohort o...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089202321088075
更新日期：2002-06-01 00:00:00
abstract：BACKGROUND:Besides weight loss Scopinaro's operation produces correction of hypercholesterolemia and noninsulin dependent diabetes mellitus in all patients who suffer from these conditions. These results encouraged us to perform biliopancreatic diversion (BPD) without gastric resection, thus preserving the functions of...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089298765555088
更新日期：1998-02-01 00:00:00
abstract：BACKGROUND:A technique for standard laparoscopic BPD was developed. METHODS:Standard laparoscopic BPD was performed in 26 morbidly obese patients with mean BMI 43. Details of the technique, using 6 trocars, and instrumentation are described. Intestinal limb lengths were measured fully stretched, and the gastric remnan...
journal_title：Obesity surgery
pub_type： 杂志文章,评审
doi：10.1381/096089202762552692
更新日期：2002-04-01 00:00:00
abstract：BACKGROUND:Laparoscopic sleeve gastrectomy (LSG) has been used more frequently over the past 10 years. As the population ages, a larger number of older people will suffer from weight-related comorbidities, resulting in bariatric surgery becoming a dominant solution for improving health and quality of life. We assessed ...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-015-1735-2
更新日期：2016-02-01 00:00:00
abstract：:A retrospective study of all ileogastrostomy procedures (n = 26) performed in 1993 by one surgeon (IGMC) was carried out to investigate the hypothesis that Helicobacter pylori may be implicated in certain severe cases of postoperation nausea and diarrhea. Ten of 26 persons (38.5%) displayed nausea and notable diarrhea...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089294765558548
更新日期：1994-08-01 00:00:00
abstract：BACKGROUND:Obesity and type 2 diabetes mellitus (T2DM) represent significant healthcare burdens. Surgical management is superior to traditional medical therapy. Laparoscopic sleeve gastrectomy (LSG) and gastric bypass (both Roux-en-Y (RYGB) and one anastomosis gastric bypass (OAGB) are the most commonly performed metab...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-020-04921-6
更新日期：2020-12-01 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
