Abstract:
BACKGROUND:Internal hernia (IH) is a well known complication of Roux-en-Y gastric bypass (RYGBP) which is more frequently encountered when the RYGBP is done laparoscopically. METHODS:Patients with IH were identified from a prospective data-base of morbidly obese patients undergoing bariatric surgery at our center. RESULTS:10 patients with IH were identified out of 625 patients undergoing LRYGBP from 1998 to 2006 (incidence 1.6 %). The defects were closed in the last 155 cases with non-absorbable running sutures. There were 8 women and 2 men with mean age 38 years (range 28-54). The mean interval of time elapsed between LRYGBP and clinical presentation of IH was 26.5 months (range 7 days - 72 months). Abdominal pain, nausea and vomiting were the most common complaints. White blood cell count was increased to a mean of 64 mg/dl (range 45-155 mg/dl) in 6 patients. CT scan showed signs of intestinal obstruction in all 7 patients with acute presentation. Surgery was done by laparoscopy in 5 cases (2 in the setting of emergency), and by laparotomy in the remaining 5 cases. All IHs were located at the mesenteric defect and were treated with IH reduction in all but one patient who underwent small bowel resection. There was no mortality, and one patient had pneumonia with acute respiratory distress syndrome that resolved favorably. CONCLUSIONS:IH after LRYGBP occurred mainly at the mesenteric defect and in patients with no closure of the defect. The antecolic approach for the Roux-limb, the division of the greater omentum only when too thick, and the systematic closure of the defects with tight non-absorbable running sutures are recommended.
journal_name
Obes Surgjournal_title
Obesity surgeryauthors
Iannelli A,Buratti MS,Novellas S,Dahman M,Amor IB,Sejor E,Facchiano E,Addeo P,Gugenheim Jdoi
10.1007/s11695-007-9229-5subject
Has Abstractpub_date
2007-10-01 00:00:00pages
1283-6issue
10eissn
0960-8923issn
1708-0428journal_volume
17pub_type
杂志文章相关文献
OBESITY SURGERY文献大全abstract:OBJECTIVE:Data are sparse regarding the survival benefit of bariatric surgery on mortality among persons with diabetes. We aimed to investigate the association of bariatric surgery, compared with usual care, on all-cause mortality in individuals who underwent surgery and matched controls, stratified by the presence of ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-020-05068-0
更新日期:2020-11-05 00:00:00
abstract::In this prospective study, we examine the workload of the North London Obesity Surgery Service Bariatric telephone support line (BTSL) and its effects on service provision. Over a 3-month period (June to August 2008), a prospective record was kept of all calls, who they were from, whether the patient was presurgery or...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-009-9930-7
更新日期:2010-03-01 00:00:00
abstract:BACKGROUND:The treatment of pain in obese patients is always a challenge. These patients have low pain thresholds, and the use of opioids can be especially harmful. Intraoperative nervous fiber section and the high temperatures of electrical scalpels probably contribute to the generation of postoperative neuropathic pa...
journal_title:Obesity surgery
pub_type: 杂志文章,随机对照试验
doi:10.1007/s11695-009-9944-1
更新日期:2010-12-01 00:00:00
abstract:BACKGROUND:Leak following laparoscopic sleeve gastrectomy (LSG) is one of the most serious and devastating complications. Endoscopic stents can treat most early LSG leaks, but is not as effective for chronic LSG leaks/fistulae. The surgical options to treat a chronic leak/fistula after LSG are laparoscopic Roux en Y es...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-015-2018-7
更新日期:2016-03-01 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:More should be known about the spectrum of endoscopic abnormalities and treatments in patients with upper gastrointestinal (UGI) symptoms after laparoscopic bariatric surgery. METHODS:Patients referred for endoscopic evaluation of UGI symptoms after laparoscopic bariatric surgery were studied. Clinical mani...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089206778392176
更新日期:2006-09-01 00:00:00
abstract:BACKGROUND:Previous studies have reported that risk factors for elevated mortality after Roux-en-Y gastric bypass include male gender, as well as a very elevated BMI. The present study was aimed at determining whether these same risk factors applied to patients undergoing the duodenal switch (DS) operation. MATERIALS ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/0960892053923699
更新日期:2005-05-01 00:00:00
abstract::In Table 2 on p. 2517 the heading for Group 3 should read as follows. ...
journal_title:Obesity surgery
pub_type: 已发布勘误
doi:10.1007/s11695-019-03764-0
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND:Laparoscopic sleeve gastrectomy (LSG) is widely adopted but exposes serious complications. METHODS:A retrospective database analysis was done to study LSG staple line complications in a tertiary referral university center with surgical ICU experienced in treatment of morbid obesity and complications. Twenty...
journal_title:Obesity surgery
pub_type: 杂志文章,meta分析,多中心研究
doi:10.1007/s11695-012-0860-4
更新日期:2013-05-01 00:00:00
abstract:BACKGROUND:Bariatric surgery has demonstrated to be effective in remission of type 2 diabetes in obese patients, but it is unclear in non-obese patients. The aim of this study is to investigate if metabolic surgery is effective in diabetes resolution in patients with BMI < 30 kg/m2. MATERIALS AND METHODS:A systematic ...
journal_title:Obesity surgery
pub_type: 杂志文章,meta分析
doi:10.1007/s11695-018-03654-x
更新日期:2019-04-01 00:00:00
abstract::Bariatric and metabolic surgery (BMS), the only effective option for patients with obesity with or without comorbidities, has been stopped temporarily due to the ongoing novel corona virus disease (COVID-19) pandemic. However, there has been a recent change in the governmental strategy of dealing with this virus from ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-020-04940-3
更新日期:2020-12-01 00:00:00
abstract:OBJECTIVES:The study aimed to evaluate the changes in thyroid function and the risk of thyroid tumors after Roux-en-Y gastric bypass (RYGB) surgery. MATERIALS AND METHODS:This was a retrospective study of 117 patients with type 2 diabetes (T2D) and obesity who underwent laparoscopic RYGB (LRYGB) and were followed up f...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-017-2684-8
更新日期:2017-10-01 00:00:00
abstract:BACKGROUND:The purpose of this study was to estimate the cumulative radiation dose from computed tomography (CT) scans and upper gastrointestinal fluoroscopic exams in the post-bariatric-surgery population and correlate these values with current concepts of potential radiation-induced cancer risk. METHODS:A retrospect...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-009-9966-8
更新日期:2010-05-01 00:00:00
abstract:BACKGROUND:Endotracheal intubation is commonly perceived to be more difficult in obese patients than in lean patients. Primarily, we investigated the association between difficult tracheal intubation (DTI) and obesity, and secondarily, the association between DTI and validated scoring systems used to assess the airways...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-016-2141-0
更新日期:2016-11-01 00:00:00
abstract:BACKGROUND:Understanding of the effects of adjustments to laparoscopic adjustable gastric band (LAGB) volume is limited. Changes in intraluminal pressure may be important and explain patients reporting a tighter LAGB after saline is removed and an identical volume replaced. METHODS:Using high-resolution manometry, cha...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-009-9950-3
更新日期:2009-11-01 00:00:00
abstract:BACKGROUND:The duodenal-jejunal bypass liner (DJBL) is an endoscopically placed device designed to achieve weight loss and improve glycemic control in obese patients. Previous studies report promising results but typically included small patient numbers and short follow-up. This study aims to determine the safety and e...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-017-2939-4
更新日期:2017-12-01 00:00:00
abstract::Bariatric surgery is the most effective modality of achieving weight loss as well as the most effective treatment for type 2 diabetes mellitus (T2DM). Glucose-dependent insulinotropic polypeptide (GIP) is an incretin and is implicated in the pathogenesis of obesity and T2DM. Its role in weight loss and resolution of T...
journal_title:Obesity surgery
pub_type: 杂志文章,评审
doi:10.1007/s11695-010-0305-x
更新日期:2011-02-01 00:00:00
abstract:BACKGROUND:Vitamin D deficiency (VDD) is associated with obesity and metabolic syndrome (MS). After bariatric surgery (BS), high rates of VDD often persist and some patients are refractory to the resolution of comorbidities. The aim of the present study is to analyse the relationship between the levels of vitamin D and...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-016-2445-0
更新日期:2017-05-01 00:00:00
abstract:BACKGROUND:Four commercially available intragastric balloons have been used for the management of obesity and underwent randomized controlled trials (RCTs), and we aimed to compare them using a network meta-analysis approach. METHODS:Several databases were queried from inception to May 26, 2017, and we included RCTs e...
journal_title:Obesity surgery
pub_type: 杂志文章,meta分析
doi:10.1007/s11695-018-3227-7
更新日期:2018-09-01 00:00:00
abstract:BACKGROUND:Overweight and obesity independently increase cardiovascular risk, while even modest weight loss can result in clinically significant improvements in cardiovascular risk and reduce long-term mortality. Lowering the body mass index (BMI) threshold for bariatric surgery to those with moderate obesity might be ...
journal_title:Obesity surgery
pub_type: 杂志文章,评审
doi:10.1007/s11695-013-0877-3
更新日期:2013-07-01 00:00:00
abstract:PURPOSE:One-anastomosis gastric bypass (OAGB) has raised concerns about nutritional complications possibly attributed to the biliopancreatic limb (BPL) length. We aimed to assess the results of a conservative approach of OAGB compared with the original OAGB and Roux-en-Y gastric bypass (RYGB) in a 1-year follow-up stud...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-020-04681-3
更新日期:2020-09-01 00:00:00
abstract:BACKGROUND:To understand the role of ghrelin in the mechanism of action of laparoscopic sleeve gastrectomy (LSG), a prospective cohort case-control study to assess the expression of ghrelin-producing cells (GPC) in two groups of patients was designed. METHODS:Specimens of resected stomach from 26 obese patients who un...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-018-3401-y
更新日期:2018-11-01 00:00:00
abstract::Vital for any surgeon choosing to perform bariatric surgery is to be financially savvy. Establishing a practice is not a simple matter. This article will describe how physicians can establish their practice in weight loss medicine. To better insure success, wisdom dictates that one perform a geographical study with re...
journal_title:Obesity surgery
pub_type: 杂志文章,评审
doi:10.1007/s11695-007-9377-7
更新日期:2008-07-01 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:Laparoscopic sleeve gastrectomy (LSG) has been identified as an innovative surgical approach for the treatment of obesity and is increasingly applied worldwide. However, data on outcome of LSG regarding nutrient deficiencies, protein status, and body composition are scarce. METHODS:Obese subjects (54; f:m =...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-012-0609-0
更新日期:2012-06-01 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::Bariatric surgery is the most effective treatment for morbid obesity, but it can cause numerous adverse effects. This systematic review and meta-analysis aimed to evaluate whether bariatric surgery changes patient salivary flow. We searched for articles in the Web of Science, Pubmed/MEDLINE, and Scopus databases using...
journal_title:Obesity surgery
pub_type: 杂志文章,meta分析
doi:10.1007/s11695-019-03784-w
更新日期:2019-05-01 00:00:00
abstract::There is no consensus on how to protect the skeleton with adequate supplements in patients who have undergone bariatric operations. The main problem in mineral metabolism is usually related to secondary hyperparathyroidism (2 degrees HPT), often caused by a lack of dietary calcium, magnesium or vitamin D, together wit...
journal_title:Obesity surgery
pub_type: 杂志文章,评审
doi:10.1007/s11695-008-9431-0
更新日期:2007-11-01 00:00:00
abstract::We aim to review the available literature on obese patients treated with bariatric procedures, in order to assess their effect on the metabolic and gut microbiota profiles. A systematic literature search was performed in PubMed, Cochrane library, and Scopus databases, in accordance with the PRISMA guidelines. Twenty-t...
journal_title:Obesity surgery
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s11695-017-2595-8
更新日期:2017-05-01 00:00:00
abstract::There is more to losing weight, maintaining weight and choosing a healthy diet after gastric bypass than simply limiting food intake and avoiding sugars. Patients must learn to make food selections that have a high nutrient:energy ratio. Considerable research indicates that the dietary fat level, independent of total ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089292765559990
更新日期:1992-11-01 00:00:00