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 respect to (1) obesity in the population, (2) number of bariatric surgeons in the area, (3) the nature of the insurance companies, (4) the type of insurance (health maintenance organization, HMO versus private pay versus Medicare, Medicaid, etc.), and (5) the leverage that the practice might be able to acquire (what is not being done by your competitors). To improve the financial strength of your practice, (1) learn what must be improved within your practice; (2) increase the ratio of time in the operating room to time in the office; (3) increase the number of patients referred to you. Most important is flexibility; the only people who really survive are chameleons because only chameleons adapt to different situations. Setting up a bariatric practice can be quite difficult, especially in the academic setting, but it is not impossible. A team approach is essential, whether one is speaking of a team of characteristics that make an office suitable, a team of experts within the office to appropriately evaluate patients, a team of professionals in the office to ensure efficient insurance approval, or a team of persons in the operating room to ensure that the surgery is optimized. The local environment must always be kept in mind.
journal_name
Obes Surgjournal_title
Obesity surgeryauthors
Frezza EE,Wachtel MSdoi
10.1007/s11695-007-9377-7subject
Has Abstractpub_date
2008-07-01 00:00:00pages
877-81issue
7eissn
0960-8923issn
1708-0428journal_volume
18pub_type
杂志文章,评审相关文献
OBESITY SURGERY文献大全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：:Laparoscopic Roux-en-Y gastric bypass is the most common bariatric surgical procedure in the USA in women of reproductive age. A pregnant patient presented with nonspecific upper abdominal pain and nausea, suggesting an internal hernia. At surgery, an intussusception was identified and reduced without complications. O...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-007-9153-8
更新日期：2007-07-01 00:00:00
abstract：BACKGROUND:We have previously reported on the benefits of Pre-Surgical Exercise Training (PreSET) on physical fitness and social interactions in subjects awaiting bariatric surgery (BS). However, data are needed to know whether these benefits are maintained post-BS. OBJECTIVES:The purpose of this paper was to evaluate...
journal_title：Obesity surgery
pub_type： 杂志文章,随机对照试验
doi：10.1007/s11695-017-2943-8
更新日期：2018-04-01 00:00:00
abstract：OBJECTIVE:The objective of this study was to determine whether the DiaRem, a score that predicts type 2 diabetes (T2D) remission following roux-en-y gastric bariatric surgery (RYGB), also predicts remission following laparoscopic adjustable gastric banding (LAGB) and laparoscopic sleeve gastrectomy (LSG) in white and H...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-017-2799-y
更新日期：2018-01-01 00:00:00
abstract：BACKGROUND:Obesity is a complex and multifactorial disease whose incidence has increased, making it a serious public health issue. Laparoscopic sleeve gastrectomy (LSG) is one of the most common surgical procedures that is chosen for bariatric surgery. Decreasing postoperative pain in these patients which will increase...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-019-03984-4
更新日期：2019-10-01 00:00:00
abstract：:Incidental gastric and small bowel lesions are commonly encountered during bariatric surgery. Resection of these lesions with negative margins in the same sitting is curative; however, this may necessitate intraoperative change of plan. We present a 44-year-old super obese lady in whom an exophytic jejunal mass was fo...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-020-05162-3
更新日期：2021-01-19 00:00:00
abstract：:A 42-year-old patient with a sixth bariatric-related surgical procedure is presented. The steps taken for the management of her intractable nausea, vomiting, abdominal pain, unacceptable weight loss and diarrhea are described, together with the rationale therefor. Bariatric reoperative surgical procedure and outcome a...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089295765558006
更新日期：1995-05-01 00:00:00
abstract：BACKGROUND:Type 1 diabetes mellitus (T1DM) has a rising global prevalence. Although it is vastly outnumbered by type 2 diabetes mellitus rates, it remains a persistent worldwide source of morbidity and mortality. Increasingly, its sufferers are afflicted by obesity and its complications. The objective of the study is t...
journal_title：Obesity surgery
pub_type： 杂志文章,meta分析,评审
doi：10.1007/s11695-015-1999-6
更新日期：2016-08-01 00:00:00
abstract：BACKGROUND:A substantial proportion of severely obese patients undergoing bariatric surgery have not developed disease as a consequence of obesity. Little is known about the effects of bariatric surgery on health-related quality of life (HRQL) in this patient group. In a prospective study at a public hospital, we compa...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-015-1717-4
更新日期：2015-12-01 00:00:00
abstract：PURPOSE:The objective of this post-market study was to evaluate long-term safety and efficacy of aspiration therapy (AT) in a clinical setting in five European clinics. MATERIALS AND METHODS:The AspireAssist® System (Aspire Bariatrics, Inc. King of Prussia, PA) is an endoscopic weight loss therapy utilizing a customiz...
journal_title：Obesity surgery
pub_type： 杂志文章,多中心研究
doi：10.1007/s11695-017-3096-5
更新日期：2018-07-01 00:00:00
abstract：BACKGROUND:Proximal Roux-en-Y gastric bypass is commonly used to manage obesity, performed using laparoscopic or robot-assisted minimally invasive surgery. As the prevalence of robotic bariatric surgery increases, further data is required to justify its use. METHODS:This was a large, retrospective analysis of prospect...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-020-04508-1
更新日期：2020-06-01 00:00:00
abstract：BACKGROUND:Post intragastric balloon placement symptoms like nausea and vomiting have been the major cause of a high rate of early removal. Common therapy with ondansetron alone, or in combination, with prokinetic agents have been shown to have very little or no effect. Recently, an improved therapy based on aprepitant...
journal_title：Obesity surgery
pub_type： 杂志文章,多中心研究
doi：10.1007/s11695-019-03937-x
更新日期：2019-09-01 00:00:00
abstract：BACKGROUND:Gastric banding is a safe and efficient bariatric procedure. We report here the results of 591 consecutive gastric bandings in terms of excess weight loss with up to 10 years follow-up and the complications. METHODS:Between June 1996 and September 2006, 591 patients underwent laparoscopic adjustable gastric...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-008-9470-6
更新日期：2008-05-01 00:00:00
abstract：:Laparoscopic adjustable gastric banding is a commonly performed bariatric operation worldwide. The presence of an anatomical variation like situs inversus demands preoperative assessment and preparedness on the part of the surgeon. We report a laparoscopic gastric banding performed on a morbidly obese patient with sit...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-008-9546-3
更新日期：2008-12-01 00:00:00
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
更新日期：2003-10-01 00:00:00
abstract：:Considerable controversy exists about the perioperative management of patients at high risk for obstructive sleep apnea (OSA) in free-standing clinics. Eighty-eight percent of an American Society of Anesthesiologists expert panel felt that upper abdominal laparoscopic surgery could not be performed safely on an outpat...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-011-0381-6
更新日期：2011-10-01 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：BACKGROUND:Surgery is the only long-lasting effective treatment for morbid obesity. Prediction on successful weight loss after surgery by data mining technologies is lacking. We analyze the available information during the initial evaluation of patients referred to bariatric surgery by data mining methods for predictor...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-007-9322-9
更新日期：2007-09-01 00:00:00
abstract：INTRODUCTION:Sub-optimal weight loss following Roux-en-Y gastric bypass (RYGB) represents an important clinical challenge in a significant number of patients. Early identification of such patients would be advantageous, as it could aid in the selective implementation of targeted adjunct interventions during the first p...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-020-04942-1
更新日期：2020-12-01 00:00:00
abstract：BACKGROUND:Obese patients have a propensity to desaturate during induction of general anesthesia secondary to their reduced functional residual capacity and increased oxygen consumption. Apneic oxygenation can provide supplemental oxygen to the alveoli, even in the absence of ventilation, during attempts to secure the ...
journal_title：Obesity surgery
pub_type： 杂志文章,随机对照试验
doi：10.1007/s11695-019-04077-y
更新日期：2019-12-01 00:00:00
abstract：:Complications after laparoscopic sleeve gastrectomy (LSG) are usually silent and difficult to interpret. Our purpose was to evaluate the utility of routine placement of intraperitoneal drains at the end of LSG in detection and management of postoperative complications. This is a retrospective study of all patients tha...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-010-0343-4
更新日期：2011-06-01 00:00:00
abstract：BACKGROUND:Surgical revision rates are high, reaching 41% at 10 years after Laparoscopic gastric band (LAGB). Surgical revision may include re-banding, laparoscopic sleeve gastrectomy (LSG), duodenal switch (DS), or laparoscopic Roux-en-Y gastric bypass (LRYGB). LRYGBP has been proposed as the procedure of choice after...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-020-05027-9
更新日期：2020-10-14 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：INTRODUCTION:Laparoscopic single anastomosis gastric bypass (SAGB) is increasingly performed for morbidly obese patients. AIM OF WORK:This pilot study aims primarily at evaluating the incidence of bile gastritis after SAGB. The occurrence of reflux oesophagitis and reflux symptoms were also assessed. PATIENTS AND MET...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-017-2885-1
更新日期：2018-02-01 00:00:00
abstract：BACKGROUND:Altered cytokine secretion from dysfunctional adipose tissue or "adiposopathy" is implicated in obesity related inflammation and may mediate reduced cardiovascular disease (CVD) risk in response to weight loss after bariatric surgery. We hypothesized that bariatric surgery reduces CVD risk by favorably alter...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-011-0447-5
更新日期：2011-12-01 00:00:00
abstract：BACKGROUND:Bariatric surgery is being performed with increasing frequency in the USA as a definitive treatment for morbid obesity and associated comorbidities. Management strategies of type 2 diabetes mellitus (T2DM) and hypertension (HTN) medications in sleeve gastrectomy (SG) patients postoperatively are unclear, spe...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-014-1375-y
更新日期：2015-04-01 00:00:00
abstract：:There is no consensus on the monitoring of liver function tests after Roux-en-Y gastric bypass (RYGB). Since the main objective of such monitoring would be to diagnose early those who will eventually develop liver failure after RYGB, we performed a systematic review on this topic. An extensive search of literature rev...
journal_title：Obesity surgery
pub_type： 杂志文章,评审
doi：10.1007/s11695-016-2280-3
更新日期：2016-10-01 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：BACKGROUND:Vitamin and mineral deficiencies are common after a sleeve gastrectomy (SG). The aim of this study is to examine the effectiveness of a specialized bariatric multivitamin (WLS Optimum) for SG patients on deficiencies compared with a regular multivitamin (MVS) for up to 5 years. METHODS:Data of all patients ...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-019-04191-x
更新日期：2020-02-01 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
