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 who have been operated on over 12 years (May 1995-May 2007). Food intolerance occurred in 41 cases (2.9%), representing 1/3 of the causes of band removal. The average time for diagnosis was 58 months (16-110). Seventeen cases occurred before 5 years of follow-up, and 25 after. RESULTS:The postoperative course has been uneventful in all cases of simple removal. No patient had re-banding after removal, one had vertical banded gastroplasty in another center, two a gastric bypass, one a BPD, and four had a sleeve gastrectomy at the same operative time as band removal. Food intolerance is rarely reported in the literature, or often attributed to "poor compliance" or "poor results" after lap banding. The background and symptoms of this entity should be separated from other issues, i.e., esophageal dilatation and band slippage. Gastric bypass is a valuable option after band removal, but like others, we prefer sleeve gastrectomy as a second step procedure, given the weight loss that has already been achieved in many cases. CONCLUSION:Food intolerance after lap-banding is likely to represent the most common cause for band removal in the long run, although we do not know its future rate. From the literature and our experience, there is no clear cause to this complication in the majority of the cases; neither the type of band nor the type of procedure are sufficient explanations.
journal_name
Obes Surgjournal_title
Obesity surgeryauthors
Dargent Jdoi
10.1007/s11695-008-9495-xsubject
Has Abstractpub_date
2008-07-01 00:00:00pages
829-32issue
7eissn
0960-8923issn
1708-0428journal_volume
18pub_type
杂志文章相关文献
OBESITY SURGERY文献大全abstract:BACKGROUND:Fibromyalgia is a chronic debilitating disorder affecting 3-5% of the US population. Treatment of this disorder is a challenge. The incidental finding of improvement of fibromyalgia following laparoscopic Roux-en-Y gastric bypass stimulated us to study this phenomenon. METHODS:A retrospective chart review o...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-008-9505-z
更新日期:2008-06-01 00:00:00
abstract::In bariatric surgery, laparoscopic adjustable gastric banding (LAGB) has proven effective in reducing weight and improving obesity-associated comorbidities. Recently, however, laparoendoscopic single-site (LESS) surgery has been proposed to minimize the invasiveness of laparoscopic surgery. The aim of this study is to...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-010-0259-z
更新日期:2011-07-01 00:00:00
abstract:BACKGROUND:Biliopancreatic diversion with duodenal switch (BPD-DS) is one of the most effective surgical approaches for the treatment of severe obesity. OBJECTIVE:The objective of this study is to compare perioperative complications and long-term results of open BPD-DS in elderly versus younger patients. METHODS:All ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-015-1772-x
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:Creating the proximal anastomosis in laparoscopic biliopancreatic diversion with duodenal switch (LBPD-DS) and Roux-en-Y gastric bypass (LRYGBP) is a critical step in ensuring the success of the procedures. The aim of this study was to assess the safety and efficiency of performing this anastomosis using a f...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089203321136656
更新日期:2003-02-01 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:BACKGROUND:Primary hyperparathyroidism (PHPT) in the setting of previous roux-en-Y gastric bypass (RYGBP) is not well described. The diagnosis can be difficult, as secondary hyperparathyroidism (SHPT) commonly occurs in patients after RYGBP due to calcium malabsorption and vitamin D deficiency. METHODS:All patients fr...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-014-1444-2
更新日期:2015-04-01 00:00:00
abstract:BACKGROUND:Botulinum toxin A (BTX-A) is a powerful and long-acting inhibitor of muscular contractions in both striated and smooth muscles. Hypothetically, BTX-A should inhibit the acetylcholine-mediated peristalsis, which is mainly responsible for gastric motility, and thereby induce slowed gastric emptying, earlier sa...
journal_title:Obesity surgery
pub_type: 杂志文章,随机对照试验
doi:10.1007/s11695-007-9135-x
更新日期:2007-06-01 00:00:00
abstract:BACKGROUND:The outcome of bariatric surgery has been well documented in large series in the West. In Asia, where obesity has been less rampant, such surgery has been correspondingly less frequent, and there is a dearth of information on bariatric surgery on Asians. METHOD:The outcome of a personal series of 40 patient...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/0960892041975640
更新日期:2004-09-01 00:00:00
abstract:BACKGROUND:Laparoscopic gastric bypass (LGBP) is being performed widely as a treatment of choice for morbid obesity. Advantages over open gastric bypass (OGBP) have not been well documented in controlled studies. The aim of this study is to evaluate the early postoperative outcomes after LGBP and OGBP using a matched p...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089203765887624
更新日期:2003-06-01 00:00:00
abstract::Roux-en-Y gastric bypass (RYGBP) is one of the most commonly performed surgical procedures for morbid obesity. Several complications that may develop in the short- and long-term have been reported. We present a patient who presented with cancer in the bypassed stomach 8 years after RYGBP. Although the development of t...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/0960892053576668
更新日期:2005-03-01 00:00:00
abstract::Single-anastomosis duodenoileal bypass with sleeve gastrectomy (SADI-S) is a simplified biliopancreatic diversion. The objective of this study was to develop a reproducible animal model for SADI-S. We used three techniques for duodenal exclusion and duodenoileal anastomosis: (a) surgical clip and side-to-side anastomo...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-018-3254-4
更新日期:2018-07-01 00:00:00
abstract:BACKGROUND:The duodenal-jejunal bypass liner (DJBL) represents a novel endoscopic minimally invasive treatment option for obesity-associated type 2 diabetes (T2D), affecting body weight and metabolic control. Until now, the effects of DJBL on cardiovascular risk have never been investigated. METHODS:Between 2012 and 2...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-019-04324-2
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND:The volume of the gastric reservoir appears crucial to explain the success of laparoscopic sleeve gastrectomy (LSG) in the treatment of morbid obesity. The aims of this study were to describe a new, easy model to estimate gastric reservoir volume after LSG; to evaluate the volumetric changes 1 year after sur...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-013-1113-x
更新日期:2014-03-01 00:00:00
abstract:BACKGROUND:Postoperative nausea and vomiting (PONV) following sleeve gastrectomy (SG) is a common occurrence. The effect of specific interventions in PONV prevention within enhanced recovery pathways remains unclear. The aim of this study was to evaluate the impact of a comprehensive approach for the prevention of PONV...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-020-04795-8
更新日期:2020-11-01 00:00:00
abstract::Drug malabsorption is a potential concern after bariatric surgery. We present four case reports of hypothyroid patients who were well replaced with thyroxine tablets to euthyroid thyrotropin (TSH) levels prior to Roux-en-Y gastric bypass surgery. These patients developed elevated TSH levels after the surgery, the TSH ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-013-1015-y
更新日期:2013-09-01 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::The number of bariatric procedures has increased notably, with incidental findings such as gastrointestinal stromal tumors (GISTs) being observed in 2%. The number of studies dealing with incidental findings during bariatric surgery (BS), especially GISTs, is scarce. This review aims to summarize the evidence about GI...
journal_title:Obesity surgery
pub_type: 杂志文章,评审
doi:10.1007/s11695-020-04853-1
更新日期:2020-11-01 00:00:00
abstract::One of the roles of the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) is to provide guidance on the management of patients seeking surgery for adiposity-based chronic diseases. The role of endoscopy around the time of endoscopy is an area of clinical controversy. In 2018, IFSO comm...
journal_title:Obesity surgery
pub_type: 杂志文章,评审
doi:10.1007/s11695-020-04720-z
更新日期:2020-08-01 00:00:00
abstract:BACKGROUND:Obesity is considered as a risk factor for many functional digestive disorders. The aim of the present study was to evaluate the prevalence and the association of functional digestive symptoms affecting the upper and the lower digestive tract in patients eligible for bariatric surgery. METHODS:Before surger...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-011-0396-z
更新日期:2012-03-01 00:00:00
abstract::Over the last four decades, as the rates of obesity have increased, so have the challenges associated with its anesthetic management. In the present review, we discuss perioperative anesthesia management issues that are modifiable by the early involvement of the surgical team. We sum up available evidence or expert op...
journal_title:Obesity surgery
pub_type: 杂志文章,评审
doi:10.1007/s11695-015-1635-5
更新日期:2015-05-01 00:00:00
abstract:BACKGROUND:One-anastomosis gastric bypass/mini-gastric bypass (OAGB/MGB) remains controversial because it may cause chronic biliary reflux (BR). The risk of developing esogastric cancer due to BR after OAGB/MGB is based on the results of experimental rat studies using esojejunostomy (EJ). The aim of this study was to a...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-020-04521-4
更新日期:2020-07-01 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:BACKGROUND:Hepatic steatosis is prevalent in obese patients. Although it requires histology for diagnosis, ultrasound may indicate its presence. We evaluated the importance of ultrasound in the diagnosis of steatosis in morbidly obese patients, and considered its clinical relevance for patients with BMI of 35-40 kg/m(2...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089204323093408
更新日期:2004-05-01 00:00:00
abstract:BACKGROUND:Small bowel obstruction (SBO) due to internal hernia (IH) is a well-known late complication after laparoscopic Roux-en-Y gastric bypass (LRYGB), with an incidence between 0.5 and 10% as reported by Iannelli et al. (Obes Surg. 17(10):1283-6, 2007). It is reported most frequently 1-2 years after surgery becaus...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-020-04997-0
更新日期:2020-12-01 00:00:00
abstract:PURPOSE:To assess cardiopulmonary capacity, autonomic heart function, and oxygen recovery kinetics during exercise testing before and after bariatric surgery. METHODS:This is a prospective cohort study. Symptom-limited cardiopulmonary exercise testing was performed with 24 patients, 1 week before and 4 months after ba...
journal_title:Obesity surgery
pub_type: 临床试验,杂志文章
doi:10.1007/s11695-018-3469-4
更新日期:2018-12-01 00:00:00
abstract:BACKGROUND:Obstructive sleep apnea is a common condition in patients undergoing bariatric surgery. The aim of this study was to determine the clinical outcome of a cohort of morbidly obese patients with documented sleep apnea who underwent laparoscopic Roux-en-Y gastric bypass (LRYGBP). METHODS:56 morbidly obese patie...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-007-9228-6
更新日期:2007-10-01 00:00:00
abstract:BACKGROUND:Sleeve gastrectomy plus side-to-side jejunoileal anastomosis (JI-SG), a relatively new approach to bariatric surgeries, has shown promising results for treating obesity and metabolic comorbidities. This study investigated the feasibility and safety of JI-SG in weight loss and diabetes remission compared with...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-015-1811-7
更新日期:2016-04-01 00:00:00
abstract:BACKGROUND:The rise in bariatric surgery has driven an increased number of complications from venous thromboembolism (VTE). Evidence supports obesity as an independent risk factor for VTE, but the specific derangements underlying the hypercoagulability of obesity are not well defined. To better characterize VTE risk fo...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-009-9906-7
更新日期:2009-09-01 00:00:00
abstract:BACKGROUND:Despite recognition of the importance of laparoscopic adjustable gastric banding (LAGB) aftercare for optimal surgical outcomes and the failure of some patients to attend regularly, factors influencing LAGB aftercare attrition have not been thoroughly examined in the literature. METHODS:Patients' perspectiv...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-013-1086-9
更新日期:2014-02-01 00:00:00
abstract::The majority of bariatric surgical stapling procedure concepts were developed prior to the understanding of obesity as an energy storage disease. Conventional treatments did not consider the impact of macronutrients on hormones and glucose variability. Current recommendations suggest diets low in glycemic load, with m...
journal_title:Obesity surgery
pub_type: 杂志文章,评审
doi:10.1007/s11695-018-3535-y
更新日期:2018-12-01 00:00:00