Abstract:
BACKGROUND:Obese patients with gastroesophageal reflux disease (GERD) refractory to medical therapy are a challenging patient population as obesity is a preoperative predictor of failure after antireflux surgery. We therefore sought to evaluate outcomes using one of two commercially available endoluminal therapies in this population. METHODS:Consecutive obese patients (body mass index (BMI)>30) with GERD (DeMeester>14.5) undergoing either Plicator (NDO) or Stretta (Curon) were identified in our single-institution prospective database. Outcomes assessed were: (1) failure rate (absolutely no symptomatic improvement after procedure and/or need for subsequent antireflux surgery), (2) postoperative vs. preoperative symptom (heartburn, chest pain, regurgitation, dysphagia, cough, hoarseness, and asthma) scores, and (3) proton-pump inhibitor (PPI) medication use. RESULTS:Twenty-two patients each underwent an endoluminal therapy (ten Plicator patients and 12 Stretta patients) with mean follow-up of 1.5 years. There were no treatment-associated complications. Mean BMI was not different between Plicator and Stretta groups (39.6 vs. 38.6, respectively, p=0.33). The failure rate for the entire cohort was 28% (10% Plicator vs. 42% Stretta, p=0.11). The proportion of patients reporting moderate/severe symptoms postop was significantly less than preop: chest pain 9% vs. 13% (p=0.04), cough 22% vs. 36% preop (p=0.025), voice changes 9% vs. 36% preop (p=0.012), and dysphagia 9% vs. 32% preop (p=0.04). The proportion of patients on PPI medications postop was also less than preop (45% vs. 81%, p=0.1) CONCLUSION:Endoluminal treatment can provide a safe means of improving GERD symptoms for some obese patients, though many will continue to require medication therapy also. Further work aimed at understanding optimal candidates for endoluminal therapy in this patient population is warranted.
journal_name
Obes Surgjournal_title
Obesity surgeryauthors
White B,Jeansonne LO,Cook M,Chavarriaga LF,Goldenberg EA,Davis SS,Smith CD,Khaitan L,Lin Edoi
10.1007/s11695-008-9715-4subject
Has Abstractpub_date
2009-06-01 00:00:00pages
783-7issue
6eissn
0960-8923issn
1708-0428journal_volume
19pub_type
杂志文章相关文献
OBESITY SURGERY文献大全abstract::The female population represents three-fourths of patients undergoing a bariatric procedure and could be scheduled for surgery in their postpartum period. We report a difficult case of a female patient who underwent a laparoscopic sleeve gastrectomy 6 weeks postpartum. The postpartum period is accompanied by pronounce...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-016-2154-8
更新日期:2016-06-01 00:00:00
abstract:BACKGROUND:We tested the hypothesis that the amount of weight lost after Roux-en-Y gastric bypass (RYGBP) correlates with plasma ghrelin levels. METHODS:36 morbidly obese patients were studied 3 years after RYGBP (6 men, 30 women) with mean initial BMI 51 kg/m2 and 8 healthy controls (2 men, 6 women) with mean BMI 25 ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/0960892054621071
更新日期:2005-08-01 00:00:00
abstract:BACKGROUND:Morbid obesity is one of the most important social and medical issues in Western countries. Many authors have adopted a minimally invasive approach to reproduce current bariatric operations. The aim of this study is to present a personal technique for laparoscopic vertical banded gastroplasty (LVBG) and the ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089202321019666
更新日期:2002-10-01 00:00:00
abstract:BACKGROUND:Although bariatric surgery is highly effective for controlling obesity and its complications, it is uncovered by third-party payers in many countries. High cost and unpredictable expenses account for the lack of coverage. We developed at our obesity clinic a fixed package for the Laparoscopic Roux-en-Y Gastr...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-007-9318-5
更新日期:2007-12-01 00:00:00
abstract:BACKGROUND AND AIMS:Since redo surgery is associated with a high risk of morbidity and mortality after bariatric surgery in case of leakage, we sought to evaluate whether endoscopic drainage and debridement of collections following bariatric surgery is an efficient step-up approach to the management of these complicati...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-015-1854-9
更新日期:2015-11-01 00:00:00
abstract:BACKGROUND:To investigate prognostic factors for complete remission in type 2 diabetes mellitus (T2DM) patients who underwent gastric bypass (GBP) and to establish a prognostic model for risk stratification. METHODS:We evaluated the baseline clinical features of patients with T2DM who received at Beijing Tian Tan Hosp...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-019-03783-x
更新日期:2019-06-01 00:00:00
abstract::Adolescents seeking bariatric surgery may present with pre-existing psychiatric diagnoses for which they use chronic medications. To heighten awareness concerning perioperative polypharmacy in adolescents with extreme obesity, we conducted a retrospective review of patients undergoing laparoscopic sleeve gastrectomy b...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-020-04456-w
更新日期:2020-07-01 00:00:00
abstract:BACKGROUND:Despite reported effectiveness, weight loss surgery (WLS) still remains one of the least preferred options for outpatient providers, especially in Germany. The aim of this study was to examine the effect of stigma and knowledge on recommendation of WLS and referral to a surgeon by general practitioners (GPs)...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-016-2104-5
更新日期:2016-10-01 00:00:00
abstract:BACKGROUND:Laparoscopic adjustable gastric banding (LAGB) is a proven method for weight reduction. Less is known about pregnancies in patients after LAGB. METHODS:Information was gathered, through database and survey, on women who underwent LAGB at NYU Medical Center between 2001 and 2008 then became pregnant. RESULT...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-010-0265-1
更新日期:2011-10-01 00:00:00
abstract:BACKGROUND:Previously, we demonstrated the safety and efficacy of laparoscopic gastric bypass surgery in patients over 65 years of age. The aim of this study is to demonstrate the safety and efficacy of this procedure as a final step for treatment of morbid obesity in the same population. METHODS:A retrospective revie...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-013-0992-1
更新日期:2013-09-01 00:00:00
abstract::Body fat and lean mass are correlated with bone mineral density, with obesity apparently exerting protection against osteoporosis. The pathophysiological relevance of adipose tissue in bone integrity resides in the participation of adipokines in bone remodeling through effects on deposition and resorption. On the othe...
journal_title:Obesity surgery
pub_type: 杂志文章,评审
doi:10.1007/s11695-008-9548-1
更新日期:2008-09-01 00:00:00
abstract:BACKGROUND:Shortened sleep duration causes hormonal and metabolic changes that favor fat accumulation and weight gain. Obesity, in turn, may reduce sleep quality and contribute to sleep loss. The purpose of this study was to evaluate the sleep durations of individuals with morbid obesity, compared to their nonobese cou...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-011-0541-8
更新日期:2012-06-01 00:00:00
abstract:BACKGROUND:Laparoscopic adjustable gastric banding (LAGB) is the third most popular bariatric procedure worldwide. Various authors present ambivalent long-term follow up results. METHODS:We revised records of the patients who underwent LAGB between 2003 and 2006 along with history of additional check-ins. Patients wit...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-016-2435-2
更新日期:2017-05-01 00:00:00
abstract::In the original article, due to an XML tagging error the name of Véronique Taillard was omitted from the list of members of the French Study Group for Bariatric Surgery and Maternity (the BARIA-MAT Group). The correct list is as follows. ...
journal_title:Obesity surgery
pub_type: 已发布勘误
doi:10.1007/s11695-020-04479-3
更新日期:2020-09-01 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:BACKGROUND:The number of patients after gastric bypass being referred to plastic surgery units for secondary plastic surgery procedures is increasing. The characteristic abdominal deformity includes a draping apron of panniculus, occasionally associated with previous transverse surgical scars in the upper abdomen. Ofte...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-007-9007-4
更新日期:2007-01-01 00:00:00
abstract::BACKGROUND: In June 1993, the authors started performing the Vertical Banded Gastroplasty (VBG) via laparoscopy. METHODS: Since June 1993, 25 patients have undergone laparoscopic VBG. RESULTS: Weight loss did not differ from the traditional open VBG. CONCLUSIONS: The laparoscopic procedure, which can be performed simp...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089295765557728
更新日期:1995-08-01 00:00:00
abstract:BACKGROUND:Bariatric surgery is being recognized increasingly as an effective treatment for obesity and related comorbidities. In Japan, the cost of laparoscopic sleeve gastrectomy (LSG) is covered by the national health insurance for adults with a body mass index (BMI) ≥ 35 kg/m2 and specific comorbidities (type 2 dia...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-020-04789-6
更新日期:2020-11-01 00:00:00
abstract:PURPOSE:The number of laparoscopic adjustable gastric banding (LAGB) removal has increased throughout the years. The aim of the study was to evaluate the outcomes in patients undergoing LAGB removal with or without further bariatric surgery. MATERIALS AND METHODS:Data prospectively collected from consecutive patients ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-018-3373-y
更新日期:2018-11-01 00:00:00
abstract:BACKGROUND:Follow-up is critical to the success of laparoscopic adjustable gastric banding (LAGB). Few data guide this and expected norms of satiety, adverse symptoms, and outcomes have not been defined. METHODS:Consecutive patients, who underwent LAGB, were evaluated using a newly developed instrument that assessed s...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-010-0073-7
更新日期:2011-05-01 00:00:00
abstract:BACKGROUND:Comprehensive preparative patient education is a key element in bariatric patient success. The primary objective of this study was to compare attrition rates, demographics, and surgery outcomes between patients who participated in the online vs in-house preparative seminars. METHODS:A retrospective chart re...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-018-3590-4
更新日期:2019-03-01 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: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:BACKGROUND:Morbidly obese patients, despite normal laboratory tests and no clinical evidence of liver disease, present a high prevalence of hepatic histological changes. Liver biopsy is able to provide the diagnosis, staging and assessment of follow-up of hepatic disease, thus helping to define clinical management. The...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089206775565159
更新日期:2006-02-01 00:00:00
abstract:BACKGROUND:Morbid obesity may be associated with malnutrition. Because it is important to assess the preoperative nutritional/metabolic status and bone mineral density of these patients, this study was designed aiming to evaluate bone metabolism/mineral density and nutritional profile in morbidly obese women. METHODS:...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-010-0121-3
更新日期:2010-10-01 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:BACKGROUND:Due to excellent weight loss success in the short-time follow-up, sleeve gastrectomy (SG) has gained popularity as sole and definitive bariatric procedure. In the long-term follow-up, weight loss failure and intractable severe reflux can necessitate further surgical intervention. METHODS:A retrospective ana...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-010-0125-z
更新日期:2010-07-01 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::Bariatric surgery is widely accepted as first-choice treatment of morbid obesity and has also shown promising results in the treatment of diabetes and the metabolic syndrome. The number of operations each year is increasing, as well as, consequently, the urgent need for a coordinated nutritional approach, as micronutr...
journal_title:Obesity surgery
pub_type: 杂志文章,评审
doi:10.1007/s11695-008-9489-8
更新日期:2008-11-01 00:00:00
abstract:PURPOSE:This study aimed to compare the safety and effectiveness of Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) in patients aged 60 years old or older. METHODS:The available literature was searched for eligible studies up to November 2019. The meta-analysis was performed by the RevMan 5.3 software. RE...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-020-04577-2
更新日期:2020-09-01 00:00:00