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 analysis of laparoscopic conversions from SG to Roux-en-Y gastric bypass (RYGB) was performed to assess the efficacy for reflux relief and weight loss success. RESULTS:A total of eight out of 73 patients (11%) underwent conversion to RYGB for severe reflux (n=3) or weight regain (n=5) after a median interval of 33 months following laparoscopic sleeve gastrectomy. In one of the patients, a banded gastric bypass was performed. In both groups, conversion to RYGB was successful, as proton pump inhibitor medication could be discontinued in all patients presenting with severe reflux, and a significant weight loss could be achieved in the patients with weight regain within a median follow-up of 33 months. Postoperative complications were observed in only one patient as leakage at the gastrojejunostomy was successfully treated by temporary stent placement. CONCLUSION:Conversion to RYGB is an effective treatment for weight regain or intractable reflux symptoms following SG. Thus, SG can be performed, intended as sole and definitive bariatric intervention, with conversion from SG to RYGB as an exit strategy for these complications.
journal_name
Obes Surgjournal_title
Obesity surgeryauthors
Langer FB,Bohdjalian A,Shakeri-Leidenmühler S,Schoppmann SF,Zacherl J,Prager Gdoi
10.1007/s11695-010-0125-zsubject
Has Abstractpub_date
2010-07-01 00:00:00pages
835-40issue
7eissn
0960-8923issn
1708-0428journal_volume
20pub_type
杂志文章相关文献
OBESITY SURGERY文献大全abstract:BACKGROUND:Surgical correction of hiatal hernia (HH) during bariatric surgery has been found to improve patient outcomes and decrease reoperation rate. Although barium esophagram is more sensitive than endoscopy for detection of HH, accurate preoperative diagnosis remains a challenge. The aim of this study is to determ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-012-0721-1
更新日期:2012-11-01 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:BACKGROUND:Bariatric surgical techniques are based on mechanical restriction rather than functional restriction. Our purpose is to analyze the outcomes of diverted sleeve gastrectomy with ileal transposition (DSIT) as a mode of functional restrictive therapeutic option for class II and class III obese type 2 diabetes m...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-015-1671-1
更新日期:2015-11-01 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:BACKGROUND:The temporary use of the BioEnterics Intragastric Balloon (BIB) in morbidly obesity is increasing worldwide. The aim of this study is the evaluation of the efficacy of this device in a large population, in terms of weight loss and its influence on co-morbidities. METHODS:Data were retrospectively recruited ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/0960892055002202
更新日期:2005-09-01 00:00:00
abstract:BACKGROUND:The components of esophageal function important to success with laparoscopic adjustable gastric banding (LAGB) are not well understood. A pattern of delayed, however, successful bolus transit across the LAGB is observed. METHODS:Successful LAGB patients underwent a high-resolution video manometry study in w...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-009-0063-9
更新日期:2010-09-01 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:BACKGROUND:Laparoscopic Roux-en-Y gastric bypass (LRYGBP) is associated with a significant learning curve. We hypothesize that differences in surgeon and assistant training backgrounds may significantly impact outcomes during the learning curve. METHODS:Retrospective analysis was performed on patients undergoing LRYGB...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/0960892055002374
更新日期:2005-09-01 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:INTRODUCTION:Laparoscopic sleeve gastrectomy (LSG) has rapidly become popular with excellent results. However, LSG may exacerbate or increase the risk of "de novo" gastroesophageal reflux disease (GERD). Adding a fundoplication has been proposed to increase the lower esophageal sphincter competency. The aim of this stu...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-020-05189-6
更新日期:2021-01-03 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: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:BACKGROUND:Morbid obesity is an epidemic in America. This series evaluates the safety and efficacy in the first 1,001 laparoscopic bariatric operations performed at The Bariatric Institute, Cleveland Clinic Florida. METHODS:A retrospective review was conducted examining all patients undergoing a primary bariatric proc...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089206775565230
更新日期:2006-02-01 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: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:Gastro-esophageal reflux disease (GERD) post-sleeve gastrectomy (SG) is a controversial issue and diagnostic dilemma. Strong heterogeneity exists in the assessment of reflux post-SG, and better diagnostic tools are needed to characterize symptomatic reflux. We aimed to determine the discriminant factors of s...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-020-05152-5
更新日期:2021-01-25 00:00:00
abstract:BACKGROUND:Gastric banding is today a common restrictive procedure to treat morbid obesity. After operation, adjustment of the band is required to adequately restrict food intake, allowing better results. The aim of this study was to evaluate the results of a unique method of adjustment using dynamic radioisotope scint...
journal_title:Obesity surgery
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1381/096089204323013532
更新日期:2004-04-01 00:00:00
abstract:PURPOSE:During Roux-en-Y-gastric Bypass, the limb lengths are preoperatively determined regardless of individual small bowel length (SBL), which presents a great variability. Few studies highlighted anthropometric factors associated with SBL, and none attempted to predict SBL preoperatively. OBJECTIVE:The aim of this ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-017-3021-y
更新日期:2018-05-01 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:BACKGROUND:Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) are performed in patients with obesity and type 2 diabetes mellitus (T2DM). The aim of this study is to evaluate retrospectively the clinical efficacy of RYGB and SG in two groups of obese T2DM patients. METHODS:From the hospital database, we extra...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-012-0657-5
更新日期:2012-10-01 00:00:00
abstract:BACKGROUND:The aims of the study were to evaluate if multidetector computed tomography (MDCT) can be helpful and useful in the decision-making process in sleeve patients with gastroesophageal reflux disease (GERD) symptoms and to demonstrate the reproducibility and accuracy of the technique. METHODS:Twenty-three patie...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-013-1003-2
更新日期:2013-12-01 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: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 adjustable gastric banding (LAGB) has gained widespread acceptance. However, the technique has problems intrinsic to the material wear and tear around the port and connecting tubing that can lead to failure. Port complications are considered to be minor; however, few studies have analyzed them, ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/0960892053576604
更新日期:2005-03-01 00:00:00
abstract:BACKGROUND:This study compared the chewing parameters in a group of obese adult patients scheduled for gastric bypass surgery with those of a control group. METHODS:Chewing parameters were measured in two groups of subjects, one of 44 obese patients scheduled for gastric bypass surgery (body mass index [BMI] = 49.1 +/...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-008-9443-9
更新日期:2008-11-01 00:00:00
abstract:BACKGROUND:Scopinaro biliopancreatic diversion (BPD) for morbid obesity results in significant longterm weight loss and reduction or resolution of obesity-associated co-morbidities. The aim of our work was to describe the early results after BPD. METHODS:59 morbidly obese patients (BMI >40) underwent open BPD from Dec...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/0960892054222740
更新日期:2005-06-01 00:00:00
abstract:BACKGROUND:To compare changes in bone mineral density (BMD) in patients with morbid obesity and type 2 diabetes (T2D) a year after being randomized to metabolic gastric bypass (mRYGB), sleeve gastrectomy (SG), and greater curvature plication (GCP). We also analyzed the association of gastrointestinal hormones with skel...
journal_title:Obesity surgery
pub_type: 杂志文章,随机对照试验
doi:10.1007/s11695-019-04127-5
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:Venous thromboembolic (VTE) disease is a much-feared complication of bariatric surgery. The most common unexpected cause of death in the morbidly obese patient is pulmonary embolism (PE). Recent data supports the expanded use of systemic thrombolytics in hemodynamically stable patients with PE and echocardio...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089203322509426
更新日期:2003-10-01 00:00:00
abstract::The author recommends liposuction by syringe technique instead of by the lipoaspirator machine. This technique has been applied to obese patients who were further stimulated to lose weight by dieting. ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089293765559386
更新日期:1993-08-01 00:00:00
abstract:BACKGROUND:Intraoperative and early postoperative complications in patients operated for morbid obesity were assessed. METHODS:114 morbidly obese patients underwnent gastric banding (non-adjustable or adjustable). The influence of body mass index (BMI), age and preoperative morbidity on the occurrence of postoperative...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089201321577929
更新日期:2001-04-01 00:00:00