Abstract:
:With the increase in bariatric procedures performed, revisional surgery is now required more frequently. Roux-en-Y gastric bypass (RYGB) is considered to be the gold standard revision procedure. However, data comparing revisional vs. primary RYGB is scarce, and no study has compared non-resectional primary and revisional RYGB in a matched control setting. Analysis of 61 revisional RYGB that were matched one to one with 61 primary RYGB was done. Matching criteria were preoperative body mass index, age, gender, comorbidities and choice of technique (laparoscopic vs. open). After matching, the groups did not differ significantly. Previous bariatric procedures were 13 gastric bands, 36 vertical banded gastroplasties, 10 RYGB and two sleeve gastrectomies. The indication for revisional surgery was insufficient weight loss in 55 and reflux in 6. Intraoperative and surgical morbidity was not different, but medical morbidity was significantly higher in revisional procedures (9.8% vs. 0%, p = 0.031). Patients undergoing revisional RYGB lost less weight in the first two postoperative years compared with patients with primary RYGB (1 month, 14.9% vs. 29.7%, p = 0.004; 3 months, 27.4% vs. 51.9%, p = 0.002; 6 months, 39.4 vs. 70.4%, p < 0.001; 12 months, 58.5% vs. 85.9%, p < 0.001; 24 months, 60.7% vs. 90.0%, p = 0.003). Although revisional RYGB is safe and effective, excess weight loss after revisional RYGB is significantly less than following primary RYGB surgery. Weight loss plateaus after 12 months follow-up.
journal_name
Obes Surgjournal_title
Obesity surgeryauthors
Zingg U,McQuinn A,DiValentino D,Kinsey-Trotman S,Game P,Watson Ddoi
10.1007/s11695-010-0214-zsubject
Has Abstractpub_date
2010-12-01 00:00:00pages
1627-32issue
12eissn
0960-8923issn
1708-0428journal_volume
20pub_type
杂志文章相关文献
OBESITY SURGERY文献大全abstract:BACKGROUND:Obesity is an independent risk factor for hypertension and chronic kidney disease. During the first months after bariatric surgery, an improvement of sodium excretion has been described. The aim of this work was to study the influence of bariatric surgery on sodium excretion at more than a year after the int...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-012-0764-3
更新日期:2013-03-01 00:00:00
abstract:BACKGROUND:Postoperative staple line leaks and bleeding are the most common reasons for complications in surgical procedures that involve organ resection, such as sleeve gastrectomy. Increasing the safety of these operations requires improving the instruments (endostaplers or endocutters) used for stapling and sectioni...
journal_title:Obesity surgery
pub_type: 信件
doi:10.1007/s11695-012-0792-z
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Obesity and type 2 diabetes mellitus (T2DM) represent significant healthcare burdens. Surgical management is superior to traditional medical therapy. Laparoscopic sleeve gastrectomy (LSG) and gastric bypass (both Roux-en-Y (RYGB) and one anastomosis gastric bypass (OAGB) are the most commonly performed metab...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-020-04921-6
更新日期:2020-12-01 00:00:00
abstract:BACKGROUND:Laparoscopic sleeve gastrectomy (LSG) is one of the most frequently performed procedures in obesity surgery. The benefits of minimally invasive surgery include rapid recovery. We evaluated the clinical outcomes of different resection margin lengths from the pylorus in LSG. METHODS:This retrospective study i...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-016-2384-9
更新日期:2017-04-01 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:Laparoscopic sleeve gastrectomy (LSG) is one of the most commonly performed procedures for the treatment of obesity. Patients with obesity are more prone to experience opioid-related adverse events (ORAE). OBJECTIVES:The objective of this study is to determine if a multimodal analgesia protocol (MAP) reduce...
journal_title:Obesity surgery
pub_type: 临床试验,杂志文章
doi:10.1007/s11695-017-2790-7
更新日期:2017-12-01 00:00:00
abstract::The relationship between bariatric surgery and gastric cancer is conjectural. We present a 52-year-old woman with BMI 45 operated initially by a Lap-Band procedure complicated by gastric wall erosion of the band 9 months later. She was re-operated and the band was removed. She subsequently underwent a Roux-en-Y gastri...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/0960892055002383
更新日期:2005-09-01 00:00:00
abstract:BACKGROUND:Although some patients attain good outcomes after adjustable gastric band (LAGB), a certain quantity have experienced complications and insufficient weight loss. The objective of this study is to assess the safety and outcome of laparoscopic sleeve gastrectomy (LSG) as a conversion surgery after a failed LAG...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-014-1358-z
更新日期:2014-10-01 00:00:00
abstract::BACKGROUND: The severely obese under 21 years of age are at high risk of missing normal development during a crucial period of life and should be considered for surgical treatment. Vertical banded gastroplasty allows patients to be treated effectively while continuing to have normal digestion and absorption without th...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089295765558114
更新日期:1995-02-01 00:00:00
abstract:BACKGROUND:Obesity surgery mortality risk scoring system (OS-MRS) classifies patients into high, intermediate and low risk, based on age, body mass index, sex and other comorbidities such as hypertension and history of pulmonary embolism. High-risk patients not only have a higher mortality but are more likely to develo...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-018-3322-9
更新日期:2018-10-01 00:00:00
abstract:BACKGROUND:Revisional surgery has become a widely accepted alternative for weight loss failure/regain after bariatric surgery. However, it is associated to higher morbi-mortality and lesser weight loss than primary bariatric procedure. Our aims are to present a novel technique for weight loss treatment after failed lap...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-014-1463-z
更新日期:2015-04-01 00:00:00
abstract:UNLABELLED:Laparoscopic gastric banding and Roux-en-Y gastric bypass are widely used for the treatment of morbid obesity. The impact of these two procedures on health-related quality of life has not been analyzed in comparative studies. METHODS:A matched-pair analysis of a prospectively collected database was performe...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-008-9522-y
更新日期:2008-12-01 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::For a period of 2 years the authors have examined on 16 pathologically obese patients the psychological effects of the weight loss resulting from vertical banded gastroplasty. At the time of surgery the patients' average age was 41 years. The patients' average weight of 125.9 kg (range 110-150 kg) decreased after surg...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089292765560114
更新日期:1992-08-01 00:00:00
abstract:INTRODUCTION/PURPOSE:The assessment of the patients' motivation as a predictor of behavioral change via five stages (pre-contemplation, contemplation, preparation, action, and maintenance) and four processes (emotional re-evaluation, weight management actions, environmental restructuring, and weight consequences evalua...
journal_title:Obesity surgery
pub_type: 杂志文章,多中心研究
doi:10.1007/s11695-019-04001-4
更新日期:2019-10-01 00:00:00
abstract::Bariatric surgery provides resolution of co-morbidities of morbid obesity-importantly diabetes type 2. This is initiated by immediate postoperative decrease in intake or assimilation of glucose and is continued by the substantial loss of adipose tissue. Greater weight loss and greater resolution of type 2 diabetes occ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-010-0329-2
更新日期:2011-06-01 00:00:00
abstract:BACKGROUND:Lapaparoscopic adjustable gastric banding (LAGB) has become a widespread method to treat morbid obesity. Long-term complications and failures require a strategy for reoperation. METHODS:1,180 patients have been operated on from April 1995 to December 2003. 151 had reoperation for complications (12.7%) exclu...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/0960892041719545
更新日期:2004-08-01 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:Endoscopic management of leaks/fistulas after laparoscopic sleeve gastrectomy (LSG) is gaining popularity in the bariatric surgery. OBJECTIVES:This study aimed to review the efficacy and safety of over-the-scope-clip (OTSC) system in endoscopic closure of post-LSG leak/fistula. METHODS:PubMed/Medline and m...
journal_title:Obesity surgery
pub_type: 杂志文章,评审
doi:10.1007/s11695-017-2651-4
更新日期:2017-09-01 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::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: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::Obesity affects approximately one-third of the population of the United States. Pulmonary complications are common following upper abdominal surgery, and constitute the most frequent postoperative complication in the obese surgical patient. This literature review addresses the pathophysiology of the pulmonary changes ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089291765560953
更新日期:1991-09-01 00:00:00
abstract:BACKGROUND:Hypovitaminosis D is common, before and after gastric bypass surgery. The prevalence of hypovitaminosis D in a large group of candidates for bariatric surgery in Brazil and South America has not been studied. OBJECTIVE:To evaluate the prevalence of hypovitaminosis D and associated factors in patients underg...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-019-03963-9
更新日期:2019-10-01 00:00:00
abstract::We present a novel technique for the retrieval of intragastric balloons used in the treatment of patients with morbid obesity. Although specifically-designed instruments are available for this purpose, this simple technique makes use of instruments that are readily available in an endoscopy suite equipped for simple t...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/0960892052993567
更新日期:2005-01-01 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:Recent studies have reported trocar site hernia (TSH) rates after bariatric surgery ranging from 0 to 45.2% based on imaging assessment. The objective of this study was to evaluate the TSH rate after sleeve gastrectomy (SG) comprising routine 12 mm epigastric trocar site closure (TSC). MATERIAL:Prospective ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-019-03971-9
更新日期:2019-11-01 00:00:00
abstract:BACKGROUND:Few previous studies have assessed the safety of bariatric surgery in septuagenarians. METHODS:A retrospective analysis of all patients 70 years or older who underwent laparoscopic sleeve gastrectomy at our institution between 2012 and 2017 was performed. This group was compared to a matched cohort of young...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-018-3418-2
更新日期:2018-12-01 00:00:00
abstract::An older female underwent bariatric surgery which was followed by a significant weight loss and diarrhea, from which C. difficile was isolated just before her hospitalization. Less than 48 hours after admission, she became febrile, developed deep venous thrombosis of the leg and a pulmonary embolus. Blood cultures gre...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089204323093507
更新日期:2004-05-01 00:00:00
abstract:PURPOSE:In the multidisciplinary therapeutic approach to obesity, bariatric surgery is considered the most effective treatment in weight reduction and the decrease in associated comorbidities. The objective of this work is to describe the long-term clinical and metabolic results in obese patients undergoing biliopancre...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-020-04777-w
更新日期:2020-11-01 00:00:00