Abstract:
:As an advanced surgical procedure, laparoscopic Roux-en-Y gastric bypass (LRYGB) is associated with considerable morbidity, especially in the learning curve period. The aim of this study was to evaluate the role of endoscopy during LRYGB surgery in assessing the gastric pouch and anastomosis for air leak, bleeding, and structure at the beginning of a bariatric surgery program. Patients who underwent LRYGB for morbid obesity between May 2008 and May 2009 were included in this study. After the completion of the anastomosis, an endoscopic examination was carried out. The transection line and anastomosis site were examined for bleeding and patency and inspected for air leak under laparoscopic vision. Thirteen morbidly obese patients (mean body mass index, 48.0 ± 6.8 kg/m(2)) were evaluated by endoscopic examination during the LRYGB operation. None of the cases had bleeding at the transection line or anastomosis site. In two patients, air leak test was positive and the anastomosis was reinforced with additional sutures. All the patients, including those with positive air leak test, were discharged from the hospital with no leak complications. After a mean follow-up of 9.1 ± 5.5 months, except for the patient who underwent balloon dilatation, no other patient had anastomotic stricture. Intraoperative endoscopy is invaluable in the assessment of bleeding, anastomotic patency, and air leak during LRYGB, and it might be a helpful auxiliary tool to decrease morbidity during the learning curve period. Also, it helps solve intraoperative problems during the surgery so that postoperative complications might be prevented.
journal_name
Obes Surgjournal_title
Obesity surgeryauthors
Cingi A,Yavuz Ydoi
10.1007/s11695-011-0355-8subject
Has Abstractpub_date
2011-10-01 00:00:00pages
1530-4issue
10eissn
0960-8923issn
1708-0428journal_volume
21pub_type
杂志文章相关文献
OBESITY SURGERY文献大全abstract:BACKGROUND:Gastric electrical stimulation (GES) has been proposed as a promising therapeutic option in treating obesity for 20 years. Currently, the available device of GES cannot meet the clinical needs. The purpose of this study is to verify the effect of a new type of adjustable gastric electrical stimulator in redu...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-013-1037-5
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:Body contouring, which encompasses a range of surgical procedures on different areas of the body, is one of the most rapidly growing areas of plastic surgery. Little is known about outcomes from the perspective of post-weight loss body contouring patients. The aim of our qualitative study was to identify the...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-012-0640-1
更新日期:2012-10-01 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: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::Laparoscopic gastric greater curvature plication (LGGCP) has been presented as an alternative to laparoscopic sleeve gastrectomy (LSG) for reversible reduction of stomach capacity without gastric reduction or stapling. We present a case of a 51-year-old Hispanic female with a BMI of 41.91 kg/m2, who underwent (LGGCP) ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-019-03721-x
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND:Despite the established efficacy and safety of laparoscopic sleeve gastrectomy (LSG), controversy still exists on optimal operative technique, the resection distance from pylorus (DP) being among the most controversial issues. This study aimed to examine the effect of resection distance from pylorus on % exc...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-019-03923-3
更新日期:2019-09-01 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:Without changes to diet and exercise behaviors, weight losses achieved through surgical procedures may be short lived. There is no data currently available on how accredited bariatric facilities are implementing best-practice guidelines related to behavioral and psychological care to help patients make long-...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-011-0366-5
更新日期:2011-12-01 00:00:00
abstract:BACKGROUND:The authors evaluated the usefulness of routine traditional radiology in the management of patients submitted to VBG. METHODS:Radiological findings in 65 subjects who had undergone VBG were evaluated. Post-surgical clinical and radiological examinations were performed 3 days, 1, 4 and 12 months after surger...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089202321144595
更新日期:2002-02-01 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:BACKGROUND:The authors review preliminary experience with silastic ring vertical gastroplasty (SRVG). METHODS:Of 202 patients who underwent SRVG, 191 are more than 3 months postoperation and of these 165 were accessible for review. RESULTS:Pouch volume could not be readily measured. The TA90BN stapler was occasionall...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089297765555278
更新日期:1997-12-01 00:00:00
abstract:BACKGROUND:Obesity is a worldwide epidemic associated to comorbidities and increased mortality. Because it is chronic and recurrent and has little response to clinical measures, surgical treatment (bariatric surgery) is a therapeutic option frequently used. Different surgical complications have been associated with thi...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-008-9780-8
更新日期:2009-08-01 00:00:00
abstract:BACKGROUND:Most of the weight loss with the BioEnterics intragastric balloon (BIB) has occurred during the first 3-4 months. This study aimed to evaluate the effect of initial weight loss on long-term weight maintenance. METHODS:From 2008 to 2011, 50 patients who had mean body mass index (BMI) of 44.7 ± 12.4 kg/m(2) u...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-013-0876-4
更新日期:2013-07-01 00:00:00
abstract::Severe thiamine (vitamin B-1) deficiency is a medical emergency that has long been recognized as a potential complication of bariatric surgery. The incidence of this rare complication is largely unknown. We describe a super-obese male patient with extreme lower limb weakness 3 months following a duodenal switch operat...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-008-9539-2
更新日期:2008-12-01 00:00:00
abstract:BACKGROUND:Exercise is a strong determinant of prolonged weight loss in non-surgical patients. Studies evaluating the impact of exercise beyond the first year after bariatric surgery are lacking. We analyzed the relationship between reported intentional exercise and medium-term weight loss following bariatric surgery. ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-018-3434-2
更新日期:2018-12-01 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:Impairment in health-related quality of life (HRQOL) is described as a major concern for severely obese adolescents seeking intentional weight loss. We aimed to compare HRQOL in obese adolescents seeking weight loss with body mass index (BMI)-matched younger adults and community norms. METHODS:Eighty-one ad...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-015-1677-8
更新日期:2015-11-01 00:00:00
abstract:BACKGROUND:Clinical trials in the field of bariatrics, and specifically laparoscopic adjustable gastric banding (LAGB), have frequently been gender imbalanced, with males representing only 20% of examinees. Long-term gender-oriented results, and specifically quality of life (QOL) parameters, have not been addressed suf...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-017-2916-y
更新日期:2018-03-01 00:00:00
abstract:BACKGROUND:Variations have been proposed in order to improve weight loss and decrease complication profiles in Roux-en-Y gastric bypass (RYGB) patients. We previously reported a preliminary result of pericardial patch ring RYGB. We aim to report a detailed result of banded RYGB by comparing these patients to non-banded...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-017-2832-1
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:To evaluate whether the baseline Dietary Inflammatory Index (DII®) was associated with weight loss and body composition change after bariatric surgery. METHODOLOGY:This longitudinal study included 132 women with obesity (BMI ≥ 35 kg/m2, 43.0 ± 9.7 years), followed up for 6 months after bariatric surgery. The...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-018-3530-3
更新日期:2019-02-01 00:00:00
abstract:BACKGROUND:One of the most important outcomes following bariatric surgery is an improvement in health-related quality of life (QOL). This study aimed to explore what degree of weight loss is required after bariatric surgery in order to achieve a clinically significant change in QOL from pre-surgery to 4 to 5 years afte...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-017-2568-y
更新日期:2017-07-01 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::A 33-year-old, morbidity obese woman underwent a laparoscopic Roux-en-Y gastric bypass in November 2004. She presented 18 months later with a history of recurrent pain in the upper region of the abdomen and severe vomiting. Radiologic and endoscopic evaluations revealed wall thickening in the transverse colon and a so...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-007-9189-9
更新日期:2007-08-01 00:00:00
abstract:BACKGROUND:There is strong evidence that morbid obesity is often accompanied by gastroesophageal reflux. Gastroesophageal reflux is caused predominantly by transient lower esophageal sphincter relaxations (TLESRs). Only few data are available about TLESRs in patients with stage III obesity (body mass index > 35). The a...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-009-9809-7
更新日期:2009-05-01 00:00:00
abstract:BACKGROUND:The effective long-term treatments for morbid obesity is bariatric surgery. However, the associated surgical and anesthetic risks led the authors to evaluate intermaxillary fixation, a less aggressive procedure, as a preoperative treatment in selected patients with morbid obesity. METHODS:22 patients (5 mal...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/0960892041590881
更新日期:2004-06-01 00:00:00
abstract:BACKGROUND:Screening for obstructive sleep apnea (OSA) is recommended as part of the preoperative assessment of obese patients scheduled for bariatric surgery. The objective of this study was to compare the sensitivity of oximetry alone versus portable polygraphy in the preoperative screening for OSA. METHODS:Polygrap...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-009-0055-9
更新日期:2010-03-01 00:00:00
abstract:BACKGROUND:Bariatric surgery can improve glucose metabolism in obese patients with diabetes, but the factors that can predict diabetes remission are still under discussion. The present study aims to examine the impact of preoperative beta cell function on diabetes remission following surgery. MATERIALS AND METHODS:We ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-016-2300-3
更新日期:2017-02-01 00:00:00
abstract:INTRODUCTION:Bariatric surgery is used to treat severe obesity. We aimed to investigate the incidence of clinically significant bone mineral density (BMD) loss at 6 and 12 months after bariatric surgery. METHODS:Observational study performed in a specialized center for the treatment of obesity at the University Hospit...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-019-03719-5
更新日期:2019-06-01 00:00:00
abstract::We aim to review the available literature on obese patients treated with ursodeoxycholic acid (UDCA) in order to prevent gallstone formation after bariatric surgery. A systematic literature search was performed in PubMed, Cochrane library, and Scopus databases, in accordance with the PRISMA guidelines. Eight studies m...
journal_title:Obesity surgery
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s11695-017-2924-y
更新日期:2017-11-01 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