An assessment of patient behavioral requirements pre- and post-surgery at accredited weight loss surgical centers.


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-lasting change. METHODS:One hundred twenty-three ACS-accredited facility websites were analyzed using document and content analyses to determine behavioral and psychological services. Categories of common facility practices were identified according to best-practice recommendations and website data was coded by category. Descriptive statistics were then generated to summarize the implementation of services. RESULTS:Behavioral and psychological services were more likely to be required prior to surgery than after surgery. In addition, there is great variance in the staff employed by facilities to assist patients, with more facilities employing dietary staff than exercise staff. Data patterns are reported across the categories of psychological assessment, pre- and post-surgical behavioral requirements, type of support groups, follow-up protocol, and staffing. CONCLUSIONS:Most facilities implement some type of dietary counseling or consultation; however, few include services related to helping patients improve physical activity patterns. Greater incorporation of behavioral and psychological services following surgery is recommended to prevent weight regain and to help patients adopt and maintain regular physical activity.


Obes Surg


Obesity surgery


Peacock JC,Zizzi SJ




Has Abstract


2011-12-01 00:00:00












  • Effects and Mechanisms of Vagal Nerve Stimulation on Body Weight in Diet-Induced Obese Rats.

    abstract:BACKGROUND:Vagal nerve stimulation (VNS) has recently been indicated as a novel method for treating obesity. However, the optimal stimulation parameters were unknown and mechanisms were poorly understood. The aim of this study was to investigate the effects of VNS on food intake and body weight in diet-induced obesity ...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Dai F,Yin J,Chen JDZ

    更新日期:2020-03-01 00:00:00

  • An Analysis of Mid-Term Complications, Weight Loss, and Type 2 Diabetes Resolution of Stomach Intestinal Pylorus-Sparing Surgery (SIPS) Versus Roux-En-Y Gastric Bypass (RYGB) with Three-Year Follow-Up.

    abstract:BACKGROUND:For many years, the Roux-en-Y Gastric Bypass (RYGB) was considered a good balance of complications and weight loss. According to several short-term studies, single anastomosis duodenal switch or stomach intestinal pylorus sparing surgery (SIPS) offers similar weight loss to RYGB with fewer complications and ...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Cottam A,Cottam D,Zaveri H,Cottam S,Surve A,Medlin W,Richards C

    更新日期:2018-09-01 00:00:00

  • Fast track care for gastric bypass patients decreases length of stay without increasing complications in an unselected patient cohort.

    abstract:BACKGROUND:Retrospective studies investigating fast track care involve selected patients. This study evaluates the implementation of fast track care in unselected bariatric patients in a high volume teaching hospital in the Netherlands. METHODS:Consecutive patients who underwent a primary laparoscopic gastric bypass i...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Geubbels N,Bruin SC,Acherman YI,van de Laar AW,Hoen MB,de Brauw LM

    更新日期:2014-03-01 00:00:00

  • The longer-term effects of Roux-en-Y gastric bypass surgery on sodium excretion.

    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


    authors: Celik F,Ahdi M,Meesters EW,van de Laar A,Brandjes DP,Gerdes VE

    更新日期:2013-03-01 00:00:00

  • Which Factors Correlate with Marginal Ulcer After Surgery for Obesity?

    abstract:INTRODUCTION:Marginal ulcer is one of the most common complications after Roux-en-Y gastric bypass and is defined as an ulceration of any depth at or near the gastrojejunal anastomosis. Different risk factors have been advocated to be the causative agent. MATERIALS AND METHODS:The weighted discharges from the Nationwi...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Rodrigo DC,Jill S,Daniel M,Kimberly C,Maher EC

    更新日期:2020-12-01 00:00:00

  • Trocar Injuries in 17,446 Laparoscopic Gastric Bypass-a Nationwide Survey from the Scandinavian Obesity Surgery Registry.

    abstract:BACKGROUND:Although, the vast majority of bariatric procedures worldwide are performed laparoscopically, there is no consensus on the best technique to enter the first trocar, a potentially dangerous maneuver. Three principally different techniques exist: initial pneumoperitoneum by Verres needle, open Hasson technique...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Sundbom M,Ottosson J

    更新日期:2016-09-01 00:00:00

  • When and How to "Open" in Laparoscopic or Robotic Surgery.

    abstract:INTRODUCTION:Surgical training today is all about minimally invasive surgery. With little or no experience and/or confidence in rapid, emergent conversion to an open procedure, how does the surgeon expeditiously do so? OBJECTIVES:The intent of this paper is to help those inexperienced in "open" techniques to quickly r...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Jones KB Jr

    更新日期:2016-04-01 00:00:00

  • The utility of routine postoperative upper gastrointestinal swallow studies following laparoscopic sleeve gastrectomy.

    abstract::Laparoscopic sleeve gastrectomy (LSG) has grown in popularity in recent years for the treatment of morbid obesity. Controversy exists regarding the usefulness of upper gastrointestinal (UGI) swallow studies on the first postoperative day in detecting possible complications. The aim of our study was to determine the ef...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Mizrahi I,Tabak A,Grinbaum R,Beglaibter N,Eid A,Simanovsky N,Hiller N

    更新日期:2014-09-01 00:00:00

  • Bile Gastritis Following Laparoscopic Single Anastomosis Gastric Bypass: Pilot Study to Assess Significance of Bilirubin Level in Gastric Aspirate.

    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


    authors: Shenouda MM,Harb SE,Mikhail SAA,Mokhtar SM,Osman AMA,Wassef ATS,Rizkallah NNH,Milad NM,Anis SE,Nabil TM,Zaki NS,Halepian A

    更新日期:2018-02-01 00:00:00

  • Transluminal or Percutaneous Endoscopic Drainage and Debridement of Abscesses After Bariatric Surgery: a Case Series.

    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


    authors: Lemmers A,Tan DM,Ibrahim M,Loi P,De Backer D,Closset J,Devière J,Le Moine O

    更新日期:2015-11-01 00:00:00

  • Weight-related quality of life in Spanish obese subjects suitable for bariatric surgery is lower than in their North American counterparts: a case-control study.

    abstract:BACKGROUND:Obesity impairs quality of life, but the perception of the impairment could be different from one country to another. The purpose was to compare weight-related quality of life (QOL) between cohorts from Spain and North America. METHODS:A cross-sectional case-control study was performed between two populatio...

    journal_title:Obesity surgery

    pub_type: 杂志文章,多中心研究


    authors: Caixàs A,Lecube A,Morales MJ,Calañas A,Moreiro J,Cordido F,Díaz MJ,Masmiquel L,Moreno B,Vidal J,Goday A,Arrizabalaga JJ,García-Luna PP,Iglesias P,Burguera B,Rubio MA,Monereo S,Group for the Study of Obesity of the Spani

    更新日期:2013-04-01 00:00:00

  • Laparoscopic surgery for morbid obesity: 1,001 consecutive bariatric operations performed at The Bariatric Institute, Cleveland Clinic Florida.

    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


    authors: Rosenthal RJ,Szomstein S,Kennedy CI,Soto FC,Zundel N

    更新日期:2006-02-01 00:00:00

  • Band erosion following gastric banding: how to treat it.

    abstract:BACKGROUND:Intragastric band migration is an unusual but major long-term complication of gastric banding: its frequency ranges from 0.5-3.8% and always requires removal of the band. Different laparoscopic, laparotomic or endoscopic methods are currently used for band removal. METHODS:571 morbidly obese patients underw...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Lattuada E,Zappa MA,Mozzi E,Fichera G,Granelli P,De Ruberto F,Antonini I,Radaelli S,Roviaro G

    更新日期:2007-03-01 00:00:00

  • 42-month preliminary follow-up of the silastic ring vertical banded gastroplasty.

    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


    authors: Stoner J,Stoner P,Sytsma J

    更新日期:1997-12-01 00:00:00

  • Clinical effectiveness of exenatide in diabetic patients waiting for bariatric surgery.

    abstract:BACKGROUND:Bariatric surgery constitutes the most effective treatment for severely obese type 2 diabetic patients. Exenatide is a glucagon-like peptide 1 receptor agonist that can improve glycemic control and cause weight loss in patients with type 2 diabetes. Clinical experience with exenatide in obese patients with t...

    journal_title:Obesity surgery

    pub_type: 临床试验,杂志文章


    authors: Iglesias P,Civantos S,Vega B,Pavón I,Guijarro G,Monereo S

    更新日期:2015-03-01 00:00:00

  • A comparison of fat intake of normal weight, moderately obese and severely obese subjects.

    abstract:BACKGROUND:Excess dietary fat has been implicated in the etiology of obesity. METHODS:This study examined the fat intake of three weight groups, normal (20.0 < or = BMI < or = 27.0), moderately obese (27.1 < or = BMI < or = 39.9) and severely obese (BMI > or = 40.0). Each group contained 50 subjects. Detailed 3-day fo...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Alfieri M,Pomerleau J,Grace DM

    更新日期:1997-02-01 00:00:00

  • Intragastric injection of botulinum toxin A for the treatment of obesity.

    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


    authors: Mittermair R,Keller C,Geibel J

    更新日期:2007-06-01 00:00:00

  • Why Does the Gastric Bypass Control Type 2 Diabetes Mellitus?

    abstract::The remarkable control of diabetes by the gastric bypass remains to be explained. Although it may be totally due to the weight loss Induced by the operation, it is likely that the detour of the hormonally active foregut plays a role as well. This keynote address explores the pathophysiology of non-insulin-dependent di...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Pories WJ

    更新日期:1992-11-01 00:00:00

  • Rare Entities of Histopathological Findings in 755 Sleeve Gastrectomy Cases: a Synopsis of Preoperative Endoscopy Findings and Histological Evaluation of the Specimen.

    abstract:BACKGROUND:Laparoscopic sleeve gastrectomy (LSG) is the most preferred technique in morbidly obese patients for weight loss. There is a controversy about the routine preoperative evaluation of the stomach and the routine microscopic examination of all LSG specimens. Our aim is to analyze the results of both preoperativ...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Yardimci E,Bozkurt S,Baskoy L,Bektasoglu HK,Gecer MO,Yigman S,Akbulut H,Coskun H

    更新日期:2018-05-01 00:00:00

  • Improvement of weight loss and metabolic effects of vertical banded gastroplasty by an added duodenal switch procedure.

    abstract:BACKGROUND:Some patients who underwent vertical banded gastroplasty (VBG) need revisional operations because of poor weight loss and remaining comorbidities. The duodenal switch (DS) procedure with partial gastrectomy is known as an effective method for treatment of severe obesity and related dyslipoproteinemias and di...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Yashkov YI,Oppel TA,Shishlo LA,Vinnitsky LI

    更新日期:2001-10-01 00:00:00

  • Gastric carcinoid tumor--incidental finding on endoscopy prior to bariatric surgery.

    abstract::A 32-year-old female patient with morbid obesity (body mass index 44.4) was submitted to upper digestive endoscopy performed routinely as a preoperative procedure in bariatric surgery. The examination identified multiple small polypoid lesions in the upper portion of the gastric body, some with small ulcerations. Anat...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Moretto M,Mottin CC,Padoin AV,Júnior SP,Barrios C

    更新日期:2008-06-01 00:00:00

  • Are we operating too late? Mortality Analysis and Stochastic Simulation of Costs Associated with Bariatric Surgery: Reconsidering the BMI Threshold.

    abstract:BACKGROUND:Present guidelines recommend bariatric surgery at BMI ≥ 40 kg/m2 or BMI ≥ 35 kg/m2 with obesity-related morbidity. METHODS:Evidence for cost and mortality/morbidity risk of bariatric surgery and obesity-related diseases was evaluated determining equivalency point of absolute incremental mortality risk by BM...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Sinha AC,Singh PM,Bhat S

    更新日期:2016-01-01 00:00:00

  • Challenges in Transition of Care for Pediatric Patients after Weight-Reduction Surgery: a Systematic Review and Recommendations for Comprehensive Care.

    abstract::Obesity in pediatric patients is rising with nearly one third of children in the USA classified as overweight and up to 16-18% of the adolescent population obese with at least one comorbid condition. Consequently, bariatric procedures in this population have increased without consistent recommendations for follow-up a...

    journal_title:Obesity surgery

    pub_type: 杂志文章,评审


    authors: Cairo SB,Majumdar I,Pryor A,Posner A,Harmon CM,Rothstein DH,Delivery of Surgical Care Committee of the American Academy of Pediatrics Section on Surgery.

    更新日期:2018-04-01 00:00:00

  • Laparotomic vs laparoscopic lap-band: 4-year results with early and intermediate complications.

    abstract:BACKGROUND:Adjustable banding is safe, low invasive, and effective for losing weight. METHODS:69 patients underwent this procedure by laparotomy or laparoscopy. RESULTS:Patients operated by laparotomy lost more weight than those operated by laparoscopy, but in 4 patients we were forced to re-operate in order to remov...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: De Luca M,de Werra C,Formato A,Formisano C,Loffredo A,Naddeo M,Forestieri P

    更新日期:2000-06-01 00:00:00

  • Personality profiles of the morbidly obese after vertical banded gastroplasty.

    abstract:BACKGROUND:The authors attempted to determine if mental status could predict personality profiles, 18 months after surgery in morbidly obese patients. METHODS:Personality characteristics of 100 morbidly obese patients (85 female, 15 male) were analyzed after bariatric surgery (vertical banded gastroplasty). Patients w...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Guisado JA,Vaz FJ

    更新日期:2003-06-01 00:00:00

  • Quality of life after bariatric surgery--a comparative study of laparoscopic banding vs. bypass.

    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


    authors: Müller MK,Wenger C,Schiesser M,Clavien PA,Weber M

    更新日期:2008-12-01 00:00:00

  • BioEnterics Intragastric Balloon: The Italian Experience with 2,515 Patients.

    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


    authors: Genco A,Bruni T,Doldi SB,Forestieri P,Marino M,Busetto L,Giardiello C,Angrisani L,Pecchioli L,Stornelli P,Puglisi F,Alkilani M,Nigri A,Di Lorenzo N,Furbetta F,Cascardo A,Cipriano M,Lorenzo M,Basso N

    更新日期:2005-09-01 00:00:00

  • Some complications after laparoscopic nonadjustable gastric banding.

    abstract:BACKGROUND:Bariatric surgery is the only currently available, effective, long-term method for controlling morbid obesity. Gastric banding as one of the possible surgical treatments was repeatedly described during the last 10 years. It is a reversible surgical procedure which is primarily performed laparoscopically. ME...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Kasalicky M,Fried M,Peskova M

    更新日期:1999-10-01 00:00:00

  • Acarbose improves hypoglycaemia following gastric bypass surgery without increasing glucagon-like peptide 1 levels.

    abstract:BACKGROUND:Postprandial hypoglycaemia is a severe complication of Roux-en-Y gastric bypass (RYGBP). Acarbose, an α-glucosidase inhibitor (AGI), is employed in its treatment. Several studies have shown that AGIs increase the postprandial levels of glucagon-like peptide 1 (GLP-1). However, an excessive level of GLP-1 is ...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Valderas JP,Ahuad J,Rubio L,Escalona M,Pollak F,Maiz A

    更新日期:2012-04-01 00:00:00

  • The Effect of Chest Physiotherapy After Bariatric Surgery on Pulmonary Functions, Functional Capacity, and Quality of Life.

    abstract:PURPOSE:The aim of this study was to investigate the effect of chest physiotherapy (CP) applied to patients undergoing bariatric surgery on pulmonary functions, dyspnea levels, functional capacity, and quality of life. METHODS:The patients were randomized and divided into two groups each comprising 74 patients. CP and...

    journal_title:Obesity surgery

    pub_type: 杂志文章,随机对照试验


    authors: Duymaz T,Karabay O,Ural IH

    更新日期:2020-01-01 00:00:00