Abstract:
:Literature data concerning the effect of laparoscopic adjustable gastric banding (LAGB) on esophageal motility are conflicting. Achalasia-like disorder involving the absence of esophageal peristalsis and impaired esophago-gastric junction (EGJ) is probably under-estimated and can result in failure and band removal. The aim of our study was to focus on cases of achalasia-like disorder and study its evolution after band deflating or removal. LAGB patients with food intolerance and whose esophageal manometry confirmed dysmotility were selected from our database. Achalasia-like disorder was defined as the absence of esophageal peristalsis (< 20% contraction waves) with impairment of EGJ relaxation. Manometric control was performed after removal or band deflating; functional results were assessed. Eleven patients among 20 (55%) with esophageal motility disorders (EMD) fitted the manometric criteria of achalasia-like disorder with a mean EGJ resting pressure of 32.1 cmH(2)O and a EGJ relaxation pressure of 24.2. Nine patients out of 11 underwent band removal which resulted in the resolution of their symptoms. The other two underwent band deflation. Manometric control after band removal showed both a decrease in resting and relaxation EGJ pressures (mean of 9.5 and 6.5 cmH(2)O) and a recovery of wave contractions in 87.5% of cases. Four patients underwent revision surgery due to weight regain with a successful outcome. Achalasia-like disorder is a manometric diagnosis and accounts for a significant part of symptomatic EMD after LAGB. It often results in band removal, allowing some reversibility of the disorders.
journal_name
Obes Surgjournal_title
Obesity surgeryauthors
Robert M,Golse N,Espalieu P,Poncet G,Mion F,Roman S,Boulez J,Gouillat Cdoi
10.1007/s11695-012-0627-ysubject
Has Abstractpub_date
2012-05-01 00:00:00pages
704-11issue
5eissn
0960-8923issn
1708-0428journal_volume
22pub_type
杂志文章相关文献
OBESITY SURGERY文献大全abstract:BACKGROUND:Obstructive sleep apnea-hypopnea syndrome (OSAHS) is considered a comorbidity associated with morbid obesity, mainly because of the large neck circumference. Depending on its severity, OSAHS can interfere in many homeostasis systems, for example, the central nervous system (CNS). Neuron-specific enolase (NSE...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-007-9386-6
更新日期:2008-08-01 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:The construction of the gastric pouch during surgery is largely based on the prevailing dogma of Roux-Y gastric bypass (RYGB) surgery. The scarce data that exist suggest that the smaller the gastric pouch, the greater the weight loss after surgery. Current estimations of pouch volume have inherent limitation...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-008-9438-6
更新日期:2008-04-01 00:00:00
abstract::Laparoscopic Roux-en-Y gastric bypass is the most common bariatric surgical procedure in the USA in women of reproductive age. A pregnant patient presented with nonspecific upper abdominal pain and nausea, suggesting an internal hernia. At surgery, an intussusception was identified and reduced without complications. O...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-007-9153-8
更新日期:2007-07-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to examine echocardiographic parameters of left ventricle (LV) mechanics in obese patients before and after sleeve gastrectomy (SG). DESIGN AND METHODS:Twenty-five obese individuals submitted to laparoscopic SG were enrolled in this study. Echocardiography was performed before and a...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-019-04216-5
更新日期:2020-02-01 00:00:00
abstract:BACKGROUND:Roux-en-Y gastric bypass surgery (RYGB) is an effective treatment for morbid obesity. Increased alcohol abuse after RYGB resulted in recommendations to exclude patients with alcohol abuse histories from RYGB. The purpose of our study was to examine the effects of a RYGB on ethanol intake in diet-induced obes...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-012-0749-2
更新日期:2012-12-01 00:00:00
abstract::Obesity is an enduring chronic disease, with multifactorial etiology. Many procedures and solutions have been proposed in the last 25 years. If patients do not meet the criteria for bariatric surgery, intragastric balloons may be used to achieve weight reduction. Contraindications to balloon therapy are a large hiatal...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089206776944887
更新日期:2006-05-01 00:00:00
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
doi:10.1007/s11695-019-04365-7
更新日期:2020-03-01 00:00:00
abstract:BACKGROUND:Bariatric surgery numbers have seen a sharp rise in India in the last decade. A country known for its undernourished population has seen economic growth and with it, greater influence of western culture and foods. The obesity epidemic is on the rise here and India is one of the 10 most obese nations of the w...
journal_title:Obesity surgery
pub_type: 共识发展会议,杂志文章
doi:10.1007/s11695-015-1836-y
更新日期:2016-05-01 00:00:00
abstract:BACKGROUND:In 2016, the Patient-Centered Outcomes Research Institute funded the National Patient Centered Clinical Research Network (PCORnet) Bariatric Study (PBS). Understanding the experience of postoperative patients was a key component of this study. METHODS:Nine focus groups were conducted in Southern California,...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-020-04404-8
更新日期:2020-05-01 00:00:00
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
doi:10.1007/s11695-014-1563-9
更新日期:2015-03-01 00:00:00
abstract:BACKGROUND:The rise in bariatric surgery has driven an increased number of complications from venous thromboembolism (VTE). Evidence supports obesity as an independent risk factor for VTE, but the specific derangements underlying the hypercoagulability of obesity are not well defined. To better characterize VTE risk fo...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-009-9906-7
更新日期:2009-09-01 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: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:INTRODUCTION:miRNAs are small non-coding RNAs, some of which are expressed in adipose tissues, are present in the circulation, and are regulated in obesity. Bariatric surgery (BS) has been proposed to lead to activation of brown adipose tissue, an effect that may be related to beneficial effects of BS on systemic metab...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-019-04104-y
更新日期:2020-01-01 00:00:00
abstract:INTRODUCTION:Female sexual dysfunction (FSD) among the obese women is often under diagnosed and ignored especially in Malaysia, a nation of conservative multiethnic society. There are only a few studies on FSD resolution post-bariatric surgery. The objective was to identify the rate and resolution or improvement of FSD...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-019-03722-w
更新日期:2019-05-01 00:00:00
abstract:BACKGROUND:Dehydroepiandrosterone-sulfate (DHEA-S) has been described as a protector agent against obesity-related pathologies, although the mechanism of action is still unknown. We have shown that DHEA-S acts on adipose tissue (AT), altering the fatty acid (FA) profile in rodents. Thus, we could hypothesize that some ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-009-0064-8
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:Obesity has proven to be associated with respiratory symptoms and impaired pulmonary function, which could increase the incidence of postoperative complications after bariatric surgery. However, the component of obesity that has the most influence on pulmonary function has not been identified, especially in ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-009-9961-0
更新日期:2010-05-01 00:00:00
abstract::End-stage renal failure is most commonly caused by the obesity-related diseases, diabetes mellitus and essential hypertension, and is best treated with renal transplantation. Obesity may contribute to poor patient and graft survival, and is an exclusion criterion in some renal transplant programs. Diet and exercise pr...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/0960892053723349
更新日期:2005-04-01 00:00:00
abstract:INTRODUCTION:Weight regain after laparoscopic Roux-en-Y gastric bypass (RYGB) occurs in up to 35% of patients. Revisional surgery may be applied. Conversion from RYGB to a long biliopancreatic limb (BPL) RYGB is a potential option for revisional surgery and short-term results are promising. METHODS:All patients who un...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-019-04348-8
更新日期:2020-03-01 00:00:00
abstract:BACKGROUND:Obesity is a major public health problem in the developed world. The National Survey of Children's Health 2003 estimated around 17 million children in the USA to be overweight, making this a significantly alarming disease in the young population. Findings from the Third National Health and Nutrition Examinat...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-012-0670-8
更新日期:2012-09-01 00:00:00
abstract::Sleeve gastrectomy is currently the most frequently performed bariatric surgery. Postoperative leaks represent the main cause of morbidity in up to 8% of patients with a mortality rate ranging between 0.1 and 5%. However, management of these leaks remains controversial. We report the case of a patient presenting with ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-020-04553-w
更新日期:2020-08-01 00:00:00
abstract:PURPOSE:One-anastomosis gastric bypass (OAGB) has raised concerns about nutritional complications possibly attributed to the biliopancreatic limb (BPL) length. We aimed to assess the results of a conservative approach of OAGB compared with the original OAGB and Roux-en-Y gastric bypass (RYGB) in a 1-year follow-up stud...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-020-04681-3
更新日期:2020-09-01 00:00:00
abstract:BACKGROUND:Surgical revision rates are high, reaching 41% at 10 years after Laparoscopic gastric band (LAGB). Surgical revision may include re-banding, laparoscopic sleeve gastrectomy (LSG), duodenal switch (DS), or laparoscopic Roux-en-Y gastric bypass (LRYGB). LRYGBP has been proposed as the procedure of choice after...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-020-05027-9
更新日期:2020-10-14 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:BACKGROUND:Epidemiological studies have identified obesity as a major risk factor for cancer in humans, and trials have demonstrated a significant reduction in the incidence of cancer after bariatric surgery. The rapidity of weight loss after bariatric surgery provides an opportunity to identify the molecular changes a...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-016-2321-y
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND:Between 2 and 8 weeks before surgery, most bariatric surgery groups establish strict dietary treatments with a total caloric intake of less than 1,000 kcal/day in order to maximize weight loss during this period of time. METHODS:A prospective randomized clinical trial of all the patients undergoing laparosc...
journal_title:Obesity surgery
pub_type: 杂志文章,随机对照试验
doi:10.1007/s11695-015-1880-7
更新日期:2016-06-01 00:00:00
abstract:BACKGROUND:Research about personality factors involved in successful outcome after bariatric surgery has led to contrasting results. The reasons for such discrepancies may include the lack of assessment of adaptive personality traits and of psychiatric co-morbidity, which may limit the reliability of personality findin...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089206777822278
更新日期:2006-07-01 00:00:00
abstract:PURPOSE:In France, laparoscopic gastric plication (GP) has rarely been utilized as a weight loss procedure. Although relatively safe and efficient, its long-term results are still controversial. The goal of this study is to assess the indications and outcomes of revisional surgery post-GP. MATERIALS AND METHODS:Betwee...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-020-04767-y
更新日期:2020-10-01 00:00:00
abstract:BACKGROUND:Considering conflicting results on the consequences of all types of obesity surgery, we were to summarize them via a systematic review. METHODS:Electronic literature search was done via scientific search engines. After the removal of duplicates and selection of articles of interest, 771 studies were include...
journal_title:Obesity surgery
pub_type: 杂志文章,meta分析
doi:10.1007/s11695-018-3550-z
更新日期:2019-02-01 00:00:00