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 Examination Survey demonstrated at least 30 % of overweight adolescents to be suffering from the metabolic syndrome. Combined metabolic and restrictive bariatric operations have been shown to improve or resolve these various comorbidities, and surgical therapy is recommended as a part of a multidisciplinary approach to the treatment of morbid obesity in adults. Data in the adolescent population are sparse. METHODS:This is a retrospective, descriptive study of prospectively collected data over 10 years. Twenty-five adolescents between the ages of 14 and 18 years underwent laparoscopic Roux-en-Y gastric bypass (RYGBP) using a standard technique by a single surgeon with follow-up of at least 5 years. RESULTS:Twenty of the 25 patients were available for follow-up from 5 to 10 years after their operation. Average BMI preop/postop was 45.7/28.6 kg/m(2). Average percentage of excess body weight loss was 77.7 %. Average BMI change was 17.1. CONCLUSION:Our long-term data demonstrate that laparoscopic RYGBP is a safe and effective operation for morbidly obese adolescents, in the proper setting. We advocate that surgical intervention be recommended for this population using the same NIH guidelines used for adults.
journal_name
Obes Surgjournal_title
Obesity surgeryauthors
Nijhawan S,Martinez T,Wittgrove ACdoi
10.1007/s11695-012-0670-8subject
Has Abstractpub_date
2012-09-01 00:00:00pages
1445-9issue
9eissn
0960-8923issn
1708-0428journal_volume
22pub_type
杂志文章相关文献
OBESITY SURGERY文献大全abstract:BACKGROUND:A technique for standard laparoscopic BPD was developed. METHODS:Standard laparoscopic BPD was performed in 26 morbidly obese patients with mean BMI 43. Details of the technique, using 6 trocars, and instrumentation are described. Intestinal limb lengths were measured fully stretched, and the gastric remnan...
journal_title:Obesity surgery
pub_type: 杂志文章,评审
doi:10.1381/096089202762552692
更新日期:2002-04-01 00:00:00
abstract:BACKGROUND:To investigate prognostic factors for complete remission in type 2 diabetes mellitus (T2DM) patients who underwent gastric bypass (GBP) and to establish a prognostic model for risk stratification. METHODS:We evaluated the baseline clinical features of patients with T2DM who received at Beijing Tian Tan Hosp...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-019-03783-x
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND:Four commercially available intragastric balloons have been used for the management of obesity and underwent randomized controlled trials (RCTs), and we aimed to compare them using a network meta-analysis approach. METHODS:Several databases were queried from inception to May 26, 2017, and we included RCTs e...
journal_title:Obesity surgery
pub_type: 杂志文章,meta分析
doi:10.1007/s11695-018-3227-7
更新日期:2018-09-01 00:00:00
abstract:BACKGROUND AND AIMS:The mechanism of weight loss with the intra-gastric balloon (IGB) is thought to be a decrease in gastric emptying (GE); however the evidence is conflicting. Nausea, abdominal pain, and gastroesophageal reflux disease (GERD) can cause intolerance resulting in early removal. This is demoralizing for t...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-019-04039-4
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:The effects of surgical weight loss (WL) on inflammatory biomarkers associated with sleep apnea remain unknown. We sought to determine if any biomarkers can predict amelioration of sleep apnea achieved by bariatric surgery. We hypothesized that surgical WL would substantially reduce severity of sleep apnea a...
journal_title:Obesity surgery
pub_type: 临床试验,杂志文章
doi:10.1007/s11695-011-0359-4
更新日期:2011-09-01 00:00:00
abstract:BACKGROUND:Besides weight loss Scopinaro's operation produces correction of hypercholesterolemia and noninsulin dependent diabetes mellitus in all patients who suffer from these conditions. These results encouraged us to perform biliopancreatic diversion (BPD) without gastric resection, thus preserving the functions of...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089298765555088
更新日期:1998-02-01 00:00:00
abstract:BACKGROUND:Bariatric surgery has demonstrated to be effective in remission of type 2 diabetes in obese patients, but it is unclear in non-obese patients. The aim of this study is to investigate if metabolic surgery is effective in diabetes resolution in patients with BMI < 30 kg/m2. MATERIALS AND METHODS:A systematic ...
journal_title:Obesity surgery
pub_type: 杂志文章,meta分析
doi:10.1007/s11695-018-03654-x
更新日期:2019-04-01 00:00:00
abstract:INTRODUCTION:Laparoscopic sleeve gastrectomy (LSG) has become one of the most popular bariatric surgeries worldwide. However, complications related to the stapler line can be very serious. Among several challenging post-LSG complications, fistula is the most feared. Its management can be very challenging and chronic. I...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-018-3551-y
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:The aim of this study was to determine the efficacy of routine upper gastrointestinal imaging following the three forms of laparoscopic bariatric surgery completed at our institution (laparoscopic Roux en Y gastric bypass (LRYGB), laparoscopic sleeve gastrectomy (LS), and laparoscopic adjustable gastric band...
journal_title:Obesity surgery
pub_type: 杂志文章,评审
doi:10.1007/s11695-012-0658-4
更新日期:2012-07-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to investigate the lipid and glycemic profiles of patients up to 10 years after Roux-en-Y gastric bypass. METHOD:A retrospective, longitudinal study was conducted at a multidisciplinary center for the treatment of obesity in the state of São Paulo, Brazil. The study included 150 pat...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-017-3064-0
更新日期:2018-06-01 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:The present weight stigma study examined whether attitudes toward and employability of a normal weight person can change after learning that the person had been obese. METHODS:Participants (N = 154) viewed an image of a normal weight woman and rated their impression of her. Next, participants rated their im...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-014-1522-5
更新日期:2015-03-01 00:00:00
abstract::Lithium is one of the major treatment options in bipolar disorder. Bariatric surgery can significantly modify the oral bioavailability of drugs, and lithium is no exception; although in most cases drug absorption seems to decrease, in the case of lithium, toxicity is the risk. In this article, we describe a 61-year-ol...
journal_title:Obesity surgery
pub_type: 杂志文章,评审
doi:10.1007/s11695-018-3597-x
更新日期:2019-02-01 00:00:00
abstract:BACKGROUND:The effectiveness of gastric bypass for weight loss has been demonstrated. No study has documented the effect of this surgery on patient spouses' weight. Excess leftover food may be consumed by the spouses of gastric bypass patients, which may increase the total caloric intake compared to the preoperative in...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/0960892053268426
更新日期:2005-02-01 00:00:00
abstract:BACKGROUND:Obesity is a disease that is highly prevalent in Brazil, and the associated comorbidities represent a major global public health challenge. Botulinum toxin type A (BTX-A) is a potent neurotoxin and inhibitor of gastric smooth muscle activity. In theory, BTX-A administration should promote early satiety and w...
journal_title:Obesity surgery
pub_type: 杂志文章,随机对照试验
doi:10.1007/s11695-018-3470-y
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Bariatric surgery has become an increasingly popular method for weight loss and mitigation of co-morbidities in the obese population. Like any field, there is a desire to standardize and accelerate the postoperative period while maintaining safe outcomes. METHODS:All laparoscopic sleeve gastrectomies (LSG) ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-017-2873-5
更新日期:2017-10-01 00:00:00
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: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
doi:10.1381/096089297765556150
更新日期:1997-02-01 00:00:00
abstract::Obesity is linked to the development of cancer. Previous studies have suggested that there is a relationship between bariatric surgery and reduced cancer risk. Data sources were from Medline, Embase, and Cochrane Library. From 951 references, 13 studies met the inclusion criteria (54,257 participants). In controlled s...
journal_title:Obesity surgery
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s11695-014-1276-0
更新日期:2014-09-01 00:00:00
abstract:BACKGROUND:A comprehensive evaluation of bariatric surgery is required to inform decision-making. This will include measures of benefit and risk. It is possible that stakeholders involved with surgery value these outcomes differently, although this has not previously been explored. This study aimed to investigate and c...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-016-2186-0
更新日期:2016-11-01 00:00:00
abstract:BACKGROUND:Results of the laparoscopic Mini-Gastric Bypass (MGB) are reported. METHODS:1,274 MGB patients are continuously monitored as part of an online computer tracking data-base system. RESULTS:Mean preoperative weight (+/- Standard Deviation) was 132 +/- 21 kg, BMI 47 +/- 7. Mean excess weight loss was 51% at 6 ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089201321336584
更新日期:2001-06-01 00:00:00
abstract:BACKGROUND AND AIMS:Bariatric surgery, such as vertical sleeve gastrectomy (VSG), is the most effective long-term treatment for obesity. However, there are conflicting reports on the effect of bariatric surgery on inflammatory bowel disease (IBD). Bariatric surgery increases bile acid concentrations, which can decrease...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-019-03707-9
更新日期:2019-05-01 00:00:00
abstract:BACKGROUND:Fibromyalgia is a chronic debilitating disorder affecting 3-5% of the US population. Treatment of this disorder is a challenge. The incidental finding of improvement of fibromyalgia following laparoscopic Roux-en-Y gastric bypass stimulated us to study this phenomenon. METHODS:A retrospective chart review o...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-008-9505-z
更新日期:2008-06-01 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: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::We reviewed the evidence for bariatric surgery reducing the risk of breast cancer. Data was extracted from multiple libraries, including PubMed, EMBASE, and Medline, to perform a systematic review. Abstracts were reviewed by two independent reviewers. Thirty-eight full-text articles were identified from 1171 abstracts...
journal_title:Obesity surgery
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s11695-017-2901-5
更新日期:2017-11-01 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: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::BACKGROUND: Most people do not realize how prejudicially damaging they behave, particularly towards the obese. Their discrimination has been deemed, unconsciously perhaps, as acceptable by society. METHODS: This paper describes a high school senior's exploration of prejudice and discrimination towards the obese. RESUL...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089296765556520
更新日期:1996-10-01 00:00:00
abstract:PURPOSE:Pregnant women who have undergone bariatric surgery must be followed to ensure healthy mother-child nutritional status. This study aimed to compare weight status of mother-child dyad after maternal bariatric surgery in public and private Brazilian healthcare system units. MATERIALS AND METHODS:This retrospecti...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-020-04605-1
更新日期:2020-09-01 00:00:00