Abstract:
BACKGROUND:Bariatric surgery is the most effective treatment for morbid obesity and associated medical co morbidities. There is currently minimal surgical treatment penetration of this widespread disease. BLIS has been able to improve the access to bariatric surgery for cash-pay patients by alleviating concern about the costs of post-surgical complications. Recently, there has become an ability to attract payor groups by offering a "bundled" payment which includes BLIS complication protection. METHODS:A total of 5,364 self-pay patients underwent laparoscopic adjustable gastric banding, laparoscopic vertical sleeve gastrectomy, or laparoscopic Roux-en-Y gastric bypass with BLIS complication insurance. RESULTS:Of the overall 5,364 patients, the 30-day mortality rate was 0.04 % and 1-year mortality rate was 0.06 %. The frequency of complications was 5.4 % in the gastric banding group, 6.5 % in the sleeve gastrectomy group, and 9.7 % in the gastric bypass group. CONCLUSIONS:The results for mortality and complications in the BLIS data set compares very well with other large data sets in bariatric surgery. BLIS complication insurance improves the access to bariatric surgery in patients who self-pay.
journal_name
Obes Surgjournal_title
Obesity surgeryauthors
Chebli JE,Schindler Rdoi
10.1007/s11695-012-0745-6subject
Has Abstractpub_date
2012-11-01 00:00:00pages
1798-801issue
11eissn
0960-8923issn
1708-0428journal_volume
22pub_type
杂志文章相关文献
OBESITY SURGERY文献大全abstract:BACKGROUND:Fatty acids (FAs) and adipokines such as adiponectin or interleukin-6 (IL-6) are known to modulate inflammation and the development of metabolic syndrome. Whether FA composition assessed in plasma triacylglycerols (TAGs), phospholipids (PLs) and non-esterified fatty acids (NEFAs) and adipose tissue (AT) PLs ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-012-0633-0
更新日期:2012-06-01 00:00:00
abstract:BACKGROUND:Sleeve gastrectomy plus side-to-side jejunoileal anastomosis (JI-SG), a relatively new approach to bariatric surgeries, has shown promising results for treating obesity and metabolic comorbidities. This study investigated the feasibility and safety of JI-SG in weight loss and diabetes remission compared with...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-015-1811-7
更新日期:2016-04-01 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:INTRODUCTION:Laparoscopic sleeve gastrectomy (LSG) has rapidly become popular with excellent results. However, LSG may exacerbate or increase the risk of "de novo" gastroesophageal reflux disease (GERD). Adding a fundoplication has been proposed to increase the lower esophageal sphincter competency. The aim of this stu...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-020-05189-6
更新日期:2021-01-03 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:BACKGROUND:The BioEnterics Intragastric Balloon (BIB) is a saline-filled balloon recommended to remain in the gastric cavity for a maximum of 6 months. Is this short period sufficient to change patients' lifestyle and eating practices to maintain weight reduction after BIB removal? METHODS:100 patients who received a ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/0960892054222894
更新日期:2005-06-01 00:00:00
abstract:BACKGROUND:A current management dilemma in laparoscopic sleeve gastrectomy (LSG) patients is the development of significant gastroesophageal reflux symptoms after surgery. Treatment is typically directed towards reducing acid reflux despite the surgical removal of parietal cell mass. In contrast, laparoscopic Roux-en-Y...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-014-1480-y
更新日期:2015-05-01 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:PURPOSE:Obesity is a major risk factor for nonalcoholic fatty liver disease (NAFLD), affecting 25% of the worldwide population. Weight loss through bariatric surgery can improve much of the liver steatosis, inflammation, and fibrosis. However, it is not known whether there is reversal of the elastic fiber deposition pr...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-020-04722-x
更新日期:2020-10-01 00:00:00
abstract::BACKGROUND: In June 1993, the authors started performing the Vertical Banded Gastroplasty (VBG) via laparoscopy. METHODS: Since June 1993, 25 patients have undergone laparoscopic VBG. RESULTS: Weight loss did not differ from the traditional open VBG. CONCLUSIONS: The laparoscopic procedure, which can be performed simp...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089295765557728
更新日期:1995-08-01 00:00:00
abstract:BACKGROUND:Biliopancreatic diversion (BPD) has been shown to be one of the most effective techniques for losing weight, although the relationship between body composition and diet after the procedure is not well known. Our aim was to assess dietary changes and their effects on body composition. METHODOLOGY:This longit...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-015-1658-y
更新日期:2015-11-01 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::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::This review examines the energetics and metabolic parameters which influence the effectiveness of gastric restrictive surgery in achieving weight loss in the clinically severely obese patient. Among the subjects discussed are the metabolic determinants and consequences of obesity, energy expenditure and its components...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089294765558700
更新日期:1994-05-01 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::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
doi:10.1381/096089292765559891
更新日期:1992-11-01 00:00:00
abstract::Literature search was performed for bariatric surgery from inception to September 2013, in which the effects of laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic sleeve gastrectomy (LSG) on body mass index (BMI), percentage of excess weight loss (EWL%), and diabetes mellitus (DM) were compared 2 years pos...
journal_title:Obesity surgery
pub_type: 杂志文章,meta分析
doi:10.1007/s11695-014-1303-1
更新日期:2014-09-01 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:Neither hormone levels nor malabsorption alone fully explains the distinct weight loss after bariatric surgery in morbidly obese patients. Postoperatively, patients regularly report a change in the sense of taste and the development of food aversions. Hedonic and sensory components like olfactory and gustato...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-015-1683-x
更新日期:2015-12-01 00:00:00
abstract::It has been suggested that a shift in food choices leading to a diet with a lower energy density plays an important role in successful weight loss after Roux-en-Y gastric bypass (RYGB) surgery. A decreased hedonic drive to consume highly palatable foods may explain these changes in eating behavior. Here, we review the...
journal_title:Obesity surgery
pub_type: 杂志文章,评审
doi:10.1007/s11695-016-2217-x
更新日期:2016-08-01 00:00:00
abstract:BACKGROUND:Patients undergoing either Roux-en-Y gastric bypass (RYGBP) or biliopancreatic diversion (BPD) with RYGBP are at risk of developing metabolic sequelae secondary to malabsorption. We compared the differences in nutritional complications between these two bariatric operations. METHODS:A retrospective analysis...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089202762252334
更新日期:2002-08-01 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:BACKGROUND:Gastric banding is today a common restrictive procedure to treat morbid obesity. After operation, adjustment of the band is required to adequately restrict food intake, allowing better results. The aim of this study was to evaluate the results of a unique method of adjustment using dynamic radioisotope scint...
journal_title:Obesity surgery
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1381/096089204323013532
更新日期:2004-04-01 00:00:00
abstract:BACKGROUND:Gastric bypass (GBP) surgery is considered a safe and effective treatment for obesity. However, there is uncertainty regarding the impact of preexisting psychiatric comorbidity on GBP complications. We have investigated whether a psychiatric diagnosis before GBP surgery is associated with delayed discharge (...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-020-04483-7
更新日期:2020-07-01 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: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:BACKGROUND:The HospitAl stay, Readmission, and Mortality rates (HARM) score is a quality indicator that is easily determined from routine administrative data. However, the HARM score has not yet been applied to patients undergoing bariatric surgery. OBJECTIVE:The aims of the present study were to adjust the HARM score...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-018-3253-5
更新日期:2018-09-01 00:00:00
abstract:BACKGROUND:Epidemiological findings have shown the rise of the prevalence of obesity in several segments of the world population, and more recent evidences point to a possible association with vitamin A deficiency (VAD). The aim of this study was to investigate vitamin A nutritional status in individuals with class III...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-008-9478-y
更新日期:2009-06-01 00:00:00
abstract:BACKGROUND:Laparoscopic adjustable gastric banding is a safe and effective treatment method for morbid obesity. Injection port dislocation, tube perforation and access port infection are generally classified among the minor complications, although they can require a reoperation at the port-site or even at the level of ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089202762552791
更新日期:2002-04-01 00:00:00
abstract:BACKGROUND:Mitochondrial dysfunction in adipose tissue has been implicated as a pathogenic step in the development of type 2 diabetes mellitus (T2DM). In adipose tissue, chronic nutrient overload results in mitochondria driven increased reactive oxygen species (ROS) leading to carbonylation of proteins that impair mito...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-015-1708-5
更新日期:2015-12-01 00:00:00