Abstract：
BACKGROUND:Vertical banded gastroplasty (VBG) often necessitates revisional surgery for weight regain or symptoms related to gastric outlet obstruction. Roux-en-Y gastric bypass (RYGB) is considered as the revisional procedure of choice. However, revisional bariatric surgery is associated with relatively higher rates of complications. The aim of the current study is to analyse our single-centre experience with patients requiring revisional RYGB following primary VBG. METHODS:Retrospective review of the prospectively collected database identified 153 patients who underwent RYGB as a revisional procedure after VBG from Feb 2004-Feb 2011. Early and late complications, weight data and resolution of symptoms related to gastric outlet obstruction were analysed. RESULTS:One hundred twenty-three females and 30 males underwent revisional RYGB post VBG. Mean age was 44.4 (15-74) years with a mean pre-operative body mass index (BMI) of 34.2 (23.5-65.5) kg/m(2). Mean hospital stay was 4.3 days. Early complication rate was 3.9 % with a 30-day re-operation rate of 1.3 %. Mortality and leak rate were zero. After a mean follow-up of 48 months, the mean BMI decreased significantly to 28.8 kg/m(2) and a complete resolution of the obstructive symptoms was achieved in nearly all patients. Late complications developed in 11 (7.7 %) of the patients of which seven (4.9 %) required surgery. CONCLUSIONS:Revisional RYGB following VBG is technically challenging but safe with low rates of morbidity and mortality, comparable to primary RYGB. It produces a significant reduction in body weight and in symptoms resolution. We recommend RYGB as the procedure of choice in patients requiring revisional surgery following VBG.
journal_name
Obes Surgjournal_title
Obesity surgeryauthors
Vasas P,Dillemans B,Van Cauwenberge S,De Visschere M,Vercauteren Cdoi
10.1007/s11695-012-0796-8subject
Has Abstractpub_date
2013-02-01 00:00:00pages
241-8issue
2eissn
0960-8923issn
1708-0428journal_volume
23pub_type
杂志文章相关文献
OBESITY SURGERY文献大全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:Psychological comorbidity is common in bariatric surgery candidates. Many multidisciplinary teams incorporate psychometric testing to screen for psychological factors that, if left unattended, may negatively impact surgical results. Here, we report descriptive findings and empirical correlates of Minnesota M...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-013-1024-x
更新日期：2013-11-01 00:00:00
abstract：BACKGROUND:The aim of this study was to give an initial account of the weight loss and complications after applying the Swedish adjustable gastric band (SAGB) at Saad Specialist Hospital, Al-Khobar, Saudi Arabia. METHODS:From January 2001 to December 2004, 140 consecutive patients (62% female) underwent SAGB. Mean ini...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/0960892053723394
更新日期：2005-04-01 00:00:00
abstract：BACKGROUND:The incidence of obesity and related metabolic disorders in India and that of stomach carcinoma is one of the highest in the world. Hence, one requires a procedure that allows postoperative surveillance of the stomach with the best outcomes in terms of weight control and resolution of co-morbidities. Here, w...
journal_title：Obesity surgery
pub_type： 杂志文章,随机对照试验
doi：10.1007/s11695-011-0507-x
更新日期：2012-03-01 00:00:00
abstract：BACKGROUND:The purpose of this study was to estimate the cumulative radiation dose from computed tomography (CT) scans and upper gastrointestinal fluoroscopic exams in the post-bariatric-surgery population and correlate these values with current concepts of potential radiation-induced cancer risk. METHODS:A retrospect...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-009-9966-8
更新日期：2010-05-01 00:00:00
abstract：:In this case report, we present an 18-year-old morbidly obese male with complicating hypertensive cardiomyopathy who underwent laparoscopic adjustable gastric band surgery. The patient had multiple comorbidities associated with his obesity, including obstructive sleep apnea, systemic hypertension, asthma, and depressi...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-007-9330-9
更新日期：2008-03-01 00:00:00
abstract：BACKGROUND:Improvement of dyslipidemia is an important benefit of bariatric surgery. The benefits of laparoscopic sleeve gastrectomy (LSG) among dyslipidemia are still a matter of debate. METHODS:We conducted a retrospective descriptive study between 2010 and 2013. Obese patients undergoing LSG, with recorded dyslipid...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-018-3343-4
更新日期：2018-10-01 00:00:00
abstract：BACKGROUND:Erosion, slippage, and esophageal dilatation have been acknowledged as typical long-term issues after lap banding. Yet it seems from our experience that isolated food intolerance has become a leading cause for band removal, although not reported as such in the literature. METHODS:There were 1,450 patients w...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-008-9495-x
更新日期：2008-07-01 00:00:00
abstract：BACKGROUND:Long-term outcomes of gastric banding regarding depression and predictors of change in depression are still unclear. This prospective, controlled study investigated depression and self-acceptance in morbidly obese patients before and after gastric banding. METHODS:A total of 248 morbidly obese patients (mea...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-007-9316-7
更新日期：2008-03-01 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:Despite reported effectiveness, weight loss surgery (WLS) still remains one of the least preferred options for outpatient providers, especially in Germany. The aim of this study was to examine the effect of stigma and knowledge on recommendation of WLS and referral to a surgeon by general practitioners (GPs)...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-016-2104-5
更新日期：2016-10-01 00:00:00
abstract：BACKGROUND AND AIMS:Minimally invasive therapies for obesity are a bridge between lifestyle interventions and bariatric surgery. We developed a novel device to reduce weight gain rate and evaluated its safety and efficacy in juvenile pigs. METHODS:The intragastric satiety-inducing device (ISD) comprises a self-expanda...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-020-04930-5
更新日期：2020-11-01 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：PURPOSE:To assess cardiopulmonary capacity, autonomic heart function, and oxygen recovery kinetics during exercise testing before and after bariatric surgery. METHODS:This is a prospective cohort study. Symptom-limited cardiopulmonary exercise testing was performed with 24 patients, 1 week before and 4 months after ba...
journal_title：Obesity surgery
pub_type： 临床试验,杂志文章
doi：10.1007/s11695-018-3469-4
更新日期：2018-12-01 00:00:00
abstract：:Bariatric surgery is the most effective modality of achieving weight loss as well as the most effective treatment for type 2 diabetes mellitus (T2DM). Glucose-dependent insulinotropic polypeptide (GIP) is an incretin and is implicated in the pathogenesis of obesity and T2DM. Its role in weight loss and resolution of T...
journal_title：Obesity surgery
pub_type： 杂志文章,评审
doi：10.1007/s11695-010-0305-x
更新日期：2011-02-01 00:00:00
abstract：BACKGROUND:Obesity is a worldwide disease related to genetic, environmental, and behavioral factors, and it is associated with high rates of morbidity and mortality. Recently, obesity has been characterized by a low-grade inflammatory state known as inflammome indicated by chronic increases in circulating concentration...
journal_title：Obesity surgery
pub_type： 杂志文章,随机对照试验
doi：10.1007/s11695-017-3104-9
更新日期：2018-07-01 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
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：: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, an...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-011-0355-8
更新日期：2011-10-01 00:00:00
abstract：BACKGROUND:During the last decade, laparoscopic greater curvature plication (LGCP) has been used as a bariatric procedure for the treatment of obesity, regarded as less invasive and less expensive than other surgical bariatric procedures. We aimed to systematically review the literature and highlight recent clinical da...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-020-05112-z
更新日期：2020-11-19 00:00:00
abstract：BACKGROUND:Leak following laparoscopic sleeve gastrectomy (LSG) is one of the most serious and devastating complications. Endoscopic stents can treat most early LSG leaks, but is not as effective for chronic LSG leaks/fistulae. The surgical options to treat a chronic leak/fistula after LSG are laparoscopic Roux en Y es...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-015-2018-7
更新日期：2016-03-01 00:00:00
abstract：INTRODUCTION:Obesity in the world has been increasing, and the number of diabetic patients will increase by 114%, and the best treatment results are achieved through surgery. Several techniques have been described; the gastric bypass of an anastomosis (MGB/OAGB) has been gaining popularity for its simplicity and good r...
journal_title：Obesity surgery
pub_type： 临床试验,杂志文章
doi：10.1007/s11695-019-04071-4
更新日期：2019-12-01 00:00:00
abstract：BACKGROUND:Creating the proximal anastomosis in laparoscopic biliopancreatic diversion with duodenal switch (LBPD-DS) and Roux-en-Y gastric bypass (LRYGBP) is a critical step in ensuring the success of the procedures. The aim of this study was to assess the safety and efficiency of performing this anastomosis using a f...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089203321136656
更新日期：2003-02-01 00:00:00
abstract：BACKGROUND:Scopinaro biliopancreatic diversion (BPD) for morbid obesity results in significant longterm weight loss and reduction or resolution of obesity-associated co-morbidities. The aim of our work was to describe the early results after BPD. METHODS:59 morbidly obese patients (BMI >40) underwent open BPD from Dec...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/0960892054222740
更新日期：2005-06-01 00:00:00
abstract：BACKGROUND:Many operations are currently used for morbid obesity, and every procedure appears to have advantages, drawbacks and failures. Re-operation is a part of bariatric surgery practice that is necessary in the event of failure. We analyzed the reasons for failure in the bariatric re-operation group. METHODS:From...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089200321593733
更新日期：2000-12-01 00:00:00
abstract：BACKGROUND:Traditionally, small intestinal bacterial overgrowth (SIBO) is diagnosed when there is an early peak in breath hydrogen or methane. Given unclear intestinal transit time in Roux-en-Y gastric bypass (RYGB) patients, it is unknown if the traditional approach at diagnosing SIBO is adequate in this patient popul...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-018-3575-3
更新日期：2019-03-01 00:00:00
abstract：BACKGROUND:Laparoscopic sleeve gastrectomy (LSG) has been introduced as a multipurpose restrictive procedure for obese patients. Variations of the surgical technique may be important for the late results. METHODS:50 patients submitted to LSG from January 2005 to December 2006 were studied. Mean age was 38.2 years, pre...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-008-9421-2
更新日期：2007-11-01 00:00:00
abstract：INTRODUCTION:Metabolic surgery has become an accepted option for the treatment of obesity and associated metabolic diseases like hypertension and type 2 diabetes. Adipose tissue dysfunction and ectopic storage of excess lipids are thought to be involved in the underlying pathophysiological process. OBJECTIVES:The pres...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-019-03935-z
更新日期：2019-09-01 00:00:00
abstract：BACKGROUND:Laparoscopic techniques have been used to perform the Roux-en-Y gastric bypass (RYGBP). The gastrojejunostomy may be constructed using an end-to-end anastomosis (EEA) stapler. Most reports describe passing the EEA anvil transorally using an esophagogastroscope and a pull-wire technique. METHOD:We describe p...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089200321629139
更新日期：2000-08-01 00:00:00
abstract：BACKGROUND:Endotracheal intubation is commonly perceived to be more difficult in obese patients than in lean patients. Primarily, we investigated the association between difficult tracheal intubation (DTI) and obesity, and secondarily, the association between DTI and validated scoring systems used to assess the airways...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-016-2141-0
更新日期：2016-11-01 00:00:00
