Abstract:
BACKGROUND:In the late post-operative period, the necessity of performing an upper gastrointestinal endoscopy (GIE) to check for complications is controversial. Some authors suggest it should be routine for all patients, others selectively, but not all patients with endoscopic abnormalities are symptomatic and some abnormalities are potentially severe. The study was conducted to evaluate the endoscopic findings from asymptomatic obese patients after Roux-en-Y gastric bypass (RYGB) and correlate them with the demographic data and the presence of Helicobacter pylori (Hp). METHODS:A total of 715 asymptomatic patients were prospectively submitted to an upper GIE at the end of their first post-operative year. These examinations were evaluated for the presence of abnormalities, their prevalence and their potential severity. RESULTS:Abnormalities were found in 189 patients (26.5 %). Eighty-four (11.7 %) presented esophageal abnormalities, with 72 (10.1 %) characterized as esophagitis and 12 (1.7 %) as hiatal hernia. Forty-five patients (6.3 %) presented abnormalities of the stomach and the anastomosis, with 26 (3.6 %) characterized as anastomotic ulcers, nine (1.3 %) as stenosis of the gastrojejunal anastomosis, ten (1.4 %) as band erosion and 72 (10.1 %) as jejunitis. There was a statistically significant correlation between super obesity and band erosion. CONCLUSIONS:An upper GIE at the end of the first year of RYGB plays an important role, even for asymptomatic patients. One fourth of these asymptomatic patients had their treatment modified after the upper GIE was performed.
journal_name
Obes Surgjournal_title
Obesity surgeryauthors
Spinosa SR,Valezi ACdoi
10.1007/s11695-013-0936-9subject
Has Abstractpub_date
2013-09-01 00:00:00pages
1431-5issue
9eissn
0960-8923issn
1708-0428journal_volume
23pub_type
杂志文章相关文献
OBESITY SURGERY文献大全abstract:PURPOSE:A subpopulation of weight loss surgery (WLS) patients endorse cannabis and/or opioid use; however, impact on post-WLS anxiety and depression is unclear. This study examined the influence of the independent and combined use of cannabis and opioids on (1) depression and anxiety, (2) duodenum serotonin and cortiso...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-020-04828-2
更新日期:2020-11-01 00:00:00
abstract::Drug malabsorption is a potential concern after bariatric surgery. We present four case reports of hypothyroid patients who were well replaced with thyroxine tablets to euthyroid thyrotropin (TSH) levels prior to Roux-en-Y gastric bypass surgery. These patients developed elevated TSH levels after the surgery, the TSH ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-013-1015-y
更新日期:2013-09-01 00:00:00
abstract:BACKGROUND:While numerous promising short-term results of open gastric bypass for morbid obesity were published, the long-term outcome of earlier versions was somewhat disappointing. Thus, it was not until 1993 that this procedure was reintroduced with current modifications and now performed laparoscopically. Published...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089206776116543
更新日期:2006-03-01 00:00:00
abstract:BACKGROUND:Type 1 diabetes mellitus (T1DM) has a rising global prevalence. Although it is vastly outnumbered by type 2 diabetes mellitus rates, it remains a persistent worldwide source of morbidity and mortality. Increasingly, its sufferers are afflicted by obesity and its complications. The objective of the study is t...
journal_title:Obesity surgery
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s11695-015-1999-6
更新日期:2016-08-01 00:00:00
abstract:BACKGROUND:The prognostic significance of sexual abuse for extremely obese patients who undergo bariatric surgery is uncertain. This study examined self-reported childhood sexual abuse and other forms of childhood maltreatment in relation to preoperative presentation and to 12-month postoperative outcomes in gastric by...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089206776327288
更新日期:2006-04-01 00:00:00
abstract:BACKGROUND:Laparoscopic sleeve gastrectomy (LSG) is one of the most commonly performed procedures for the treatment of obesity. Patients with obesity are more prone to experience opioid-related adverse events (ORAE). OBJECTIVES:The objective of this study is to determine if a multimodal analgesia protocol (MAP) reduce...
journal_title:Obesity surgery
pub_type: 临床试验,杂志文章
doi:10.1007/s11695-017-2790-7
更新日期:2017-12-01 00:00:00
abstract:BACKGROUND:Sleeve gastrectomy (SG) is a safe and efficient procedure with comparable results between conventional and single-incision approach in selected patients. However, the critical point in both approaches is the retraction of the hypertrophic and fatty left lobe of the liver which increases technical difficultie...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-015-2035-6
更新日期:2016-03-01 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:BACKGROUND:Variations have been proposed in order to improve weight loss and decrease complication profiles in Roux-en-Y gastric bypass (RYGB) patients. We previously reported a preliminary result of pericardial patch ring RYGB. We aim to report a detailed result of banded RYGB by comparing these patients to non-banded...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-017-2832-1
更新日期:2018-01-01 00:00:00
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 th...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-012-0745-6
更新日期:2012-11-01 00:00:00
abstract:BACKGROUND:Comprehensive preparative patient education is a key element in bariatric patient success. The primary objective of this study was to compare attrition rates, demographics, and surgery outcomes between patients who participated in the online vs in-house preparative seminars. METHODS:A retrospective chart re...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-018-3590-4
更新日期:2019-03-01 00:00:00
abstract:AIM:Sedation is considered as a prerequisite for the safe and effective conclusion of Bioenterics Intragastric Balloon (BIB) removal (our aim was to ascertain the most appropriate body size scalars for propofol dosing and assess the efficacy and safety of a sedative approach involving the infusion of propofol for BIB r...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-019-04075-0
更新日期:2019-12-01 00:00:00
abstract:BACKGROUND:Among the different techniques of surgical treatment for morbid obesity, silastic ring vertical gastroplasty (SRVG) is an alternative, effective and easily reproducible technique. The aim of this study is to evaluate a cohort of patients >6 years after SRVG for morbid obesity. METHODS:From 1991 to 1996, 273...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/0960892042386995
更新日期:2004-10-01 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:Our aim was to assess, in obese patients undergoing Roux-en Y gastric bypass surgery, the cumulative Helicobacter pylori (HP) eradication rates in two consecutive time spans (2006-2008 and 2009-2010). METHODS:The study adopted a 14-day clarithromycin-based triple therapy in first-line treatment as proposed ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-012-0747-4
更新日期:2013-02-01 00:00:00
abstract::Small bowel obstruction (SBO) is a recognized complication of Roux-en-Y gastric bypass (RYGB) surgery. Internal hernia (IH) a potential problem associated with RYGB, can have severe consequences if not diagnosed. We present two cases of SBO due to IH during pregnancy after laparoscopic RYGB (LRYGB). Both patients unde...
journal_title:Obesity surgery
pub_type: 杂志文章,评审
doi:10.1007/s11695-008-9681-x
更新日期:2009-07-01 00:00:00
abstract:BACKGROUND:Bariatric surgery results in massive loss of excess weight, changes in co-morbidities and improvement in quality of life. In these patients, liver histology taken before or during surgery reveals several histological abnormalities. In a prospective study of patients previously submitted to gastric bypass, we...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089206776944904
更新日期:2006-05-01 00:00:00
abstract:BACKGROUND/OBJECTIVES:Gamma-glutamyltranspeptidase (GGT) levels are an independent risk marker for the development of type 2 diabetes (T2DM). We investigated the relationship between the newly identified serum GGT fractions and glucose metabolism in obese subjects before and after bariatric surgery. SUBJECTS/METHODS:T...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-017-3017-7
更新日期:2018-05-01 00:00:00
abstract::Obesity is now considered the new world epidemic. In an attempt to face this menace to public health, several treatments, apart from the traditional nutritional modification and oral medication, have been introduced, among them bariatric surgery and gut hormone-based treatments. The gastrointestinal (GI) tract is a po...
journal_title:Obesity surgery
pub_type: 杂志文章,评审
doi:10.1007/s11695-012-0698-9
更新日期:2012-10-01 00:00:00
abstract:BACKGROUND:Bariatric surgery is the only effective and long-lasting treatment of morbidly obese patients. However, the safety and efficacy of bariatric surgery in patients with hepatitis B viral (HBV) infection is not clear. The aim of the present study is to investigate whether HBV infection influences clinic features...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-007-9346-1
更新日期:2008-05-01 00:00:00
abstract:BACKGROUND:Gastro-esophageal reflux disease (GERD) post-sleeve gastrectomy (SG) is a controversial issue and diagnostic dilemma. Strong heterogeneity exists in the assessment of reflux post-SG, and better diagnostic tools are needed to characterize symptomatic reflux. We aimed to determine the discriminant factors of s...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-020-05152-5
更新日期:2021-01-25 00:00:00
abstract:BACKGROUND:Enhanced recovery after surgery has led to early recovery and shorter hospital stay after laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic sleeve gastrectomy (LSG). This study aims to assess feasibility and outcomes of postoperative day (POD) 1 discharge after LRYGB and LSG from the Metabolic a...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-018-3489-0
更新日期:2019-01-01 00:00:00
abstract:INTRODUCTION:This technique aims to evaluate fixation of the sleeved distal part of the stomach to the root of the transverse mesocolon and greater omentum after its shortening in a T-shaped design. METHODS:Sleeve gastrectomy is done in a standard five-port technique. Then, we fix the distal end of the staple line usi...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-019-04382-6
更新日期:2020-03-01 00:00:00
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
doi:10.1381/0960892055002202
更新日期:2005-09-01 00:00:00
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
doi:10.1007/s11695-007-9060-z
更新日期:2007-03-01 00:00:00
abstract:BACKGROUND:Several endocrine abnormalities are reported in obesity. In an earlier study, we found that the changes in BMI following laparoscopic adjustable gastric banding (LAGB) were associated with changes in hormone profiles such as insulin and proinsulin. In the current study, we explored the changes in plasma adip...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089206778026244
更新日期:2006-08-01 00:00:00
abstract:BACKGROUND:The aim of this study was to assess the incidence of intragastric migration of the Swedish adjustable gastric band (SAGB) and to evaluate the safety and effectiveness of gastroscopic band removal. METHODS:Between January 1996 and December 2001, 454 patients (381 women, 73 men) underwent a laparoscopic SAGB ...
journal_title:Obesity surgery
pub_type: 临床试验,杂志文章
doi:10.1381/096089202321088183
更新日期:2002-06-01 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:Cognitive dysfunction is associated with reduced postoperative weight loss up to 2 years following surgery, though the role of cognition at more extended follow-up is not yet understood. Thirty-six months following bariatric surgery, we retrospectively compared obese and non-obese patients on 12-week postope...
journal_title:Obesity surgery
pub_type: 杂志文章,多中心研究
doi:10.1007/s11695-014-1205-2
更新日期:2014-07-01 00:00:00
abstract:BACKGROUND:Obesity has become a global epidemic. Surgical treatment of obesity and metabolic disorders in China is increasing rapidly, but it is still a new discipline even to health professionals. As an important member of the multidisciplinary team, the knowledge and attitudes of nurses provide crucial health care to...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-019-04173-z
更新日期:2020-02-01 00:00:00