Bariatric surgery: the indications in metabolic disease.

Abstract:

:As well as the pronounced effect on body mass index (BMI), bariatric surgery is increasingly recognized as being associated with improvements in morbidity and mortality in a range of conditions, from airways disease to cancer. In metabolic disease, the impact of bariatric surgery is particularly obvious with marked improvements in glycemic control in patients with type 2 diabetes mellitus, to the point of effecting diabetes remission in some. Hypertension and dyslipidemia, key components of the metabolic syndrome, also respond to bariatric surgery. Despite the increasing evidence of benefit in metabolic disease, the major national guidelines for selecting candidates for bariatric surgery retain their emphasis on body weight. In these guidelines, a BMI ≥35 kg/m(2) is needed to indicate surgery, even in those with profound metabolic disturbance. The recent International Diabetes Federation guidelines have identified the need to reorientate our focus from BMI to metabolic disease. In this review, we examine the developing indications for the use of bariatric surgery in metabolic disease. We will focus on type 2 diabetes mellitus and the metabolic syndrome. Within this, we will outline the data for using bariatric surgery as metabolic surgery, including those with a BMI <35 kg/m(2).

journal_name

Dig Surg

journal_title

Digestive surgery

authors

Neff KJ,le Roux CW

doi

10.1159/000351440

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

6-12

issue

1

eissn

0253-4886

issn

1421-9883

pii

000351440

journal_volume

31

pub_type

杂志文章,评审
  • 30-Day Postoperative Morbidity of Emergency Surgery for Obstructive Right- and Left-Sided Colon Cancer in Obese Patients: A Multicenter Cohort Study of the French Surgical Association.

    abstract:BACKGROUND:Emergency surgery impairs postoperative outcomes in colorectal cancer patients. No study has assessed the relationship between obesity and postoperative results in this setting. OBJECTIVE:To compare the results of emergency surgery for obstructive colon cancer (OCC) in an obese patient population with those...

    journal_title:Digestive surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1159/000497450

    authors: Genser L,Manceau G,Mege D,Bridoux V,Lakkis Z,Venara A,Voron T,Bege T,Sielezneff I,Karoui M,on behalf of the AFC (French Surgical Association) Working Group.

    更新日期:2020-01-01 00:00:00

  • Preoperative FDG-PET-scan in patients with resectable colorectal liver metastases does not improve overall survival: a retrospective analyses stratified by clinical risk score.

    abstract:BACKGROUND:The aim of this study was to determine whether selection with fluorine-18-deoxyglucose positron emission tomography (FDG-PET) imaging would result in an improved outcome in surgically treated patients with curative resection of colorectal liver metastases (CRLM), stratified by the clinical risk score (CRS) o...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000357351

    authors: Ayez N,de Ridder J,Wiering B,Oyen WJ,de Wilt JH,Verhoef C

    更新日期:2013-01-01 00:00:00

  • Cross-linked hyaluronic acid films to reduce intra-abdominal postsurgical adhesions in an experimental model.

    abstract:BACKGROUND/AIMS:Intra-abdominal adhesions typically occur after surgically damaged tissues are situated in apposition, leading to fibrotic connections. The goal of this study was to demonstrate the in vivo efficacy of a cross-linked and insoluble hyaluronic acid (HA) film to reduce postsurgical adhesion in a rat model....

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000253872

    authors: Falabella CA,Chen W

    更新日期:2009-02-01 00:00:00

  • Laparoscopic Distal Pancreatectomy for Pancreatic Tumors: Does Size Matter?

    abstract:BACKGROUND:Laparoscopic distal pancreatectomy (LDP) for large pancreatic tumors may require prolonged dissection, and this could be associated with increased operative time and intraoperative complications. METHODS:From a total cohort of 190 consecutive patients undergoing LDP, 18 patients were found to have pancreati...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000445008

    authors: Fernández-Cruz L,Poves I,Pelegrina A,Burdío F,Sánchez-Cabus S,Grande L

    更新日期:2016-01-01 00:00:00

  • Internal drainage of infected pancreatic pseudocysts: safe or sorry?

    abstract:BACKGROUND:External drainage is the traditional surgical therapy for infected pancreatic pseudocyst, although associated with high morbidity and mortality rates. In this study it was determined whether internal drainage is feasible with acceptable postoperative morbidity and recurrence rates. METHODS:A retrospective c...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000018776

    authors: Boerma D,van Gulik TM,Obertop H,Gouma DJ

    更新日期:1999-01-01 00:00:00

  • Role of intestinal permeability in monitoring mucosal barrier function. History, methodology, and significance of pathophysiology.

    abstract::The intestinal barrier function is considered to play an important role in protecting the penetration of luminal antigens, associated with the development of secondary infection and sepsis and the initiation of the multiple organ dysfunction syndrome. The intestinal mucosal barrier against luminal macromolecules and m...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000018651

    authors: Sun Z,Wang X,Andersson R

    更新日期:1998-01-01 00:00:00

  • Evaluation of surgical outcome scores according to ISGPS definitions in patients undergoing pancreatic resection.

    abstract:AIMS:To evaluate the role of the Physiological and Operative Severity Score for the enUmeration of Mortality and Morbidity (POSSUM), the Portsmouth variant (p-POSSUM) and the Glasgow Prognostic Score (GPS) in predicting outcome after pancreatic surgery with reference to the International Study Group of Pancreatic Surge...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000313693

    authors: Knight BC,Kausar A,Manu M,Ammori BA,Sherlock DJ,O'Reilly DA

    更新日期:2010-01-01 00:00:00

  • Early surgical correction for isolated gastric stricture following acid corrosion injury.

    abstract:OBJECTIVE:To evaluate the feasibility and long-term results of early gastric surgery for patients with isolated gastric stricture following acid corrosion injury. MATERIALS AND METHODS:Upper gastrointestinal (UGI) series was routinely performed around the 4th week after acid corrosion injury. Patients with gastric str...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000064582

    authors: Tseng YL,Wu MH,Lin MY,Lai WW

    更新日期:2002-01-01 00:00:00

  • Cost-effective utilization of a private facility to perform outpatient surgery in public hospital waiting list patients.

    abstract:BACKGROUND:Public hospitals' long waiting lists make outpatient surgery in private facilities very attractive provided a standardized protocol is applied. The aim of this study was to assess this kind of innovative collaboration in abdominal surgery from a clinical and economical perspective. METHODS:All consecutive p...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000330788

    authors: Vuilleumier H,Coquelin G,Wasserfallen JB,Demartines N

    更新日期:2011-01-01 00:00:00

  • Accuracy of multislice liver CT and MRI for preoperative assessment of colorectal liver metastases after neoadjuvant chemotherapy.

    abstract:INTRODUCTION:To determine the best imaging modality for preoperative detection, characterization and measurement of colorectal liver metastases (CRLM) after neoadjuvant chemotherapy (NAC). METHODS:A total of 79 lesions in 15 patients with CRLM were included. Following NAC, all patients received multislice liver CT (MS...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000322390

    authors: van Kessel CS,van Leeuwen MS,van den Bosch MA,Borel Rinkes IH,Mali WP,Westers P,van Hillegersberg R

    更新日期:2011-01-01 00:00:00

  • Routine screening for colon cancer after conservative treatment of diverticulitis.

    abstract:BACKGROUND AND AIMS:It is generally advised to perform colonoscopy after conservatively treated diverticulitis because colon cancer may present itself with similar symptoms, laboratory and radiological results. With this study we investigated in what percentage of patients a malignancy was found by performing routine c...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000345332

    authors: Schout PJ,Spillenaar Bilgen EJ,Groenen MJ

    更新日期:2012-01-01 00:00:00

  • Isolated duodeno-pancreatic involvement due to metastatic dysgerminoma ovary and its management by a modified pancreatico-duodenal resection.

    abstract::Dysgerminomas of the ovary rarely metastasize to abdominal viscera and when they do, the involvement is a part of a disseminated disease. A 30-year-old woman developed isolated duodenopancreatic dysgerminoma 14 years after salpingo-oophorectomy. The clinical picture was complicated by the presence of tuberculous lesio...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000050198

    authors: Ramesh H,Philip M,Jacob G,Lekha V,Venugopal A,Mahadevan P

    更新日期:2001-01-01 00:00:00

  • Carcinoma of the colon metastatic to the lower gingiva.

    abstract::A case of carcinoma of the colon that metastasized to the lower gingiva is described. The patient who had carcinoma of the colon developed a proliferating lesion at the site of a recent tooth extraction. A few days later, the primary site of the malignancy appeared. The clinical features in such cases were reviewed in...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000050166

    authors: Tomikawa M,Higuchi Y,Saku M,Takeshita M,Yoshida K,Sugimachi K

    更新日期:2001-01-01 00:00:00

  • Long-term survival after radical resection for pancreatic head and ampullary cancer: a potential role for the EGF-R.

    abstract:BACKGROUND/AIM:Pancreatic cancer has a dismal prognosis. Ampullary cancer (defined as cancer of the ampulla of Vater or the distal common bile duct) has a better prognosis and is thought to be a biologically different tumor. The aim of this study was to find factors that could predict survival after radical (R-0) resec...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000100917

    authors: Smeenk HG,Erdmann J,van Dekken H,van Marion R,Hop WC,Jeekel J,van Eijck CH

    更新日期:2007-01-01 00:00:00

  • Tonometer pHi monitoring of free jejunal grafts following pharyngolaryngoesophagectomy for hypopharyngeal or cervical esophageal cancer.

    abstract:BACKGROUND/AIMS:Graft failure is a critical complication associated with vascular occlusion in esophageal reconstruction with a free jejunal graft following pharyngolaryngoesophagectomy. In this study, we evaluated the usefulness of intramucosal pH (pHi) measurement using a tonometer to assess the graft viability. MET...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000102902

    authors: Kamiya K,Suzuki S,Mineta H,Konno H

    更新日期:2007-01-01 00:00:00

  • Posthepatectomy bile leakage: how to manage.

    abstract:BACKGROUND:Biliary leakage after liver resection continues to be reported. Management of bile leakage has changed in recent years, with nowadays non-surgical procedures as the preferred treatment. METHODS:Biliary leakage and management were assessed in 381 patients who underwent liver resection between January 2005 an...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000335734

    authors: Hoekstra LT,van Gulik TM,Gouma DJ,Busch OR

    更新日期:2012-01-01 00:00:00

  • Buttressing of the staple line in gastrointestinal anastomoses: overview of new technology designed to reduce perioperative complications.

    abstract:BACKGROUND:Mechanical stapling devices are widely used in all fields of surgery as they can cut and sew tissue in a quick and easy manner. However, complications like bleeding or leakage at the staple line are frequently encountered and can have devastating consequences. Recent developments have led to the introduction...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000096648

    authors: Yo LS,Consten EC,Quarles van Ufford HM,Gooszen HG,Gagner M

    更新日期:2006-01-01 00:00:00

  • Emergency Laparoscopic Sigmoidectomy for Perforated Diverticulitis with Generalised Peritonitis: A Systematic Review.

    abstract:BACKGROUND:Laparoscopic sigmoidectomy for diverticulitis has initially been confined to the elective setting. However, open acute sigmoidectomy for perforated diverticulitis is associated with high morbidity rates that might be reduced after laparoscopic surgery. The aim of this systematic review was to assess the feas...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000441150

    authors: Vennix S,Boersema GS,Buskens CJ,Menon AG,Tanis PJ,Lange JF,Bemelman WA

    更新日期:2016-01-01 00:00:00

  • Laparoscopic Surgery for Gallbladder Cancer: An Expert Consensus Statement.

    abstract:BACKGROUND:Despite the increasing number of reports on the favorable outcomes of laparoscopic surgery for gallbladder cancer (GBC), there is no consensus regarding this surgical procedure. OBJECTIVE:The study aimed to develop a consensus statement on the application of laparoscopic surgery for GBC based on expert opin...

    journal_title:Digestive surgery

    pub_type: 共识发展会议,杂志文章

    doi:10.1159/000486207

    authors: Han HS,Yoon YS,Agarwal AK,Belli G,Itano O,Gumbs AA,Yoon DS,Kang CM,Lee SE,Wakai T,Troisi RI

    更新日期:2019-01-01 00:00:00

  • Evaluation of splenic circulation after spleen-preserving distal pancreatectomy by dividing the splenic artery and vein.

    abstract:BACKGROUND/AIM:In the present study, we investigated the acute and late phases of splenic circulation after spleen-preserving distal pancreatectomy (SPDP) involving the division of splenic vessels. METHODS:An acute phase of splenic circulation was evaluated by laser flow meter and the late phase was estimated by (99m)...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000051952

    authors: Sato Y,Shimoda S,Takeda N,Tanaka N,Hatakeyama K

    更新日期:2000-01-01 00:00:00

  • Carcinoma of pelvic pouch following restorative proctocolectomy: report of a case and review of the literature.

    abstract::One of the possible long-term complications following an ileoanal pouch procedure is the development of malignancy in the mucosa of the rectal stump. Only 10 such cases have been reported so far. We report the case of a 23-year-old male who had ulcerative colitis with high-grade dysplasia and underwent an ileoanal pou...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000068855

    authors: Negi SS,Chaudhary A,Gondal R

    更新日期:2003-01-01 00:00:00

  • Percutaneous radiofrequency ablation of colorectal hepatic metastases - initial experience. An adjunct technique to systemic chemotherapy for those with inoperable colorectal hepatic metastases.

    abstract:BACKGROUND AND AIM:Most patients with hepatic metastases from colorectal carcinoma are unsuitable for resection. Radiofrequency ablation (RFA) has been applied to such lesions at laparotomy. This study aimed to evaluate the less invasive approach of percutaneous RFA. METHOD:Patients with unresectable liver metastases ...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000080886

    authors: White TJ,Roy-Choudhury SH,Breen DJ,Cast J,Maraveyas A,Smyth EF,Hartley JE,Monson JR

    更新日期:2004-01-01 00:00:00

  • Laparoscopic cholecystectomy to treat patients with asymptomatic gallstones.

    abstract:BACKGROUND/AIMS:The management of patients with silent or asymptomatic gallstones remains controversial. The objective of this study is to determine the complications of laparoscopic cholecystectomy performed to treat patients under 50 years of age with asymptomatic gallstones. METHOD:207 patients, 13-49 years of age ...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000018876

    authors: Coelho JC,Vizzoto AO,Salvalaggio PR,Tolazzi AR

    更新日期:2000-01-01 00:00:00

  • Nutritional Recovery after Open and Laparoscopic Distal Gastrectomy for Early Gastric Cancer: A Prospective Multicenter Comparative Trial (CCOG1204).

    abstract:BACKGROUND:Little information from prospective clinical trials is available on the influences of surgical approaches on postoperative body compositions and nutritional status. We designed a prospective non-randomized trial to compare postoperative chronological changes in body composition and nutritional status between...

    journal_title:Digestive surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1159/000458714

    authors: Matsushita H,Tanaka C,Murotani K,Misawa K,Ito S,Ito Y,Kanda M,Mochizuki Y,Ishigure K,Yaguchi T,Teramoto J,Nakayama H,Kawase Y,Fujiwara M,Kodera Y

    更新日期:2018-01-01 00:00:00

  • Management and Outcome of 64 Patients with Pancreatic Serous Cystic Neoplasms.

    abstract:BACKGROUND:The optimal management approach to pancreatic serous cystic neoplasms (SCNs) is still evolving. METHODS:Consecutive patients with SCN managed at the Liverpool Pancreas Cancer Centre between 2000 and 2013 were retrospectively reviewed. RESULTS:There were 64 patients consisting of 39 women (60.9%) and 25 men...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000442094

    authors: Gomatos IP,Halloran C,Ghaneh P,Raraty M,Polydoros F,Campbell F,Evans J,Sutton R,Garry J,Whelan P,Neoptolemos JP

    更新日期:2016-01-01 00:00:00

  • An alternative conversion technique for salvaging a failed ileal J-pouch-anal anastomosis to a modified H-pouch.

    abstract::Ileal J-pouch-anal anastomosis is a commonly accepted surgical treatment for patients with ulcerative colitis. However, making a J-pouch anal anastomosis can be difficult due to anatomical variations of patients. We experienced an informative case of ulcerative colitis in which the ileal pouch was damaged when it was ...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000105526

    authors: Araki T,Miki C,Yoshiyama S,Ohkita Y,Yasuda H,Kusunoki M

    更新日期:2007-01-01 00:00:00

  • Subtype classification of hepatocellular adenoma.

    abstract::Hepatocellular adenomas (HCA) are rare benign tumours occurring mainly in women under oral contraceptives. HCA bleed frequently and transform rarely into hepatocellular carcinoma. Identification of genes recurrently mutated in HCA and good genotype/phenotype correlations provided the basis of a pathomolecular classifi...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000268406

    authors: Bioulac-Sage P,Balabaud C,Zucman-Rossi J

    更新日期:2010-01-01 00:00:00

  • Primary carcinoids of the liver: a review of symptoms, diagnosis and treatments.

    abstract:INTRODUCTION:To elucidate the clinical presentation, diagnosis and management of primary hepatic carcinoid tumours, a literature search was conducted and summarized. MATERIALS AND METHODS:Published primary hepatic carcinoid tumour case reports and series were searched and selected in the Medline, EMBASE and Cochrane L...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000167021

    authors: Gravante G,De Liguori Carino N,Overton J,Manzia TM,Orlando G

    更新日期:2008-01-01 00:00:00

  • Pancreatic tuberculosis: still a histopathological diagnosis.

    abstract:BACKGROUND:Pancreatic tuberculosis is usually unsuspected as it can present in various forms. Though an uncommon disease, once diagnosed it is potentially curable. PATIENTS AND METHODS:Retrospective review of the records of 9 patients with histologically proven tuberculosis of the pancreas. RESULTS:In none of the 9 p...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000065832

    authors: Chaudhary A,Negi SS,Sachdev AK,Gondal R

    更新日期:2002-01-01 00:00:00

  • Role of perfusion CT in assessing tumor blood flow and malignancy level of gastric cancer.

    abstract:BACKGROUND/AIMS:Intratumoral hemodynamics or tumor perfusion is useful in understanding the pathological background of the cancer. A parameter for a non-invasive, preoperative assessment of tumor perfusion has yet to be developed. METHODS:The study included 50 patients who underwent surgery for gastric cancer. Perfusi...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000288703

    authors: Satoh A,Shuto K,Okazumi S,Ohira G,Natsume T,Hayano K,Narushima K,Saito H,Ohta T,Nabeya Y,Yanagawa N,Matsubara H

    更新日期:2010-01-01 00:00:00