Abstract:
:Preoperative interventions aimed at patients referred for bariatric surgery continue to divide funders, commissioners, and practitioners alike. A number of preoperative interventions and variables have been used to influence patient selection. Many of these are believed to lead to better postoperative outcomes by helping target a limited resource (bariatric surgery) at those most likely to benefit. Inevitably, this leads to competition amongst patients and some being denied benefits of surgery. There is a risk that these strategies for resource allocation may actually deprive the most vulnerable and those most in need. This review examines evidence and justification behind popular preoperative interventions for patients being considered for bariatric surgery patients in the light of published English language scientific literature.
journal_name
Obes Surgjournal_title
Obesity surgeryauthors
Mahawar KK,Parmar C,Carr WR,Jennings N,Schroeder N,Balupuri S,Small PKdoi
10.1007/s11695-015-1738-zsubject
Has Abstractpub_date
2015-08-01 00:00:00pages
1527-33issue
8eissn
0960-8923issn
1708-0428journal_volume
25pub_type
杂志文章,评审相关文献
OBESITY SURGERY文献大全abstract:BACKGROUND:The impact of intragastric balloon (IGB) on obesity-related illnesses and quality of life (QOL) has not been previously investigated. METHOD:One hundred and nineteen consecutive obese patients (86 females; mean age 37.8; mean body weight (BW) 103.7 +/- 24.1 kg; mean BMI 38.4 +/- 8.0 kg/m(2)) who underwent I...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-008-9766-6
更新日期:2010-08-01 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::Adipose tissue is considered as an endocrine organ, which is developed in specific depots, distinguished either as subcutaneous or visceral. Lipectomy, by means of liposuction or abdominoplasty, is a common plastic surgery procedure, which can remove substantial amounts of subcutaneous fat. This systematic review aims...
journal_title:Obesity surgery
pub_type: 杂志文章,评审
doi:10.1007/s11695-015-1797-1
更新日期:2015-10-01 00:00:00
abstract:BACKGROUND:A König's syndrome is referred to abdominal pain in relation to meals with constipation alternated with diarrhea, meteorism, and abdominal distension. A postoperative long-term complication after Roux-en-Y gastric bypass could be the appearance of chronic abdominal pain associated with vomiting, dysphagia, a...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-020-04563-8
更新日期:2020-08-01 00:00:00
abstract:BACKGROUND:To create a bond between the technique proposed and the patient, flexibility and adaptability are indispensable. Thus, we devised the functional gastric bypass, which can be activated and deactivated by inflating or deflating the Lap-Band. METHODS:The Lap-Band was positioned according to the standard techni...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089202320995754
更新日期:2002-12-01 00:00:00
abstract:BACKGROUND:Obese patients have a propensity to desaturate during induction of general anesthesia secondary to their reduced functional residual capacity and increased oxygen consumption. Apneic oxygenation can provide supplemental oxygen to the alveoli, even in the absence of ventilation, during attempts to secure the ...
journal_title:Obesity surgery
pub_type: 杂志文章,随机对照试验
doi:10.1007/s11695-019-04077-y
更新日期:2019-12-01 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::A peculiar category of persons with obesity lacking common metabolic disturbances has been depicted and termed as metabolically healthy obesity (MHO). Yet, although MHO patients are free of obesity-associated complications, they might not be entirely precluded from developing cardio-metabolic disorders. Among patients...
journal_title:Obesity surgery
pub_type: 杂志文章,评审
doi:10.1007/s11695-019-03964-8
更新日期:2019-09-01 00:00:00
abstract:BACKGROUND:Obesity surgery mortality risk scoring system (OS-MRS) classifies patients into high, intermediate and low risk, based on age, body mass index, sex and other comorbidities such as hypertension and history of pulmonary embolism. High-risk patients not only have a higher mortality but are more likely to develo...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-018-3322-9
更新日期:2018-10-01 00:00:00
abstract:BACKGROUND:The definition of success and failure of a bariatric procedure should include weight loss as well as improvement in comorbidity and quality of life assessment. The Bariatric Analysis and Reporting Outcome System (BAROS), introduced by Oria and Moorhead in 1997, seems to provide a standard for comparison in t...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089298765554052
更新日期:1998-10-01 00:00:00
abstract:BACKGROUND:Laparoscopic adjustable gastric banding (LAGB) is the third most popular bariatric procedure worldwide. Various authors present ambivalent long-term follow up results. METHODS:We revised records of the patients who underwent LAGB between 2003 and 2006 along with history of additional check-ins. Patients wit...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-016-2435-2
更新日期:2017-05-01 00:00:00
abstract::In bariatric surgery, laparoscopic adjustable gastric banding (LAGB) has proven effective in reducing weight and improving obesity-associated comorbidities. Recently, however, laparoendoscopic single-site (LESS) surgery has been proposed to minimize the invasiveness of laparoscopic surgery. The aim of this study is to...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-010-0259-z
更新日期:2011-07-01 00:00:00
abstract:BACKGROUND:Dehydroepiandrosterone-sulfate (DHEA-S) has been described as a protector agent against obesity-related pathologies, although the mechanism of action is still unknown. We have shown that DHEA-S acts on adipose tissue (AT), altering the fatty acid (FA) profile in rodents. Thus, we could hypothesize that some ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-009-0064-8
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:Post intragastric balloon placement symptoms like nausea and vomiting have been the major cause of a high rate of early removal. Common therapy with ondansetron alone, or in combination, with prokinetic agents have been shown to have very little or no effect. Recently, an improved therapy based on aprepitant...
journal_title:Obesity surgery
pub_type: 杂志文章,多中心研究
doi:10.1007/s11695-019-03937-x
更新日期:2019-09-01 00:00:00
abstract:BACKGROUND:Physiological and psychosocial factors might contribute to differences in weight loss, eating behaviour and health-related quality of life (HRQoL) after bariatric surgery. The aim of this study was to investigate how perceived control over eating changes after bariatric surgery and whether it affects outcome...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-015-1652-4
更新日期:2015-06-01 00:00:00
abstract:BACKGROUND:Among bariatric operations, laparoscopic adjustable gastric banding (LAGB) has been the preferred one in Europe and Australia, and has become recently popular in the USA. Like every surgical procedure, however, it is not devoid of specific complications, like slippage, band erosion, outlet obstruction and po...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089206778392329
更新日期:2006-09-01 00:00:00
abstract::Single-anastomosis duodenoileal bypass with sleeve gastrectomy (SADI-S) is a simplified biliopancreatic diversion. The objective of this study was to develop a reproducible animal model for SADI-S. We used three techniques for duodenal exclusion and duodenoileal anastomosis: (a) surgical clip and side-to-side anastomo...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-018-3254-4
更新日期:2018-07-01 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:Roux-en-Y gastric bypass (RYGBP) is presently one of the most popular surgical procedures for obesity. One of the possible long-term problems is weight regain, usually after a period of successful weight loss. Weight regain after RYGBP can be due to new eating habits, like sweet-eating or grazing, or volume ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-009-9807-9
更新日期:2009-05-01 00:00:00
abstract:BACKGROUND:Validated equations for body composition analysis using bioelectrical impedance (BIA) in morbidly obese (MO) subjects are scarce. Thus, our aim was todevelop new equations from physical and BIA parameters to estimate whole-body and segmental body composition inMO subjects, with dual-energy X-ray absorptiomet...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-011-0570-3
更新日期:2012-04-01 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:Roux-en-Y gastric bypass (LRYGB) has weight-independent effects on glycemia in obese type 2 diabetic patients, whereas sleeve gastrectomy (LSG) is less well characterized. This study aims to compare early weight-independent and later weight-dependent glycemic effects of LRYGB and LSG. METHODS:Eighteen LRYGB...
journal_title:Obesity surgery
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1007/s11695-017-3061-3
更新日期:2018-06-01 00:00:00
abstract:BACKGROUND:Bariatric surgery allows stable body weight reduction in morbidly obese patients. In presurgical evaluation, obesity-related co-morbidities must be considered, and a multidisciplinary approach is recommended. Precise guidelines concerning the endocrinological evaluation to be performed before surgery are not...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-010-0297-6
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:The duodenal-jejunal bypass liner (DJBL) represents a novel endoscopic minimally invasive treatment option for obesity-associated type 2 diabetes (T2D), affecting body weight and metabolic control. Until now, the effects of DJBL on cardiovascular risk have never been investigated. METHODS:Between 2012 and 2...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-019-04324-2
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND:The Bioenterics Intragastric Balloon (BIB) is effective for weight loss. However, comparisons of its effectiveness between groups with different body mass index (BMI) are rare. This study compared the effectiveness of BIB treatment in patients with BMI <32 kg/m(2) and those with BMI ≥ 32 kg/m(2) at the time ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-013-1027-7
更新日期:2013-12-01 00:00:00
abstract:BACKGROUND:Severely obese women have higher obstetric risks and poorer neonatal outcomes. Weight loss reduces obstetric risk. The introduction of a laparoscopically-placed adjustable gastric band, a safe and effective method of weight loss, has given us the ability and responsibility to adjust the band in relation to p...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089201321454123
更新日期:2001-02-01 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::Many centers advocate close patient follow-up and a multidisciplinary approach as necessary ingredients for the success of a bariatric surgery program. The military medical environment is not suitable for these conditions. Many patients are referred from great distances to the large regional medical centers, thereby p...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089294765558449
更新日期:1994-08-01 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:The authors evaluated the usefulness of routine traditional radiology in the management of patients submitted to VBG. METHODS:Radiological findings in 65 subjects who had undergone VBG were evaluated. Post-surgical clinical and radiological examinations were performed 3 days, 1, 4 and 12 months after surger...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089202321144595
更新日期:2002-02-01 00:00:00