Abstract：
BACKGROUND:Bariatric surgery has become an increasingly popular method for weight loss and mitigation of co-morbidities in the obese population. Like any field, there is a desire to standardize and accelerate the postoperative period while maintaining safe outcomes. METHODS:All laparoscopic sleeve gastrectomies (LSG) and gastric bypasses (LGB) were performed over a 5-year period were logged along with several aspects of postoperative care. Trends were followed in aspects of postoperative care over years as well as any documentation of complications or re-admissions. RESULTS:A total of 545 LSGs and LBPs were performed between 2012 and 2016. Improvements were noted in nearly every field over time, including faster Foley removal, decreased length of hospital stay, decreased use of patient controlled analgesics (PCAs), and faster advancement of diet. There was also an abandonment of utilization of the ICU and step down setting for these patients, leading to significant decreases in hospital cost. There was no change in complications, re-operations, or re-admission in this time period. CONCLUSIONS:The surgeons involved in this project have built a busy bariatric surgery practice, while continually evolving the postoperative algorithm. Nearly every aspect of postoperative care has been deescalated while decreasing length of stay and cost to the hospital. All of this has been obtained without incurring any increase in complications, re-operations, or re-admissions. The authors of this paper hope to use this article as a launching point for a formal advanced recovery pathway for bariatric surgery at their institution and others.
journal_name
Obes Surgjournal_title
Obesity surgeryauthors
Shea B,Boyan W Jr,Botta J,Ali S,Fenig Y,Paulin E,Binenbaum S,Borao Fdoi
10.1007/s11695-017-2873-5subject
Has Abstractpub_date
2017-10-01 00:00:00pages
2742-2749issue
10eissn
0960-8923issn
1708-0428pii
10.1007/s11695-017-2873-5journal_volume
27pub_type
杂志文章相关文献
OBESITY SURGERY文献大全abstract：OBJECTIVES:The study aimed to evaluate the changes in thyroid function and the risk of thyroid tumors after Roux-en-Y gastric bypass (RYGB) surgery. MATERIALS AND METHODS:This was a retrospective study of 117 patients with type 2 diabetes (T2D) and obesity who underwent laparoscopic RYGB (LRYGB) and were followed up f...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-017-2684-8
更新日期：2017-10-01 00:00:00
abstract：:Obesity has been proven to be a significant independent risk factor for hiatal hernia. In morbidly obese patients, the usual techniques to improve gastroesophageal reflux after hiatal hernia repair could have poorer outcomes than in the general population. Laparoscopic Roux-en-Y gastric bypass (LRYGBP) has been demons...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-008-9656-y
更新日期：2010-06-01 00:00:00
abstract：BACKGROUND:Port implantation in adjustable gastric banding (AGB) is usually considered as the least compelling, however, it is one of the very important parts of the operation. Port placement can take up to 10% of the overall AGB operating time, and inadequate technique can result in complications in the short- and lon...
journal_title：Obesity surgery
pub_type： 杂志文章,随机对照试验
doi：10.1381/096089206777346709
更新日期：2006-06-01 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:Dumping syndrome is not infrequent after laparoscopic Roux-en-Y gastric bypass and could result in dreaded complications, such as hypoglycemia or syncope. Those patients who failed medical therapy and diet modification, regarded as intractable dumping syndrome, may be considered as candidates for revisional ...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-015-1607-9
更新日期：2015-05-01 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：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：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：:That obesity in the USA has reached epidemic proportions is undeniable: one in three American adults is obese. High levels of obesity yield adverse microeconomic and macroeconomic effects, but assessing the viability of bariatric surgery in this respect requires careful consideration of its efficacy, its economic cost...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-010-0330-9
更新日期：2011-03-01 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: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: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:The aim of this study was to determine the efficacy of routine upper gastrointestinal imaging following the three forms of laparoscopic bariatric surgery completed at our institution (laparoscopic Roux en Y gastric bypass (LRYGB), laparoscopic sleeve gastrectomy (LS), and laparoscopic adjustable gastric band...
journal_title：Obesity surgery
pub_type： 杂志文章,评审
doi：10.1007/s11695-012-0658-4
更新日期：2012-07-01 00:00:00
abstract：BACKGROUND:Obesity and type 2 diabetes mellitus (T2DM) represent significant healthcare burdens. Surgical management is superior to traditional medical therapy. Laparoscopic sleeve gastrectomy (LSG) and gastric bypass (both Roux-en-Y (RYGB) and one anastomosis gastric bypass (OAGB) are the most commonly performed metab...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-020-04921-6
更新日期：2020-12-01 00:00:00
abstract：OBJECTIVE:The aim of this study was to examine echocardiographic parameters of left ventricle (LV) mechanics in obese patients before and after sleeve gastrectomy (SG). DESIGN AND METHODS:Twenty-five obese individuals submitted to laparoscopic SG were enrolled in this study. Echocardiography was performed before and a...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-019-04216-5
更新日期：2020-02-01 00:00:00
abstract：BACKGROUND:The laparoscopic gastric plication (LGP) is a relative new bariatric procedure that has gained popularity over the last few years, but no real consensus exists and the evidence is unclear, especially in its real efficacy, safety, and durability. METHODS:Retrospective study analyzing the records patients sub...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-016-2242-9
更新日期：2017-01-01 00:00:00
abstract：BACKGROUND:Laparoscopic sleeve gastrectomy (LSG) has become the preferred bariatric procedure in many countries. However, there is one shortcoming of LSG in the long-term follow-up, and this is the onset of gastro-esophageal reflux disease (GERD) and erosive esophagitis (EE). Conversion to Roux-en-Y gastric bypass (RYG...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-020-04913-6
更新日期：2020-12-01 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:The introduction of an endoscopically-placed Bariatric Intragastric Balloon (BIB) provided the opportunity to reexamine weight reduction methods and also study potential weight loss without resorting to surgical intervention. METHODS:10 severely obese patients with mean age 33 years and mean body mass index...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089201321336692
更新日期：2001-06-01 00:00:00
abstract：BACKGROUND:Obesity is a chronic complex disease, consequence of an unbalance between energy intake and expenditure and of the interaction between predisposing genotype and facilitating environmental factors. The aim of the study was to evaluate body composition, abdominal fat, and metabolic changes in a group of severe...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-009-9891-x
更新日期：2009-12-01 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：:The sleeve gastrectomy (SG) is the most popular weight loss procedure in the USA. Despite its popularity, little is definitively known about the variables that correlate with weight loss. We performed a literature search to find studies that reported variables that correlated with weight loss following SG. Forty-eight...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-018-03666-7
更新日期：2019-04-01 00:00:00
abstract：BACKGROUND:Laparoscopic sleeve gastrectomy (LSG) as a single-stage procedure has shown to be effective in achieving significant weight loss and resolving obesity-related co-morbidities. However, its nutrition consequences have not been extensively explored. This study aims to investigate weight loss and evolution of nu...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-016-2211-3
更新日期：2016-12-01 00:00:00
abstract：BACKGROUND:Roux-en-Y gastric bypass (RYGB) is an effective treatment for morbidly obese patients to improve type 2 diabetes mellitus (T2DM). Recently, T2DM patients with a lower body mass index (BMI) have been receiving more attention, and these patients could benefit from RYGB. METHODS:Fifty-two patients with T2DM un...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-020-04534-z
更新日期：2020-07-01 00:00:00
abstract：BACKGROUND:Malnutrition and overweight is a common problem in modern societies. Primary abdominal lipectomy is a standard surgical tool in patients with these problems. However, unknown secondary problems result from recent advances in obesity surgery. Plication of the anterior musculoaponeurotic wall is a widely and c...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-008-9559-y
更新日期：2009-11-01 00:00:00
abstract：BACKGROUND:The effect of laparoscopic sleeve gastrectomy (LSG) on gastroesophageal reflux disease (GERD) is controversial. Although concomitant hiatal hernia repair (HHR) at the time of LSG is common and advocated by many, there are few data on the outcomes of GERD symptoms in these patients. The aim of this study was ...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-015-1737-0
更新日期：2016-01-01 00:00:00
abstract：BACKGROUND:Obesity is increasing in Turkey. The first experience with vertical banded gastroplasty (VBG) with regular intermediate-term follow-up in the Aegean Region of Turkey is presented. METHODS:From November 1993 to August 1999, 40 morbidity obese patients underwent VBG. The patients were evaluated on the basis o...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089201321209387
更新日期：2001-08-01 00:00:00
abstract：BACKGROUND AND AIMS:Since redo surgery is associated with a high risk of morbidity and mortality after bariatric surgery in case of leakage, we sought to evaluate whether endoscopic drainage and debridement of collections following bariatric surgery is an efficient step-up approach to the management of these complicati...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-015-1854-9
更新日期：2015-11-01 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：BACKGROUND:This study evaluated early and medium-term changes in bone turnover markers, and their associations with weight loss, total bone mineral density (BMD), and hormonal changes after biliopancreatic diversion (BPD). METHODS:Ancillary study from a one-year prospective cohort of 16 individuals assessed before, 3 ...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-018-3617-x
更新日期：2019-03-01 00:00:00
