Is There a Better Design for a Bariatric Procedure? The Case for a Single Anastomosis Duodenal Switch.

Abstract:

:The majority of bariatric surgical stapling procedure concepts were developed prior to the understanding of obesity as an energy storage disease. Conventional treatments did not consider the impact of macronutrients on hormones and glucose variability. Current recommendations suggest diets low in glycemic load, with moderate protein and unsaturated fat. Roux-en-Y gastric bypass promotes glucose variability which can be harmful for health and encourage weight regain. Classic duodenal switch with short common channels may prevent absorption of measurable fat-soluble vitamins and frequently untested essential fatty acids. The purpose of this review is to discuss these factors and explain why single anastomosis duodenal switch reduces glucose variability, allows for absorption of critical fats and fat-soluble vitamins, and has potential to offer better weight loss and metabolic outcomes.

journal_name

Obes Surg

journal_title

Obesity surgery

authors

Roslin M,Tugertimur B,Zarabi S,Cottam D

doi

10.1007/s11695-018-3535-y

subject

Has Abstract

pub_date

2018-12-01 00:00:00

pages

4077-4086

issue

12

eissn

0960-8923

issn

1708-0428

pii

10.1007/s11695-018-3535-y

journal_volume

28

pub_type

杂志文章,评审
  • Comparison of Great Curvature Plication with Duodenal-Jejunal Bypass (GCP-DJB) and Sleeve Gastrectomy (SG) on Metabolic Indices and Gut Hormones in Type 2 Diabetes Mellitus Rats.

    abstract:OBJECTIVE:The present study compared the therapeutic effects of great curvature plication with duodenal-jejunal bypass (GCP-DJB) and the commonly used sleeve gastrectomy (SG) in rats with type 2 diabetes mellitus (T2DM). METHODS:The rats were randomly divided into three groups: Control group (n = 6), SG group (n = 6),...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-018-3459-6

    authors: Qiu NC,Li W,Liu ME,Cen XX,Shan CX,Zhang W,Liu Q,Wang Y,Zhu YT,Qiu M

    更新日期:2018-12-01 00:00:00

  • HIV Infection Is Not a Contraindication to Laparoscopic Sleeve Gastrectomy for Morbid Obesity.

    abstract:BACKGROUND:The efficacy of antiretroviral therapy has made HIV a chronic condition. The prevalence of obesity in HIV positive patients has subsequently risen and is present in 6-34% of men and 21-30% of women (Keithley et al. J Assoc Nurses AIDS Care 20(4):260-74, 2009). Sleeve gastrectomy is a safe and effective proce...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-017-2865-5

    authors: Panko N,Dunford G,Lutfi R

    更新日期:2018-02-01 00:00:00

  • Effects of two variants of Roux-en-Y Gastric bypass on metabolism behaviour: focus on plasma ghrelin concentrations over a 2-year follow-up.

    abstract:BACKGROUND:To study the effects of two variants of Roux-en-Y gastric bypass (RYGBP) on plasma ghrelin concentrations according to different exposure of gastric fundus to the nutrient pathway. METHODS:A prospective longitudinal 2-year follow-up study was conducted. Ninety-six morbidly obese (MO) patients (age range: 41...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-009-0035-0

    authors: Pérez-Romero N,Serra A,Granada ML,Rull M,Alastrué A,Navarro-Díaz M,Romero R,Fernández-Llamazares J

    更新日期:2010-05-01 00:00:00

  • Clinical Outcomes of Laparoscopic Greater Curvature Plication and Laparoscopic Sleeve Gastrectomy: a Case-Matched Control Study.

    abstract:BACKGROUND:Laparoscopic greater curvature plication (LGCP) is a new bariatric procedure that is similar to laparoscopic sleeve gastrectomy (LSG) in that it uses a restrictive mechanism. Comparative studies between LGCP and LSG were still limited. The aim of this study was to compare the clinical outcomes of the two pro...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-018-3527-y

    authors: Li YH,Wang BY,Huang YC,Tsao LC,Chan CP,Huang CY,Chang HC

    更新日期:2019-02-01 00:00:00

  • Preoperative Intermaxillary Fixation has no Influence on Weight Loss Induced by Vertical Banded Gastroplasty.

    abstract::Surgery is the only therapeutic modality that has shown lasting results in the treatment of morbid obesity. Ability to lose weight by voluntary dieting has been associated with unsatisfactory weight loss after gastroplasty. This report examines the effect of preoperative inter-maxillary fixation (IMF) on weight reduct...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089293765559287

    authors: Hedenbro J,Frederiksen S,Jansson O,Jisander S

    更新日期:1993-08-01 00:00:00

  • Metabolic Outcomes of Laparoscopic Diverted Sleeve Gastrectomy with Ileal Transposition (DSIT) in Obese Type 2 Diabetic Patients.

    abstract:BACKGROUND:Bariatric surgical techniques are based on mechanical restriction rather than functional restriction. Our purpose is to analyze the outcomes of diverted sleeve gastrectomy with ileal transposition (DSIT) as a mode of functional restrictive therapeutic option for class II and class III obese type 2 diabetes m...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-015-1671-1

    authors: Celik A,Ugale S,Ofluoglu H,Vural E,Cagiltay E,Cat H,Asci M,Celik BO

    更新日期:2015-11-01 00:00:00

  • Prevalence of undiagnosed and inadequately treated type 2 diabetes mellitus, hypertension, and dyslipidemia in morbidly obese patients who present for bariatric surgery.

    abstract:BACKGROUND:Pharmacotherapy is considered the primary treatment modality for diabetes mellitus (DM), hypertension (HTN), and dyslipidemia (DYS). We sought to investigate the status of DM, HTN, and DYS in patients who seek bariatric surgery. METHODS:Demographic and comorbidity history were prospectively collected on 1,5...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-014-1196-z

    authors: Mostaedi R,Lackey DE,Adams SH,Dada SA,Hoda ZA,Ali MR

    更新日期:2014-06-01 00:00:00

  • The Effect of Chest Physiotherapy After Bariatric Surgery on Pulmonary Functions, Functional Capacity, and Quality of Life.

    abstract:PURPOSE:The aim of this study was to investigate the effect of chest physiotherapy (CP) applied to patients undergoing bariatric surgery on pulmonary functions, dyspnea levels, functional capacity, and quality of life. METHODS:The patients were randomized and divided into two groups each comprising 74 patients. CP and...

    journal_title:Obesity surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s11695-019-04165-z

    authors: Duymaz T,Karabay O,Ural IH

    更新日期:2020-01-01 00:00:00

  • A meta-analysis: to compare the clinical results between gastric bypass and sleeve gastrectomy for the obese patients.

    abstract::We attempted to compare the effects of two kinds of surgery for obesity: laparoscopic gastric bypass (LGB) and laparoscopic sleeve gastrectomy (LSG). We performed an electronic literature search of published articles relating to obesity surgery since inception to July 2012, in which LGB was compared with LSG for patie...

    journal_title:Obesity surgery

    pub_type: 杂志文章,meta分析

    doi:10.1007/s11695-013-0938-7

    authors: Yang X,Yang G,Wang W,Chen G,Yang H

    更新日期:2013-07-01 00:00:00

  • Routine trans-abdominal ultrasonography before laparoscopic sleeve gastrectomy: the findings.

    abstract::Although some bariatric guidelines reserve pre-operative trans-abdominal ultrasonography screening for symptomatic patients and those with elevated liver enzymes, there has yet to exist a general consensus regarding this issue. Some centers still employ its use as a vital step in the workup of the bariatric patient. T...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-013-1092-y

    authors: Almazeedi S,Al-Sabah S,Alshammari D

    更新日期:2014-03-01 00:00:00

  • Bleeding from the upper gastrointestinal tract after Mason's vertical banded gastroplasty.

    abstract:BACKGROUND:Gastric bleeding is a rare complication after a vertical banded gastroplasty (VBG). Only a few cases of gastric bleeding after a VBG have been reported, and there is discussion about its etiology. We present two cases of gastric bleeding after a VBG, and discuss the etiology, diagnostic approach and manageme...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089200321594219

    authors: Papakonstantinou A,Terzis L,Stratopoulos C,Mablekou E,Papadimitriou N,Hadjiyannakis E

    更新日期:2000-12-01 00:00:00

  • Serum Leptin, Obestatin, and Ghrelin Levels and Gastric Emptying Rates of Liquid and Solid Meals in Non-obese Rats with Roux-en-Y Bypass Surgery or Prosthesis Placement: Implications for the Role of Vagal Afferents.

    abstract:BACKGROUND:The present study aimed to investigate the effects of Roux-en-Y gastric bypass (RYGB) and prosthesis placement on gastric emptying rate in conjunction with serum ghrelin-obestatin-leptin responses in non-obese rats with intact or denervated afferent innervation. METHODS:Under anesthesia, male Sprague-Dawley...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-016-2420-9

    authors: Yavuz Y,Kumral ZN,Memi G,Çevik ÖD,Yeğen C,Yeğen BÇ

    更新日期:2017-04-01 00:00:00

  • The results of a surgical complication protection program (BLIS, Inc.) for private pay bariatric patients in the U.S.: 2006-2011.

    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

    authors: Chebli JE,Schindler R

    更新日期:2012-11-01 00:00:00

  • Self-Reported Eating Disorder Symptoms Before and After Gastric Bypass and Duodenal Switch for Super Obesity--a 5-Year Follow-Up Study.

    abstract:BACKGROUND:This study assessed eating disorder pathology in persons with obesity before and after Roux-en-Y gastric bypass (RYGB) and biliopancreatic diversion with duodenal switch (DS), in a 5-year follow-up study. METHODS:Sixty participants with BMI 50-60 kg/m(2) were randomly assigned to RYGB (n = 31) or DS (n = 29...

    journal_title:Obesity surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s11695-015-1790-8

    authors: Morseth MS,Hanvold SE,Rø Ø,Risstad H,Mala T,Benth JŠ,Engström M,Olbers T,Henjum S

    更新日期:2016-03-01 00:00:00

  • The first report on hybrid NOTES adjustable gastric banding in human.

    abstract:BACKGROUND:Despite their current limitations, metabolic surgery and natural orifice transluminal endoscopic surgery (NOTES), set new horizons. In this article, the first three cases of adjustable gastric banding (AGB) through transvaginal access in obese women are described. METHODS:In the General and Vascular Surgery...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-010-0130-2

    authors: Michalik M,Orlowski M,Bobowicz M,Frask A,Trybull A

    更新日期:2011-04-01 00:00:00

  • Clinical characteristics and outcome of morbidly obese bariatric patients with concurrent hepatitis B viral infection.

    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

    authors: Lee WJ,Wang W,Lee YC,Huang MT

    更新日期:2008-05-01 00:00:00

  • Jejunojejunal anastomotic obstruction following laparoscopic Roux-en-Y gastric bypass due to non-absorbable suture: a report of seven cases.

    abstract:INTRODUCTION:Small bowel obstruction (SBO) is a well-known complication of laparoscopic Roux-en-Y gastric bypass (LRYGBP). We describe 7 cases of jejunojejunal anastomotic obstruction related to adhesion formation after closure of the mesenteric "leaves" defect with non-absorbable suture. METHODS:All patients undergoi...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089206775222131

    authors: Gumbs AA,Duffy AJ,Chandwani R,Bell RL

    更新日期:2006-01-01 00:00:00

  • Gastroesophageal reflux disease in morbid obesity: the effect of Roux-en-Y gastric bypass.

    abstract:BACKGROUND:Gastroesophageal reflux disease (GERD) is a common condition in obesity. The impact of Roux-en-Y gastric bypass (RYGBP) on GERD is poorly known. We studied the effect of the RYGBP on GERD in patients with morbid obesity (MO). METHODS:Twenty consecutive patients with MO (BMI > 40 kg/m(2)) were studied before...

    journal_title:Obesity surgery

    pub_type: 临床试验,杂志文章

    doi:10.1007/s11695-008-9474-2

    authors: Mejía-Rivas MA,Herrera-López A,Hernández-Calleros J,Herrera MF,Valdovinos MA

    更新日期:2008-10-01 00:00:00

  • The incidence of clinical postoperative thrombosis after gastric surgery for obesity during 16 years.

    abstract:BACKGROUND:Suggested risk factors for postoperative thrombosis such as high fatty acid levels, hypercholesterolemia and diabetes are common in obese patients. METHODS:In a retrospective study, the case records of 328 patients operated for obesity by gastric procedure from September 1977 until December 1993 were analyz...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089297765555575

    authors: Eriksson S,Backman L,Ljungström KG

    更新日期:1997-08-01 00:00:00

  • Gastric Bypass Distal Roux-en-Y with Jejunal Interposition.

    abstract::Gastric bypass with jejunal interposition is a version of the distal Roux-en-Y. Ninety cm of the jejunum is interposed between the gastric stoma and the ileum. This new procedure initially was used in super-obese patients mainly to facilitate the gastric anastomosis. ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089293765559584

    authors: Torres JC

    更新日期:1993-05-01 00:00:00

  • Bariatric Surgery Is Associated with a Recent Temporal Increase in Colorectal Cancer Resections, Most Pronounced in Adults Below 50 Years of Age.

    abstract:BACKGROUND:Colorectal cancer incidence is rising in adults < 50 years old, possibly due to obesity. Having bariatric surgery (BRS) should hypothetically reduce this trend, but data are limited. This study compared trends of colorectal cancer (CRC) versus other obesity-related gastrointestinal cancers (OGCs) between mor...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-020-04902-9

    authors: Hussan H,Patel A,Akinyeye S,Porter K,Ahnen D,Lieberman D

    更新日期:2020-12-01 00:00:00

  • Effect of Laparoscopic Roux-en-Y Gastric Bypass Surgery on Thyroid Hormone Levels in Chinese Patients, Could It Be a Risk for Thyroid Nodules?

    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

    authors: Zhang H,Liu W,Han X,Yu H,Zhang P,Jia W

    更新日期:2017-10-01 00:00:00

  • Abdominal actinomycosis: a rare complication after laparoscopic gastric bypass.

    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

    authors: Baierlein SA,Wistop A,Looser C,Peters T,Riehle HM,von Flüe M,Peterli R

    更新日期:2007-08-01 00:00:00

  • Thoracic Duct Narrowing-Innovative Technique Restraining Weight Gain in Rats.

    abstract:BACKGROUND:The lymphatic system is responsible for the absorption of fats from the digestive system, conveying 60-70 % of ingested fat to the blood stream. From the anatomical point of view, all the lymphatic drainage from the lower half of the body converges in the abdomen to enter the thoracic duct. This experimental...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-015-1917-y

    authors: Rosenzweig B,Barshack I,Harats D,Shaish A

    更新日期:2015-12-01 00:00:00

  • Preoperative and Postoperative Assessments of Biochemical Parameters in Patients with Severe Obesity Undergoing Laparoscopic Sleeve Gastrectomy.

    abstract:BACKGROUND:The study aim was to determine the prevalence of abnormal serum biochemistries associated with micronutrient deficiencies before and after laparoscopic sleeve gastrectomy (LSG). METHODS:Two hundred and one patients had LSG surgery between May 2011 and May 2014. Using a prospective cohort study design, data ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-017-3007-9

    authors: Gregory DM,Twells LK,Lester KK,Midodzi WK,Pedersen MR,Pace D,Smith C,Boone D,Randell EW,Kovacs CS

    更新日期:2018-08-01 00:00:00

  • Voice feature characteristic in morbid obese population.

    abstract:BACKGROUND:Morbid obesity is highly prevalent in the Western World, and its consequences present a real public health challenge. Voice alterations can represent one of these consequences and represent an opportunity for interference with therapeutic methods. This particularly features of the individual's voice was the ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-009-9959-7

    authors: da Cunha MG,Passerotti GH,Weber R,Zilberstein B,Cecconello I

    更新日期:2011-03-01 00:00:00

  • An Analysis of Mid-Term Complications, Weight Loss, and Type 2 Diabetes Resolution of Stomach Intestinal Pylorus-Sparing Surgery (SIPS) Versus Roux-En-Y Gastric Bypass (RYGB) with Three-Year Follow-Up.

    abstract:BACKGROUND:For many years, the Roux-en-Y Gastric Bypass (RYGB) was considered a good balance of complications and weight loss. According to several short-term studies, single anastomosis duodenal switch or stomach intestinal pylorus sparing surgery (SIPS) offers similar weight loss to RYGB with fewer complications and ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-018-3309-6

    authors: Cottam A,Cottam D,Zaveri H,Cottam S,Surve A,Medlin W,Richards C

    更新日期:2018-09-01 00:00:00

  • Monitoring of Liver Function Tests after Roux-en-Y Gastric Bypass: An Examination of Evidence Base.

    abstract::There is no consensus on the monitoring of liver function tests after Roux-en-Y gastric bypass (RYGB). Since the main objective of such monitoring would be to diagnose early those who will eventually develop liver failure after RYGB, we performed a systematic review on this topic. An extensive search of literature rev...

    journal_title:Obesity surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s11695-016-2280-3

    authors: Mahawar KK,Parmar C,Graham Y,De Alwis N,Carr WR,Jennings N,Small PK

    更新日期:2016-10-01 00:00:00

  • Utilization of intensive care resources in bariatric surgery.

    abstract:BACKGROUND:Obese patients occasionally require either elective or emergency critical care services following bariatric surgery. We describe this subgroup of patients. METHODS:From July 1, 1991 to July 31, 2004, we performed 1,279 bariatric operations; 241 (19%) required admission to the surgical critical care service....

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089205774512681

    authors: Cendán JC,Abu-aouf D,Gabrielli A,Caruso LJ,Rout WR,Hocking MP,Layon AJ

    更新日期:2005-10-01 00:00:00

  • A Study on Predicting Weight Loss Following Surgical Treatment for Obesity.

    abstract::To date, longitudinal weight loss analyses (curve-fitting) have been complicated by non-linear weight patterns, incomplete follow-up, and varied follow-up times. Therefore, the cross-sectional design (one time point survey) was chosen to study predictors of weight loss at yearly postoperative time intervals (+/- 6 mon...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089294765558863

    authors: Jeng G,Renquist K,Doherty C,Mason EE

    更新日期:1994-02-01 00:00:00