Abstract:
BACKGROUND:Obesity is a complex and multifactorial disease whose incidence has increased, making it a serious public health issue. Laparoscopic sleeve gastrectomy (LSG) is one of the most common surgical procedures that is chosen for bariatric surgery. Decreasing postoperative pain in these patients which will increase patients' compliance and quality of life will lead to better surgical results. This study aims to compare the effectiveness of trocar site infiltration versus bilateral subcostal transversus abdominis plane block (TAP) in controlling postoperative pain in patients. METHODS:Forty-five consecutive patients who have undergone LSG in xxx General Surgery Department have been enrolled in the study. Patients were divided into two groups according to the surgeon's choice. The first group underwent TAP block, while the second group underwent trocar site infiltration. Patients' pain was recorded via visual analogue scale (VAS) in postoperative periods. RESULTS:Twenty-nine female (69%) and 13 (31%) male patients were included in the study. Median age was 41 (18-58) and median BMI was 48 (41.1-68). When the VAS values were compared, in the TAPB group, 6th hour resting and coughing pain was statistically significantly less. Other VAS values measured while resting, coughing, and post-mobilization did not show significant differences. There were no significant differences between the groups' tramadol use. CONCLUSIONS:After LSG, TAP block and trocar site infiltration yield similar pain control. Due to the faster application and fewer side effects, we concluded that trocar site infiltration should be the intervention of choice in controlling postoperative pain in LSG.
journal_name
Obes Surgjournal_title
Obesity surgeryauthors
Coşkun M,Yardimci S,Arslantaş MK,Altun GT,Uprak TK,Kara YB,Cingi Adoi
10.1007/s11695-019-03984-4subject
Has Abstractpub_date
2019-10-01 00:00:00pages
3188-3194issue
10eissn
0960-8923issn
1708-0428pii
10.1007/s11695-019-03984-4journal_volume
29pub_type
杂志文章相关文献
OBESITY SURGERY文献大全abstract:BACKGROUND:Nutrition education is a standard of care in bariatric surgery clinical practice guidelines. Despite its known importance, no studies have documented the trajectory of nutrition knowledge over the course of the bariatric surgery process. Primary objectives included determining changes in bariatric surgery nu...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-015-1846-9
更新日期:2016-05-01 00:00:00
abstract:BACKGROUND:The number of patients after gastric bypass being referred to plastic surgery units for secondary plastic surgery procedures is increasing. The characteristic abdominal deformity includes a draping apron of panniculus, occasionally associated with previous transverse surgical scars in the upper abdomen. Ofte...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-007-9007-4
更新日期:2007-01-01 00:00:00
abstract:BACKGROUND:Bariatric surgery can improve glucose metabolism in obese patients with diabetes, but the factors that can predict diabetes remission are still under discussion. The present study aims to examine the impact of preoperative beta cell function on diabetes remission following surgery. MATERIALS AND METHODS:We ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-016-2300-3
更新日期:2017-02-01 00:00:00
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::Obesity in pediatric patients is rising with nearly one third of children in the USA classified as overweight and up to 16-18% of the adolescent population obese with at least one comorbid condition. Consequently, bariatric procedures in this population have increased without consistent recommendations for follow-up a...
journal_title:Obesity surgery
pub_type: 杂志文章,评审
doi:10.1007/s11695-018-3138-7
更新日期:2018-04-01 00:00:00
abstract::Small-bowel obstruction secondary to internal hernia is a known postoperative complication of laparoscopic Roux-en-Y gastric bypass (RYGBP). Petersen's defect is the most common site of postoperative internal herniation. The authors describe their technique of closure of the infracolic component of the Petersen's defe...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089206777346727
更新日期:2006-06-01 00:00:00
abstract:BACKGROUND:Long-term outcomes of gastric banding regarding depression and predictors of change in depression are still unclear. This prospective, controlled study investigated depression and self-acceptance in morbidly obese patients before and after gastric banding. METHODS:A total of 248 morbidly obese patients (mea...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-007-9316-7
更新日期:2008-03-01 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:Medium and long-term efficacy of Roux-en-Y gastric bypass (RYGBP) has previously been demonstrated. However, weight-loss success criteria could be influenced by super-obesity prevalence at baseline. Here, we describe a 5-year follow-up concerning weight loss results, comorbidities, and mortality of a RYGBP B...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-008-9669-6
更新日期:2009-10-01 00:00:00
abstract:BACKGROUND:Observational studies based on quality-of-life and endoscopy relate sleeve gastrectomy (SG) to gastroesophageal reflux disease (GERD), while some functional studies have demonstrated a decrease in esophageal exposure to gastric acid after SG. Currently, it is recommended to treat hiatal hernia along with the...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-016-2076-5
更新日期:2016-04-01 00:00:00
abstract::Lithium is one of the major treatment options in bipolar disorder. Bariatric surgery can significantly modify the oral bioavailability of drugs, and lithium is no exception; although in most cases drug absorption seems to decrease, in the case of lithium, toxicity is the risk. In this article, we describe a 61-year-ol...
journal_title:Obesity surgery
pub_type: 杂志文章,评审
doi:10.1007/s11695-018-3597-x
更新日期:2019-02-01 00:00:00
abstract:BACKGROUND:Vitamin and mineral deficiencies are common after a sleeve gastrectomy (SG). The aim of this study is to examine the effectiveness of a specialized bariatric multivitamin (WLS Optimum) for SG patients on deficiencies compared with a regular multivitamin (MVS) for up to 5 years. METHODS:Data of all patients ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-019-04191-x
更新日期:2020-02-01 00:00:00
abstract::In this case report, we present an 18-year-old morbidly obese male with complicating hypertensive cardiomyopathy who underwent laparoscopic adjustable gastric band surgery. The patient had multiple comorbidities associated with his obesity, including obstructive sleep apnea, systemic hypertension, asthma, and depressi...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-007-9330-9
更新日期:2008-03-01 00:00:00
abstract::Body fat and lean mass are correlated with bone mineral density, with obesity apparently exerting protection against osteoporosis. The pathophysiological relevance of adipose tissue in bone integrity resides in the participation of adipokines in bone remodeling through effects on deposition and resorption. On the othe...
journal_title:Obesity surgery
pub_type: 杂志文章,评审
doi:10.1007/s11695-008-9548-1
更新日期:2008-09-01 00:00:00
abstract::Ulcer disease in excluded segments after Roux-Y gastric bypass (RYGB) is rare but can evolve into a life-threatening situation. The excluded segments exhibit a different behavior from that of non-altered anatomy; perforated ulcers do not result in pneumoperitoneum or free fluid, and therefore must be met with a low th...
journal_title:Obesity surgery
pub_type: 杂志文章,评审
doi:10.1007/s11695-020-05123-w
更新日期:2020-11-24 00:00:00
abstract:BACKGROUND:In bariatric surgery patients, weight loss and long-term weight maintenance are related to food intake and eating patterns. To improve the diet orientation in the bariatric surgery postoperative period, we assessed the postoperative eating patterns and related them to weight loss. METHODS:This was a transve...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-008-9704-7
更新日期:2009-09-01 00:00:00
abstract:OBJECTIVES:Bariatric surgery is emerging as the most effective treatment option for patients with obesity. Hypothalamic arcuate nucleus plays an important role in metabolic homeostasis. However, the influence of mutations related to the feeding center on weight loss after bariatric surgery is still unclear. We aimed to...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-018-03623-4
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND:Hypovitaminosis D is common, before and after gastric bypass surgery. The prevalence of hypovitaminosis D in a large group of candidates for bariatric surgery in Brazil and South America has not been studied. OBJECTIVE:To evaluate the prevalence of hypovitaminosis D and associated factors in patients underg...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-019-03963-9
更新日期:2019-10-01 00:00:00
abstract:OBJECTIVE:To evaluate whether the baseline Dietary Inflammatory Index (DII®) was associated with weight loss and body composition change after bariatric surgery. METHODOLOGY:This longitudinal study included 132 women with obesity (BMI ≥ 35 kg/m2, 43.0 ± 9.7 years), followed up for 6 months after bariatric surgery. The...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-018-3530-3
更新日期:2019-02-01 00:00:00
abstract:BACKGROUND:Anastomotic strictures after bariatric surgery are a frequent complication that requires endoscopic management, but the optimal technique for dilation remains to be determined. The aim of this study was to evaluate the safety and efficacy of dilation with Savary-Gilliard bougies (SGB) in morbidly obese patie...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-007-9372-z
更新日期:2008-02-01 00:00:00
abstract:BACKGROUND:The rise of bariatric surgery has lead to an increasing number of reoperations for failed bariatric procedures. The reasons and types of these operations are varied in nature and remain to be defined. METHODS:A retrospective review of a prospectively collected database was conducted to identify patients who...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-010-0234-8
更新日期:2011-08-01 00:00:00
abstract:BACKGROUND:Excess dietary fat has been implicated in the etiology of obesity. METHODS:This study examined the fat intake of three weight groups, normal (20.0 < or = BMI < or = 27.0), moderately obese (27.1 < or = BMI < or = 39.9) and severely obese (BMI > or = 40.0). Each group contained 50 subjects. Detailed 3-day fo...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089297765556150
更新日期:1997-02-01 00:00:00
abstract:BACKGROUND:Roux-en-Y gastric bypass (RYGB) for clinically severe obesity (CSO) results in a 'paradoxical' response of the measured resting energy expenditure (MREE) in which the MREE remains within the predicted range based upon the Harris-Benedict (HB) equation, despite a significant decrease in caloric intake to 500-...
journal_title:Obesity surgery
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1381/096089298765554331
更新日期:1998-08-01 00:00:00
abstract:BACKGROUND:Recently, vaspin was identified as a novel adipokine with insulin-sensitizing effects that might be implicated in endogenous glucose regulation. Our objective was to evaluate the impact of acute weight loss and metabolic changes on serum vaspin concentrations in morbidly obese subjects following laparoscopic...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-009-9882-y
更新日期:2010-02-01 00:00:00
abstract:INTRODUCTION:The number of bariatric revisional cases has nearly doubled since 2011, and now comprises 13.6% of the total number of cases. The objective of this study is to evaluate the outcomes and safety of the two most common stapling revisional procedures, namely, sleeve and gastric bypass in comparison to primary ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-018-3140-0
更新日期:2018-08-01 00:00:00
abstract:BACKGROUND:The purpose of the present study is to evaluate the impact of a health psychology-led bariatric rehabilitation service (BRS) on patient weight loss following bariatric surgery at 1 year. METHODS:A single-site open-randomised parallel group control trial based at St. Richard's Hospital in Chichester in the U...
journal_title:Obesity surgery
pub_type: 杂志文章,随机对照试验
doi:10.1007/s11695-014-1428-2
更新日期:2015-03-01 00:00:00
abstract:BACKGROUND:Laparoscopic adjustable gastric banding (LAGB) has gained widespread acceptance. However, the technique has problems intrinsic to the material wear and tear around the port and connecting tubing that can lead to failure. Port complications are considered to be minor; however, few studies have analyzed them, ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/0960892053576604
更新日期:2005-03-01 00:00:00
abstract:BACKGROUND:YouTube™ is a platform that many people, including patients, use to access health information. Recent studies have revealed that videos on YouTube™ are misleading or that medical videos may not contain appropriate information. This study aimed to assess the quality and reliability of videos on nutrition afte...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-020-05015-z
更新日期:2020-12-01 00:00:00
abstract:BACKGROUND:Rodents have been used to examine physiologic changes after bariatric surgery, but differences in gastric/vagal anatomy may limit their utility. Swine may be a more appropriate animal model because of anatomic and physiologic similarities to humans. The aim of this study was to establish a survival model of ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-007-9237-5
更新日期:2007-10-01 00:00:00
abstract::The relevance of a post-gastroplasty physician-and dietitian-supervised support group for weight loss, dietary habits, dietary knowledge, and exercise has been assessed. Two post vertical banded gastroplasty groups were compared: those who did (n = 10) and those who did not (n = 11) attend a monthly post-gastroplasty ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089293765559070
更新日期:1993-11-01 00:00:00