The Nissen-Sleeve (N-Sleeve): Results of a Cohort Study.

Abstract:

BACKGROUND:The Montpellier bariatric team has recently proposed some technical alternatives to decrease the rate of gastroesophageal reflux disease (GERD) after bariatric surgery and also to offer patients an alternative in case of contraindication to Roux-en-Y gastric bypass (RYGBP): the Nissen-Sleeve (N-Sleeve). OBJECTIVES:We present here the results from a cohort of patients that underwent an operation with this newly designed anti-reflux bariatric procedure N-Sleeve: Nissen valve added to a standard SG. METHODS:Data from a prospective, observational, and monocentric cohort. All consecutive patients presenting to the bariatric surgery department for a laparoscopic sleeve gastrectomy between 2016 and 2018 with GERD were included in the study. The fundus was stapled with a margin from the valve, and the valve was created with tissue at a distance from the greater curvature so as to avoid a double layer stapling of the stomach. RESULTS:A total of 70 patients were included in the study. Ninety percent of the cohort presented with a hiatal hernia at the time of surgery. No mortality was observed during the follow-up period. Concerning GERD, 76% of all patients had preoperative esophageal syndromes, whereas 21% were asymptomatic with associated esophagitis. Grade A-C esophagitis was present in 99% of the cohort, but no Barrett's esophagus was present. Fifty-six (80%) patients used PPIs regularly. At 1 year of follow-up, one patient was still symptomatic. CONCLUSIONS:Comparative trials remain necessary between N-Sleeve and standard bariatric procedures to refine the specific indications of each of them and determine the eventual role of the N-Sleeve.

journal_name

Obes Surg

journal_title

Obesity surgery

authors

Amor IB,Casanova V,Vanbiervliet G,Bereder JM,Habitan R,Kassir R,Gugenheim J

doi

10.1007/s11695-020-04469-5

subject

Has Abstract

pub_date

2020-09-01 00:00:00

pages

3267-3272

issue

9

eissn

0960-8923

issn

1708-0428

pii

10.1007/s11695-020-04469-5

journal_volume

30

pub_type

杂志文章
  • 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

  • Primary hyperparathyroidism after Roux-en-Y gastric bypass.

    abstract:BACKGROUND:Primary hyperparathyroidism (PHPT) in the setting of previous roux-en-Y gastric bypass (RYGBP) is not well described. The diagnosis can be difficult, as secondary hyperparathyroidism (SHPT) commonly occurs in patients after RYGBP due to calcium malabsorption and vitamin D deficiency. METHODS:All patients fr...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-014-1444-2

    authors: Chen Y,Lubitz CC,Shikora SA,Hodin RA,Gaz RD,Moore FD Jr,McKenzie TJ

    更新日期:2015-04-01 00:00:00

  • Preoperative Interventions for Patients Being Considered for Bariatric Surgery: Separating the Fact from Fiction.

    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 help...

    journal_title:Obesity surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s11695-015-1738-z

    authors: Mahawar KK,Parmar C,Carr WR,Jennings N,Schroeder N,Balupuri S,Small PK

    更新日期:2015-08-01 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

  • Bariatric surgery in morbidly obese patients in wheelchairs.

    abstract::Two morbidly obese patients are presented. The first patient is a 38-year-old superobese female with BMI 56.2 in a wheelchair secondary to multiple sclerosis. The second patient is a 49-year-old female with BMI 47.7 confined to a wheelchair secondary to spinal cord transection due to a motor vehicle accident. Both pat...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-008-9466-2

    authors: Lutrzykowski M

    更新日期:2008-12-01 00:00:00

  • Employment Outcomes 2 Years After Bariatric Surgery: Relationship to Quality of Life and Psychosocial Predictors.

    abstract:OBJECTIVES:Bariatric surgery is the most effective long-term treatment for severe obesity. In addition to sustained weight loss, bariatric surgery can result in improvements in mental and physical health-related quality of life (HRQOL) and, consequently, work capacity. The purpose of our study was to evaluate changes t...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-019-03905-5

    authors: Kantarovich K,Wnuk S,Cassin S,Hawa R,Sockalingam S

    更新日期:2019-09-01 00:00:00

  • The Effect of Laparoscopic Sleeve Gastrectomy with Concomitant Hiatal Hernia Repair on Gastroesophageal Reflux Disease in the Morbidly Obese.

    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

    authors: Samakar K,McKenzie TJ,Tavakkoli A,Vernon AH,Robinson MK,Shikora SA

    更新日期:2016-01-01 00:00:00

  • Antidepressant drug therapy does not affect weight loss one year after gastric bypass surgery.

    abstract:BACKGROUND:Preliminary data suggest that patients with actively treated depression should expect the same outcomes after surgery. The objective of this study was to compare weight loss 12 months after gastric bypass surgery in patients taking antidepressants before surgery (AD) versus those who were not (non-AD). METH...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-010-0351-4

    authors: Malone M,Alger-Mayer SA,Polimeni JM

    更新日期:2011-11-01 00:00:00

  • Histological findings in the liver before and after gastric bypass.

    abstract:BACKGROUND:Bariatric surgery results in massive loss of excess weight, changes in co-morbidities and improvement in quality of life. In these patients, liver histology taken before or during surgery reveals several histological abnormalities. In a prospective study of patients previously submitted to gastric bypass, we...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089206776944904

    authors: Csendes A,Smok G,Burgos AM

    更新日期:2006-05-01 00:00:00

  • Food Intolerance 1 Year After Banded Roux-En-Y Gastric Bypass.

    abstract::The purpose of this study is to evaluate the food intolerance after banded Roux-en-Y gastric bypass (RYGB), correlating the data of food ingestion. METHODS: This is an observational prospective study, which evaluated the individuals before and 3, 6, and 12 months after banded RYGB. We performed an anthropometric evalu...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-018-3544-x

    authors: Gobato RC,Cazzo E,Baltieri L,Modena DAO,Chaim EA

    更新日期:2019-02-01 00:00:00

  • Sleeve Gastrectomy in Different Age Groups: a Comparative Study of 5-Year Outcomes.

    abstract:BACKGROUND:Laparoscopic sleeve gastrectomy (LSG) has been used more frequently over the past 10 years. As the population ages, a larger number of older people will suffer from weight-related comorbidities, resulting in bariatric surgery becoming a dominant solution for improving health and quality of life. We assessed ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-015-1735-2

    authors: Keren D,Matter I,Rainis T

    更新日期:2016-02-01 00:00:00

  • Manometry of the Upper Gut Following Roux-en-Y Gastric Bypass Indicates That the Gastric Pouch and Roux Limb Act as a Common Cavity.

    abstract:BACKGROUND:The motility of the upper gut after Roux-en-Y gastric bypass (RYGBP) is underexplored. We aimed to investigate the oesophago-gastro-Roux limb motor activity during fasting and after food intake. METHODS:Eighteen morbidly obese patients were examined at least 2 years after RYGBP. A high-resolution manometry ...

    journal_title:Obesity surgery

    pub_type: 临床试验,杂志文章

    doi:10.1007/s11695-015-1639-1

    authors: Björklund P,Lönroth H,Fändriks L

    更新日期:2015-10-01 00:00:00

  • Long-Term Quality of Life Outcomes After Laparoscopic Sleeve Gastrectomy and Roux-en-Y Gastric Bypass-a Comparative Study.

    abstract::Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) have been shown to improve metabolic comorbidities as well as quality of life (QoL) in the obese population. The vast majority of previous studies have investigated the metabolic effects of bariatric surgery and there is a dearth of studies examining long-ter...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-020-05049-3

    authors: Fiorani C,Coles SR,Kulendran M,McGlone ER,Reddy M,Khan OA

    更新日期:2020-10-16 00:00:00

  • Simultaneous surgical management of achalasia and morbid obesity.

    abstract::Achalasia presenting in the context of morbid obesity is rare. The case is presented of a woman with achalasia and morbid obesity who was treated with simultaneous laparoscopic esophageal myotomy and gastric bypass. The sparse literature addressing these rare patients is reviewed and management considerations discusse...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-007-9095-1

    authors: O'Rourke RW,Jobe BA,Spight DH,Hunter JG

    更新日期:2007-04-01 00:00:00

  • Internal hernia as a complication of laparoscopic Roux-en-Y gastric bypass.

    abstract:BACKGROUND:Internal hernia (IH) is a well known complication of Roux-en-Y gastric bypass (RYGBP) which is more frequently encountered when the RYGBP is done laparoscopically. METHODS:Patients with IH were identified from a prospective data-base of morbidly obese patients undergoing bariatric surgery at our center. RE...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-007-9229-5

    authors: Iannelli A,Buratti MS,Novellas S,Dahman M,Amor IB,Sejor E,Facchiano E,Addeo P,Gugenheim J

    更新日期:2007-10-01 00:00:00

  • Metabolic Implications of Obesity, Weight Loss and Energy Expenditure following Gastric Restrictive Surgery.

    abstract::This review examines the energetics and metabolic parameters which influence the effectiveness of gastric restrictive surgery in achieving weight loss in the clinically severely obese patient. Among the subjects discussed are the metabolic determinants and consequences of obesity, energy expenditure and its components...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089294765558700

    authors: Macgregor AM

    更新日期:1994-05-01 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

  • Laparoscopic reoperative sleeve gastrectomy for poor weight loss after biliopancreatic diversion with duodenal switch.

    abstract:BACKGROUND:The revisional surgery for patients with inadequate weight loss after biliopancreatic diversion with duodenal switch (BPD/DS) is controversial. It has not yet been determined whether a common channel should be shortened or gastric pouch volume reduced. Since the revision of the distal anastomosis remains tec...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089203322190907

    authors: Gagner M,Rogula T

    更新日期:2003-08-01 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

  • Laparoscopic placement of non-adjustable silicone ring for weight regain after Roux-en-Y gastric bypass.

    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

    authors: Dapri G,Cadière GB,Himpens J

    更新日期:2009-05-01 00:00:00

  • Sleep quality and duration before and after bariatric surgery.

    abstract:BACKGROUND:Shortened sleep duration causes hormonal and metabolic changes that favor fat accumulation and weight gain. Obesity, in turn, may reduce sleep quality and contribute to sleep loss. The purpose of this study was to evaluate the sleep durations of individuals with morbid obesity, compared to their nonobese cou...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-011-0541-8

    authors: Toor P,Kim K,Buffington CK

    更新日期:2012-06-01 00:00:00

  • Subcutaneous placement of lap band port without fascial fixation provides safe and durable access.

    abstract:BACKGROUND:Laparoscopic adjustable gastric band access port has been routinely sutured to the anterior fascia of the abdominal wall using nonabsorbable sutures. We present our technique demonstrating that nonfascial fixation with using a mesh allows for a safe and durable placement of the port in the superficial subcut...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-014-1286-y

    authors: Akkary E,Olgers F

    更新日期:2014-11-01 00:00:00

  • BioEnterics Intragastric Balloon: The Italian Experience with 2,515 Patients.

    abstract:BACKGROUND:The temporary use of the BioEnterics Intragastric Balloon (BIB) in morbidly obesity is increasing worldwide. The aim of this study is the evaluation of the efficacy of this device in a large population, in terms of weight loss and its influence on co-morbidities. METHODS:Data were retrospectively recruited ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/0960892055002202

    authors: Genco A,Bruni T,Doldi SB,Forestieri P,Marino M,Busetto L,Giardiello C,Angrisani L,Pecchioli L,Stornelli P,Puglisi F,Alkilani M,Nigri A,Di Lorenzo N,Furbetta F,Cascardo A,Cipriano M,Lorenzo M,Basso N

    更新日期:2005-09-01 00:00:00

  • Five-Year Outcomes of Laparoscopic Sleeve Gastrectomy in Japanese Patients with Class I Obesity.

    abstract:BACKGROUND:Bariatric surgery is being recognized increasingly as an effective treatment for obesity and related comorbidities. In Japan, the cost of laparoscopic sleeve gastrectomy (LSG) is covered by the national health insurance for adults with a body mass index (BMI) ≥ 35 kg/m2 and specific comorbidities (type 2 dia...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-020-04789-6

    authors: Seki Y,Kasama K,Kikkawa E,Yokoyama R,Nabekura T,Sano A,Amiki M,Kurokawa Y

    更新日期:2020-11-01 00:00:00

  • Single Anastomosis Gastric Bypass-Comparative Short-Term Outcome Study of Conversional and Primary Procedures.

    abstract:BACKGROUND:Single anastomosis gastric bypass (SAGB) has been established as a safe and effective bariatric procedure. SAGB has also been suggested as a conversion option from other procedures, but so far not extensively explored in that direction. METHODS:The study retrospectively reviewed and analyzed 154 consecutive...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-016-2336-4

    authors: Meydan C,Raziel A,Sakran N,Gottfried V,Goitein D

    更新日期:2017-02-01 00:00:00

  • Intermittent obstructive jaundice following gastric band placement.

    abstract::Complications of laparoscopic adjustable gastric banding occur in 10 - 20% of patients. However, hepatobiliary complications of this procedure are very rare. We report a unique case of gastric band misplacement around the hepato-duodenal ligament. The patient developed obstructive jaundice several months after the gas...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-007-9029-y

    authors: Arkadopoulos N,Palamarou C,Koureas A,Sechopoulos P,Marinis A,Kostopanagiotou K,Dafnios N,Smyrniotis V

    更新日期:2007-02-01 00:00:00

  • Large Hemobezoar Causing Acute Small Bowel Obstruction After Roux-en-Y Gastric Bypass: Laparoscopic Management.

    abstract::The present video shows the laparoscopic management of an acute small bowel obstruction (ASBO) after a Roux-en-Y Gastric Bypass (RYGBP), due to the development of an intraluminal hemobezoar involving the jejuno-jejunostomy (j-j). On the first postoperative day (POD), the patient presented persistent abdominal pain, se...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-017-2708-4

    authors: Soricelli E,Facchiano E,Quartararo G,Beltrame B,Leuratti L,Lucchese M

    更新日期:2017-07-01 00:00:00

  • Psychiatric symptoms among prospective bariatric surgery patients: rates of prevalence and their relation to social desirability, pursuit of surgery, and follow-up attendance.

    abstract:BACKGROUND:There is a very limited empirical literature regarding the psychiatric status of prospective bariatric patients and no studies that examine potential social desirability effects on self-presentation for this patient population. METHODS:The Psychiatric Diagnostic Screening Questionnaire (PDSQ) was utilized t...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/0960892053923815

    authors: Rosik CH

    更新日期:2005-05-01 00:00:00

  • Vertical banded gastroplasty in the Aegean Region of Turkey.

    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

    authors: Haciyanli M,Erkan N,Bora S,Gulay H

    更新日期:2001-08-01 00:00:00

  • Management of a Complicated Internal Herniation After Roux-en-Y Gastric Bypass in a 28-Week Pregnant Woman.

    abstract:BACKGROUND:Small bowel obstruction (SBO) due to internal hernia (IH) is a well-known late complication after laparoscopic Roux-en-Y gastric bypass (LRYGB), with an incidence between 0.5 and 10% as reported by Iannelli et al. (Obes Surg. 17(10):1283-6, 2007). It is reported most frequently 1-2 years after surgery becaus...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-020-04997-0

    authors: Thomopoulos T,Mantziari S,St-Amour P,Uldry E,Suter M

    更新日期:2020-12-01 00:00:00