Abstract:
PURPOSE:In France, laparoscopic gastric plication (GP) has rarely been utilized as a weight loss procedure. Although relatively safe and efficient, its long-term results are still controversial. The goal of this study is to assess the indications and outcomes of revisional surgery post-GP. MATERIALS AND METHODS:Between February 2010 and September 2017, patient characteristics undergoing GP were prospectively collected from our database. Failure of conservative treatment or presence of anatomical anomaly explaining weight loss insufficiency was an indication for revisional surgery (RS). RESULTS:A total of 300 patients were included, 41 patients were lost to follow-up (13.7%), 124 patients (41.3%) had total weight loss (TWL) > 30%, and 116 patients (38.7%) underwent RS. Revisional procedures were laparoscopic Roux-en-Y gastric bypass (RYGB) in 72 patients (62.1%) and sleeve gastrectomy (SG) in 44 patients (37.9%). The median interval to RS was 29 months. The mean operative time was 60 min for the SG and 125 min for the RYGB (p < 0.0001). Mortality was nil. Significant morbidity occurred in eight patients (6.9%) including 4 non-abdominal complications, 1 gastric leak, 1 case of hemorrhage, 1 case of hematoma, and 1 intra-abdominal abscess. The mean length of hospital stay (LOS) was 2.9 days (range, 1-11) for the SG group vs 3.2 days (range, 2-8) for the RYGB group (p = 0.608). CONCLUSION:GP is associated with a relatively high rate of weight regain or insufficient weight loss. When compared to SG, RYGB seems to be the safer revisional procedure with fewer surgical complications.
journal_name
Obes Surgjournal_title
Obesity surgeryauthors
Chahine E,Alkandari M,De Simone B,Dirani M,D'alessandro A,Saikaly E,Gumbs A,Cartillone MC,Crispo L,Chouillard MA,Kassir R,Chouillard Edoi
10.1007/s11695-020-04767-ysubject
Has Abstractpub_date
2020-10-01 00:00:00pages
3982-3987issue
10eissn
0960-8923issn
1708-0428pii
10.1007/s11695-020-04767-yjournal_volume
30pub_type
杂志文章相关文献
OBESITY SURGERY文献大全abstract:BACKGROUND:This study compared the chewing parameters in a group of obese adult patients scheduled for gastric bypass surgery with those of a control group. METHODS:Chewing parameters were measured in two groups of subjects, one of 44 obese patients scheduled for gastric bypass surgery (body mass index [BMI] = 49.1 +/...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-008-9443-9
更新日期:2008-11-01 00:00:00
abstract:BACKGROUND:Despite recognition of the importance of laparoscopic adjustable gastric banding (LAGB) aftercare for optimal surgical outcomes and the failure of some patients to attend regularly, factors influencing LAGB aftercare attrition have not been thoroughly examined in the literature. METHODS:Patients' perspectiv...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-013-1086-9
更新日期:2014-02-01 00:00:00
abstract:BACKGROUND:Gastric banding is today a common restrictive procedure to treat morbid obesity. After operation, adjustment of the band is required to adequately restrict food intake, allowing better results. The aim of this study was to evaluate the results of a unique method of adjustment using dynamic radioisotope scint...
journal_title:Obesity surgery
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1381/096089204323013532
更新日期:2004-04-01 00:00:00
abstract::A 42-year-old patient with a sixth bariatric-related surgical procedure is presented. The steps taken for the management of her intractable nausea, vomiting, abdominal pain, unacceptable weight loss and diarrhea are described, together with the rationale therefor. Bariatric reoperative surgical procedure and outcome a...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089295765558006
更新日期:1995-05-01 00:00:00
abstract:BACKGROUND:The authors examined the uptake of obesity surgery across England. METHODS:Data were analyzed from the Hospital Episode Statistics covering all 9 goverment office regions with a total population of 49.1 million. The data analyzed covered 9 years 1996/97 - 2004/05. RESULTS:1,465 records were identified with...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-007-9070-x
更新日期:2007-03-01 00:00:00
abstract::Vertical banded gastroplasty-gastric bypass is a surgical technique combining the advantages of the vertical banded gastroplasty with those of gastric bypass. The procedure was performed on 148 morbidly obese individuals: 83% were female, and 17% were male. Ages ranged from 15 to 64 years, with a mean age of 35. Mean ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089291765560782
更新日期:1991-12-01 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:Laparoscopic gastric bypass (LGBP) is being performed widely as a treatment of choice for morbid obesity. Advantages over open gastric bypass (OGBP) have not been well documented in controlled studies. The aim of this study is to evaluate the early postoperative outcomes after LGBP and OGBP using a matched p...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089203765887624
更新日期:2003-06-01 00:00:00
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
更新日期:2011-04-01 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:Vertical banded gastroplasty (VBG) has previously been documented as an effective treatment for morbid obesity. We have described a laparoscopic technique to perform this operation. Follow-up data are now presented. METHODS:A consecutive series of 139 morbidly obese patients were operated on with laparoscop...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/09608920160558669
更新日期:2001-12-01 00:00:00
abstract:BACKGROUND:Impairment of mitochondrial function plays an important role in obesity and the development of insulin resistance. The aim of this project was to investigate the mitochondrial DNA copy number in human omental adipose tissue with respect to obesity. METHODS:The mitochondrial DNA (mtDNA) content per single ad...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-009-9987-3
更新日期:2010-01-01 00:00:00
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
更新日期:2006-05-01 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
abstract::The Roux-en-Y gastric bypass (RYGB) is the second most common bariatric procedure in the USA. Although the RYGB is an effective procedure, some patients will not achieve optimal weight loss or will experience significant weight regain. In this video report, we present a step-by-step surgical technique of RYGB limb dis...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-020-04964-9
更新日期:2021-01-01 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:Laparoscopic adjustable gastric banding (LAGB) has gained popularity for treatment of morbid obesity worldwide. With the widespread use of LAGB, an increasing number of medical specialists are dealing with the potentially life-threatening complications of this procedure. METHODS:More than 6,000 LABGs were p...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-009-0059-5
更新日期:2010-11-01 00:00:00
abstract:OBJECTIVE:The objective of this study was to determine whether the DiaRem, a score that predicts type 2 diabetes (T2D) remission following roux-en-y gastric bariatric surgery (RYGB), also predicts remission following laparoscopic adjustable gastric banding (LAGB) and laparoscopic sleeve gastrectomy (LSG) in white and H...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-017-2799-y
更新日期:2018-01-01 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:There is a paucity of evidence-based dietary management guidelines for patients post-laparoscopic adjustable gastric banding, including no consensus recommendations for macronutrient intake. We examined the macronutrient intake across a multi-centre cohort of post-bariatric surgery patients and compared thes...
journal_title:Obesity surgery
pub_type: 杂志文章,多中心研究
doi:10.1007/s11695-012-0741-x
更新日期:2012-12-01 00:00:00
abstract:BACKGROUND:Various techniques of laparoscopic Roux-en-Y gastric bypass have been described. We completely standardized this procedure to minimize its sometimes substantial morbidity and mortality. This study describes our experience with the standardized fully stapled laparoscopic Roux-en-Y gastric bypass (FS-LRYGB) an...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-009-9933-4
更新日期:2009-10-01 00:00:00
abstract:BACKGROUND:Hepatitis C virus (HCV) is an important cause of liver cirrhosis and its complications. The safety and efficacy of bariatric surgery in patients with HCV infection is not clear. METHODS:Charts were reviewed to identify patients with HCV infection before bariatric surgery. Bariatric surgical patients with no...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-018-3615-z
更新日期:2019-03-01 00:00:00
abstract:UNLABELLED:Laparoscopic gastric banding and Roux-en-Y gastric bypass are widely used for the treatment of morbid obesity. The impact of these two procedures on health-related quality of life has not been analyzed in comparative studies. METHODS:A matched-pair analysis of a prospectively collected database was performe...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-008-9522-y
更新日期:2008-12-01 00:00:00
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
更新日期:1993-08-01 00:00:00
abstract:BACKGROUND:The components of esophageal function important to success with laparoscopic adjustable gastric banding (LAGB) are not well understood. A pattern of delayed, however, successful bolus transit across the LAGB is observed. METHODS:Successful LAGB patients underwent a high-resolution video manometry study in w...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-009-0063-9
更新日期:2010-09-01 00:00:00
abstract::For most surgeons, the gastro-clip gastroplasty is an unfamiliar operation. It was performed during the mid 1980s as an alternative to more complex bariatric operations. However, the device had problems. Because of its rigid nature, it occasionally eroded into the stomach and chest. Many of these devices required remo...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089204772787455
更新日期:2004-01-01 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 construction of the gastric pouch during surgery is largely based on the prevailing dogma of Roux-Y gastric bypass (RYGB) surgery. The scarce data that exist suggest that the smaller the gastric pouch, the greater the weight loss after surgery. Current estimations of pouch volume have inherent limitation...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-008-9438-6
更新日期:2008-04-01 00:00:00
abstract:BACKGROUND:The Beck Depression Inventory (BDI) is commonly used in the screening and evaluation process with bariatric surgery candidates despite relatively limited psychometric evidence in this patient group. We examined the validity of the BDI and its clinical utility for subtyping women seeking gastric bypass surger...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-016-2047-x
更新日期:2016-09-01 00:00:00
abstract::Obesity is linked to inferior transplant outcome. Bariatric surgery (BS) is an established treatment of morbid obesity. We provide an overview on BS in the field of kidney (KT) and liver transplantation (LT). In end-stage renal disease (ESRD) and KT patients, BS seems safe and feasible. Complication rates were slightl...
journal_title:Obesity surgery
pub_type: 杂志文章,评审
doi:10.1007/s11695-017-2854-8
更新日期:2017-10-01 00:00:00