Bariatric Surgical Practice and Patient Care最新文献

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Impact of Autonomic Neural Blockade Timing During Laparoscopic Sleeve Gastrectomy on Pain, Postoperative Nausea and Vomiting, and Analgesic Consumption 腹腔镜袖带胃切除术中自主神经阻断时机对疼痛、术后恶心呕吐和镇痛药用量的影响
IF 0.3 4区 医学
Bariatric Surgical Practice and Patient Care Pub Date : 2023-12-01 DOI: 10.1089/bari.2023.0038
J. Daes, E. Luque, Andrés Hanssen, Lina Marroquin, David J. Morrell
{"title":"Impact of Autonomic Neural Blockade Timing During Laparoscopic Sleeve Gastrectomy on Pain, Postoperative Nausea and Vomiting, and Analgesic Consumption","authors":"J. Daes, E. Luque, Andrés Hanssen, Lina Marroquin, David J. Morrell","doi":"10.1089/bari.2023.0038","DOIUrl":"https://doi.org/10.1089/bari.2023.0038","url":null,"abstract":"","PeriodicalId":48848,"journal":{"name":"Bariatric Surgical Practice and Patient Care","volume":"25 17","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138625010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Letter from the Editor 编辑来信
4区 医学
Bariatric Surgical Practice and Patient Care Pub Date : 2023-11-03 DOI: 10.1089/bari.2023.29037.djm
Dean J. Mikami
{"title":"Letter from the Editor","authors":"Dean J. Mikami","doi":"10.1089/bari.2023.29037.djm","DOIUrl":"https://doi.org/10.1089/bari.2023.29037.djm","url":null,"abstract":"Bariatric Surgical Practice and Patient CareAhead of Print EditorialLetter from the EditorDean J. MikamiDean J. MikamiDean J. Mikami, MD, FACS, Editor-in-Chief, Bariatric Surgical Practice and Patient Care, Professor of Surgery, Associate Chair of Clinical Affairs, Division Chief, General Surgery, Associate Program Director, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI 96813, USA E-mail Address: [email protected]Department of General Surgery, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USA.Search for more papers by this authorPublished Online:3 Nov 2023https://doi.org/10.1089/bari.2023.29037.djmAboutSectionsView articleView Full TextPDF/EPUB Permissions & CitationsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail View article\"Letter from the Editor.\" Bariatric Surgical Practice and Patient Care, , pp. FiguresReferencesRelatedDetails Volume 0Issue 0 InformationCopyright 2023, Mary Ann Liebert, Inc., publishersTo cite this article:Dean J. Mikami.Letter from the Editor.Bariatric Surgical Practice and Patient Care.ahead of printhttp://doi.org/10.1089/bari.2023.29037.djmOnline Ahead of Print:November 3, 2023PDF download","PeriodicalId":48848,"journal":{"name":"Bariatric Surgical Practice and Patient Care","volume":"29 17","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135818317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pancreatitis After Placement of the Bariatric Intragastric Balloon Is Not Related to Off-Protocol Use: An Analysis of 39 Cases 减肥性胃内气囊放置后胰腺炎与非方案使用无关:39例分析
4区 医学
Bariatric Surgical Practice and Patient Care Pub Date : 2023-10-25 DOI: 10.1089/bari.2022.0047
Abdul-Rahman F. Diab, Ali Abbas, Joseph A. Sujka, Christopher G. DuCoin
{"title":"Pancreatitis After Placement of the Bariatric Intragastric Balloon Is Not Related to Off-Protocol Use: An Analysis of 39 Cases","authors":"Abdul-Rahman F. Diab, Ali Abbas, Joseph A. Sujka, Christopher G. DuCoin","doi":"10.1089/bari.2022.0047","DOIUrl":"https://doi.org/10.1089/bari.2022.0047","url":null,"abstract":"","PeriodicalId":48848,"journal":{"name":"Bariatric Surgical Practice and Patient Care","volume":"6 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135218973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correlation of Preoperative Prognostic Laboratory Markers with Bariatric Surgery-Related Complications 术前预后实验室指标与减肥手术相关并发症的相关性
4区 医学
Bariatric Surgical Practice and Patient Care Pub Date : 2023-10-23 DOI: 10.1089/bari.2022.0074
Sinan Arici, Mehmet Fatih Erol
{"title":"Correlation of Preoperative Prognostic Laboratory Markers with Bariatric Surgery-Related Complications","authors":"Sinan Arici, Mehmet Fatih Erol","doi":"10.1089/bari.2022.0074","DOIUrl":"https://doi.org/10.1089/bari.2022.0074","url":null,"abstract":"Introduction: Bariatric surgery is defined as the best long-term treatment for morbid obesity and this leads massive increase in bariatric surgeries worldwide. However, these procedures are associated with severe morbidities and mortalities. And the clarification of preoperative predictors is still unclear today. Materials and Methods: We collected all clinical and laboratory findings of the patients retrospectively who underwent elective bariatric surgery at our hospital (2018–2021). We evaluated the parameters in terms of predictors of early complications. Results: From January 2018 to August 2021, 325 patients underwent bariatric surgery (sleeve: 172–bypass: 153). In total, 24 patients had early postbariatric complications (11 leak, 10 bleeding, and 3 pulmonary embolism). After evaluation of the data, preoperative laboratory markers and ratios were not found to be significantly associated with major complications. Only “asthma” as a comorbidity was a significant predictor of postbariatric surgery complications. Conclusion: The preoperative laboratory markers and ratios are potential prognostic factors for postoperative morbidities and mortalities in patients undergoing bariatric surgery. Our clinical findings do not correlate with major complications. More prospective studies and larger number of patients are needed to shed light on the potential importance of these parameters. Clinical trial Registration number: 2021/09-17.","PeriodicalId":48848,"journal":{"name":"Bariatric Surgical Practice and Patient Care","volume":"21 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135366440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
When Bigger Is Better: Can Bariatric Surgery Boost Low-Density Lipoprotein Particle Size for Improved Health? 当越大越好:减肥手术能增加低密度脂蛋白颗粒大小以改善健康吗?
4区 医学
Bariatric Surgical Practice and Patient Care Pub Date : 2023-10-23 DOI: 10.1089/bari.2023.0029
Tannaz Jamialahamdi, Matthew Kroh, Wael Almahmeed, Amirhossein Sahebkar
{"title":"When Bigger Is Better: Can Bariatric Surgery Boost Low-Density Lipoprotein Particle Size for Improved Health?","authors":"Tannaz Jamialahamdi, Matthew Kroh, Wael Almahmeed, Amirhossein Sahebkar","doi":"10.1089/bari.2023.0029","DOIUrl":"https://doi.org/10.1089/bari.2023.0029","url":null,"abstract":"Bariatric Surgical Practice and Patient CareAhead of Print When Bigger Is Better: Can Bariatric Surgery Boost Low-Density Lipoprotein Particle Size for Improved Health?Tannaz Jamialahamdi, Matthew Kroh, Wael Almahmeed, and Amirhossein SahebkarTannaz JamialahamdiApplied Biomedical Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.Search for more papers by this author, Matthew KrohDigestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, Ohio, USA.Search for more papers by this author, Wael AlmahmeedHeart and Vascular Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.Search for more papers by this author, and Amirhossein SahebkarAddress correspondence to: Amirhossein Sahebkar, PharmD, PhD, Biotechnology Research Center, Pharmaceutical Technology Institute, Mashhad University of Medical Sciences, Mashhad 9177948954, Iran E-mail Address: [email protected]https://orcid.org/0000-0002-8656-1444Applied Biomedical Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.Biotechnology Research Center, Pharmaceutical Technology Institute, Mashhad University of Medical Sciences, Mashhad, Iran.Search for more papers by this authorPublished Online:23 Oct 2023https://doi.org/10.1089/bari.2023.0029AboutSectionsView articleView Full TextPDF/EPUB Permissions & CitationsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail View article\"When Bigger Is Better: Can Bariatric Surgery Boost Low-Density Lipoprotein Particle Size for Improved Health?.\" Bariatric Surgical Practice and Patient Care, , pp. FiguresReferencesRelatedDetails Volume 0Issue 0 InformationCopyright 2023, Mary Ann Liebert, Inc., publishersTo cite this article:Tannaz Jamialahamdi, Matthew Kroh, Wael Almahmeed, and Amirhossein Sahebkar.When Bigger Is Better: Can Bariatric Surgery Boost Low-Density Lipoprotein Particle Size for Improved Health?.Bariatric Surgical Practice and Patient Care.ahead of printhttp://doi.org/10.1089/bari.2023.0029Online Ahead of Print:October 23, 2023PDF download","PeriodicalId":48848,"journal":{"name":"Bariatric Surgical Practice and Patient Care","volume":"290 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135413396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association Between Vitamin D Levels and Nonalcoholic Fatty Liver Disease in Bariatric Surgery Candidates 减肥手术患者维生素D水平与非酒精性脂肪肝的关系
4区 医学
Bariatric Surgical Practice and Patient Care Pub Date : 2023-10-03 DOI: 10.1089/bari.2022.0072
Larissa Maria Cavalcante e Silva, Silvia Alves da Silva, Andréia Lira Santos, Fernando Santa-Cruz, Luís Henrique de A. Leão, Lucas R. Coutinho, Ednádila Farias Santos, Álvaro A.B. Ferraz
{"title":"Association Between Vitamin D Levels and Nonalcoholic Fatty Liver Disease in Bariatric Surgery Candidates","authors":"Larissa Maria Cavalcante e Silva, Silvia Alves da Silva, Andréia Lira Santos, Fernando Santa-Cruz, Luís Henrique de A. Leão, Lucas R. Coutinho, Ednádila Farias Santos, Álvaro A.B. Ferraz","doi":"10.1089/bari.2022.0072","DOIUrl":"https://doi.org/10.1089/bari.2022.0072","url":null,"abstract":"Introduction: Vitamin D acts on a series of regulatory and signaling processes in the liver parenchyma, which are closely related to energy metabolism and inflammatory responses. This immune-inflammatory role is particularly interesting for understanding the correlation between serum vitamin D levels, obesity, and nonalcoholic fatty liver disease (NAFLD). Methods: This retrospective observational study collected secondary data from medical records of patients who underwent bariatric surgery with vertical gastrectomy from 2014 to 2018. After applying the inclusion and exclusion criteria, 164 patients were selected, with preoperative analysis of anthropometric, clinical, biochemical, and imaging parameters. Results: The group without steatosis showed higher serum vitamin D levels (in median) when compared to the groups with mild and moderate/severe steatosis, respectively. When vitamin D status and variables related to social drinking, body mass index degree, and lipid profile were evaluated, only alcohol consumption was associated with vitamin D insufficiency (p = 0.042). Conclusions: There is a high prevalence of vitamin D insufficiency/deficiency in the bariatric surgery preoperative period. Furthermore, it was not possible to establish a causal relationship between vitamin D deficiency and NAFLD, notwithstanding the verification of higher serum vitamin D levels in individuals who did not have liver lesions on ultrasonography.","PeriodicalId":48848,"journal":{"name":"Bariatric Surgical Practice and Patient Care","volume":"218 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135695844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Laparoscopic Sleeve Gastrectomy as One-Step Procedure for Patients with Obesity: Long-Term Outcomes of a Single Center 腹腔镜袖式胃切除术作为肥胖症患者的一步手术:单一中心的长期结果
4区 医学
Bariatric Surgical Practice and Patient Care Pub Date : 2023-09-22 DOI: 10.1089/bari.2023.0001
Hilmi Yazici, Ahmet Mucteba Ozturk, Ahmet Cekic, Ahmet Can Yasar, Mehmet Yildirim
{"title":"Laparoscopic Sleeve Gastrectomy as One-Step Procedure for Patients with Obesity: Long-Term Outcomes of a Single Center","authors":"Hilmi Yazici, Ahmet Mucteba Ozturk, Ahmet Cekic, Ahmet Can Yasar, Mehmet Yildirim","doi":"10.1089/bari.2023.0001","DOIUrl":"https://doi.org/10.1089/bari.2023.0001","url":null,"abstract":"Background: Laparoscopic sleeve gastrectomy (LSG) has become the most popular procedure in the past decade. The aim of this study is to evaluate the weight loss and weight regain (WR) results of LSG at a single center. Materials and Methods: The patients who underwent LSG between 2015 and 2018 were examined. The percentage of excess weight loss (EWL%), percentage of total weight loss (TWL%), and body mass index (BMI) were reported. WR was defined as patients who regained >25% of the peak median EWL%. Failure in weight loss (FWL) was defined as EWL% <50%. Comorbidity resolutions were recorded. Results: A total number of 202 patients were included in the study. The median follow-up time was 59 (interquartile range: 18) months. The baseline median BMI was 47.6 kg/m2. The peak median EWL and TWL were 89.5% and 42%, respectively. The median EWL and TWL at the median 5 years follow-up were 70% and 34%, respectively. No WR was reported in the first 3 years. The number of patients with WR and rates during the follow-up were as follows: 2 (1%) in 4 years, 25 (12%) in 5 years, 42 (21%) in 6 years, 58 (29%) in 7 years, and 62 (31%) patients in 8 years follow-up. The WR group has a significantly shorter time to reach the peak median EWL% and the lowest median BMI. FWL was observed in 38 patients, and 31 (82%) of them also showed WR. Total remission rates of hypertension and type 2 diabetes mellitus were 65% and 77%, respectively. Conclusion: Although LSG shows excellent outcomes in short-term follow-ups, more extended follow-ups showed unsatisfying results. In 8 years, almost one in three patients showed WR in this series. The patient-based treatment options might be more appropriate in bariatric surgeries.","PeriodicalId":48848,"journal":{"name":"Bariatric Surgical Practice and Patient Care","volume":"208 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136016734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of Eating Disorders, Emotional State, and Quality of Life in Bariatric Surgery Patients: Cross-Sectional Study 减肥手术患者饮食失调、情绪状态和生活质量的评估:横断面研究
4区 医学
Bariatric Surgical Practice and Patient Care Pub Date : 2023-09-22 DOI: 10.1089/bari.2023.0027
Melis Aycan, Aylin Acikgoz Pinar, Hanife Avci, Oktay Banli
{"title":"Evaluation of Eating Disorders, Emotional State, and Quality of Life in Bariatric Surgery Patients: Cross-Sectional Study","authors":"Melis Aycan, Aylin Acikgoz Pinar, Hanife Avci, Oktay Banli","doi":"10.1089/bari.2023.0027","DOIUrl":"https://doi.org/10.1089/bari.2023.0027","url":null,"abstract":"Background: Several factors can influence the outcomes of bariatric surgery. The aim of this study is to compare eating disorders, emotional states, and quality of life (QoL) between individuals who have undergone bariatric surgery and bariatric surgery candidates and also to evaluate the relationship between these factors. Methods: A total number of 60 individuals (the case group:30, the control group:30), participated in a cross-sectional study. The following data were collected from face-to-face interviews: the Eating Disorder Examination-Questionnaire (EDE-Q), the Emotional Eater-Questionnaire (EEQ), the Profile of Mood States-Questionnaire (POMS), and the Impact of Weight on Quality of Life-Lite Questionnaire (IWQOL-Lite). Results: Total EEQ scores, independent of surgery, showed that women were more emotional eaters than men (p = 0.002). The restraint subscale from the EDE-Q subscales showed that restrictive eating behaviors were more common in the case group (p = 0.05) According to the analysis of IWQOL-Lite subscales, the quality of life of the case group was higher in terms of physical functions (p = 0.02). In addition, eating disorders were positively correlated with emotional states and negatively correlated with quality of life. Conclusion: Eating disorders and emotional states were in a significant relationship with each other in bariatric surgery patients, and these problems negatively affected the quality of life.","PeriodicalId":48848,"journal":{"name":"Bariatric Surgical Practice and Patient Care","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136016958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Turkish Adaptation of the Bariatric Surgery Self-Management Behaviors Questionnaire: A Validity and Reliability Study 土耳其减肥手术自我管理行为问卷的改写:效度和信度研究
4区 医学
Bariatric Surgical Practice and Patient Care Pub Date : 2023-09-19 DOI: 10.1089/bari.2023.0028
Damla Seçkin, Fatma Cebeci
{"title":"Turkish Adaptation of the Bariatric Surgery Self-Management Behaviors Questionnaire: A Validity and Reliability Study","authors":"Damla Seçkin, Fatma Cebeci","doi":"10.1089/bari.2023.0028","DOIUrl":"https://doi.org/10.1089/bari.2023.0028","url":null,"abstract":"This study aimed to adapt the “Bariatric Surgery Self-Management Behaviors Questionnaire (BBSQ)” to Turkish, and to evaluate its validity and reliability. In this study, the translation and adaptation of BBSQ to Turkish were completed in line with specific standards. Confirmatory Factor Analysis (CFA), t-test, and analysis of variance were used in the analysis of the data. A five-stage translation process was completed in the adaptation of BBSQ to Turkish and its cultural adaptation. Data were collected online from 209 patients. CFA was applied within the scope of the adaptation studies of the factor structure of the scale to Turkish culture. As a result of the analysis, BBSQ-Turkish (BBSQ-TR) confirmed the original factor structure. While the alpha value of the BBSQ-TR was 0.75, the composite reliability value was determined as 0.94, proving that the scale is a reliable measurement tool. The Turkish version of BBSQ is a valid and reliable tool for bariatric patients.","PeriodicalId":48848,"journal":{"name":"Bariatric Surgical Practice and Patient Care","volume":"132 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135010783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of Reverse Trendelenburg Position Applied Before Pneumoperitoneum on Optic Nerve Sheath Diameter in Laparoscopic Bariatric Surgery: A Randomized, Controlled Study 在腹腔镜减肥手术中,气腹前应用反向Trendelenburg体位对视神经鞘直径的影响:一项随机对照研究
4区 医学
Bariatric Surgical Practice and Patient Care Pub Date : 2023-09-11 DOI: 10.1089/bari.2022.0066
Ali Solmaz, Serdar Demirgan, Büşra Burcu, Ozan Caliskan, Selma Yagcı, Özlem Yılmaz, Nadir Adnan Hacım
{"title":"Effect of Reverse Trendelenburg Position Applied Before Pneumoperitoneum on Optic Nerve Sheath Diameter in Laparoscopic Bariatric Surgery: A Randomized, Controlled Study","authors":"Ali Solmaz, Serdar Demirgan, Büşra Burcu, Ozan Caliskan, Selma Yagcı, Özlem Yılmaz, Nadir Adnan Hacım","doi":"10.1089/bari.2022.0066","DOIUrl":"https://doi.org/10.1089/bari.2022.0066","url":null,"abstract":"Background: Laparoscopic surgery is usually associated with increased levels of intracranial pressure (ICP). The impact of positional changes on ICP measurements via optic nerve sheath diameter (ONSD) in bariatric surgery has yet to be studied. We aimed at evaluating the impact of positional changes on ONSD values during the laparoscopic sleeve gastrectomy. Methods: One hundred and four obese patients who underwent laparoscopic sleeve gastrectomy were recruited. Patients were allocated into two groups based on initiating pneumoperitoneum in supine (Group SP, n = 51) and reverse Trendelenburg (Group RTP, n = 53) positions. Intraoperative ONSD measurements were performed at different time points: T0 (baseline, before anesthesia induction), T1 (after endotracheal intubation), T2 (after pneumoperitoneum in Group SP and after positioning in Group RTP), T3 (after positioning in Group SP and after pneumoperitoneum in Group RTP), T4 (intraoperative), and T5 (after desufflation). ONSD measurements at different time points and postoperative nausea-vomiting are the primary outcomes. Results: ONSD values at T2 in Group RTP were significantly lower than in Group SP (p < 0.001). For T4 and T5 time points, there were significantly lower ONSD values in Group RTP (p = 0.004 and p = 0.040). Conclusions: Initiation of pneumoperitoneum in reverse Trendelenburg position resulted in significantly lower values of ONSD during laparoscopic bariatric surgery.","PeriodicalId":48848,"journal":{"name":"Bariatric Surgical Practice and Patient Care","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135938861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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