Journal of metabolic and bariatric surgery最新文献_第4页

Investigating the impact of very low-calorie diet in patients' postbariatric surgery with weight regain: A randomized, prospective, interventional, and pilot study 调查极低热量饮食对减肥手术后体重恢复患者的影响:一项随机、前瞻性、介入性和试点研究

Journal of metabolic and bariatric surgery Pub Date : 2023-05-01 DOI: 10.4103/jbs.jbs_8_23

Ritika Samaddar, Saumya Pawha, K. Sharma

{"title":"Investigating the impact of very low-calorie diet in patients' postbariatric surgery with weight regain: A randomized, prospective, interventional, and pilot study","authors":"Ritika Samaddar, Saumya Pawha, K. Sharma","doi":"10.4103/jbs.jbs_8_23","DOIUrl":"https://doi.org/10.4103/jbs.jbs_8_23","url":null,"abstract":"Objective: The objective of the study is to evaluate the effect of very low-calorie diet (VLCD) on postbariatric surgery (BS) patients with weight regain (WR). Methods: This is a prospective, randomized, controlled, interventional clinical trial. The sample selection for the study was performed on the basis of prepared inclusion and exclusion criteria. Structured phone calls were made to all the subjects in which baseline information such as body weight and height were asked through which body mass index (BMI) was calculated to check the eligibility. A sample size of 40 subjects including both males and females with >10% gain of nadir weight after 2 years of BS with a current BMI of ≥30 kg/m[2] was selected. Two standardized VLCD plans for 4 weeks each were prescribed to them. A close supervision of selected subjects was done regularly through structured weekly calls, outpatient department follow-ups, and support group meets. The statistical analysis was done to find the average weight loss (WL) and change in body fat percentage over 8 weeks. Results: The mean average age of the sample was 45 ± 9.45 years among which 12 were male and 28 were female. The sample size was under the inclusion criteria with >10% WR after 2 years of BS. In this sample, the average total body WL after BS was found to be 47.3 kg. Postoperative average WR in the selected sample was 10.3%. After the follow-up period of 8 weeks of VLCD, an average WL of 3.66 kg (3.76%) along with a body fat percent loss of 2.58% was observed. It was also noted that the WL in the initial weeks was comparatively higher than that in the later weeks. An average WL in the first 4 weeks was 2.36 kg (2.42%) and average WL in the next 4 weeks was 1.32 kg (1.35%). Conclusion: VLCD is effective but long-term effects need to be seen. There have been no such Indian studies before this, and hence, more such studies need to be done.","PeriodicalId":73828,"journal":{"name":"Journal of metabolic and bariatric surgery","volume":"6 1","pages":"85 - 92"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84825237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patient pathways to bariatric surgery: What preoperative medical weight management programs exist globally – Results of an international survey 患者到减肥手术的途径:全球存在哪些术前医疗体重管理程序-一项国际调查的结果

Journal of metabolic and bariatric surgery Pub Date : 2023-05-01 DOI: 10.4103/jbs.jbs_3_23

Danielle Clyde, M. Boland, Leo Brown, G. McCabe, W. Cambridge, Kerry Aitken, Gillian Drummond, B. Joyce, Andrew Beaux, B. Tulloh, O. Moussa, Wah Yang, B. Madhok, Peter Lamb, K. Mahawar, Andrew N. Robertson

{"title":"Patient pathways to bariatric surgery: What preoperative medical weight management programs exist globally – Results of an international survey","authors":"Danielle Clyde, M. Boland, Leo Brown, G. McCabe, W. Cambridge, Kerry Aitken, Gillian Drummond, B. Joyce, Andrew Beaux, B. Tulloh, O. Moussa, Wah Yang, B. Madhok, Peter Lamb, K. Mahawar, Andrew N. Robertson","doi":"10.4103/jbs.jbs_3_23","DOIUrl":"https://doi.org/10.4103/jbs.jbs_3_23","url":null,"abstract":"Introduction: Bariatric surgery is an accepted treatment worldwide for patients with obesity due to its proven metabolic effects. However, there are variations worldwide in clinical criteria that must be met to qualify for surgery. This study aims to explore globally established practice and opinions on preoperative workup for bariatric surgery. Materials and Methods: A review of literature and international guidelines was performed by a multidisciplinary team and used to develop an online questionnaire survey. This was distributed to bariatric professionals electronically. Results: Two hundred and forty-four bariatric health-care professionals from 224 medical centers across 57 countries completed the survey. The majority of respondents were surgeons (67.2%), and the remainder were other multidisciplinary professionals. Over half of medical centers were public hospitals (50.8%), with most performing over 200 procedures per year (30.3%). Only 68.4% (n = 167) of respondent hospitals used recognized referral guidelines; however, 81.9% felt that there should be written referral criteria (P < 0.001). In 71.3% (n = 172) of respondent units' patients underwent a Medical Weight Management Programme (MWMP) as part of their preparation for surgery. Significant differences were identified worldwide in the criteria used to determine progression to surgery (P < 0.001), time spent in MWMP prior to surgery (P < 0.001), and the roles of members forming the bariatric multidisciplinary team (P = 0.006). Conclusion: This study has identified significant variation in global bariatric surgery practices and highlights the responsibility that societies such as the International Federation for the Surgery of Obesity and Metabolic Disease (IFSO) and the Upper Gastrointestinal Surgery Society have in promoting universal clinical guidelines.","PeriodicalId":73828,"journal":{"name":"Journal of metabolic and bariatric surgery","volume":"129 1","pages":"68 - 78"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83976518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Time to discontinue body mass index (BMI) as a qualifying criterion for metabolic (diabetes) surgery 是时候停止将身体质量指数(BMI)作为代谢(糖尿病)手术的合格标准了

Journal of metabolic and bariatric surgery Pub Date : 2023-05-01 DOI: 10.4103/jbs.jbs_11_23

Ramen Goel

引用次数: 0

Perioperative nutritional practices in patients undergoing bariatric surgery in India: A delphi consensus 印度减肥手术患者围手术期营养实践:德尔菲共识

Journal of metabolic and bariatric surgery Pub Date : 2023-01-01 DOI: 10.4103/jbs.jbs_14_22

S. Baig, P. Priya, A. Katakwar, A. Bhasker, Atul Peters, Carlyne Remedios, Deeba Siddiqui, Kankona Dey, Madhu Goel, M. Khaitan, Mariam Lakdawala, R. Palaniappan, Ramen Goel, R. Wadhawan, Ritika Samaddar

{"title":"Perioperative nutritional practices in patients undergoing bariatric surgery in India: A delphi consensus","authors":"S. Baig, P. Priya, A. Katakwar, A. Bhasker, Atul Peters, Carlyne Remedios, Deeba Siddiqui, Kankona Dey, Madhu Goel, M. Khaitan, Mariam Lakdawala, R. Palaniappan, Ramen Goel, R. Wadhawan, Ritika Samaddar","doi":"10.4103/jbs.jbs_14_22","DOIUrl":"https://doi.org/10.4103/jbs.jbs_14_22","url":null,"abstract":"Introduction: Variations in cultural practices, diet, socioeconomic factors, genetics, and procedure selection have a potential impact on nutritional outcomes after bariatric surgery. There are no updated guidelines from India on clinical practice on the nutritional management of patients undergoing bariatric surgery. This is the first attempt to have a consensus on the subject. Methods: An expert committee was constituted which voted for three rounds on 20 statements/questions based on a Delphi method. Results: There was consensus regarding preoperative screening of hemoglobin, packed cell volume, albumin, iron, ferritin, Vitamin D, Vitamin B12, preoperative weight loss, postoperative prophylactic protein supplementations, therapeutic supplementation of iron, B12, and Vitamin D, postoperative testing, and frequency of follow-up visits. Experts did not agree on the routine preoperative testing of serum folate and thiamine. There was no consensus on lifelong supplementation with bariatric formulation, difference of supplementation dosages for Roux-en-Y gastric bypass and one anastomosis gastric bypass, or postponement of surgery pending correction of nutritional deficiencies. Conclusion: We need a better-quality regional data to formulate guidelines that can provide evidence-based guidance for the clinical practice.","PeriodicalId":73828,"journal":{"name":"Journal of metabolic and bariatric surgery","volume":"18 1","pages":"26 - 30"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81942824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Long- and very long-term unfavorable outcomes of the laparoscopic adjustable gastric band in the surgical approach of morbid obesity: A systematic review and meta-analysis 腹腔镜可调节胃束带手术治疗病态肥胖的长期和非常长期不良结果:一项系统回顾和荟萃分析

Journal of metabolic and bariatric surgery Pub Date : 2023-01-01 DOI: 10.4103/jbs.jbs_10_22

Eduardo Bastos, Fábio Viegas, A. Valezi, J. Marchesini, Juliano Canavarros, Antônio Silvinato, Wanderley Bernardo

{"title":"Long- and very long-term unfavorable outcomes of the laparoscopic adjustable gastric band in the surgical approach of morbid obesity: A systematic review and meta-analysis","authors":"Eduardo Bastos, Fábio Viegas, A. Valezi, J. Marchesini, Juliano Canavarros, Antônio Silvinato, Wanderley Bernardo","doi":"10.4103/jbs.jbs_10_22","DOIUrl":"https://doi.org/10.4103/jbs.jbs_10_22","url":null,"abstract":"Aim: The aim is to assess the long- and very long-term rate of unfavorable outcomes associated with the laparoscopic adjustable gastric band (LAGB) in morbid obesity. Methods: The Preferred Reporting Items for Systematic Reviews and Meta-analyses statement was used in this systematic review. The search for evidence was performed in the MEDLINE (PubMed), EMBASE, LILACS, Clinical Trials, and Google Scholar databases from the inception to October 2021. The main eligibility criteria were obese adult undergoing LAGB, unfavorable outcomes, and a minimum follow-up of 4 years. Outcomes were aggregated using the Comprehensive Meta-Analysis software for noncomparative studies, and the quality of evidence was sorted. Heterogeneity was assumed when I2 >50%. Because of expected differences among retrieved studies and several uncontrolled variables, the random-effects model was used to perform a proportional meta-analysis. Results: Data on 23,916 unfavorable outcomes were extracted from 28 studies (N = 107,370 patients). The use of the LAGB may be related to a rate of around 30% for reoperation (95% confidence interval [CI] = 20.4%–41.4%), 18% for band removal (95% CI = 13.3%–24.5%), 12% for nonresponse (95% CI = 5.2%–23.8%), 8% for port/tube complications (95% CI = 5.1%–13.6%), 7% for slippage/prolapse (95% CI = 5.3%–9.7%), 6% for pouch enlargement (95% CI = 3.4%–9.9%), and 3% for erosion/migration (95% CI = 2.0%–4.3%) in the long- and very long-term follow-up. However, the quality of evidence was considered very low. Conclusion: Despite the very low quality of evidence, LAGB was associated with not negligible rates of unfavorable outcomes in long- and very long-term follow-up.","PeriodicalId":73828,"journal":{"name":"Journal of metabolic and bariatric surgery","volume":"81 10 1","pages":"3 - 12"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89580793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Early weight loss trajectory predicts outcome following bariatric surgery 早期减肥轨迹预测减肥手术后的结果

Journal of metabolic and bariatric surgery Pub Date : 2023-01-01 DOI: 10.4103/jbs.jbs_15_22

Rosalind Walmsley, L. Chong, P. Sumithran, M. Hii

{"title":"Early weight loss trajectory predicts outcome following bariatric surgery","authors":"Rosalind Walmsley, L. Chong, P. Sumithran, M. Hii","doi":"10.4103/jbs.jbs_15_22","DOIUrl":"https://doi.org/10.4103/jbs.jbs_15_22","url":null,"abstract":"Background: Early identification of patients at risk of poor weight loss following bariatric surgery may provide an opportunity for timely addition of intervention to optimize weight loss. This study investigates the relationship between early postsurgery weight loss trajectory and final weight loss outcomes. Methods: Data from patients who underwent primary sleeve gastrectomy (SG), Roux-en-Y gastric bypass (RYGB), or one-anastomosis gastric bypass (OAGB) between October 2014 and March 2020 at a single institution were analyzed retrospectively. Total weight loss percentage (%TWL) was calculated at 1, 3, 6, 9, 12, 18, 24, 30, and 36 months postsurgery. Regression analysis demonstrated associations between early weight loss and %TWL between 12 and 36 months. Multivariate analysis identified predictors of maximal weight loss (MWL) and insufficient weight loss (IWL). Results: Six hundred and sixteen patients met the inclusion criteria. Follow-up weights were available at 12 months for n = 571, 18 months for n = 382, 24 months for n = 344, 30 months for n = 198, and 36 months for n = 187. The median (interquartile range) MWL for SG, RYGB, and OAGB was 29.9% (24.3–35.7), 32.5% (27.5–38.2), and 38.0% (32.6–42.4), respectively. On multivariate linear regression, MWL was best predicted by 3–6-month %TWL after both SG (P < 0.001) and OAGB (P < 0.001) and by 6–9-month %TWL following RYGB (P < 0.001). Conclusion: Early weight loss predicts MWL and %TWL up to 36 months following laparoscopic SG, RYGB, and OAGB. Identification of poor weight loss responders early may represent an opportunity to intervene to optimize postsurgical outcomes.","PeriodicalId":73828,"journal":{"name":"Journal of metabolic and bariatric surgery","volume":"69 1","pages":"20 - 25"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75927746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Foundations of understanding to challenge the stigma surrounding overweight, obesity, and bariatric surgery 理解的基础挑战围绕超重，肥胖和减肥手术的耻辱

Journal of metabolic and bariatric surgery Pub Date : 2023-01-01 DOI: 10.4103/jbs.jbs_1_23

Yitka Graham, K. Mahawar

引用次数: 0

Combining metabolic surgery with medications for type 2 diabetes: Is there a benefit? 代谢手术联合药物治疗2型糖尿病:有好处吗?

Journal of metabolic and bariatric surgery Pub Date : 2023-01-01 DOI: 10.4103/jbs.jbs_16_22

A. Sudlow, D. Pournaras, C. Roux

{"title":"Combining metabolic surgery with medications for type 2 diabetes: Is there a benefit?","authors":"A. Sudlow, D. Pournaras, C. Roux","doi":"10.4103/jbs.jbs_16_22","DOIUrl":"https://doi.org/10.4103/jbs.jbs_16_22","url":null,"abstract":"Bariatric surgery has been consistently demonstrated in randomized controlled trials to be the most effective treatment currently available for patients with Type 2 diabetes mellitus (T2DM) and obesity. In spite of this, with the emergence of longer-term data, it is now becoming apparent that some of the metabolic benefits afforded by bariatric surgery fatigue with time, prompting clinicians to re-consider how patients should be managed in the postoperative period. As is seen with many other chronic diseases including peripheral vascular disease as well as some cancers, surgery is seen as a means of inducing disease control with medications being employed to maintain sustained remission. In recent years, there have been remarkable advances in pharmacotherapy for the treatment of T2DM as well as additional agents which can produce clinically significant weight loss. Having recognized the potential need for further treatment following bariatric surgery along with the availability of highly effective medical therapies presents the opportunity to explore a multimodal approach to care, combining medications with surgery to potentially improve long-term outcomes.","PeriodicalId":73828,"journal":{"name":"Journal of metabolic and bariatric surgery","volume":"15 1","pages":"13 - 19"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88034436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Oral Abstracts: Abstracts of 20th Annual National Conference of Obesity & Metabolic Surgery Society of India 2023, Mumbai 口头摘要:2023年印度肥胖与代谢外科学会第20届全国会议摘要，孟买

Journal of metabolic and bariatric surgery Pub Date : 2023-01-01 DOI: 10.4103/2949-6705.370081

引用次数: 0

Comparison of Dietary Quality and Surgical Satisfaction Between Patients With Suboptimal and Optimal Weight Loss After Sleeve Gastrectomy Using Food Tolerance Score and Bariatric Analysis and Reporting Outcome System Questionnaires. 使用食物耐受性评分和体重分析及报告结果系统问卷比较袖胃切除术后亚理想和最佳体重减轻患者的饮食质量和手术满意度。

Journal of metabolic and bariatric surgery Pub Date : 2022-12-01 DOI: 10.17476/jmbs.2022.11.2.54

Joo Hoon Lee, Ji-Hyeon Park, Seong Min Kim

{"title":"Comparison of Dietary Quality and Surgical Satisfaction Between Patients With Suboptimal and Optimal Weight Loss After Sleeve Gastrectomy Using Food Tolerance Score and Bariatric Analysis and Reporting Outcome System Questionnaires.","authors":"Joo Hoon Lee, Ji-Hyeon Park, Seong Min Kim","doi":"10.17476/jmbs.2022.11.2.54","DOIUrl":"https://doi.org/10.17476/jmbs.2022.11.2.54","url":null,"abstract":"Purpose: This study aimed to assess the association of dietary quality and surgical satisfaction with the amount of total weight loss (TWL) 1 year after laparoscopic sleeve gastrectomy (LSG) using the food tolerance score (FTS) and Bariatric Analysis and Reporting Outcome System (BAROS) questionnaires.Materials and methods: This single-center retrospective study included patients who underwent LSG due to morbid obesity. Only those who have 1-year follow-up data were included and divided into 2 groups: suboptimal TWL (STWL) ≤20% and optimal TWL (OTWL) >20%. Clinical data and questionnaires recorded 1 year after surgery were collected. FTS was used to evaluate the degree of food tolerance, and BAROS assessed surgical outcomes, including weight loss, comorbidity changes, and quality of life (QoL). The total FTS and BAROS scores of the 2 groups were compared.Results: Of 580 patients, 159 were included. Patients in STWL (n=17) were significantly older than those in OTWL (n=142) (42.24±9.28 vs. 35.92±8.71 years old, P=0.006). The total FTS (1-30 points) for STWL and OTWL were 24.88±3.43 and 25.04±3.14, respectively (P=0.845). Although the total BAROS scores (maximum: 9 points) were significantly lower in STWL than in OTWL (5.96±1.48 vs. 7.20±1.40, P<0.001). The only variable that made this difference was weight loss. There were no significant differences in other variables, such as medical conditions, QoL, and complications.Conclusion: In terms of FTS and BAROS score, there is no difference in postoperative satisfaction and QoL between STWL and OTWL after LSG, except for the degree of weight loss.","PeriodicalId":73828,"journal":{"name":"Journal of metabolic and bariatric surgery","volume":"11 2","pages":"54-62"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0d/ff/jmbs-11-54.PMC10011672.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9188428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0