Journal of metabolic and bariatric surgery最新文献_第5页

Revisional Surgery After Adjustable Gastric Banding: Sleeve Gastrectomy or Gastric Bypass? 可调节胃束带后的修正手术:袖式胃切除术还是胃分流术?

Journal of metabolic and bariatric surgery Pub Date : 2022-12-01 DOI: 10.17476/jmbs.2022.11.2.49

Young Suk Park

{"title":"Revisional Surgery After Adjustable Gastric Banding: Sleeve Gastrectomy or Gastric Bypass?","authors":"Young Suk Park","doi":"10.17476/jmbs.2022.11.2.49","DOIUrl":"https://doi.org/10.17476/jmbs.2022.11.2.49","url":null,"abstract":"Adjustable gastric banding was the most common type of bariatric surgery performed in Korea prior to 2019. Many patients that have undergone this procedure require revisional bariatric surgery while removing the gastric band, and it is important to select an appropriate revisional procedure. If reoperation is performed owing to insufficient weight loss or weight regain, a 1-step procedure can be considered. However, a 2-step procedure is preferred when complications such as band erosion or stomach perforation have occurred. Previous studies from Western countries have shown that revisional Roux-en-Y gastric bypass (RYGB) can achieve more effective postoperative weight loss than revisional sleeve gastrectomy, although this procedure may also carry a higher risk of morbidity, reoperation, and readmission to hospital. In Korea, the short-term outcomes of the 2 procedures may be similar. However, the potential risk of gastric cancer in the remnant stomach after RYGB must also be considered. The type of revisional surgery should be selected following discussions with the patient regarding the advantages and disadvantages associated with each procedure.","PeriodicalId":73828,"journal":{"name":"Journal of metabolic and bariatric surgery","volume":"11 2","pages":"49-53"},"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/88/1a/jmbs-11-49.PMC10011676.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9188429","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

Gastric Cancer After Bariatric Surgeries. 减肥手术后的胃癌。

Journal of metabolic and bariatric surgery Pub Date : 2022-12-01 DOI: 10.17476/jmbs.2022.11.2.20

Kang Min Youk, Jeesun Kim, Yo-Seok Cho, Do Joong Park

引用次数: 0

Changes of Guidelines in the Management of Obese Patients With Diabetes in the Metabolic Surgery Perspective. 代谢外科视角下肥胖糖尿病患者治疗指南的变化

Journal of metabolic and bariatric surgery Pub Date : 2022-12-01 DOI: 10.17476/jmbs.2022.11.2.13

Bu Kyung Kim, Kyung Won Seo

引用次数: 0

Definition, Mechanisms and Predictors of Weight Loss Failure After Bariatric Surgery. 减肥手术后减肥失败的定义、机制和预测因素。

Journal of metabolic and bariatric surgery Pub Date : 2022-12-01 DOI: 10.17476/jmbs.2022.11.2.39

Eun Young Kim

引用次数: 2

Prevention of Gallstones After Bariatric Surgery using Ursodeoxycholic Acid: A Narrative Review of Literatures. 熊去氧胆酸预防减肥手术后胆结石:文献综述。

Journal of metabolic and bariatric surgery Pub Date : 2022-12-01 DOI: 10.17476/jmbs.2022.11.2.30

Sang-Yong Son, Jeong Ho Song, Ho-Jung Shin, Hoon Hur, Sang-Uk Han

{"title":"Prevention of Gallstones After Bariatric Surgery using Ursodeoxycholic Acid: A Narrative Review of Literatures.","authors":"Sang-Yong Son, Jeong Ho Song, Ho-Jung Shin, Hoon Hur, Sang-Uk Han","doi":"10.17476/jmbs.2022.11.2.30","DOIUrl":"https://doi.org/10.17476/jmbs.2022.11.2.30","url":null,"abstract":"Obesity by itself is a factor in the development of gallstone disease, and periods of weight loss after bariatric surgery further increase the risk of gallstone formation. In patients with obesity, hypersecretion of cholesterol may increase the risk of gallstone formation, which is approximately five-fold higher than that in the general population. The incidence of gallstone formation after bariatric surgery is 10-38% and often associated with a proportional increase in the risk of developing biliary complications. Routine postoperative administration of ursodeoxycholic acid (UDCA) is recommended to prevent gallstone formation. Several randomized trials have indicated that UDCA can effectively prevent gallstones and reduce the risk of cholecystectomy after bariatric procedures. The effective daily dose of UDCA in each study ranged from 500 to 1,200 mg, and it may be considered at least during the period of rapid weight loss (first 3-6 months postoperatively) to decrease the incidence of symptomatic gallstones.","PeriodicalId":73828,"journal":{"name":"Journal of metabolic and bariatric surgery","volume":"11 2","pages":"30-38"},"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/cc/61/jmbs-11-30.PMC10011673.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9188430","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

Prevalence of Non-Alcoholic Fatty Liver Disease (NAFLD) in Korean Patients Undergoing Bariatric Surgery. 接受减肥手术的韩国患者非酒精性脂肪性肝病(NAFLD)的患病率

Journal of metabolic and bariatric surgery Pub Date : 2022-12-01 DOI: 10.17476/jmbs.2022.11.2.63

Ki Hyun Kim, Yoonhong Kim, Kwang Il Seo, Kyung Won Seo

{"title":"Prevalence of Non-Alcoholic Fatty Liver Disease (NAFLD) in Korean Patients Undergoing Bariatric Surgery.","authors":"Ki Hyun Kim, Yoonhong Kim, Kwang Il Seo, Kyung Won Seo","doi":"10.17476/jmbs.2022.11.2.63","DOIUrl":"https://doi.org/10.17476/jmbs.2022.11.2.63","url":null,"abstract":"Purpose: The number of Korean patients undergoing metabolic surgery for obesity is on the increase. Patients undergoing obesity and metabolic surgery have a body mass index (BMI) ≥30 kg/m2. In this study, we investigated the prevalence of nonalcoholic fatty liver disease in Korean patients who had undergone bariatric surgery.Materials and methods: Between January 2019 and December 2021, 147 patients who underwent bariatric surgery were studied. Of these, 133 patients underwent transient elastography, and the prevalence was analyzed after being classified using the World Health Organization (WHO) obesity classification system. The participants were divided into three groups as Class 1, BMI 30 to <35 kg/m2; Class 2, BMI 35 to <40 kg/m2; and Class 3, BMI ≥40 kg/m2).Results: The average ages of three classes of patients according to the WHO obesity classification system were 42.4, 38.8, and 36.0 years with intergroup differences. Controlled attenuation parameter (CAP) and liver stiffness also showed differences in each group (307.6±59.3, 325.8±53.0, and 346.5±52.2, respectively, P=0.007; CAP, 5.5±2.1, 7.1±3.8, and 11.7±9.1, P<0.001; liver stiffness). The prevalence of type 2 diabetes mellitus also differed among the groups (61.3%, 42.2%, and 36.8%, respectively, P=0.036). The proportion of patients with liver fibrosis also showed differences in each group (16.1%, 42.2%, and 59.6%, respectively; P<0.001).Conclusion: Our study shows that most Korean patients undergoing bariatric surgery were also diagnosed with hepatic steatosis. Furthermore, the rate of liver fibrosis was higher among patients with more severe obesity.","PeriodicalId":73828,"journal":{"name":"Journal of metabolic and bariatric surgery","volume":"11 2","pages":"63-68"},"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/8d/f9/jmbs-11-63.PMC10011674.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9484734","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

Impact of metabolic and bariatric surgery on liver diseases: Current evidence 代谢和减肥手术对肝脏疾病的影响:目前的证据

Journal of metabolic and bariatric surgery Pub Date : 2022-09-01 DOI: 10.4103/jbs.jbs_9_22

Lokesh Agarwal, Ritvik Chekuri, Vitish Singla, Arun Kumar, Shalimar, S. Aggarwal

引用次数: 0

Cognitive improvement following sleeve gastrectomy and roux-En-Y gastric bypass procedures 袖式胃切除术和roux-En-Y胃旁路手术后认知改善

Journal of metabolic and bariatric surgery Pub Date : 2022-09-01 DOI: 10.4103/jbs.jbs_6_22

Nishant Gurnani, Mehul Gupta, S. Aggarwal, A. Nehra, V. Sreenivas

{"title":"Cognitive improvement following sleeve gastrectomy and roux-En-Y gastric bypass procedures","authors":"Nishant Gurnani, Mehul Gupta, S. Aggarwal, A. Nehra, V. Sreenivas","doi":"10.4103/jbs.jbs_6_22","DOIUrl":"https://doi.org/10.4103/jbs.jbs_6_22","url":null,"abstract":"Introduction: South Asia has noted an increasing prevalence of obesity and employment of bariatric surgery (BS) procedures. Prior studies have shown improvement in memory, executive function and attention, after Roux-en-Y gastric bypass (RYGB) operation in the Western population. However, there is a scarcity of data on cognitive improvement following BS in a non-Western population. Objective: The objective of the study is to evaluate changes in cognitive functions of patients with severe obesity, after BS. Study Setting: Tertiary-care Academic Center, India. Methodology: A prospective study of patients undergoing BS was conducted. Specific neurocognitive tests (Mini-mental Status Examination, Standard progressive matrices, Controlled Oral Word Association Test, and Post Graduate Institute Memory Scale test) were used to assess cognitive status at baseline (preoperatively), and at 3, 6, and 12 months. Results: Fifty-three patients were enrolled in the study, out of which 50 had completed 1 year of follow-up at the time of analysis (n = 50). Thirty-six patients (72%) were females. The median age was 42 years, and the mean preoperative body mass index (BMI) was 45.5 ± 6.3 kg/m2. 40 patients underwent SG, while 10 underwent RYGB procedure. At baseline, the study cohort had impairment of abstract reasoning, attention, and verbal retention, as compared to normative data. At 1 year after surgery, the mean BMI was 29.1 ± 2.6 kg/m2. There was a significant (P < 0.05) improvement in most cognitive domains (global cognitive functioning, abstract reasoning, attention/concentration, and memory function). However, improvement in language function was not found to be significant across the follow-up duration of 12 months (P = 0.35). Conclusions: Individuals with severe obesity experience baseline impairment in cognitive functions. Similar to results from the Western population, BS (RYGB and SG) results in a significant improvement in multiple cognitive domains even in a non-Western population.","PeriodicalId":73828,"journal":{"name":"Journal of metabolic and bariatric surgery","volume":"9 1","pages":"82 - 87"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88815401","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

Hemodynamic changes during pneumoperitoneum and reverse Trendelenburg position in bariatric surgery: An observational study using noninvasive cardiac output monitoring 减肥手术中气腹和逆Trendelenburg体位的血流动力学变化:一项使用无创心输出量监测的观察性研究

Journal of metabolic and bariatric surgery Pub Date : 2022-09-01 DOI: 10.4103/jbs.jbs_12_22

D. Poudel, R. Pandey, A. Bhalla, Ankur Sharma, B. Ray, J. Punj, V. Darlong, S. Aggarwal

{"title":"Hemodynamic changes during pneumoperitoneum and reverse Trendelenburg position in bariatric surgery: An observational study using noninvasive cardiac output monitoring","authors":"D. Poudel, R. Pandey, A. Bhalla, Ankur Sharma, B. Ray, J. Punj, V. Darlong, S. Aggarwal","doi":"10.4103/jbs.jbs_12_22","DOIUrl":"https://doi.org/10.4103/jbs.jbs_12_22","url":null,"abstract":"Background: Patients undergoing bariatric surgeries are at higher perioperative risk due to multiple comorbidities. We studied the hemodynamic changes during pneumoperitoneum and reverse Trendelenburg position in bariatric surgery, using noninvasive cardiac output (CO) monitoring. Methods: In this prospective observational study, 60 patients of the American Society of Anesthesiologists Grade I–II, aged between 18 and 60 years, planned for elective laparoscopic bariatric surgery were included. During the intraoperative period, hemodynamic monitoring was done using an estimated continuous CO (esCCO) monitor. We noted oxygen saturation (SpO2), heart rate, blood pressure (BP), and CO values obtained before induction of general anesthesia and were compared with values obtained after induction, postintubation, after pneumoperitoneum, after reverse Trendelenburg, and every 10 min during the procedure and postextubation. Results: The mean baseline SpO2, pulse rate (PR), systolic BP (SBP), diastolic BP (DBP), and CO was 99.17 ± 1.7, 99.9 ± 1.35 bpm, 136.3 ± 14.5 mm Hg, 83.11 ± 10.5 mm Hg, and 7.59 ± 1.44 L/min, respectively. There was a significant fall in PR, SBP, DBP, and CO after induction of anesthesia and intubation (P = 0.001). After creating pneumoperitoneum and reverse Trendelenburg, the fall in hemodynamic parameters was also significant (P = 0.001). Conclusions: The esCCO noninvasive CO monitor can be used in patients undergoing bariatric surgeries and predict CO during surgery.","PeriodicalId":73828,"journal":{"name":"Journal of metabolic and bariatric surgery","volume":"42 1","pages":"105 - 110"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73868050","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

Staple-line reinforcement in laparoscopic sleeve gastrectomy: Needful or excessive care? 腹腔镜袖式胃切除术中钉线加固:需要还是过度护理?

Journal of metabolic and bariatric surgery Pub Date : 2022-09-01 DOI: 10.4103/jbs.jbs_7_22

Eduardo Bastos, A. Ramos

引用次数: 1