Journal of metabolic and bariatric surgery最新文献_第7页

Obesity and Coronavirus Disease 2019. 2019年肥胖与冠状病毒病

Journal of metabolic and bariatric surgery Pub Date : 2021-06-01 DOI: 10.17476/jmbs.2021.10.1.1

Min-Ji Kim, Jae-Han Jeon

引用次数: 2

Is the Sleeve Gastrectomy Sufficient or Does it Require Additional Surgical Procedures? 袖带胃切除术是否足够，还是需要其他外科手术？

Journal of metabolic and bariatric surgery Pub Date : 2021-06-01 Epub Date: 2021-06-30 DOI: 10.17476/jmbs.2021.10.1.9

Sung Il Choi

引用次数: 0

Short-Term Outcomes of Laparoscopic Sleeve Gastrectomy with Duodenojejunal Bypass for Morbid Obesity. 腹腔镜套管胃切除术联合十二指肠空肠旁路术治疗病态肥胖的近期疗效。

Journal of metabolic and bariatric surgery Pub Date : 2020-12-01 DOI: 10.17476/jmbs.2020.9.2.61

Young Gil Jo, Jeong Hyun Yuem, Jong Min Kim, Sung Il Choi

{"title":"Short-Term Outcomes of Laparoscopic Sleeve Gastrectomy with Duodenojejunal Bypass for Morbid Obesity.","authors":"Young Gil Jo, Jeong Hyun Yuem, Jong Min Kim, Sung Il Choi","doi":"10.17476/jmbs.2020.9.2.61","DOIUrl":"https://doi.org/10.17476/jmbs.2020.9.2.61","url":null,"abstract":"Purpose: This study aimed to evaluate the safety and feasibility of laparoscopic sleeve gastrectomy with duodenojejunal bypass (SDJB) surgery in Korean patients.Materials and methods: This was a retrospective study analyzing SDJB surgery with a 200-cm biliopancreatic limb; the surgery was performed between January 2019 and August 2020 in 56 Koreans with morbid obesity. All demographic, clinical, operative, and follow-up data were documented and analyzed for weight loss and diabetes remission efficacy. Safety and feasibility were analyzed in terms of perioperative and postoperative complications. A decrease in the HbA1c value and discontinuation or reduction of anti-diabetics were considered as indicators of improvement in diabetes.Results: he median operation time was 180.0 min (105-210 min), and the median postoperative hospital stay was 5.0 days (3-35 days). Postoperative complications occurred in two patients who were managed by conversion to Roux-en-Y gastric bypass surgery. Meaningful weight loss was 3.5%, 27.7%, and 54.9% at the 1-month, 3-month, and 6-month follow-ups, respectively. Of the 56 patients, 46 had type 2 diabetes. Among those patients, at the 1-month follow-up, 4/31 patients (12%), at the 3-month follow-up, 22/41 patients (53.6%), and at the 6-month follow-up, 31/42 patients (73.8%) were found to show improvement. Of the patients who received anti-diabetics or insulin therapy, only three (9%) patients continued to receive reduced treatment of diabetes, and the other thirty (91%) discontinued the anti-diabetics.Conclusion: SDJB surgery with a 200-cm biliopancreatic limb was a safe and effective procedure to treat morbid obesity and diabetes.","PeriodicalId":73828,"journal":{"name":"Journal of metabolic and bariatric surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/92/02/jmbs-9-61.PMC9847660.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9176480","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: 2

The Impact of the "Slim-Mesh" Technique on Operation Time and Short/Midterm Outcomes in 67 Overweight, Obese and Superobese Patients from a 10-year Follow-up Study. “瘦网”技术对67例超重、肥胖和超肥胖患者手术时间和中短期预后的影响

Journal of metabolic and bariatric surgery Pub Date : 2020-12-01 DOI: 10.17476/jmbs.2020.9.2.24

Silvio Alen Canton, Andrea Piotto, Claudio Pasquali

{"title":"The Impact of the \"Slim-Mesh\" Technique on Operation Time and Short/Midterm Outcomes in 67 Overweight, Obese and Superobese Patients from a 10-year Follow-up Study.","authors":"Silvio Alen Canton, Andrea Piotto, Claudio Pasquali","doi":"10.17476/jmbs.2020.9.2.24","DOIUrl":"https://doi.org/10.17476/jmbs.2020.9.2.24","url":null,"abstract":"Purpose: We performed the sutureless \"Slim-Mesh\" laparoscopic procedure to repair ventral hernias in overweight/obese patients in order to decrease operative time and complications.Materials and methods: Between 2009 and November 2018, 67 consecutive overweight/obese patients affected by ventral hernia were operated on at our center with the \"Slim-Mesh\" technique. This was a prospective (65%)-retrospective study.Results: Our study included 36 males and 31 females; the patients' mean age was 59 years old and mean BMI 31. There were 28 overweight patients, 28 Class I obese patients, and 11 Class II-III obese and superobese patients. Ventral hernia operative size was 3-10 cm (small/medium ventral hernia), 10-20 cm (large/giant) and ≥20 cm (massive) in 45, 17 and 5 cases respectively. Mean surgical time for overweight patients, Class I obese patients, and Class II-III obese and superobese patients was 95 minutes, 103 minutes, and 103 minutes respectively. In 28.3% of cases, ventral hernia operative size was larger than preoperative size, and in 16.4% laparoscopy detected additional fascial defects. We employed a composite mesh in 91% of patients and absorbable straps for mesh fixation in 85%. Mean length of hospital stay was 2.6 days. Mean follow-up time was more than 3.5 years. There were 3 cases (4.4%) of hernia recurrence.Conclusion: The sutureless \"Slim-Mesh\" technique in overweight/obese patients has several advantages, including a reduction in operative time, recovery, and rate of recurrence. The use of this approach would be fast, safe and simple option for overweight/obese patients.","PeriodicalId":73828,"journal":{"name":"Journal of metabolic and bariatric surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e2/62/jmbs-9-24.PMC9847659.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10607984","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

Metabolic Efficacy and Diabetes Remission Predictors Following 'Sleeve Gastrectomy with Loop Duodenojejunal Bypass' Surgery. “袖式胃切除术+十二指肠空肠环形搭桥”手术后的代谢疗效和糖尿病缓解预测因素。

Journal of metabolic and bariatric surgery Pub Date : 2020-12-01 DOI: 10.17476/jmbs.2020.9.2.33

Amar Vennapusa, Ramakanth Bhargav Panchangam, Charita Kesara, Mukharjee Ss Madivada

{"title":"Metabolic Efficacy and Diabetes Remission Predictors Following 'Sleeve Gastrectomy with Loop Duodenojejunal Bypass' Surgery.","authors":"Amar Vennapusa, Ramakanth Bhargav Panchangam, Charita Kesara, Mukharjee Ss Madivada","doi":"10.17476/jmbs.2020.9.2.33","DOIUrl":"https://doi.org/10.17476/jmbs.2020.9.2.33","url":null,"abstract":"Purpose: Laparoscopic sleeve gastrectomy with loop duodenojejunal bypass (SLDJB) is a novel metabolic surgery that is a modification of the single anastomosis duodenoileal bypass with sleeve. Compared to conventional surgeries, SLDJB is highly effective in inducing diabetes remission. This study analyzed the metabolic efficacy of SLDJB.Materials and methods: Seventy-eight patients with obesity and diabetes who underwent SLDJB between May 2013 and October 2017 were retrospectively analyzed to investigate the efficacy of their surgery and diabetes remission predictors. Complete diabetes remission was defined as an HbA1c level <6% with cessation of insulin and oral hypoglycemic agents.Results: Complete diabetes remission occurred in 80.52% and 76.71% of patients at 1- and 3-year follow-ups, respectively. There was no significant difference in the rates of complete diabetes remission between the groups based on gender, preoperative body mass index (BMI), diabetes duration or preoperative insulin use. There was a significantly higher rate of complete remission in patients <50 years of age at the 1-year follow-up. Additionally, the rate of complete remission was significantly less when preoperative glycemic control was poor. Preoperative HbA1c levels negatively predicted complete remission, but was significant only at the 3-year follow-up.Conclusion: SLDJB is highly effective in treating obesity with type 2 diabetes, and preoperative glycemic control was found to predict complete remission. Patients under 50 years of age had a better short-term response rate; however, the surgery was effective regardless of gender, preoperative BMI, duration of diabetes or preoperative insulin use.","PeriodicalId":73828,"journal":{"name":"Journal of metabolic and bariatric surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a7/1a/jmbs-9-33.PMC9847657.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9176479","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

Morphologic Study of Gastric Sleeves by CT Volumetry at One Year after Laparoscopic Sleeve Gastrectomy. 腹腔镜胃袖切除术后1年胃袖CT体积测量的形态学研究。

Journal of metabolic and bariatric surgery Pub Date : 2020-12-01 DOI: 10.17476/jmbs.2020.9.2.42

Kug Hyun Nam, Seung Joon Choi, Seong Min Kim

{"title":"Morphologic Study of Gastric Sleeves by CT Volumetry at One Year after Laparoscopic Sleeve Gastrectomy.","authors":"Kug Hyun Nam, Seung Joon Choi, Seong Min Kim","doi":"10.17476/jmbs.2020.9.2.42","DOIUrl":"https://doi.org/10.17476/jmbs.2020.9.2.42","url":null,"abstract":"Purpose: Laparoscopic sleeve gastrectomy (SG) is now frequently performed as a definitive bariatric procedure. The aim of the study was to evaluate the detailed morphology of remnant stomachs after SG with respect to volume and sleeve migration.Materials and methods: We performed a retrospective review of prospectively collected data on patients that completed a 12-month postop examination, which included CT volumetry of sleeve, and a questionnaire that addressed postop food tolerance. CT volumetry study included total sleeve volume (TSV), tube volume (TV), antral volume (AV), tube/antral volume ratio (TAVR), and the presence of intrathoracic sleeve migration (ITSM).Results: Fifty-five patients were included in this retrospective study. Mean %TWL (% total weight loss) at 12 months postop was 32.8% (14.3-55.5), and mean TSV, TV, AV, and TAVR were 166.6±63.3 ml, 68.9±35.4 ml, 97.7±42.9 ml, and 0.8±0.6 respectively. TSV was not correlated significantly with %TWL at 12 months postop (r=-0.069, P=0.619). Fourteen patients (14/55, 25.5%) showed ITSM by CT. Patients with ITSM had a significantly lower mean GER score (5.1±2.0 vs. 7.3±2.0, P=0.001), a lower total food tolerance score (21.6±3.8 vs. 24.4±4.6, P=0.048), and a higher proportion showed suboptimal weight loss (35.7% vs. 9.8%, P=0.023).Conclusion: Mean TSV was not found to be significantly correlated with %TWL at 12 months postop. Patients with suboptimal weight loss had higher mean TAVR, and the presence of ITSM indicated more frequent GER symptoms, lower food tolerance, and a higher probability of suboptimal weight loss.","PeriodicalId":73828,"journal":{"name":"Journal of metabolic and bariatric surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2a/78/jmbs-9-42.PMC9847658.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9176481","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

Effect of Sleeve Gastrectomy on Morbid Obesity with Type 1 Diabetes Mellitus; Case Series, Literature Review and Meta-Analysis. 袖胃切除术治疗1型糖尿病病态肥胖的疗效观察案例系列、文献回顾与元分析。

Journal of metabolic and bariatric surgery Pub Date : 2020-12-01 DOI: 10.17476/jmbs.2020.9.2.52

Hana Jin, Sang Hyun Kim, Yoona Chung, Dae Geun Park, Yong Jin Kim

{"title":"Effect of Sleeve Gastrectomy on Morbid Obesity with Type 1 Diabetes Mellitus; Case Series, Literature Review and Meta-Analysis.","authors":"Hana Jin, Sang Hyun Kim, Yoona Chung, Dae Geun Park, Yong Jin Kim","doi":"10.17476/jmbs.2020.9.2.52","DOIUrl":"https://doi.org/10.17476/jmbs.2020.9.2.52","url":null,"abstract":"Purpose: The aim of this study was to report our experiences of sleeve gastrectomy (SG) in obese patients with type 1 diabetes mellitus (T1DM) and to assess its metabolic outcomes through a review of the literature and a meta-analysis.Materials and methods: We conducted a retrospective review of the electronic medical records of all patients who underwent bariatric surgery between January 2008 and February 2019 at a single institution. A literature search was performed using PubMed, Cochrane library, and Embase, and a meta-analysis for each direct comparison between pre- and postoperative groups was performed using the random effects DerSimonian-Laird method.Results: We identified three obese patients with T1DM who underwent SG. The baseline body mass index (BMI), HbA1c, and total daily insulin dose was 40.8 (37-47.4) kg/m2, 7.1% (6%-7.7%), and 92.3 (54-113) units, respectively. After surgery, the BMI and total daily insulin dose reduced to 32.2 (30.2-37.6) kg/m2 and 22.3 (12-40) units, respectively. However, the HbA1c increased to 7.8% (5.4%-10.8%). In the meta-analysis, the weighted mean reduction in BMI, HbA1c, and total daily insulin dose were 10.69 kg/m2 (95% CI 7.01-14.37, P<0.00001, I2=0%), 0.3% (95% CI -0.10-0.71, P=0.1447, I2=0%), and 58.52 units (95% CI 15.96-101.08, P=0.07, I2=0%), respectively.Conclusion: SG showed excellent weight-reducing effects during a short follow-up period in obese patients with T1DM and improved the glycemic control by reducing insulin requirement.","PeriodicalId":73828,"journal":{"name":"Journal of metabolic and bariatric surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/29/cf/jmbs-9-52.PMC9847656.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10607982","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

Hyperinsulinemic Hypoglycemia after Bariatric Surgery. 减肥手术后的高胰岛素性低血糖。

Journal of metabolic and bariatric surgery Pub Date : 2020-06-01 DOI: 10.17476/jmbs.2020.9.1.1

Songhao Hu, Hanlin Tang, Huaxi Wang, Zhiyong Dong, Shuwen Jiang, Cunchuan Wang, Xiaomei Chen, Wah Yang

引用次数: 3

Portomesenteric Vein Thrombosis after Laparoscopic Sleeve Gastrectomy: A Case Report. 腹腔镜袖式胃切除术后肠系膜静脉血栓1例。

Journal of metabolic and bariatric surgery Pub Date : 2020-06-01 DOI: 10.17476/jmbs.2020.9.1.19

Jimin Son, Chang Seok Ko, Yun Chan Park, Moon-Won Yoo

引用次数: 0

Current Status of Bariatric and Metabolic Surgery in Daejeon and Chungcheong Province: Early Experiences after Public Medical Insurance Coverage in 2019. 大田和忠清道减肥和代谢外科手术的现状：2019 年公共医疗保险覆盖后的早期经验。

Journal of metabolic and bariatric surgery Pub Date : 2020-06-01 Epub Date: 2020-06-30 DOI: 10.17476/jmbs.2020.9.1.7

Dong-Wook Kim, Dae Hoon Kim, Jeong Goo Kim, Myoung Won Son, Geum Jong Song, Seong-Il Oh, Han Mo Yoo, Moon-Soo Lee, Sang Kuon Lee, Sang Eok Lee, Ye Seob Jee, Seong Ho Hwang, Si Eun Hwang, Sang-Il Lee

{"title":"Current Status of Bariatric and Metabolic Surgery in Daejeon and Chungcheong Province: Early Experiences after Public Medical Insurance Coverage in 2019.","authors":"Dong-Wook Kim, Dae Hoon Kim, Jeong Goo Kim, Myoung Won Son, Geum Jong Song, Seong-Il Oh, Han Mo Yoo, Moon-Soo Lee, Sang Kuon Lee, Sang Eok Lee, Ye Seob Jee, Seong Ho Hwang, Si Eun Hwang, Sang-Il Lee","doi":"10.17476/jmbs.2020.9.1.7","DOIUrl":"10.17476/jmbs.2020.9.1.7","url":null,"abstract":"Purpose: This study aimed to investigate the current status of bariatric and metabolic surgery in Daejeon and Chungcheong province and to describe the early experiences after public medical insurance coverage in 2019.Materials and methods: Between January 2019 and August 2019, 64 cases of bariatric and metabolic surgery were performed in patients with morbid obesity or uncontrolled type 2 diabetes. We prospectively collected and analyzed data regarding the patients' demographics and comorbidities, surgical results, and early complications. The patient information before and after the insurance coverage was also compared.Results: The number of surgeries in 9 years has been caught up only in the last 8 months after insurance coverage (58 vs. 64 patients). The mean body mass index was 37.7±5.8 kg/m2 (range, 22.7-52.1 kg/m2). The most frequently performed surgery was sleeve gastrectomy (53 cases, 82.8%), followed by Roux-en-Y gastric bypass (9 cases, 14.1%), and adjustable gastric banding (2 cases, 3.1%). Postoperative complications occurred in 6 patients (9.4%), and there was no mortality. The mean operation time (225.3±85.4 vs. 156.1±61.8 min, P<0.001) and postoperative stay (5.9±4.5 vs. 4.3±2.0 days, P=0.013) after the insurance coverage were significantly shorter than those before the insurance coverage.Conclusion: We could assess the patients who had bariatric and metabolic surgery in Daejeon and Chungcheong province after public medical insurance coverage in 2019.","PeriodicalId":73828,"journal":{"name":"Journal of metabolic and bariatric surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d3/e7/jmbs-9-7.PMC9847644.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10582833","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