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

Enhanced Recovery after Surgery in Bariatric Surgery. 在减肥手术中增强术后恢复。

Journal of metabolic and bariatric surgery Pub Date : 2021-12-01 DOI: 10.17476/jmbs.2021.10.2.47

Yeon-Ju Huh, Dong Jin Kim

引用次数: 1

Endoscopic Septotomy as a Treatment for Chronic Leak after Laparoscopic Sleeve Gastrectomy. 内镜下鼻中隔切开术治疗腹腔镜袖胃切除术后慢性胃漏。

Journal of metabolic and bariatric surgery Pub Date : 2021-06-01 DOI: 10.17476/jmbs.2021.10.1.42

Ki Hyun Kim, Kyoungwon Jung, Yoon Hong Kim, Kyung Won Seo

{"title":"Endoscopic Septotomy as a Treatment for Chronic Leak after Laparoscopic Sleeve Gastrectomy.","authors":"Ki Hyun Kim, Kyoungwon Jung, Yoon Hong Kim, Kyung Won Seo","doi":"10.17476/jmbs.2021.10.1.42","DOIUrl":"https://doi.org/10.17476/jmbs.2021.10.1.42","url":null,"abstract":"Acute leakage after sleeve gastrectomy progresses into chronic leakage by 10-28.1%, which causes the surgeon to be disturbed. The main treatment for chronic leakage is surgery, but the authors report successful care with endoscopic septotomy. Forty-one year old female patient with a BMI of 42.8 (161.6 cm/111.8 kg) underwent a laparoscopic sleeve gastrectomy. The leakage of the proximal part of the staple resection line was verified in the abdominal CT on the fourth day after the procedure due to pain in the left shoulder that could not be clarified. After appropriate treatment including stent, the patient ended the acute leakage treatment 150 days after surgery. However, the patient was visited for 10 months after removed percutaneous catheter drainage due to fever and pain in the left shoulder. Afterwards, chronic leakage was confirmed from the CT and endoscopy at POD 15 months. We performed endoscopic treatment in the operating room under general anesthesia. At the gastroesophageal junction, we could find chronic leak orifice and bridging fold between stomach lumen and abscess pocket. Endoscopic septotomy was performed with the endoscopic knife and electrosurgical surgical unit, until the stomach lumen and abscess pockets were fully in communication. After the patient was discharged without any complications and is currently under close observation. Endoscopic septotomy as a treatment for chronic leak is feasible and safe. Herein, we report this case with video clip.","PeriodicalId":73828,"journal":{"name":"Journal of metabolic and bariatric surgery","volume":"10 1","pages":"42-45"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f3/68/jmbs-10-42.PMC9847649.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9098294","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

Conversion of One-Anastomosis Gastric Bypass (OAGB) to Roux-en-Y Gastric Bypass (RYGB) is Effective in Dealing with Late Complications of OAGB: Experience from a Tertiary Bariatric Center and Literature Review. 一次吻合胃旁路术(OAGB)转化为Roux-en-Y胃旁路术(RYGB)治疗OAGB晚期并发症的有效性:来自三级减肥中心的经验和文献综述

Journal of metabolic and bariatric surgery Pub Date : 2021-06-01 DOI: 10.17476/jmbs.2021.10.1.32

Kelvin Voon, Chih-Kun Huang, Anand Patel, Lai-Fen Wong, Yao-Cheng Lu, Ming-Che Hsin

{"title":"Conversion of One-Anastomosis Gastric Bypass (OAGB) to Roux-en-Y Gastric Bypass (RYGB) is Effective in Dealing with Late Complications of OAGB: Experience from a Tertiary Bariatric Center and Literature Review.","authors":"Kelvin Voon, Chih-Kun Huang, Anand Patel, Lai-Fen Wong, Yao-Cheng Lu, Ming-Che Hsin","doi":"10.17476/jmbs.2021.10.1.32","DOIUrl":"https://doi.org/10.17476/jmbs.2021.10.1.32","url":null,"abstract":"Purpose: Both primary and revisional bariatric surgery are on the rise due to global obesity pandemic. This study aimed to assess the indications for revision after one-anastomosis gastric bypass (OAGB) and the outcomes after laparoscopic conversion of OAGB to roux-en-y gastric bypass (RYGB).Materials and methods: Retrospective review on patients that had undergone conversion of OAGB to RYGB between June 2007-June 2019 in a tertiary bariatric center, followed by literature review.Results: Out of 386 revisional bariatric surgery, a total of 14 patients underwent laparoscopic conversion of OAGB to RYGB. The mean age was 44.7 with 71% female. The mean pre-revision BMI was 29.2 kg/m2. The primary indications for revision were bile reflux (n=7), marginal ulcer (n=3), inadequate weight loss or weight regain (IWL/WR) (n=3) and protein-calorie malnutrition (n=1). Conversion of OAGB to RYGB was completed laparoscopically in all cases. The mean length of stay was 4.1 days. There was no intraoperative or early post-operative complication. The mean total weight loss (rTWL%) after revision at year one, year three and year five post-revision were 11.5%, 18.1% and 29.1%, respectively. All patients achieved resolution of bile reflux and marginal ulcer. There was no mortality in this cohort.Conclusion: Bile reflux, marginal ulcer, IWL/WR and malnutrition were the main indications for revision after OAGB in this study. In concordance with the available evidence, laparoscopic conversion of OAGB to RYGB was safe and effective in dealing with late complications of OAGB.","PeriodicalId":73828,"journal":{"name":"Journal of metabolic and bariatric surgery","volume":"10 1","pages":"32-41"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e1/48/jmbs-10-32.PMC9847651.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10534555","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 Prevalence and Predictors of Obstructive Sleep Apnea in Chinese Bariatric Surgery Candidates: A Single-Center Study. 中国减肥手术患者中阻塞性睡眠呼吸暂停的患病率及预测因素:一项单中心研究

Journal of metabolic and bariatric surgery Pub Date : 2021-06-01 DOI: 10.17476/jmbs.2021.10.1.14

Wenhui Chen, Xiaotao Zhang, Chetan Parmar, Yucheng Wang, Wah Yang, Jiyang Pan, Zhiyong Dong, Cunchuan Wang

{"title":"The Prevalence and Predictors of Obstructive Sleep Apnea in Chinese Bariatric Surgery Candidates: A Single-Center Study.","authors":"Wenhui Chen, Xiaotao Zhang, Chetan Parmar, Yucheng Wang, Wah Yang, Jiyang Pan, Zhiyong Dong, Cunchuan Wang","doi":"10.17476/jmbs.2021.10.1.14","DOIUrl":"https://doi.org/10.17476/jmbs.2021.10.1.14","url":null,"abstract":"Purpose: The purpose of the study is to determine the prevalence and predictors of OSA in Chinese bariatric surgery candidates.Materials and methods: The clinical data were collected from 326 patients evaluated for bariatric surgery and referred for polysomnography. Multiple logistic regression was used for identifying independent predictors of presence of OSA and ROC curve analysis to determine the best cut-off value for continuous variable.Results: Baseline BMI and age were 33.3±3.7 kg/m2 and 24.3±3.1 years. 62.9% of the patients fulfilled the diagnostic criteria for OSA; Of these, 22.7% had mild OSA; 11.3% had moderate OSA, and 28.8% had severe OSA. The prevalence was significantly higher in males (84.2%) than in females (47.3%) (P<0.001). The superobese patients and the obese patients aged older than 50 years that all of those were diagnosed with OSA. A multivariate logistic regression model displayed that increasing age, BMI and neck circumference together with presence of habitual snoring and male sex were identified as risk factors of OSA. The best cut-off values for the presence of OSA for age, BMI, neck circumference were 24.5 years, 39.45 kg/m2, 40.40 cm.Conclusion: The prevalence of OSA is very prevalent (62.9%) in Chinese bariatric surgery candidates, especially in male patients (84%). Age, BMI and neck circumference together with presence of habitual snoring and male sex are independent predictors of OSA in these patients. As clinical predictors are not enough to be a properly screening for OSA, routine PSG testing should be recommended to bariatric surgery candidates.","PeriodicalId":73828,"journal":{"name":"Journal of metabolic and bariatric surgery","volume":"10 1","pages":"14-22"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c0/70/jmbs-10-14.PMC9847650.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9083664","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: 1

Incidence of Dumping Syndrome after Sleeve Gastrectomy, Roux-en-Y Gastric Bypass and One-Anastomosis Gastric Bypass. 套筒胃切除术、Roux-en-Y胃旁路术和单吻合术胃旁路术后倾倒综合征的发生率。

Journal of metabolic and bariatric surgery Pub Date : 2021-06-01 DOI: 10.17476/jmbs.2021.10.1.23

Adisa Poljo, Andreas Pentsch, Sandra Raab, Bettina Klugsberger, Andreas Shamiyeh

{"title":"Incidence of Dumping Syndrome after Sleeve Gastrectomy, Roux-en-Y Gastric Bypass and One-Anastomosis Gastric Bypass.","authors":"Adisa Poljo, Andreas Pentsch, Sandra Raab, Bettina Klugsberger, Andreas Shamiyeh","doi":"10.17476/jmbs.2021.10.1.23","DOIUrl":"https://doi.org/10.17476/jmbs.2021.10.1.23","url":null,"abstract":"Purpose: Dumping syndrome (DS) is an important but often underreported problem occurring after bariatric surgery. It is believed that gastric bypass procedures like Roux-en-Y Gastric By-pass (RYGB) and One-Anastomosis Gastric Bypass (OAGB) are more likely to cause DS than the pylorus-preserving Sleeve Gastrectomy (SG). The aim of this study was to evaluate the incidence of DS in patients undergoing SG, RYGB and OAGB.Materials and methods: A retrospective clinical study with 180 patients undergoing SG (n=50), RYGB (n=53) and OAGB (n=77) between 2016-2018 was performed. All clinical and demo-graphic data were assessed. The percentage of excess weight loss (%EWL) was used to evaluate weight reduction. 127/180 (70.6%) patients took part in an additional phone interview. The incidence of DS was evaluated using validated Sigstad Score.Results: Information about the occurrence of dumping symptoms and patient satisfaction was obtained from 127 patients. Median follow-up was 20.0±11.4 months. Significant differences between the surgical procedures were found for the duration of surgery, complications, weight loss, incidence of DS and satisfaction postoperatively. DS occurred in 15.6% after SG, 56.4% after RYGB and 42.9% after OAGB. A higher weight loss was observed in patients who experienced dumping symptoms.Conclusion: The present results show a clear superiority of SG regarding both perioperative results and incidence of DS compared to RYGB and OAGB and may impact clinicians and patients in their choice of procedure.","PeriodicalId":73828,"journal":{"name":"Journal of metabolic and bariatric surgery","volume":"10 1","pages":"23-31"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8a/a1/jmbs-10-23.PMC9847648.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9098293","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: 3

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":"9 2","pages":"61-67"},"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":"9 2","pages":"24-32"},"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":"9 2","pages":"33-41"},"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