Journal of metabolic and bariatric surgery最新文献_第8页

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":"9 2","pages":"42-51"},"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":"9 2","pages":"52-60"},"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":"9 1","pages":"7-12"},"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

Diabetes Remission Rate after Sleeve Gastrectomy or Roux-en-Y Gastric Bypass; Utilizing Individualized Metabolic Surgery Score for Korean Patients. 袖式胃切除术或Roux-en-Y胃旁路术后糖尿病缓解率的研究利用韩国患者的个体化代谢手术评分。

Journal of metabolic and bariatric surgery Pub Date : 2020-06-01 DOI: 10.17476/jmbs.2020.9.1.13

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

{"title":"Diabetes Remission Rate after Sleeve Gastrectomy or Roux-en-Y Gastric Bypass; Utilizing Individualized Metabolic Surgery Score for Korean Patients.","authors":"Dae Geun Park, Yoona Chung, Sang Hyun Kim, Yong Jin Kim","doi":"10.17476/jmbs.2020.9.1.13","DOIUrl":"https://doi.org/10.17476/jmbs.2020.9.1.13","url":null,"abstract":"Purpose: The purpose of this study is to evaluate the usefulness of individualized metabolic surgery score for Korean patients in determining bariatric surgical procedures.Materials and methods: A total of 135 patients with type 2 diabetes mellitus who underwent sleeve gastrectomy (n=19) or Roux-en-Y gastric bypass (n=116) at our institute with a 1-year follow up were analyzed for the predictive power of diabetes remission using the individualized metabolic surgery scoring system.Results: At the postoperative follow-up of 1 year, the remission of type 2 diabetes mellitus (HbA1C<6.5%, off medications) was achieved in 88 (65.2%) patients. The remission rates showed no significant differences between patients who underwent sleeve gastrectomy and Roux-en-Y gastric bypass (63.2% versus 65.5%; P=0.84), regardless of the severity of type 2 diabetes mellitus. Although there was no statistically significant difference in the remission rate according to the bariatric surgery procedures (P>0.99 in mild, P=0.11 in moderate, P>0.99 in severe IMS score), remission rates were higher in moderate severity patients who underwent Roux-en-Y gastric bypass than in those who underwent sleeve gastrectomy (69.7% versus 37.5%).Conclusion: The remission rates after bariatric surgery procedures were similar to that of the previously reported study. Despite the limitations of our data, the individualized metabolic surgery score can be used as a complement to other scoring systems in Korean patients.","PeriodicalId":73828,"journal":{"name":"Journal of metabolic and bariatric surgery","volume":"9 1","pages":"13-18"},"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/1f/a3/jmbs-9-13.PMC9847645.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10582834","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

The Causes, Prevention, and Management of Gastric Leakage after Laparoscopic Sleeve Gastrectomy: A Review Article 腹腔镜袖状胃切除术后胃漏的原因、预防和处理：综述

Journal of metabolic and bariatric surgery Pub Date : 2019-12-30 DOI: 10.17476/jmbs.2019.8.2.28jmbs

Hussain Alanezi, Abdulaziz Alshehri, Abdulaziz Alrobiea, M. Yoo

{"title":"The Causes, Prevention, and Management of Gastric Leakage after Laparoscopic Sleeve Gastrectomy: A Review Article","authors":"Hussain Alanezi, Abdulaziz Alshehri, Abdulaziz Alrobiea, M. Yoo","doi":"10.17476/jmbs.2019.8.2.28jmbs","DOIUrl":"https://doi.org/10.17476/jmbs.2019.8.2.28jmbs","url":null,"abstract":"Obesity has been considered a chronic relapsing disease. The increasing number of obese individuals has resulted in an increase in the demand for bariatric surgeries annually. Post-laparoscopic sleeve gastrectomy complications are challenging for both patients and surgeons. Thus, this paper reviews the most common and significant risk factors for leakage occurrence after laparoscopic sleeve gastrectomy and presents new tools, techniques, management options, and recommendations, gathered from newly published articles, for post-laparoscopic sleeve gastrectomy leakage. Causes of post-laparoscopic sleeve gastrectomy leakage include technical factors such as bougie size, transection point, reinforcement materials, and patient co-morbidities as well as ischemic reasons. Ischemic leakage, which is most commonly seen in laparoscopic sleeve gastrectomy, occurs usually after the fourth day, although some leakage may appear earlier within 1-3 days due to technical issues. Use of varied bougie sizes results in similar excess weight loss % at the one-year follow-up. Buttressing materials also reduce post-laparoscopic sleeve gastrectomy bleeding, but not the leakage rate. Endoscopic stents play a significant role in gastric leakage treatment in post-laparoscopic sleeve gastrectomy patients. Intra-operative or even early postoperative diagnostic tools can help in detecting early leaks, but minor leaks as well as those due to ischemic causes may be missed. In conclusion, laparoscopic sleeve gastrectomy is still one of the most effective bariatric surgeries, exhibiting approximately 70% excess weight loss. Although complications of post-laparoscopic sleeve gastrectomy are severe and may be life-threatening, most patients can be treated conservatively. However, those with persistent fistula require surgical intervention.","PeriodicalId":73828,"journal":{"name":"Journal of metabolic and bariatric surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45688229","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: 1

Initial Experience with Laparoscopic Mini-gastric Bypass in Korean Obese Patients 韩国肥胖患者腹腔镜微型胃旁路术的初步经验

Journal of metabolic and bariatric surgery Pub Date : 2019-12-30 DOI: 10.17476/jmbs.2019.8.2.43

C. Lim, Sang Hyun Kim, Yong Jin Kim

{"title":"Initial Experience with Laparoscopic Mini-gastric Bypass in Korean Obese Patients","authors":"C. Lim, Sang Hyun Kim, Yong Jin Kim","doi":"10.17476/jmbs.2019.8.2.43","DOIUrl":"https://doi.org/10.17476/jmbs.2019.8.2.43","url":null,"abstract":"Purpose: To report our initial experience with laparoscopic mini-gastric bypass (LMGB) in Korean obese patients. Materials and Methods: From July 2016 to February 2018, 14 male patients underwent LMGB for morbid obesity at a single institution. Five trocars were placed in a U-shape formation and 1 trocar was placed at the epigastrium as a liver retractor; a window was created between the vagal nerve and lesser curvature at the gastric angle for entering the lesser sac; a narrow gastric tube (∼100-120 ml volume) was made; a linear-stapled gastrojejunostomy was created after bypassing the jejunum 200 cm from the Treitz’ ligament; and the Petersen defect was closed to prevent internal hernia. Patient demographics, operative time, estimated blood loss, postoperative hospital stay, complications, weight loss, and resolution of comorbidities were evaluated during 1 year of follow-up. Results: All procedures were successful by laparoscopy. The average age was 29 (19-49) years; weight, 164.9 (127-250) kg; and body mass index, 51.0 (42.4-81.6) kg/m. In 1 case, nephrectomy was simultaneously performed for early renal cell carcinoma. The mean operative time was 148.8 (120-175) min. The mean postoperative hospital stay was 1.9 (1-4) days. The percentage excess weight loss at 1, 3, 6, 9, and 12 months was 16.6%, 31.0%, 41.4%, 45.4%, and 50.4%, respectively. The resolution rate of type 2 diabetes mellitus, hypertension, and dyslipidemia was 75%, 40%, and 66.7%, respectively. There was no major complication including mortality during the follow-up. Conclusion: LMGB is a technically simple, safe, and effective procedure in Korean obese patients.","PeriodicalId":73828,"journal":{"name":"Journal of metabolic and bariatric surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48817750","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

Comparison between ABCD and IMS Scores in the Prediction of Long-Term T2DM Remission after Metabolic Surgery in East Asian Obese Patients ABCD和IMS评分预测东亚肥胖患者代谢手术后T2DM长期缓解的比较

Journal of metabolic and bariatric surgery Pub Date : 2019-12-30 DOI: 10.17476/jmbs.2019.8.2.34jmbs

M. Ohta, Y. Seki, Sungsoo Park, Cunchuan Wang, Wah Yang, K. Kasama

引用次数: 1

Snakeskin Appearance of Gastric Mucosa Compressed by Adjustable Gastric Bands: A Novel Diagnostic Marker of Band Migration 可调胃带压迫胃粘膜的蛇皮样表现：一种新的胃带迁移诊断标志

Journal of metabolic and bariatric surgery Pub Date : 2019-12-30 DOI: 10.17476/jmbs.2019.8.2.37

T. Park, S. Kim

{"title":"Snakeskin Appearance of Gastric Mucosa Compressed by Adjustable Gastric Bands: A Novel Diagnostic Marker of Band Migration","authors":"T. Park, S. Kim","doi":"10.17476/jmbs.2019.8.2.37","DOIUrl":"https://doi.org/10.17476/jmbs.2019.8.2.37","url":null,"abstract":"Purpose: The aim of this retrospective study is to describe changes of gastric mucosa in patients with adjustable gastric band migration, and to evaluate the diagnostic value of these changes. Materials and Methods: The postoperative endoscopies of all patients that underwent adjustable gastric band surgery at a single tertiary center were retrospectively reviewed. Gastric mucosal patterns were classified based on the appearance of gastric mucosae compressed by adjustable gastric bands, as follows; Group A: normal appearance, Group B: snakeskin (reticular) appearance without band migration, Group C: snakeskin appearance with band migration, and Group D: recuperated gastric mucosa with advanced band migration. Results: Postoperative endoscopic findings of 109 patients obtained from Jan 2012 to Oct 2018 were available, and these patients were assigned to the four groups, as follows; 82 to group A, 5 to group B, 14 to group C, and 8 to group D. Times (months) between AGB implantation and initial postoperative endoscopy evaluations were 45.2±22.3, 40.0±28.2, 36.2±18.6, and 42.1±17.0, respectively (P=0.531). Of the five patients in Group B, 3 underwent band explantation due to band migration (P=0.000). Conclusion: Conclusion A snakeskin pattern of gastric mucosa compressed by adjustable gastric band is strongly associated with adjustable band migration. The presence of this pattern might predict band migration before endoscopic confirmation and its identification might prevent complications associated with long-standing band migration.","PeriodicalId":73828,"journal":{"name":"Journal of metabolic and bariatric surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49148898","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