Comparison of anthropometric measures in people with and without short- and long-term complications after laparoscopic sleeve gastrectomy
AbstractLaparoscopic sleeve gastrectomy (LSG) is a popular surgical procedure for obesity treatment. Prediction of post-operative complication occurrence can result in better outcomes. It is reported that anthropometric measures such as waist circumference (WC), hip circumference (HC), arm circumference (AC), waist-to-height ratio (WHtR), waist-to-hip ratio (WHR), and conicity index are more sensitive to predict the risk of obesity-related diseases than body mass index (BMI) and body weight (BW) are. No study has investigated the relationship between these anthropometric measures and complications after LSG in people with obesity. This cross-sectional study assessed 54 people with obesity with a BMI between 35 and 55, who were being evaluated for LSG. BW, height, BMI, AC, WC, and HC were measured and WHtR, WHR, and conicity index were calculated before and after LSG. Short- and long-term surgery complications were collected by using medical records and contact with the patients. Paired samplet test, independent sample test, and chi-square were used to analyze data. Short- and long-term complications were 13 and 37%, respectively. Pre- and post-operative HC showed significant differences between patients with and without short-term complications (P
ConclusionsAltered global longitudinal strain values were common in young obese patients. Sleeve gastrectomy increased global longitudinal strain even in the early postoperative phase without promoting changes in global radial strain, global circumferential strain, and left ventricle twist measurements.
ConclusionObesity is closely associated with primary infertility and PCOD. Menstrual abnormalities associated with PCOD significantly improve after bariatric surgery with significant improvement in fertility along with maternal outcomes.
ConclusionHistopathologic examination of LSG specimens may not be routinely needed and can be performed on selected patients. While we recommend routine preoperative UGIE in all LSG-treated patients, we suggest that histopathologic assessment of the LSG specimens should be mandatory when UGIE biopsies demonstrate HP infection and/or premalignant lesions, in all patients older than 42 years, and in cases of intraoperative detection of incidental tumours or suspicious lesions.
ConclusionsDouble LRYFJ for chronic leaks after complicated bariatric procedures seems safe with good postoperative outcomes. However, it remains a challenging procedure and should be reserved for selected patients in specialized bariatric centers.
AbstractAimPublished reports showed conflicting results regarding the sustained alterations in leptin, chemerin, and ghrelin concenratios after metabolic surgery. Therefore, we performed the present work to contrast the alterations in leptin, chemerin, and ghrelin levels one year after Roux-en-Y gastric bypass (RYGB) versus laparoscopic sleeve gastrectomy (LSG).MethodsThe present research is a prospective, comparative one that followed 100 cases for whom RYGB or LSG was done. We assessed the serum values of adiposity-associated mediators, including adipokcytokines (leptin and active chemerin) and gastrointestinal hormones ...
ConclusionThe results demonstrated a positive relationship between post-LSG serum zinc levels and preservation of renal function among patients with obesity in a surgical setting. Large-scale studies are warranted to support the findings.
ConclusionWLG group did not have decreased perioperative morbidity, nor improved weight loss and comorbidity resolution 4 years after surgery. While these findings should also be confirmed by multicenter trials, they question the value of mandated WLG prior to bariatric surgery as they seem ineffective and may limit patient access to surgery.
ConclusionManagement of post-LSG leak is multimodal. Our clinical experience demonstrated less urge to perform extensive surgical interventions. Patients on enteral feeding had shorter resolution time while patients with sleeve stricture had a longer time to resolution.
Risk Factors for Moderate to Severe Pain during the First 24 Hours after Laparoscopic Bariatric Surgery While Receiving Intravenous Patient-Controlled Analgesia. Anesthesiol Res Pract. 2019;2019:6593736 Authors: Iamaroon A, Tangwiwat S, Nivatpumin P, Lertwacha T, Rungmongkolsab P, Pangthipampai P Abstract Objective: To investigate the incidence of and risk factors for moderate to severe pain during the first 24 hours after laparoscopic bariatric surgery. Materials and Methods: This retrospective study included morbidly obese patients who underwent laparoscopic sleeve gastrectomy or Ro...
Conditions: Polycystic Ovary Syndrome; Severe Obesity; Laparoscopic Sleeve Gastrectomy Intervention: Drug: Metformin Sponsor: RenJi Hospital Recruiting