Predictors of fat-free mass loss 1  year after laparoscopic sleeve gastrectomy

AbstractPurposeLaparoscopic sleeve gastrectomy (LSG) is one of the most frequently performed bariatric surgery interventions because of its safety and efficacy. Nevertheless, concerns have been raised on its detrimental effect on patient nutritional state that can ultimately lead to the loss of fat-free mass (FFM). There is interest in identifying predictors for the early identification of patients at risk of this highly unwanted adverse because they could benefit of nutritional preventive interventions. Therefore, we investigated whether anthropometric parameters, body composition or resting energy expenditure (REE) measured before surgery could predict FFM loss 1  year after LSG.MethodsStudy design was retrospective observational. We retrieved data on body weight, BMI, body composition and REE before and 1  year after LSG from the medical files of 36 patients operated on by LSG at our institutions. Simple regression, the Oldham’s method and multilevel analysis were used to identify predictors of FFM loss.ResultsAveraged percentage FFM loss 1  year after LSG was 17.0 ± 7.7% with significant differences between sexes (20.8 ± 6.6 in males and 12.2 ± 6.1% in females,p 
Source: Journal of Endocrinological Investigation - Category: Endocrinology Source Type: research

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ConclusionBariatric surgery in selected cirrhotic patients with portal hypertension is relatively safe and effective.
Source: Obesity Surgery - Category: Surgery Source Type: research
Conclusion: Recognition and optimization of these risk factors would be valuable in operative risk prediction before bariatric surgery. PMID: 30079327 [PubMed]
Source: Annals of Surgical Treatment and Research - Category: Surgery Tags: Ann Surg Treat Res Source Type: research
ConclusionsThe implementation of enhanced recovery after surgery measures in non-bariatric gastric resection surgery is not widespread in our country.ResumenIntroducciónLas medidas de rehabilitación multimodal en cirugía abdominal se están instaurando progresivamente. El objetivo del estudio es evaluar la aplicación de diferentes cuidados perioperatorios en la cirugía gástrica por parte de los cirujanos españoles.MétodosEstudio descriptivo de 162 encuestas contestadas desde septiembre a diciembre de 2017 acerca del manejo y cuidados perioperatorios en cirug&iac...
Source: Cirugia Espanola - Category: Surgery Source Type: research
ConclusionOur study highlights the importance of postoperative nutritional interventions like portion-controlled eating for successful bariatric outcome.
Source: Obesity Surgery - Category: Surgery Source Type: research
ConclusionEndoscopic treatment of fistula after LSG is efficient but requires early procedures within the first 3  weeks. Endoscopic strategies involving closing procedure or drainage procedure seem to be similar, but these data must be confirmed in large prospective clinical studies.
Source: Obesity Surgery - Category: Surgery Source Type: research
PMID: 30078527 [PubMed - as supplied by publisher]
Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery - Category: Surgery Authors: Tags: Surg Obes Relat Dis Source Type: research
AbstractBackgroundFew previous studies have assessed the safety of bariatric surgery in septuagenarians.MethodsA retrospective analysis of all patients 70  years or older who underwent laparoscopic sleeve gastrectomy at our institution between 2012 and 2017 was performed. This group was compared to a matched cohort of younger LSG patients (18–50 years) who were operated during the same time period.ResultsThirty septuagenarian LSG patients were compared to 60 younger patients. Gender distribution, preoperative weight, and preoperative body mass index (BMI) were comparable, although patients in the older age ...
Source: Obesity Surgery - Category: Surgery Source Type: research
There is substantial evidence that surgery is the only valid treatment for morbid obesity [1,2]. Over the last decade, several techniques have emerged and the bariatric trends have changed [3,4]. Presently, the most commonly performed technique is laparoscopic sleeve gastrectomy (LSG), after many years when laparoscopic Roux-en-Y gastric bypass (LRYGBP) has been considered as the gold standard. This growth can be explained by several advantages that LSG carries over LRYGBP, including the absence of most side effects of bypass procedures like dumping syndrome, marginal ulcers, malabsorption, small bowel obstruction and inte...
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research
AbstractIntroductionIt is commonly stated in bariatric surgical forums that leaks following laparoscopic sleeve gastrectomy (LSG) are more difficult to manage than those following laparoscopic roux-en-Y gastric bypass (LRYGB). However, no previous study has provided a thorough comparison of leak management following these two operations.MethodsOur database was retrospectively reviewed to identify patients with leak following LSG and LRYGB performed between January 2007 and December 2017.ResultsPostoperative leak was diagnosed in 16/2132 (0.75%) LSG and 9/595 (1.5%) LRYGB patients. More of the LRYGB leaks had undergone revi...
Source: Obesity Surgery - Category: Surgery Source Type: research
AbstractPurposeLaparoscopic sleeve gastrectomy (LSG) has rapidly gained popularity as a single-stage operation for the treatment of morbid obesity, as patients undergoing LSG have been shown to achieve similar weight loss and resolution of obesity-related comorbidities in comparison to those undergoing Roux-en-Y gastric bypass (RYGB), the “gold standard” bariatric operation. Although LSG poses fewer technical challenges than RYGB, little is known about differences in short-term outcomes among patients undergoing LSG and RYGB. We hypothesized that LSG is associated with lower 30-day risk-adjusted serious morbidi...
Source: Obesity Surgery - Category: Surgery Source Type: research
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