Living with my small stomach: The experiences of post ‐bariatric surgery patients within one year after discharge

Journal of Clinical Nursing,Volume 0, Issue ja, -Not available-.
Source: Journal of Clinical Nursing - Category: Nursing Authors: Source Type: research

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PURPOSE: Bariatric surgery (BS) is considered the most effective treatment for severe obesity. Nevertheless, long-term studies have identified some concerning issues, such as increased postoperative rates of suicide and substance use disorders. Some invest...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news
AbstractPurpose of ReviewIn the treatment of epidemic obesity and metabolic disorders, conservative approaches often fail to achieve the treatment goal in patients with very high BMI. To date, bariatric surgery accomplishes the most sustainable results in patients with morbid obesity. This leads to a treatment gap for lower and middle classes of obesity defined by BMI. Primary endoscopic procedures, which are less invasive than surgery, may be able to sufficiently fill this gap. Furthermore, secondary endoscopic procedures have developed into an essential addition regarding complication management of bariatric surgeries. T...
Source: Current Obesity Reports - Category: Eating Disorders & Weight Management Source Type: research
Conditions:   Bariatric Surgery;   Micronutrient Deficiencies;   Obesity Intervention:   Procedure: Gastric Bypass, Sleeve Gastrectomy Sponsor:   Region Östergötland Active, not recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
This report presents the case of a 55-year-old woman with a previous Roux-en-Y gastric bypass who was shown by endoscopy to have an invasive adenocarcinoma located in the distal thoracic esophagus. This necessitated an excision of the thoracic esophagus and the gastric pouch. A laparoscopic and thoracoscopic Ivor-Lewis esophagogastrectomy was performed for this complex patient with esophageal adenocarcinoma. The remnant stomach was fashioned into a gastric conduit using a 60-mm linear stapler with a staple height of 4.1 mm (Echelon, Ethicon Endosurgery, Blue Ash, OH). The reconstruction was performed using a 25-mm Orvil (C...
Source: Annals of Surgical Oncology - Category: Cancer & Oncology Source Type: research
This study will be the first randomized trial testing the role of EN versus TPN in PUGIF.Trial registrationClinicalTrials.gov:NCT03742752. Registered on 14 November 2018.
Source: Trials - Category: Research Source Type: clinical trials
AbstractBackgroundHiatal hernia repair performed at the time of laparoscopic sleeve gastrectomy (LSG) may reduce post-operative reflux symptoms. It is unclear whether intra-operative diagnosis of hiatal hernia varies among surgeons or if it affects outcomes.Study designSurgeons (n = 38) participating in a statewide bariatric surgery quality improvement collaborative reviewed 33 videos of LSG in which no hiatal hernia repair was performed. Reviewers were blinded to patient information and were asked whether they perceived a hiatal hernia. Surgeon characteristics and surge on-specific patient outcomes for LSG w...
Source: Surgical Endoscopy - Category: Surgery Source Type: research
Sleeve gastrectomy (SG) is associated with significant rates of de novo and worsened gastroesophageal reflux disease (GERD) and thus, Roux-en-Y gastric bypass is typically the preferred bariatric surgery in patients with symptomatic GERD. Patients with silent reflux symptoms, may however still undergo SG, which could put patients at risk for complications such as Barrett ’s esophagus (BE). We aimed to determine the incidence rate of BE in patients who have undergone SG and to assess the use of EGD pre- and post-surgery using a large database.
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: Poster abstracts Source Type: research
History of bariatric surgery adds to the technical challenge of performing Endoscopic Retrograde cholangio-pancreatoscopy (ERCP) leading to complications. However, there are limited studies analyzing the complications in patients with bariatric surgery especially in a national cohort. The aim of the study was to assess the (1) incidence of post ERCP fever and bacteremia in discharges with history of bariatric surgery utilizing the national cohort (2) risk factors for post ERCP fever (3) effects on outcomes.
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: Poster abstracts Source Type: research
Post Endoscopic Retrograde Cholangiopancreatography (ERCP) Pancreatitis (PEP) is a common complication occurring at a rate of 1-15%. Predictors of PEP include the type of intervention, age, and hospital setting. Performing ERCP in patients with altered anatomy, such as those with roux-en-Y gastric bypass (RYGB), is becoming increasingly common. However, data is limited on the risk of PEP in this patient population. The aim of this study is to evaluate post bariatric anatomy as a risk factor for PEP.
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: Poster abstracts Source Type: research
Post bariatric surgery leaks can be difficult to manage, and surgical re-exploration is associated with significant morbidity and mortality. Endoscopic deployment of self-expandable metal stents (SEMS) is a less invasive modality and has been utilized for management of such leaks avoiding the need for re-exploration surgery in selected patients.
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: Poster abstracts Source Type: research
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