The elderly as a target for obesity treatment.
The elderly as a target for obesity treatment. Expert Rev Endocrinol Metab. 2015 Jul;10(4):375-380 Authors: Lechleitner M Abstract The prevalence of obesity is increasing in the elderly population. The primary goal of obesity therapy in elderly is the improvement of metabolic complications and the prevention of severe functional limitations. Clinical studies could demonstrate that the combination of nutritional intervention and physical exercise is of advantage to improve the functional status. Study evidence about the efficacy and safety of medication for weight reduction in elderly is limited, and the risks of bariatric surgery outweigh the possible benefits. The test battery of the comprehensive geriatric assessment is an important tool to determine body composition, nutritional status as well as functional and cognitive capacities of the elderly patient. These results are of central importance for the treatment plan and goals. PMID: 30293491 [PubMed]
Introduction: Use of bariatric surgery has increased dramatically during the past 10 years, particularly among women of reproductive age. The significant increase in the number of obese women who become pregnant. In this setting, in recent years, there has been an exponential rise in the number of bariatric procedures, with approximately half of them performed in women of childbearing age, and a significant increase in the number of women who become pregnant after having undergone bariatric surgery (BS).
Introduction: The proportion of obese women in reproductive age is increasing, so the need to perform surgical treatment for obesity is growing each year. The surgical approach to this pathology may improve the reproductive potential of women in childbearing age, but when pregnancy is achieved, targeted obstetric care is required to monitor nutritional needs, control weight gain and the potential prevention of maternal and neonatal morbidity.
Introduction: Bariatric surgery has become an effective approach to lose weight in a sustainable way and reduce the morbidities associated with severe obesity. Approximately 40% of bariatric procedures are performed in reproductive aged women. Generally, women are advised to delay pregnancy for 12 –24 months, because this time frame is when they are losing the most weight.
ConclusionUmbilical SPSG is nowadays a standardized procedure based on the surgical corridor and the parietal space. This is a safe and reproductive procedure applicable in most patients with massive obesity but necessitate learning curve.
ConclusionsThe relevance of risk factors commonly believed to have an influence on postoperative complications should be revised. The weight of resected tissue has an influence on complication.
ConclusionsAlthough quality of all the studies was relatively moderate and the number of the included studies was limited, the barbed suture may have the potentiality to be an effective and reliable technique and extend the application in other bariatric surgeries. More evidence with randomized design, larger sample sizes, and longer follow-up need to compel validations of this state-of-the-art in the future.
Authors: Groene P, Eisenlohr J, Zeuzem C, Dudok S, Karcz K, Hofmann-Kiefer K Abstract Introduction: Postoperative nausea and vomiting (PONV) are complications of general anesthesia. Patient-specific factors, type of surgery and a variety of drugs determine the frequency. Clinical experience shows nausea and vomiting to be very frequent in morbidly obese patients undergoing bariatric surgery. Aim: To detect the onset and extent of nausea and vomiting in the group of morbidly obese patients undergoing laparoscopic bariatric surgery. Material and methods: We conducted a retrospective data bank analysis (since ...
Conclusions: Registers of bariatric procedures provide information that helps in planning treatment and predicting possible complications. Adequate reporting of bariatric procedures is necessary to present the importance of the high incidence of obesity and the importance of its treatment. To collect reliable data, a national Polish bariatric surgery registry should be created. PMID: 30766633 [PubMed]
Authors: Juodeikis Z, Brimienė V, Brimas G Abstract Introduction: Laparoscopic adjustable gastric banding (LAGB) is considered to be the least invasive, reversible, and the safest bariatric operation regarding mortality and morbidity, and its application to high-risk superobese (SO) individuals seems rational. Aim: There are differing viewpoints regarding the effectiveness of LAGB in superobese (BMI> 50 kg/m2) patients. The aim of this study was to compare the safety and efficacy of LAGB in SO and non-superobese (NSO) patients in the long term (> 5 years). Material and methods: We undertook a prospec...
Conclusions: Low-flow anesthesia is safe regarding hemodynamic and respiratory characteristics, depth of anesthesia, and regional cerebral oxygen saturation in morbidly obese patients undergoing laparoscopic bariatric surgery. PMID: 30766625 [PubMed]