Revision Weight Loss Surgery Offers Second Chance
Treatment TermsRevisional procedures Overview Tyrone Fields was only 20 when he first had gastric bypass near his home in Fayetteville, NC. He lost 150 pounds but gained some of it back over the next 15 years. Fields also developed so many medical problems that his local doctor referred him to Duke, where experts successfully performed a revision of his original surgery despite his increased surgical risk. Now 36, Fields is feeling and looking great. Hero Image2019_weightloss_tjfields_01.jpg Preview Image Content Blocks CTA Header Learn More CTA ButtonRevision Weight Loss Surgery Patient Name Tyrone Fields Patient Photo Gender Male Patient Story Quote“I’m healthy now. It took a while, and the journey was a little longer than anticipated, but it was well worth it.” Featured Doctors A. Daniel Guerron, MD BodyDisplay in Announcement Section: Archived Medically Reviewed DateMonday, May 6, 2019 Reviewer Dr. Daniel Guerron, Tyrone FieldsThumbnail Image: Pin to Top of WiFi Page:
Conditions: Obesity, Morbid; Overnutrition; Nutrition Disorders; Overweight and Obesity; Body Weight Changes Interventions: Procedure: Sleeve gastrectomy; Procedure: Roux-en-Y gastric bypass Sponsors: Inha University Hospital; Korean Center for Disease Control and Prevention Recruiting
A 35-year-old African American female with history of gastric bypass surgery and iron deficiency anemia had a positive nasopharyngeal swab for SARS-CoV-2 PCR in April 2020 in the setting of anosmia and ageusia. Per her sister's report, she did not have confusion, dyspnea, or cough. She did not receive any treatment for COVID-19. Bloodwork in May 2020 demonstrated positive serum SARS-CoV-2 antibodies.
A gastrogastric fistula is a rare complication of Roux-en-Y gastric bypass resulting from communication between the gastric pouch and gastric remnant. This case report describes the creative interprofessional management of this condition arising in a 48-year-old woman. During an elective Roux-en-Y gastric bypass surgery for morbid obesity, the patient developed respiratory complications. She was admitted to the ICU, but the following day she signed herself out against medical advice, stating she was “no longer staying here.” Within 24 hours, she returned to the ED for postoperative complications, and a week aft...
In people with obesity and severe obesity, hypertrophic white adipose tissue (WAT) starts resisting its main biological function, fat storage, as to prevent further adipocyte architectural damage. This is a WAT self-preservation mechanism and involves release of adipokines that contribute to local and systemic low-grade inflammation, chronic insulin resistance, and impaired glucose and lipid homeostasis. Roux-en-Y gastric bypass surgery (RYGB) and other current bariatric techniques are proven to provide for significant long-term reductions in body weight and fat mass in the majority of patients, which can reverse WAT dysfu...
ConclusionsVariation in training level of the first assist during bariatric surgery had no influence on DSM or readmissions. This provides reassurance that the inclusion of a wide range of first assistants in bariatric procedures does not negatively impact patient outcomes.
Thiamine deficiency after Roux-n-Y gastric bypass surgery is well described in the literature, presenting with ataxia, altered mental status, and eye movement disorders2. Most present within the first six months post-surgery2. Female patients often present earlier2 and patients with persistent vomiting post operatively are more susceptible3.
CONCLUSIONS: Postoperative pregnancy did not diminish long-term weight loss in women in the LABS-2 study. The finding of comparable weight loss is relevant for providers counseling women of reproductive age on weight-loss expectations and family planning following bariatric surgery. PMID: 32918404 [PubMed - as supplied by publisher]
Conditions: Obesity; Roux-en-Y Gastric Bypass Intervention: Device: easyEndoTM Universal Linear Cutting Stapler and reloads (Ezisurg Medical) Sponsor: Duomed Not yet recruiting
PMID: 32909445 [PubMed - as supplied by publisher]
ConclusionAll patients were found to have decreased BMD after RYGB and SG. Surgery type was not a significant risk factor in BMD change. Despite vitamin D and calcium supplementation in all patients, a decrease in vitamin D and calcium levels were associated with a decrease in BMD. Close follow-up and treatment of vitamin D and calcium levels are warranted in all bariatric patients.Graphic abstract