Micronutrient intake and biochemistry in adolescents adherent or nonadherent to supplements 5 years after Roux-en-Y Gastric Bypass surgery
Roux-en-Y Gastric bypass (RYGB) is an effective obesity treatment in adults and has become established in adolescents. Lower adherence to supplementation in adolescents confers a risk for long-term nutritional deficiencies.
CONCLUSIONSRYGB offers sustained, long-term weight loss with significant resolution of major comorbidities in older veterans, with acceptably low morbidity and mortality.
At first glance, many readers of SOARD may skim past this article and pay little attention. After all, Laparoscopic Sleeve Gastrectomy(LSG) has become the most common procedure with Roux en Y Gastric Bypass (RYGB) numbers declining. (1) Interest in best methods and limb lengths for distal RYGB may seem impertinent. Furthermore, surgeons performing RYGB have strong feelings about their technique. However, a careful analysis of this paper may alter your practice and provide a different perspective.
On August 30, 2017, The Medicare Evidence Development and Coverage Advisory Committee (MEDCAC) convened a public hearing to review the available evidence for the “Health Outcomes After Bariatric Surgical Therapies in the Medicare Population”. The purpose of this hearing was to obtain public comment on the findings of an Agency for Healthcare Research and Quality (AHRQ) Technology Assessment Program study of evidence for “Short- and Long-Term Outcomes a fter Bariatric Surgery in the Medicare Population”.
This study used prospectively collected data from a state-wide quality collaborative. The presence of AUD was determined using the Alcohol Use Disorders Identification Test for Consumption (AUDIT-C), with a score ≥ 4 in men and ≥ 3 in women suggestive of AUD. We used bivariate Chi-square tests for categorical variables and independent samplest tests for continuous variables. We used multivariable logistic regression to identify patient characteristics that may predispose patients to development of AUD at 1 and 2 years after surgery.ResultsThe overall prevalence of AUD in our population (n&...
AbstractBackgroundIdentifying risk factors for conversion to diabetes among individuals with obesity and prediabetes is important for preventing diabetes.PurposeWe assessed conversion rates to diabetes 5 years after three types of metabolic surgery and examined predictors of diabetes development.MethodsWe accessed data of individuals with prediabetes, defined as fasting glucose (FG) 100 –125 mg/dL (5.6–6.9 mmol/L) or HbA1c 5.7–6.4% at baseline (preoperatively), who underwent metabolic surgeries in Clalit Health Services during 2002–2011.ResultsOf 1,756 individuals with...
References 37 –44 are not cited in the article and should be deleted.
ConclusionThis study showed a higher decrease in energy intake to be related with a higher %TBWL.
Internal hernias are well-recognized complications of Roux-en-Y gastric bypass (RYGB) surgery that arise in consequence of procedure induced mesenteric defects1, 2.
I would like to congratulate the authors for an excellent study attempting to answer the important question of how to surgically manage patients presenting with significant weight regain after Roux-en-Y gastric bypass (RYGB). The study is a retrospective analysis of a small series of patients (84 patients) with weight regain after RYGB.1 In addition, 39% of these patients were converted to RYGB from laparoscopic adjustable gastric banding (LAGB), sleeve gastrectomy (SG) or vertical banded gastroplasty (VBG).