Roux-en-Y Gastric Bypass is a Safe and Effective Option that Improves Major Co-Morbidities Associated with Obesity in an Older, Veteran Population

CONCLUSIONSRYGB offers sustained, long-term weight loss with significant resolution of major comorbidities in older veterans, with acceptably low morbidity and mortality.
Source: The American Journal of Surgery - Category: Surgery Source Type: research

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ConclusionsWe were able to develop an interactive estimation application to provide a population-based guidance for potential outcomes of LRYGB. This might be useful not only for health professionals but also for patients interested in learning potential outcomes in specific circumstances.
Source: Obesity Surgery - Category: Surgery Source Type: research
Abstract BACKGROUND: Laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass (LRYGB) are 2 widely used procedures performed in bariatric surgery. However, their long-term weight loss effects have not been well compared. OBJECTIVES: To evaluate the long-term outcome of 2 procedures for treating morbid obesity. SETTING: The gastrointestinal surgery center, Eastern Hospital, Sichuan Academy of Medical Sciences &Sichuan Provincial People's Hospital. METHODS: Three electronic databases, PubMed, CNKI, and EMBASE, were searched ending in September 2018. Eligible studies were prospecti...
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
ConclusionAlthough the sample size is small to draw definitive conclusions, bariatric surgery in patients 65  years or older seems to be safe, with similar outcomes and complication rates as in younger patients, regardless of procedure performed.
Source: Obesity Surgery - Category: Surgery Source Type: research
ConclusionConverting a sleeve gastrectomy to a gastric bypass for weight loss failure is safe, yet weight loss benefit is limited.
Source: Obesity Surgery - Category: Surgery Source Type: research
As the sleeve gastrectomy continues to gain popularity in the United States as well as globally, a growing body of literature has compared its outcomes to the Roux-en-Y gastric bypass (RYGB) and the laparoscopic adjustable gastric band [1]. Most of this work focuses on outcomes such as weight loss and procedure-specific safety profiles, as well as the “co-morbidity trifecta” of hypertension, insulin-resistant diabetes, and obstructive sleep apnea. The latter 2 co-morbidities remain the mainstay of the more than quarter-century-old 1991 National Institutes of Health Consensus Guidelines that most institutions an...
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Paired editorial Source Type: research
ConclusionsOAGB is both safe and effective as a primary as well as a revision bariatric surgery.
Source: Obesity Surgery - Category: Surgery Source Type: research
Sleeve gastrectomy, gastric bypass, gastric banding, and duodenal switch are the most common bariatric procedures performed worldwide. Ninety-five percent of bariatric operations are performed with minimally invasive laparoscopic technique. Perioperative morbidities and mortalities average around 5% and 0.2%, respectively. Long-term weight loss averages around 15% to 25% or about 80 to 100 lbs (40 –50 kg). Comorbidities, including type 2 diabetes, hypertension, dyslipidemia, sleep apnea, arthritis, gastroesophageal reflux disease, and nonalcoholic fatty liver disease, improve or resolve after bariatric surgery.
Source: Gastrointestinal Endoscopy Clinics of North America - Category: Gastroenterology Authors: Source Type: research
Abstract Diet, exercise, cognitive behavioral therapy and pharmacotherapy are some of the means of assisting patients to lose weight, with bariatric surgery being the most effective. Over the last two decades, the increased awareness of the systemic benefits of bariatric surgery, as well as the improved safety and the wider use of the laparoscopic approach, has made bariatric surgery flourish. In the United Kingdom, the adjustable gastric band (10%), vertical sleeve gastrectomy (37%) and Roux-en-Y gastric bypass (45%) are the three most common procedures. Obesity-associated mortality and co-morbidities such as typ...
Source: Climacteric - Category: Geriatrics Authors: Tags: Climacteric Source Type: research
Abstract Background The disproportionate increase in the super obese (SO) is a hidden component of the current obesity pandemic. Data on the safety and efficacy of bariatric procedures in this specific patient population are limited. Our aim is to assess the comparative effectiveness of the two most common bariatric procedures in the SO. Methods Using the Bariatric Outcomes Longitudinal Database from 2007 to 2012, we compared SO patients (BMI ≥ 50) undergoing laparoscopic Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG). Stepwise l...
Source: Surgical Endoscopy - Category: Surgery Source Type: research
Abstract AIM: To compare the mid-term outcomes of laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB) in obese Korean patients. METHODS: All consecutive patients who underwent either LSG or LRYGB with primary to treat morbid obesity between January 2011 and December 2012 were retrospectively reviewed. Patients with a body mass index (BMI) ≥ 30 kg/m(2) with inadequately controlled obesity-related comorbidities (e.g., diabetes, obstructive sleep apnea, hypertension, or obesity-related arthropathy) or BMI ≥ 35 kg/m(2) were considered for bariatric surgery according to th...
Source: World Journal of Gastroenterology : WJG - Category: Gastroenterology Authors: Tags: World J Gastroenterol Source Type: research
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