Overall Treatment Satisfaction 5  Years After Bariatric Surgery

AbstractIntroductionUp to 30  % of patients undergoing bariatric surgery are dissatisfied with treatment outcomes in the long term. The aim of this study was to examine overall satisfaction with treatment 5 years after bariatric surgery and its association with body mass index (BMI) and health-related quality of life (HRQOL).MethodsPatients were surveyed 5  years after bariatric surgery; 108 patients had duodenal switch (DS) and 153 patients had laparoscopic sleeve gastrectomy (LSG). The main outcome was overall treatment satisfaction, assessed by a single question, and analyzed by multiple logistic regression. Estimates for continuous independent va riables represent the odds ratios (OR) for a 2-standard deviation difference.ResultsFive years after surgery, 82.4  % of the patients were very satisfied or satisfied, whereas 17.6 % were unsure or dissatisfied. The following variables assessed at 5 years were associated with being dissatisfied/unsure: a higher BMI (OR = 6.1, 95 % CI = 2.7–14.0,p 
Source: Obesity Surgery - Category: Surgery Source Type: research

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AbstractIntroductionLaparoscopic sleeve gastrectomy (LSG) is a widely accepted stand-alone bariatric operation. Data on adolescent patients undergoing LSG are limited. The aim of this study was to demonstrate that LSG is safe and effective for patients strictly under 18  years old with severe obesity.MethodsProspectively collected data from consecutive patients undergoing LSG were retrospectively analyzed. Patients with more than 1-year follow-up were included in the analysis for weight loss and comorbidity evaluation. Quality of life (QoL) was evaluated using the Short-Form 36 questionnaire.ResultsEighty-four patient...
Source: Obesity Surgery - Category: Surgery Source Type: research
AbstractBackgroundComparisons of bariatric procedures across a range of outcomes are required to better inform selection of procedures and optimally allocate health care resources.AimsTo determine differences in outcomes between laparoscopic adjustable gastric banding (LAGB) and laparoscopic sleeve gastrectomy (LSG) across nine outcome domains.MethodsMatched primary LSG or LAGB across age, weight and surgery date were recruited. Data were collected from a prospective database and patient-completed questionnaires.ResultsPatients (n = 520) were well-matched (LAGB vs. LSG; age 41.8 ± 11.2 vs...
Source: Obesity Surgery - Category: Surgery Source Type: research
AbstractObjectiveMost published work on bariatric surgery (BS) in adolescents describes outcomes after laparoscopic adjustable gastric banding (LAGB) or Roux-en-Y gastric bypass. We compared the efficacy of LAGB and laparoscopic sleeve gastrectomy (LSG) in adolescents.MethodsA National Bariatric Registry was queried for adolescents who underwent BS between June 2013 and December 2015. We collected data on weight and height at baseline and 1-year following surgery, subsequent hospitalizations, interventions, and mortality, which were compared at 30  days post-surgery and until last follow-up (maximum 4.2 years pos...
Source: Obesity Surgery - Category: Surgery Source Type: research
Authors: Alkassis M, Haddad FG, Gharios J, Noun R, Chakhtoura G Abstract Introduction: Obesity is increasing worldwide and in Lebanon with a negative impact on the quality of life. The primary objective of this study is to measure the quality of life in obese subjects before and after bariatric surgery, depending on age, sex, and degree of weight loss. A secondary objective is to determine the impact of bariatric surgery on comorbidities associated with obesity. Materials and methods: Patients undergoing laparoscopic sleeve gastrectomy for BMI ≥ 30 kg/m2 between August 2016 and April 201...
Source: Journal of Obesity - Category: Eating Disorders & Weight Management Tags: J Obes Source Type: research
In the current manuscript (1) the authors reported a retrospective series of 37 endoscopic treatments of acute and early leaks with a novel large fully covered specific stent. They should be commended for inciting bariatric professionals to progress in order to better address the complications in bariatric surgery. Their past activity proved improvement in the management of this dreaded complication following laparoscopic sleeve gastrectomy (LSG). It is legitimate for them to propose us new tools that should also be evaluated in larger prospective clinical trials.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research
Evidence remains contradictory for perioperative outcomes of super-obese (SO) and super-super-obese (SSO) patients undergoing bariatric surgery.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Original articles Source Type: research
This study shed some light on the modification of postoperative gut microbial composition after bariatric surgery.MethodsA prospective longitudinal study on healthy lean subjects and patients who underwent bariatric surgery (Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy) was carried out. Anthropometric and metabolic data, smoking, food preferences data, and stool samples were collected from lean subjects and from obese patients before and 3 and 6  months after surgery (T0, T3, and T6, respectively).ResultsWe collected stool samples from 25 obese patients before surgery and 3 and 6  months thereafte...
Source: Journal of Gastrointestinal Surgery - Category: Surgery Source Type: research
ConclusionAn increase in GLP-1 response was not preserved at 4  years, but a significant increase in GIP response was observed along with improved glycaemic control following LSG.
Source: Obesity Surgery - Category: Surgery Source Type: research
This study evaluated changes in serum high-density lipoprotein cholesterol (HDL-C) induced by laparoscopic bariatric surgery (BS) in non-diabetic obese subjects with low (L-HDL-C) or normal (N-HDL-C) levels of HDL-C. We assessed whether increased HDL-C is associated with weight loss, serum non-HDL cholesterol (non-HDL-C), serum triglycerides (TG), and physical activity (PA) before and 6 and 15  months after BS.MethodsIn this prospective cohort study, 71 subjects undergoing BS (42 by Roux-en-Y gastric bypass and 29 by sleeve gastrectomy) were evaluated for the % Excess Weight Loss (%EWL), waist circumference (WC), seru...
Source: Obesity Surgery - Category: Surgery Source Type: research
ConclusionsRevisional RYGB is a complex procedure but can be performed with the robotic approach with a low morbidity rate. Weight loss outcomes and resolution of complications of the index procedure are satisfactory.
Source: Obesity Surgery - Category: Surgery Source Type: research
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