Re: Bariatric surgery and congenital anomalies
We present best practices for both the pre- and postoperative nutrition-related phases of a patient ’s journey.SummaryThe dietitian specialist is integral in the assessment and ongoing nutrition care of patients with bariatric surgery. Further consideration should be given to enable access for lifelong follow-up and monitoring.
AbstractOne anastomosis gastric bypass/Mini Gastric Bypass (OAGB/MGB) is an emerging bariatric surgery (BS) technique. We evaluated and compared attitudes of bariatric surgeons and dietitians towards the considerations for choosing BS-type ( “Decision-making”), the contributing factors to the rise of OAGB/MGB in Israel (“OAGB/MGB-rise”) and notions regarding the occurrence of gastrointestinal (GI) symptoms and nutritional deficiencies following OAGB/MGB. Anonymous online surveys were distributed. The participants were asked to r ate by a 10-point Likert scale (0 = not at all; 100&thins...
Global estimates suggest that there are approximately 500 million obese adults worldwide1. With an increasing number of patients undergoing bariatric surgery, there is an increasing demand for body-contouring. The most common complaint in this patient population is abdominal contour deformities2,3. Unlike the typical abdominoplasty patient that has an excess of skin and fat in the vertical dimension, the massive weight loss patient may have excess in both the transverse and vertical dimensions. First described in 1967, the Fleur-de-lis (FDL) abdominoplasty allows the surgeon to address excess tissue in both the transverse and vertical axes.
This study describes the development of the bariatric surgery in France over a 22-year period and look at some factors of this evolution. Indeed the national governmental databases from 1997 to 2018 have been handled to study the progression of bariatric operations, from 2,800 in 1997 to 52,500 in 2018.
PMID: 32441478 [PubMed - in process]
CONCLUSIONS: Phentermine and topiramate are effective in mitigating WR after RYGB. Further studies are needed to help ascertain optimal use of AOMs after bariatric surgery. PMID: 32441476 [PubMed - in process]
AbstractPurpose of ReviewThis review aims to evaluate the latest evidence on the treatment options for perceived poor responders to bariatric surgery and provide practitioners with a guide on when to consider revisional surgery and when to consider alternatives.Recent FindingsThe use of adjuvant pharmacotherapy has been increasingly described in the literature as an adjunct to primary bariatric surgery, in order to attain more weight loss or better control of obesity-related complications. The newer anti-obesity and anti-diabetes drugs also have cardiorenal benefits, which are shown in recent cardiovascular outcome trials....
Morbid obesity is considered a relative contraindication for liver transplantation (LTX) due to increased risk of complications. The aim of this study was to investigate the role of bariatric surgery before, during, and after LTX. A systematic review of MEDLINE, EMBASE, CENTRAL, and PubMed databases was performed for studies investigating bariatric surgery in patients before, during, or after LTX. Random-effects meta-analysis of proportions was used to calculate pooled effect estimates. 187 patients underwent bariatric surgery before LTX (8 studies).
We read with interest the article “Effect of Intraperitoneal Bupivacaine on Postoperative Pain in Laparoscopic Bariatric Surgeries” . We thank and congratulate the Iranian colleagues for this important contribution to this topic. Even if supported by scarce literature, effectiveness of peritoneal irrigation with local anesthe tics still remains controversial , although it seems to be one useful tool to control postoperative pain after bariatric surgery, as recently stated by a meta-analysis published within your Journal .