Enhanced recovery after bariatric surgery

Publication date: Available online 9 December 2019Source: Cirugía Española (English Edition)Author(s): Jaime Ruiz-Tovar, Raquel Sanchez-Santos, Ester Martín-García-Almenta, Esther García Villabona, Artur Marc Hernandez, Alberto Hernández-Matías, José Manuel Ramírez, Grupo de Trabajo de Cirugía Bariátrica del Grupo Español de Rehabilitación Multimodal (GERM)AbstractEnhanced recovery after surgery (ERAS) protocols are care programs based on scientific evidence and focused on postoperative recovery. They encompass all aspects of patient care and require multidisciplinary management, with the participation of diverse specialists. The implementation of these protocols is being extended to several abdominal and extra-abdominal surgeries, including bariatric approaches.Diverse specialists with wide experience in the management of morbidly obese patients have taken part in the working group that developed this protocol. A bibliographic search about ERAS in bariatric surgery in several databases was performed to evaluate the current scientific evidence, establishing evidence levels and recommendations according to the GRADE methodology. The items included in this protocol are separated into preoperative, perioperative and postoperative guidelines.ResumenLos protocolos de rehabilitación multimodal o recuperación intensificada (PRI) son programas de cuidado del paciente, basados en l...
Source: Cirugia Espanola - Category: Surgery Source Type: research

Related Links:

Roux-en-Y bypass linked to greater five-year risks than gastric sleeve, but also better for weight loss Related items fromOnMedica Promote exercise not surgery to cut obesity and diabetes, say MPs NHS must do much more bariatric surgery to beat obesity Gastric banding has strong impact on cardio risks Surgery a better option for obese diabetics Testosterone levels recover after obesity surgery
Source: OnMedica Latest News - Category: UK Health Source Type: news
The uptake of bariatric surgery remains low in the United States, with fewer than 1% of eligible patients undergoing this life-saving treatment. In addition to the obesity bias that delays referral for surgery, some continue to fear the short- and long-term risks of surgery. To date, most long-term outcome data have focused on Roux-en-Y gastric bypass (RYGB), but sleeve gastrectomy (SG) is now the most common bariatric operation in the United States. A better understanding of its long-term outcomes may help allay some of these fears.
Source: JAMA Surgery - Category: Sports Medicine Source Type: research
Recently, there has been an increasing focus on body image dissatisfaction (BID), both as a motivational factor for seeking bariatric surgery and as a factor influencing weight loss outcome after surgery. Although associations have been reported between BID, emotional distress and successful weight loss, conclusions are limited due to methodological issues such as non-weight-specific assessment tools for body image and neglect of behavioral components (e.g. body avoidance, BA). The present study seeks to report on BID and BA 9 years after bariatric surgery using a cross-sectional data set from the 9-year follow-up assessme...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
ABSTRACT Objective: To describe a case of a male adolescent with symptomatic idiopathic intracranial hypertension (IIH) associated with obesity treated with bariatric surgery. Case description: A 16-year-and-6-month-old severely obese boy [weight: 133.6 kg; height: 1.74 m (Z score: +0.14); BMI: 44.1 kg/m2 (Z score: +4.4)], Tanner pubertal stage 5, presented biparietal, high-intensity, and pulsatile headaches, about five times per week, associated with nocturnal awakenings, and partial improvement with common analgesics, for three months. Ophthalmologic evaluation evidenced bilateral papilledema. Cranial computed tomography...
Source: Revista Paulista de Pediatria - Category: Pediatrics Source Type: research
Conditions:   Obesity, Morbid;   Cardiovascular Diseases Intervention:   Procedure: Bariatric surgery Sponsors:   Hamilton Health Sciences Corporation;   Population Health Research Institute;   St. Joseph's Healthcare Hamilton Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Publication date: Available online 11 January 2020Source: PeptidesAuthor(s): R. Charlotte Moffett, Violetta NaughtonAbstractGastric inhibitory polypeptide (GIP) is best known as an incretin hormone released by enteroendocrine K-cells in response to feeding and stimulates insulin release to regulate blood glucose and nutrient homeostasis. More recently GIP has been ascribed a positive role in lipid metabolism, bone strength, cardiovascular function and cognition. The present paper considers an emerging role of GIP and related gut hormones in fertility and especially polycystic ovarian syndrome (PCOS). Key evidence concerns ...
Source: Peptides - Category: Biochemistry Source Type: research
Conclusion: General and postbariatric nutritional knowledge among Saudi bariatric patients is currently insufficient. A multicenter study involving a larger sample size with different sociodemographic characteristics is warranted to confirm these findings. The purpose of such a study would be to determine the nutritional knowledge of patients undergoing bariatric surgery and inform the implementation of educational strategies. PMID: 31915547 [PubMed]
Source: Journal of Nutrition and Metabolism - Category: Nutrition Tags: J Nutr Metab Source Type: research
ConclusionsSADI-S appears to be a safe bariatric surgical procedure with favorable outcomes at 2  years in the Australian population.
Source: Obesity Surgery - Category: Surgery Source Type: research
AbstractThe purpose of this study was to examine the associations among race and socioeconomic factors (receiving social security disability, insurance type, and income) with undergoing bariatric surgery and weight loss outcomes in a racially diverse, urban cohort of bariatric surgery candidates (N = 314). Patients with private insurance and who identified as Caucasian were more likely to undergo bariatric surgery. Income significantly predicted percentage of excess weight loss 1 year after surgery, although this was no longer significant when accounting for race. Race and socioeconomic factors should be...
Source: Obesity Surgery - Category: Surgery Source Type: research
AbstractPurpose of ReviewThe purpose of this literature review is to explore a potentially controversial hypothesis – that bariatric surgery could be used as a “treatment” for food addiction.Recent FindingsTwo small studies have examined food addiction pre- and post-bariatric surgery and suggest that the prevalence of symptoms is reduced within the first-year post-operatively. Many physiological, metabolic, and neurobiological changes occur following bariatric surgery. Theoretically, these changes that modify the factors associated with obesity and eating behaviors related to obesity could also impact foo...
Source: Current Addiction Reports - Category: Addiction Source Type: research
More News: Bariatric Surgery | Databases & Libraries | Eating Disorders & Weight Management | Obesity | Surgery