Gastric Outlet Obstruction After Remnant Stomach Perforation in Gastric Bypass: Management and Prevention.
Gastric Outlet Obstruction After Remnant Stomach Perforation in Gastric Bypass: Management and Prevention. Am Surg. 2020 Sep 10;:3134820950283 Authors: Nowotny D, Chen S PMID: 32909445 [PubMed - as supplied by publisher]
Superior mesenteric artery (SMA) syndrome, Wilkie ’s or Cast Syndrome is a rare disease which was first described in 1842. It is seen in patients most often after dramatic weight loss due to starvation, burns, anorexia nervosa, or after bariatric surgery.
The objective of this retrospective cohort study was to compare outcomes between patients undergoing primary versus revisional robotically assisted laparoscopic (RAL) Roux-en-Y gastric bypass (RYGB).MethodsData of all patients who underwent RAL primary and revisional RYGB between 2009 and 2019 at two accredited, high-volume bariatric surgery centers —the Memorial Hermann – Texas Medical Center, Houston, TX, and the Tower Health, Reading Hospital, Reading, PA, were analyzed. Primary outcomes were early (
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AbstractIntroductionVenous thromboembolism (VTE) is a significant cause of morbidity and mortality after bariatric surgery. Roughly 80% of VTEs occur post-discharge. The frequency of post-discharge heparin (PDH) prophylaxis use is unknown, and evidence about benefits and risks is limited. We aimed to determine the rate of use of PDH prophylaxis and evaluate its relationship with VTE and bleeding events.MethodsUsing the Truven Health MarketScan ® database, we performed a retrospective cohort study (2007–2015) of adult patients who underwent sleeve gastrectomy or gastric bypass. We determined PDH prophylaxis from o...
To assess long-term alterations in circulating magnesium status after Roux-en-Y gastric bypass surgery, RYGB, and associations with remission of type 2 diabetes (T2D).Research design and methods: Retrospective analysis of five year outcome of plasma magnesium (p-Mg) and glucometabolic status in patients who underwent primary RYGB and who completed the annual follow-up program. Data from 84 patients without diabetes and 62 with T2D before RYGB showing prolonged remission (n=30), temporary remission (n=16) or no remission (n=16) after surgery were investigated.
Authors: Boru CE, Termine P, Antypas P, Iossa A, Ciccioriccio MC, De Angelis F, Micalizzi A, Silecchia G Abstract BACKGROUND: Hiatal hernia repair (HHR) is still controversial during bariatric procedures, especially in case of laparoscopic sleeve gastrectomy (LSG). AIMS: to report the long-term results of concomitant HHR, evaluating the safety and efficacy of posterior cruroplasty (PC), simple or reinforced with biosynthetic, absorbable Bio-A® mesh (Gore, USA). Primary endpoint: PC's failure, defined as symptomatic HH recurrence, nonresponding to medical treatment and requiring revisional surgery. METHO...
Conclusion: Cardiopexy was not associated with a reduced rate of symptomatic GERD and conversion to RYGB after 6 months.
No abstract available
Roux-en-Y gastric bypass (RYGB) affords a long-term, durable approach to the management of diabetes mellitus (DM) in morbidly obese patients. Nevertheless, patients with DM are at an increased risk for 30-day wound events and additional morbidity and mortality compared with patients without DM. The purpose of our study was to determine if there is a preoperative glycosylated hemoglobin (HgA1c) target level that can be used as a surrogate for optimization of DM in diabetic patients before RYGB.
Changes in intestinal glucose use after Roux-en-Y gastric bypass (RYGB) have been highlighted as a potential mechanism for the potent antidiabetic effect of surgery, but the underlying mechanisms remain elusive. Herein, we hypothesize that RYGB leads to mitochondrial remodeling, which improves intestinal cellular health and facilitates normalization of glucose metabolism.