Complications and Readmissions Associated with First Assistant Training Level Following Elective Bariatric Surgery

ConclusionsVariation in training level of the first assist during bariatric surgery had no influence on DSM or readmissions. This provides reassurance that the inclusion of a wide range of first assistants in bariatric procedures does not negatively impact patient outcomes.
Source: Journal of Gastrointestinal Surgery - Category: Surgery Source Type: research

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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...
Source: Surgical Endoscopy - Category: Surgery Source Type: research
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...
Source: Minerva Chirurgica - Category: Surgery Tags: Minerva Chir Source Type: research
The objective of this study was to examine the comparative effects of sleeve gastrectomy and Roux-en-Y gastric bypass (RYGB) on OOP spending after bariatric surgical procedures.
Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: Health services research Source Type: research
The required therapeutic dose of warfarin in patients with LTAC (long-term anti-coagulation) is altered after restrictive and malabsorptive bariatric procedures. The purpose of this study is to investigate the weekly Warfarin dose adjustments to maintain therapeutic INR after the two most common bariatric procedures, laparoscopic sleeve gastrectomy (LSG) and Roux-en-Y gastric bypass (RYGB).
Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: Bariatric and Foregut Source Type: research
ConclusionsThe incidence of EE 1  year after SG is greater than GBP. Moreover, not only GBP seems to improve this condition, but also SG tends to worsen EE. These results are to be associated with GERD disease.
Source: Surgical Endoscopy - Category: Surgery Source Type: research
Bariatric surgery results in rapid weight loss and resolution of many comorbidities including hypertension.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Original articles Source Type: research
Authors: Clapp B, Liggett E, Ma C, Castro C, Montelongo S, Van Noy K, Dilday J, Tyroch A Abstract Background: Many bariatric surgeons test the anastomosis and staple lines with some sort of provocative test. This can take the form of an air leak test with a nasogastric tube with methylene blue dye or with an endoscopy. The State Department of Health Statistics in Texas tracks outcomes using the Texas Public Use Data File (PUDF). Methods: We queried the Texas Inpatient and Outpatient PUDFs for 2013 to 2017 to examine the number of bariatric surgeries with endoscopy performed at the same time. We used the Interna...
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - Category: Surgery Tags: JSLS Source Type: research
We report two cases of young women with diabetes who underwent bariatric surgery and had complications resulting from extensive inflammation and necrosis of adipose tissue. The first patient was diagnosed with omental infarction, which is a type of fat necrosis that is rarely associated with obesity and bariatric surgery. The second patient had an intraoperative finding of mesenteric panniculitis, which resulted in an intra-operative change in the choice of bariatric surgery to do a sleeve gastrectomy instead of a gastric bypass. Surgeons who perform surgery on bariatric patients must be aware of complications related to e...
Source: Annals of the Royal College of Surgeons of England - Category: Surgery Authors: Tags: Ann R Coll Surg Engl Source Type: research
Conditions:   Obesity, Morbid;   Overnutrition;   Nutrition Disorders;   Overweight and Obesity;   Body Weight Changes Interventions:   Procedure: Sleeve gastrectomy;   Procedure: Roux-en-Y gastric bypass Sponsors:   Inha University Hospital;   Korean Center for Disease Control and Prevention Recruiting
Source: - Category: Research Source Type: clinical trials
ConclusionAll patients were found to have decreased BMD after RYGB and SG. Surgery type was not a significant risk factor in BMD change. Despite vitamin D and calcium supplementation in all patients, a decrease in vitamin D and calcium levels were associated with a decrease in BMD. Close follow-up and treatment of vitamin D and calcium levels are warranted in all bariatric patients.Graphic abstract
Source: Surgical Endoscopy - Category: Surgery Source Type: research
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