Background: Optimal intraoperative fluid management is essential in surgical patients, including individuals with obesity undergoing bariatric surgery. The objective of this study was to assess the feasibility of pleth variability index (PVI) for intraoperative goal-directed fluid management in comparison with standard approach, in patients with obesity undergoing laparoscopic bariatric surgery. Methods: A total of 60 patients with obesity who underwent elective laparoscopic bariatric surgery were included in this single-blind prospective randomized study. Patients were randomly assigned to the PVI group or control. Patients were monitored for PVI, heart rate, noninvasive mean blood pressure, and perfusion index. In addition, administered fluids, amount of bleeding, and renal function parameters were recorded. Results: The PVI group received higher amounts of crystalloids (3053 ± 275 mL vs. 1703 ± 349 mL, p < 0.001) and colloids (277 ± 208 mL vs. 17 ± 91 mL, p < 0.001) intraoperatively, and it had higher perioperative urine output. In addition, the PVI group had decreases in blood urinary nitrogen (BUN), lactate, and creatinine levels; however, controls had increased BUN, lactate, and creatinine. Conclusions: Findings of this study suggest that PVI may represent a useful noninvasive strategy for intraoperative goal-directed fluid management in patients with obesity undergoing laparoscopic bariatric surgery.
背景：最佳的术中液体管理对外科患者至关重要，包括接受减肥手术的肥胖患者。本研究的目的是评估在接受腹腔镜减肥手术的肥胖患者中，与标准方法相比，体积变异指数（PVI）用于术中目标导向液体管理的可行性。方法：将60例接受选择性腹腔镜减肥手术的肥胖患者纳入这项单盲前瞻性随机研究。患者被随机分配到PVI组或对照组。监测患者的PVI、心率、无创平均血压和灌注指数。此外，记录给药液体、出血量和肾功能参数。结果：PVI组在术中接受了更高量的晶体（3053±275 mL vs.1703±349 mL，p＜0.001）和胶体（277±208 mL vs.17±91 mL，p＞0.001），并且围手术期尿量更高。此外，PVI组血尿素氮（BUN）、乳酸和肌酸酐水平下降；然而，对照组BUN、乳酸和肌酸酐增加。结论：本研究结果表明，PVI可能是腹腔镜减肥手术中肥胖患者术中目标导向液体管理的一种有用的非侵入性策略。
{"title":"Goal-Directed Fluid Management Using Plethysmographic Variability Index in Patients Undergoing Laparoscopic Bariatric Surgery","authors":"Meliha Orhon Ergun, S. Zengin, T. Umuroğlu","doi":"10.1089/bari.2021.0075","DOIUrl":"https://doi.org/10.1089/bari.2021.0075","url":null,"abstract":"Background: Optimal intraoperative fluid management is essential in surgical patients, including individuals with obesity undergoing bariatric surgery. The objective of this study was to assess the feasibility of pleth variability index (PVI) for intraoperative goal-directed fluid management in comparison with standard approach, in patients with obesity undergoing laparoscopic bariatric surgery. Methods: A total of 60 patients with obesity who underwent elective laparoscopic bariatric surgery were included in this single-blind prospective randomized study. Patients were randomly assigned to the PVI group or control. Patients were monitored for PVI, heart rate, noninvasive mean blood pressure, and perfusion index. In addition, administered fluids, amount of bleeding, and renal function parameters were recorded. Results: The PVI group received higher amounts of crystalloids (3053 ± 275 mL vs. 1703 ± 349 mL, p < 0.001) and colloids (277 ± 208 mL vs. 17 ± 91 mL, p < 0.001) intraoperatively, and it had higher perioperative urine output. In addition, the PVI group had decreases in blood urinary nitrogen (BUN), lactate, and creatinine levels; however, controls had increased BUN, lactate, and creatinine. Conclusions: Findings of this study suggest that PVI may represent a useful noninvasive strategy for intraoperative goal-directed fluid management in patients with obesity undergoing laparoscopic bariatric surgery.","PeriodicalId":48848,"journal":{"name":"Bariatric Surgical Practice and Patient Care","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2021-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44814536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. H. Feitosa, F. Santa-Cruz, Marina Viana Padilha, Luciana T Siqueira, F. Kreimer, Â. Ferraz
{"title":"Endoscopic Self-Expandable Stent for the Treatment of Gastric Fistula After Sleeve Gastrectomy: A Descriptive Review","authors":"P. H. Feitosa, F. Santa-Cruz, Marina Viana Padilha, Luciana T Siqueira, F. Kreimer, Â. Ferraz","doi":"10.1089/bari.2021.0078","DOIUrl":"https://doi.org/10.1089/bari.2021.0078","url":null,"abstract":"","PeriodicalId":48848,"journal":{"name":"Bariatric Surgical Practice and Patient Care","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2021-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45444089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N. Morin, D. Lim, Omkar Jaikaran, Andrea Skowronek, M. Muthusamy
{"title":"Controversies in the Preoperative Workup and Management for Patients Undergoing Bariatric Surgery: A Review of the Literature","authors":"N. Morin, D. Lim, Omkar Jaikaran, Andrea Skowronek, M. Muthusamy","doi":"10.1089/bari.2020.0029","DOIUrl":"https://doi.org/10.1089/bari.2020.0029","url":null,"abstract":"","PeriodicalId":48848,"journal":{"name":"Bariatric Surgical Practice and Patient Care","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2021-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47349394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Jamal, Sarah Ali, A. Alsaber, Ahmad Alhashemi, S. Al-Sabah
Background: Sleeve gastrectomy is linked to gastroesophageal reflux disease (GERD) and dumping syndrome. This descriptive cohort study aimed to determine the incidence of GERD and dumping syndrome ...
{"title":"The Association of Gastroesophageal Reflux Disease and Dumping Postsleeve Gastrectomy","authors":"M. Jamal, Sarah Ali, A. Alsaber, Ahmad Alhashemi, S. Al-Sabah","doi":"10.1089/bari.2021.0051","DOIUrl":"https://doi.org/10.1089/bari.2021.0051","url":null,"abstract":"Background: Sleeve gastrectomy is linked to gastroesophageal reflux disease (GERD) and dumping syndrome. This descriptive cohort study aimed to determine the incidence of GERD and dumping syndrome ...","PeriodicalId":48848,"journal":{"name":"Bariatric Surgical Practice and Patient Care","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2021-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41709381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vishnu R Mani, A. Kalabin, S. Valdivieso, S. Agarwal, Leaque Ahmed, J. Andrade, S. Carryl
Background: More than 250,000 laparoscopic sleeve gastrectomy (LSG) are performed annually accounting for about 61.4% of all bariatric procedures. The national average cost for LSG ranges between $...
{"title":"Comparison of Bariatric Protocols in Laparoscopic Sleeve Gastrectomy: A Retrospective Analysis on Patient Outcomes","authors":"Vishnu R Mani, A. Kalabin, S. Valdivieso, S. Agarwal, Leaque Ahmed, J. Andrade, S. Carryl","doi":"10.1089/BARI.2020.0084","DOIUrl":"https://doi.org/10.1089/BARI.2020.0084","url":null,"abstract":"Background: More than 250,000 laparoscopic sleeve gastrectomy (LSG) are performed annually accounting for about 61.4% of all bariatric procedures. The national average cost for LSG ranges between $...","PeriodicalId":48848,"journal":{"name":"Bariatric Surgical Practice and Patient Care","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2021-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49479500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. D. Holthuijsen, M. Romeijn, A. M. Kolen, L. Janssen, G. Schep, F. V. van Dielen, W. Leclercq
Background: Protein intake and physical activity have a substantial impact on body composition and weight loss outcomes after bariatric surgery. The 24-h dietary recall and 6-min walk test (6mWT) a...
{"title":"Can Routine Clinical Tests for Protein Intake and Physical Function Predict Successful Weight Loss?","authors":"D. D. Holthuijsen, M. Romeijn, A. M. Kolen, L. Janssen, G. Schep, F. V. van Dielen, W. Leclercq","doi":"10.1089/bari.2021.0048","DOIUrl":"https://doi.org/10.1089/bari.2021.0048","url":null,"abstract":"Background: Protein intake and physical activity have a substantial impact on body composition and weight loss outcomes after bariatric surgery. The 24-h dietary recall and 6-min walk test (6mWT) a...","PeriodicalId":48848,"journal":{"name":"Bariatric Surgical Practice and Patient Care","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2021-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41499592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
O. Taha, Samia Saied, M. Shoeib, Mahmoud Abdelaal, Mohamed F. Abozeid, M. Talaat
Background: Laparoscopic sleeve gastrectomy (LSG) is currently one of the most commonly performed bariatric procedures. Oversewing is one of most commonly performed techniques for staple line reinf...
{"title":"Staple Line Complications without Reinforcement, with Oversewing and with Buttressing Using Oxidized Regenerated Cellulose in Laparoscopic Sleeve Gastrectomy, Randomized Comparative Study","authors":"O. Taha, Samia Saied, M. Shoeib, Mahmoud Abdelaal, Mohamed F. Abozeid, M. Talaat","doi":"10.1089/bari.2021.0033","DOIUrl":"https://doi.org/10.1089/bari.2021.0033","url":null,"abstract":"Background: Laparoscopic sleeve gastrectomy (LSG) is currently one of the most commonly performed bariatric procedures. Oversewing is one of most commonly performed techniques for staple line reinf...","PeriodicalId":48848,"journal":{"name":"Bariatric Surgical Practice and Patient Care","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2021-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49436252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Dupont, Samia Didon, C. Ciangura, L. Selleret, A. Bachelot, R. Lévy, N. Sermondade
Background: Due to exponential obesity prevalence, the number of bariatric surgery (BS) procedures has considerably increased. BS improves ovulatory function and natural fertility in some women. Ho...
{"title":"Impact of Bariatric Surgery-Induced Weight Loss on Ovarian Reserve in Women with Obesity: A Systematic Review","authors":"C. Dupont, Samia Didon, C. Ciangura, L. Selleret, A. Bachelot, R. Lévy, N. Sermondade","doi":"10.1089/bari.2021.0030","DOIUrl":"https://doi.org/10.1089/bari.2021.0030","url":null,"abstract":"Background: Due to exponential obesity prevalence, the number of bariatric surgery (BS) procedures has considerably increased. BS improves ovulatory function and natural fertility in some women. Ho...","PeriodicalId":48848,"journal":{"name":"Bariatric Surgical Practice and Patient Care","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2021-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44254090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Froylich, Eden Gerszman, Edress Khatib, Christopher R. Daigle, S. Eldar, D. Hazzan
Background: It has been suggested that fellowship training can reduce patient morbidity and mortality related to the learning curve. There are limited data comparing the outcomes before and after b...
{"title":"Do Early Outcomes of Sleeve Gastrectomy Improve the First Year After Completing a Bariatric Surgery Fellowship?","authors":"D. Froylich, Eden Gerszman, Edress Khatib, Christopher R. Daigle, S. Eldar, D. Hazzan","doi":"10.1089/bari.2020.0102","DOIUrl":"https://doi.org/10.1089/bari.2020.0102","url":null,"abstract":"Background: It has been suggested that fellowship training can reduce patient morbidity and mortality related to the learning curve. There are limited data comparing the outcomes before and after b...","PeriodicalId":48848,"journal":{"name":"Bariatric Surgical Practice and Patient Care","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2021-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49610668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lauren R. Pudalov, Katy W. Martin-Fernandez, S. Krause, L. Heinberg
Background: Individuals with obesity frequently contend with pain, but few studies address the clinical impact of comorbidity within this population. This study compared the early weight loss outco...
{"title":"The Relationship Between Presurgical Pain and Early Postbariatric Surgery Outcomes","authors":"Lauren R. Pudalov, Katy W. Martin-Fernandez, S. Krause, L. Heinberg","doi":"10.1089/bari.2021.0043","DOIUrl":"https://doi.org/10.1089/bari.2021.0043","url":null,"abstract":"Background: Individuals with obesity frequently contend with pain, but few studies address the clinical impact of comorbidity within this population. This study compared the early weight loss outco...","PeriodicalId":48848,"journal":{"name":"Bariatric Surgical Practice and Patient Care","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2021-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47165722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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