Pub Date : 2022-06-01Epub Date: 2022-06-08DOI: 10.1089/bari.2021.0131
Ray Portela, Ahmet Vahibe, Joseph N Badaoui, Omer U I Hassan, Travis J Mckenzie, Todd A Kellogg, Omar M Ghanem
Background: Bariatric surgery is the most effective treatment for weight loss and obesity-related comorbidity resolution. However, bariatric surgery is not readily offered in specific populations due to the lack of data assessing its feasibility. This study intends to evaluate bariatric surgery in patients with an existing ostomy.
Methods: We conducted a retrospective case series to assess the safety of Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG) in patients with an end ileostomy or colostomy. Patient demographics, including obesity-related comorbidities, overall health status (American Society of Anesthesiologists score), and short-term complications (up to 30 days postoperatively), were analyzed.
Results: Six patients were included. The mean age was 58 years, and the mean preoperative body mass index was 41.6. Three patients had a colostomy, and three had an ileostomy. The mean time of ostomy before surgery was 11 years. Two ostomies were due to trauma, two due to inflammatory bowel disease, one due to cancer, and one due to scleroderma. Mean postoperative follow-up was 23 months. No patient had increased ostomy output or infusion center visit. One patient had an ED visit, one had a short-term complication, and one had SG conversion to RYGB.
Conclusions: Bariatric surgery is technically feasible in selected patients with ileostomy/colostomy with a reasonable short-term safety profile.
{"title":"Bariatric Surgery in Patients with Existing Ostomy: A Preliminary Feasibility Study.","authors":"Ray Portela, Ahmet Vahibe, Joseph N Badaoui, Omer U I Hassan, Travis J Mckenzie, Todd A Kellogg, Omar M Ghanem","doi":"10.1089/bari.2021.0131","DOIUrl":"https://doi.org/10.1089/bari.2021.0131","url":null,"abstract":"<p><strong>Background: </strong>Bariatric surgery is the most effective treatment for weight loss and obesity-related comorbidity resolution. However, bariatric surgery is not readily offered in specific populations due to the lack of data assessing its feasibility. This study intends to evaluate bariatric surgery in patients with an existing ostomy.</p><p><strong>Methods: </strong>We conducted a retrospective case series to assess the safety of Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG) in patients with an end ileostomy or colostomy. Patient demographics, including obesity-related comorbidities, overall health status (American Society of Anesthesiologists score), and short-term complications (up to 30 days postoperatively), were analyzed.</p><p><strong>Results: </strong>Six patients were included. The mean age was 58 years, and the mean preoperative body mass index was 41.6. Three patients had a colostomy, and three had an ileostomy. The mean time of ostomy before surgery was 11 years. Two ostomies were due to trauma, two due to inflammatory bowel disease, one due to cancer, and one due to scleroderma. Mean postoperative follow-up was 23 months. No patient had increased ostomy output or infusion center visit. One patient had an ED visit, one had a short-term complication, and one had SG conversion to RYGB.</p><p><strong>Conclusions: </strong>Bariatric surgery is technically feasible in selected patients with ileostomy/colostomy with a reasonable short-term safety profile.</p>","PeriodicalId":48848,"journal":{"name":"Bariatric Surgical Practice and Patient Care","volume":"17 2","pages":"127-130"},"PeriodicalIF":0.3,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9233518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40408567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-01Epub Date: 2022-06-08DOI: 10.1089/bari.2021.0045
Daniëlle S Bonouvrie, Sophie B M Taverne, Loes Janssen, Arijan A P M Luijten, François M H van Dielen, Wouter K G Leclercq
Background: Bariatric complications may occur during pregnancy, potentially causing serious maternal and fetal problems. The aim of this study was to determine the current practice and preferences of bariatric surgeons regarding the pregnancy care of fertile women before and after bariatric surgery.
Methods: A 26-question anonymous online survey was designed and sent to all bariatric surgeons of the Dutch Society of Metabolic and Bariatric Surgery.
Results: At least one bariatric surgeon from each bariatric center (n = 18) completed the survey. In case of a future child, wish sleeve gastrectomy became more popular than Roux-en-Y gastric bypass. All surgeons provided preoperative education regarding bariatric complications during pregnancy. Nine centers without neonatal intensive care would not refer pregnant women with acute complications. Half of the centers had a standard operating procedure. Seven per 18 bariatric centers had seen at least one postbariatric pregnant patient with severe maternal morbidity. One case of perinatal mortality was reported.
Conclusion: There is an inconsistent and often below guideline standard daily practice regarding pregnancy before and after bariatric surgery. There is limited experience with pregnant women with acute bariatric complications. Referral to tertiary centers is inadequate. Better information provision for both professionals and patients regarding possible complications is needed.
{"title":"Pregnancy and Bariatric Surgery: Significant Variation in Bariatric Surgeons' Practices and Preferences: A National Survey.","authors":"Daniëlle S Bonouvrie, Sophie B M Taverne, Loes Janssen, Arijan A P M Luijten, François M H van Dielen, Wouter K G Leclercq","doi":"10.1089/bari.2021.0045","DOIUrl":"https://doi.org/10.1089/bari.2021.0045","url":null,"abstract":"<p><strong>Background: </strong>Bariatric complications may occur during pregnancy, potentially causing serious maternal and fetal problems. The aim of this study was to determine the current practice and preferences of bariatric surgeons regarding the pregnancy care of fertile women before and after bariatric surgery.</p><p><strong>Methods: </strong>A 26-question anonymous online survey was designed and sent to all bariatric surgeons of the Dutch Society of Metabolic and Bariatric Surgery.</p><p><strong>Results: </strong>At least one bariatric surgeon from each bariatric center (<i>n</i> = 18) completed the survey. In case of a future child, wish sleeve gastrectomy became more popular than Roux-en-Y gastric bypass. All surgeons provided preoperative education regarding bariatric complications during pregnancy. Nine centers without neonatal intensive care would not refer pregnant women with acute complications. Half of the centers had a standard operating procedure. Seven per 18 bariatric centers had seen at least one postbariatric pregnant patient with severe maternal morbidity. One case of perinatal mortality was reported.</p><p><strong>Conclusion: </strong>There is an inconsistent and often below guideline standard daily practice regarding pregnancy before and after bariatric surgery. There is limited experience with pregnant women with acute bariatric complications. Referral to tertiary centers is inadequate. Better information provision for both professionals and patients regarding possible complications is needed.</p>","PeriodicalId":48848,"journal":{"name":"Bariatric Surgical Practice and Patient Care","volume":"17 2","pages":"103-110"},"PeriodicalIF":0.3,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9233520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40408568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-01DOI: 10.1089/bari.2022.29029.djm
D. Mikami
{"title":"Greetings from the Editor of Bariatric Surgical Practice and Patient Care","authors":"D. Mikami","doi":"10.1089/bari.2022.29029.djm","DOIUrl":"https://doi.org/10.1089/bari.2022.29029.djm","url":null,"abstract":"","PeriodicalId":48848,"journal":{"name":"Bariatric Surgical Practice and Patient Care","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49480352","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}
{"title":"A Lifestyle Group Intervention Aimed at Losing Sufficient Weight After Laparoscopic Roux-en-Y Gastric Bypass May Be Helpful for a Small Group of Patients","authors":"C. Hinnen, Mark Hermens","doi":"10.1089/bari.2021.0107","DOIUrl":"https://doi.org/10.1089/bari.2021.0107","url":null,"abstract":"","PeriodicalId":48848,"journal":{"name":"Bariatric Surgical Practice and Patient Care","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45412036","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}
{"title":"Longitudinal Outcomes Through 4 Years After Sleeve Gastrectomy with Transit Bipartition","authors":"H. Taşkın, M. Al","doi":"10.1089/bari.2021.0082","DOIUrl":"https://doi.org/10.1089/bari.2021.0082","url":null,"abstract":"","PeriodicalId":48848,"journal":{"name":"Bariatric Surgical Practice and Patient Care","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43852590","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}
F. Pennestri', Francesca Prioli, L. Sessa, C. De Crea, P. Gallucci, L. Ciccoritti, Francesco Greco, P. Princi, L. Revelli, Giulia Salvi, A. Iaconelli, G. Mingrone, Chiara Bellantone, M. Raffaelli
{"title":"Effectiveness of a Daily-Balanced Multivitamin Product After Sleeve Gastrectomy: Results from a High-Volume Bariatric Center","authors":"F. Pennestri', Francesca Prioli, L. Sessa, C. De Crea, P. Gallucci, L. Ciccoritti, Francesco Greco, P. Princi, L. Revelli, Giulia Salvi, A. Iaconelli, G. Mingrone, Chiara Bellantone, M. Raffaelli","doi":"10.1089/bari.2021.0113","DOIUrl":"https://doi.org/10.1089/bari.2021.0113","url":null,"abstract":"","PeriodicalId":48848,"journal":{"name":"Bariatric Surgical Practice and Patient Care","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45078693","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}
Isis Henriques de Almeida Bastos, E. Alves, C. Sousa, G. B. Martins, E. Campos, Carla Daltro
{"title":"Bariatric Surgery and Oral Health: A Cohort Study","authors":"Isis Henriques de Almeida Bastos, E. Alves, C. Sousa, G. B. Martins, E. Campos, Carla Daltro","doi":"10.1089/bari.2021.0136","DOIUrl":"https://doi.org/10.1089/bari.2021.0136","url":null,"abstract":"","PeriodicalId":48848,"journal":{"name":"Bariatric Surgical Practice and Patient Care","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45208095","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}
Elissa A. Falconer, Melissa C. Majumdar, Z. Grunewald, Trent D. Gillingham, J. Sanford, Olabisi Lane, F. Serrot, Jamil L. Stetler, Ankit Patel, J. Srinivasan, J. Sharma, S. Davis Jr, Ed Lin, Elizabeth M. Hechenbleikner
{"title":"A Pilot Study to Increase Transversus Abdominis Plane Block Utilization Among Bariatric Surgeons","authors":"Elissa A. Falconer, Melissa C. Majumdar, Z. Grunewald, Trent D. Gillingham, J. Sanford, Olabisi Lane, F. Serrot, Jamil L. Stetler, Ankit Patel, J. Srinivasan, J. Sharma, S. Davis Jr, Ed Lin, Elizabeth M. Hechenbleikner","doi":"10.1089/bari.2021.0100","DOIUrl":"https://doi.org/10.1089/bari.2021.0100","url":null,"abstract":"","PeriodicalId":48848,"journal":{"name":"Bariatric Surgical Practice and Patient Care","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48166720","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}
Nazlı Batar, Elif Sıla Öztürk, Sezen Sevdin, Nida Yıldız
{"title":"Relationship Between Weight Loss and Dietary Inflammatory Index and Serum C-Reactive Protein Level Before and After Bariatric Surgery","authors":"Nazlı Batar, Elif Sıla Öztürk, Sezen Sevdin, Nida Yıldız","doi":"10.1089/bari.2021.0071","DOIUrl":"https://doi.org/10.1089/bari.2021.0071","url":null,"abstract":"","PeriodicalId":48848,"journal":{"name":"Bariatric Surgical Practice and Patient Care","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48862917","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}
Gabriela B. Bacelar, Estevão F. Sampaio, Wagno Alcântara, João Gabriel Lustoza, C. Daltro, Carla Daltro
{"title":"How to Diagnose Sarcopenic Obesity in Candidates for Bariatric Surgery?","authors":"Gabriela B. Bacelar, Estevão F. Sampaio, Wagno Alcântara, João Gabriel Lustoza, C. Daltro, Carla Daltro","doi":"10.1089/bari.2021.0085","DOIUrl":"https://doi.org/10.1089/bari.2021.0085","url":null,"abstract":"","PeriodicalId":48848,"journal":{"name":"Bariatric Surgical Practice and Patient Care","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42352580","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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