Pub Date : 2018-12-30DOI: 10.17476/JMBS.2018.7.2.54
Dong-wook Kim, Dae Hoon Kim, Jeong Goo Kim, M. Son, G. Song, S. Oh, H. Yoo, M. Lee, Sang Kuon Lee, Sang-Il Lee, Y. Jee, Si Eun Hwang, Sang Eok Lee
Current Status of Metabolic and Bariatric Surgery in Daejeon/Chungcheong Area Dong-Wook Kim, Dae Hoon Kim, Jeong Goo Kim, Myoung Won Son, Geum Jong Song, Seong-il Oh, Han Mo Yoo, Moon-Soo Lee, Sang Kuon Lee, Sang-Il Lee, Ye Seob Jee, Si Eun Hwang, Sang Eok Lee Departments of Surgery, Dankook University Hospital, Cheonan, Chungbuk National University Hospital, Cheongju, The Catholic University of Korea, Daejeon St. Mary’s Hospital, Daejeon, Soonchunhyang University Cheonan Hospital, Cheonan, Cheongju St. Mary’s Hospital, Cheongju, Eulji University Hospital, Chungnam National University Hospital, Daejeon Sun Hospital, Konyang University Hospital, Daejeon, Korea
{"title":"Current Status of Metabolic and Bariatric Surgery in Daejeon/Chungcheong Area","authors":"Dong-wook Kim, Dae Hoon Kim, Jeong Goo Kim, M. Son, G. Song, S. Oh, H. Yoo, M. Lee, Sang Kuon Lee, Sang-Il Lee, Y. Jee, Si Eun Hwang, Sang Eok Lee","doi":"10.17476/JMBS.2018.7.2.54","DOIUrl":"https://doi.org/10.17476/JMBS.2018.7.2.54","url":null,"abstract":"Current Status of Metabolic and Bariatric Surgery in Daejeon/Chungcheong Area Dong-Wook Kim, Dae Hoon Kim, Jeong Goo Kim, Myoung Won Son, Geum Jong Song, Seong-il Oh, Han Mo Yoo, Moon-Soo Lee, Sang Kuon Lee, Sang-Il Lee, Ye Seob Jee, Si Eun Hwang, Sang Eok Lee Departments of Surgery, Dankook University Hospital, Cheonan, Chungbuk National University Hospital, Cheongju, The Catholic University of Korea, Daejeon St. Mary’s Hospital, Daejeon, Soonchunhyang University Cheonan Hospital, Cheonan, Cheongju St. Mary’s Hospital, Cheongju, Eulji University Hospital, Chungnam National University Hospital, Daejeon Sun Hospital, Konyang University Hospital, Daejeon, Korea","PeriodicalId":73828,"journal":{"name":"Journal of metabolic and bariatric surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43008130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-30DOI: 10.17476/JMBS.2018.7.2.58
Jinhyouk Lim, T. Ha
Purpose: The study aimed to analyze changes in patient indicators and surgical indices in relation to bariatric surgery performed at a university hospital and determine the development direction of its obesity center. Materials and Methods: From December 2010 to June 2018, a total of 35 obese patients underwent surgery at the center. Patients’ height, weight, body mass index (BMI), abdominal circumference, and hip circumference before surgery were measured. Laboratory tests were performed to observe changes before and after surgery. Patients underwent Roux-en Y gastric bypass (RYGB) or laparoscopic sleeve gastrectomy (LSG), and postoperative complications were analyzed. Results: A total of 35 patients underwent obesity surgery: 23 with RYGB and 12 with LSG. Postoperative complications occurred: bleeding in one case, abscess in one case, respiratory failure in one case, and incisional hernia in two cases. The mean preoperative weight was 105.1±27.2 kg and postoperative weight was 84.3±19.9 kg. The difference was 20.7±13.5 kg. BMI also decreased from 38.3±8.4 preoperatively to 31.0±6.4 postoperatively by 7.3±4.6. Conclusion: Through our study, we determined that in this hospital, a multidisciplinary team approach to postoperative weight management and health care should be undertaken as well as continuous and systematic management after surgery.
{"title":"Characteristics of Bariatric Surgery Patients in a Single University Hospital","authors":"Jinhyouk Lim, T. Ha","doi":"10.17476/JMBS.2018.7.2.58","DOIUrl":"https://doi.org/10.17476/JMBS.2018.7.2.58","url":null,"abstract":"Purpose: The study aimed to analyze changes in patient indicators and surgical indices in relation to bariatric surgery performed at a university hospital and determine the development direction of its obesity center. Materials and Methods: From December 2010 to June 2018, a total of 35 obese patients underwent surgery at the center. Patients’ height, weight, body mass index (BMI), abdominal circumference, and hip circumference before surgery were measured. Laboratory tests were performed to observe changes before and after surgery. Patients underwent Roux-en Y gastric bypass (RYGB) or laparoscopic sleeve gastrectomy (LSG), and postoperative complications were analyzed. Results: A total of 35 patients underwent obesity surgery: 23 with RYGB and 12 with LSG. Postoperative complications occurred: bleeding in one case, abscess in one case, respiratory failure in one case, and incisional hernia in two cases. The mean preoperative weight was 105.1±27.2 kg and postoperative weight was 84.3±19.9 kg. The difference was 20.7±13.5 kg. BMI also decreased from 38.3±8.4 preoperatively to 31.0±6.4 postoperatively by 7.3±4.6. Conclusion: Through our study, we determined that in this hospital, a multidisciplinary team approach to postoperative weight management and health care should be undertaken as well as continuous and systematic management after surgery.","PeriodicalId":73828,"journal":{"name":"Journal of metabolic and bariatric surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48406941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-30DOI: 10.17476/JMBS.2018.7.2.64
A. Aktekin, M. Torun
Laparoscopic sleeve gastrectomy is a surgical procedure for patients who want to lose weight. An acute porto-mesenteric vein thrombosis is an infrequent but not rare complication in patients who undergo laparoscopic sleeve gastrectomy. In this article, we present a 40-year-old male patient with body mass index of 47 kg/m was admitted for laparoscopic sleeve gastrectomy. The surgery took about 130 minutes without any hemorrhage. Full enoxaparin prophylaxis, early and full mobilization, and intermittent pneumatic compression stockings were all applied to prevent venous thrombosis. Unfortunately, he applied to our emergency department and diagnosed to have porto-mesenteric vein thrombosis. There was an approximately 60 cm necrotic jejunal segment between 10th and 70th cm after Treitz ligament and was resected. He was discharged on sixth post operative day with prescription of oral warfarin.
{"title":"Portomesenteric Vein Thrombosis after Laparoscopic Sleeve Gastrectomy","authors":"A. Aktekin, M. Torun","doi":"10.17476/JMBS.2018.7.2.64","DOIUrl":"https://doi.org/10.17476/JMBS.2018.7.2.64","url":null,"abstract":"Laparoscopic sleeve gastrectomy is a surgical procedure for patients who want to lose weight. An acute porto-mesenteric vein thrombosis is an infrequent but not rare complication in patients who undergo laparoscopic sleeve gastrectomy. In this article, we present a 40-year-old male patient with body mass index of 47 kg/m was admitted for laparoscopic sleeve gastrectomy. The surgery took about 130 minutes without any hemorrhage. Full enoxaparin prophylaxis, early and full mobilization, and intermittent pneumatic compression stockings were all applied to prevent venous thrombosis. Unfortunately, he applied to our emergency department and diagnosed to have porto-mesenteric vein thrombosis. There was an approximately 60 cm necrotic jejunal segment between 10th and 70th cm after Treitz ligament and was resected. He was discharged on sixth post operative day with prescription of oral warfarin.","PeriodicalId":73828,"journal":{"name":"Journal of metabolic and bariatric surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43001637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-06-30DOI: 10.17476/JMBS.2018.7.1.22
J. Y. Park
Bariatric surgery has evolved from the surgical measure to treat morbid obesity into the epochal remedy to treat metabolic syndrome as a whole, which is represented by type 2 diabetes. Numerous clinical trials have unanimously advocated bariatric or metabolic surgery over the non-surgical interventions, demonstrating markedly superior metabolic outcomes not only in morbidly obese patients who satisfy traditional criteria for bariatric surgery (body mass index [BMI] ＞ 35kg/m 2 ) but also in less obese or even in simply overweight patients. Nevertheless, not all the diabetic patients can achieve the most desirable outcomes, that is, diabetes remission, after metabolic surgery and candidates for metabolic surgery should be selected carefully based on the comprehensive preoperative assessment of the risk-benefit ratio. Predictors for diabetes remission after metabolic surgery can be largely classified into 2 groups based the mechanism of action; 1) indices for the preserved pancreatic beta-cell function, such as younger age, shorter duration of diabetes, and higher C-peptide level, and 2) those represent the potential reserve for reduction in insulin resistance, such as higher baseline BMI, and visceral fat area. Several prediction models for diabetes remission have been suggested by merging these predictors to guide clinicians and patients’ joint decision-making process. Among them, 3 models, DiaRem, ABCD, and Individualized Metabolic Surgery (IMS) scores provide intuitive scoring systems which can be simply utilized in the routine clinical practice and have been validated in the independent external cohort. These prediction models need further validation in the various different ethnicities to ensure the universal applicability.
{"title":"Prediction of Diabetes Remission after Bariatric or Metabolic Surgery","authors":"J. Y. Park","doi":"10.17476/JMBS.2018.7.1.22","DOIUrl":"https://doi.org/10.17476/JMBS.2018.7.1.22","url":null,"abstract":"Bariatric surgery has evolved from the surgical measure to treat morbid obesity into the epochal remedy to treat metabolic syndrome as a whole, which is represented by type 2 diabetes. Numerous clinical trials have unanimously advocated bariatric or metabolic surgery over the non-surgical interventions, demonstrating markedly superior metabolic outcomes not only in morbidly obese patients who satisfy traditional criteria for bariatric surgery (body mass index [BMI] ＞ 35kg/m 2 ) but also in less obese or even in simply overweight patients. Nevertheless, not all the diabetic patients can achieve the most desirable outcomes, that is, diabetes remission, after metabolic surgery and candidates for metabolic surgery should be selected carefully based on the comprehensive preoperative assessment of the risk-benefit ratio. Predictors for diabetes remission after metabolic surgery can be largely classified into 2 groups based the mechanism of action; 1) indices for the preserved pancreatic beta-cell function, such as younger age, shorter duration of diabetes, and higher C-peptide level, and 2) those represent the potential reserve for reduction in insulin resistance, such as higher baseline BMI, and visceral fat area. Several prediction models for diabetes remission have been suggested by merging these predictors to guide clinicians and patients’ joint decision-making process. Among them, 3 models, DiaRem, ABCD, and Individualized Metabolic Surgery (IMS) scores provide intuitive scoring systems which can be simply utilized in the routine clinical practice and have been validated in the independent external cohort. These prediction models need further validation in the various different ethnicities to ensure the universal applicability.","PeriodicalId":73828,"journal":{"name":"Journal of metabolic and bariatric surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44678585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-06-30DOI: 10.17476/JMBS.2018.7.1.1
Bariatric Surgery
{"title":"2018 Korean Society for Metabolic and Bariatric Surgery Guidelines","authors":"Bariatric Surgery","doi":"10.17476/JMBS.2018.7.1.1","DOIUrl":"https://doi.org/10.17476/JMBS.2018.7.1.1","url":null,"abstract":"","PeriodicalId":73828,"journal":{"name":"Journal of metabolic and bariatric surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45176288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-06-30DOI: 10.17476/JMBS.2018.7.1.32
Y. Son, and Seung Wan Ryu
Bariatric surgery is considered the only effective method of achieving long-term weight loss and ameliorating obesity-associated comorbidities in morbidly obese patients. However bariatric surgery is associated with risks of nutritional deficiencies and malnutrition. Therefore, postoperative nutritional follow-up and supplementation of vitamins and trace elements should be recommended. In this review, we provide essential information on nutritional complications and nutritional management after bariatric surgery.
{"title":"Nutritional Management after Bariatric Surgery","authors":"Y. Son, and Seung Wan Ryu","doi":"10.17476/JMBS.2018.7.1.32","DOIUrl":"https://doi.org/10.17476/JMBS.2018.7.1.32","url":null,"abstract":"Bariatric surgery is considered the only effective method of achieving long-term weight loss and ameliorating obesity-associated comorbidities in morbidly obese patients. However bariatric surgery is associated with risks of nutritional deficiencies and malnutrition. Therefore, postoperative nutritional follow-up and supplementation of vitamins and trace elements should be recommended. In this review, we provide essential information on nutritional complications and nutritional management after bariatric surgery.","PeriodicalId":73828,"journal":{"name":"Journal of metabolic and bariatric surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46860291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-06-30DOI: 10.17476/JMBS.2018.7.1.37
K. Jung
Obesity is a complex metabolic disease caused by excess body fat, which can be associated with many health problems. Bariatric surgery is the most effective treatment for morbid obesity. However, only small number of patients undergo surgery despite definite benefits. The upper gastrointestinal endoscopy with flexible device is an essential tool in the evaluation of post bariatric surgery patient. It plays an important role in treating complications occurring after bariatric surgery. Recently, there has been active research and development on endoscopic procedures to achieve similar effects with bariatric surgery in less invasive ways. Endoluminal interventions performed using flexible endoscopy might be less effective than current surgical approaches, but it can offer alternative approaches to the treatment of obesity that are safer and more cost-effective. This article provides an overview of endoscopic procedures for postoperative complication and new emerging endoscopic techniques for primary endoscopic bariatric therapies. Knowing the type, indication, expected effect, and development potential of endoscopic procedures might be of great help to surgeons performing bariatric procedures.
{"title":"Role of Endoscopy in the Treatment of Bariatric and Metabolic Disease","authors":"K. Jung","doi":"10.17476/JMBS.2018.7.1.37","DOIUrl":"https://doi.org/10.17476/JMBS.2018.7.1.37","url":null,"abstract":"Obesity is a complex metabolic disease caused by excess body fat, which can be associated with many health problems. Bariatric surgery is the most effective treatment for morbid obesity. However, only small number of patients undergo surgery despite definite benefits. The upper gastrointestinal endoscopy with flexible device is an essential tool in the evaluation of post bariatric surgery patient. It plays an important role in treating complications occurring after bariatric surgery. Recently, there has been active research and development on endoscopic procedures to achieve similar effects with bariatric surgery in less invasive ways. Endoluminal interventions performed using flexible endoscopy might be less effective than current surgical approaches, but it can offer alternative approaches to the treatment of obesity that are safer and more cost-effective. This article provides an overview of endoscopic procedures for postoperative complication and new emerging endoscopic techniques for primary endoscopic bariatric therapies. Knowing the type, indication, expected effect, and development potential of endoscopic procedures might be of great help to surgeons performing bariatric procedures.","PeriodicalId":73828,"journal":{"name":"Journal of metabolic and bariatric surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44844458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-06-30DOI: 10.7570/KJO.2014.23.4.242
S. Ahn, W. M. Kang, Young Mi Kim, S. Ahn
The prevalence of obesity has reached epidemic proportions among adolescents. Medical therapies only, however, cannot provide reasonable weight loss in all age groups. Bariatric surgery has been shown to provide a significant and durable alternative for weight loss in the adult and now the adolescent population. Bariatric surgery in the young proved to be more effective over time than other less-invasive approaches. With the increasing number of morbidly obese children and adolescents with the relative ineffectiveness of medical therapy in these age groups, bariatric surgery consistently provides a solution for significant weight loss and the resolution of comorbidities. Several studies in the past 3 years have demonstrated the overall effectiveness of adjustable gastric banding, Roux-en-Y gastric bypass and sleeve gastrectomy for weight loss and co-morbidity improvement in adolescents. Clinicians should ensure that an adolescent continues to adhere to the necessary dietary changes, supplemental medications, and life-long monitoring. Growing fund of knowledge in regard to the efficacy and complication rates of bariatric surgery will ultimately result in its more widespread acceptance. It appears that bariatric surgery for adolescents has caught on, whether “right” or “wrong.” But the current strict requirements for having a bariatric procedure should not be relaxed until we know more.
{"title":"Bariatric Surgery for Adolescents with Morbid Obesity","authors":"S. Ahn, W. M. Kang, Young Mi Kim, S. Ahn","doi":"10.7570/KJO.2014.23.4.242","DOIUrl":"https://doi.org/10.7570/KJO.2014.23.4.242","url":null,"abstract":"The prevalence of obesity has reached epidemic proportions among adolescents. Medical therapies only, however, cannot provide reasonable weight loss in all age groups. Bariatric surgery has been shown to provide a significant and durable alternative for weight loss in the adult and now the adolescent population. Bariatric surgery in the young proved to be more effective over time than other less-invasive approaches. With the increasing number of morbidly obese children and adolescents with the relative ineffectiveness of medical therapy in these age groups, bariatric surgery consistently provides a solution for significant weight loss and the resolution of comorbidities. Several studies in the past 3 years have demonstrated the overall effectiveness of adjustable gastric banding, Roux-en-Y gastric bypass and sleeve gastrectomy for weight loss and co-morbidity improvement in adolescents. Clinicians should ensure that an adolescent continues to adhere to the necessary dietary changes, supplemental medications, and life-long monitoring. Growing fund of knowledge in regard to the efficacy and complication rates of bariatric surgery will ultimately result in its more widespread acceptance. It appears that bariatric surgery for adolescents has caught on, whether “right” or “wrong.” But the current strict requirements for having a bariatric procedure should not be relaxed until we know more.","PeriodicalId":73828,"journal":{"name":"Journal of metabolic and bariatric surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71365832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-12-31DOI: 10.1007/978-3-642-35591-2_11
H. Choi, Yong Jin Kim
{"title":"Revisional Bariatric Surgery","authors":"H. Choi, Yong Jin Kim","doi":"10.1007/978-3-642-35591-2_11","DOIUrl":"https://doi.org/10.1007/978-3-642-35591-2_11","url":null,"abstract":"","PeriodicalId":73828,"journal":{"name":"Journal of metabolic and bariatric surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51087963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-01-01DOI: 10.1007/978-3-642-35591-2_7
Joo-Ho Lee, D. Park
{"title":"Sleeve Gastrectomy","authors":"Joo-Ho Lee, D. Park","doi":"10.1007/978-3-642-35591-2_7","DOIUrl":"https://doi.org/10.1007/978-3-642-35591-2_7","url":null,"abstract":"","PeriodicalId":73828,"journal":{"name":"Journal of metabolic and bariatric surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51087977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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