2022 American Society of Metabolic and Bariatric Surgery (ASMBS) and International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) Indications for Metabolic and Bariatric Surgery

Eisenberg, Dan; Shikora, Scott A.; Aarts, Edo O.; Aminian, Ali; Angrisani, Luigi; Cohen, Ricardo; Luca, Maurizio De; Faria, Sílvia Leite; Goodpaster, Kasey; Haddad, Ashraf; Himpens, Jacques; Kow, Lilian; Kurian, Marina; Loi, Ken; Mahawar, Kamal; Nimeri, Abdelrahman; O’Kane, Mary; Papasavas, Pavlos; Ponce, Jaime; Pratt, Janey; Rogers, Ann M.; Steele, Kimberley E.; Suter, Michel; Kothari, Shanu N.

doi:10.1007/s11695-022-06332-1

Cited by 273 publications

(136 citation statements)

References 152 publications

Supporting

Mentioning

128

Contrasting

Unclassified

Order By: Relevance

“…Therefore, bariatric surgery has become a treatment option for long-term weight loss among patients with morbid obesity and those unable to adopt dieting [2]. The bariatric clinic in King Fahad General Hospital (KFGH), Jeddah, Saudi Arabia, follows the American Society for Metabolism and Bariatric Surgery, which recommends surgery for patients who have BMI ≥40 and BMI ≥35 with at least one obesity-related co-morbidities (such as type II diabetes, hypertension, and obstructive sleep apnea), or patients can't achieve a healthy weight loss sustained for a period of time with prior weight loss efforts [3]. The main aim of bariatric surgery and especially gastric sleeve surgery, also known as metabolic surgery, is to reduce gastric capacity and the absorption surface area of the gastrointestinal tract.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Dumping Syndrome and Its Determinants Among Post-Bariatric Surgery Adult Patients at King Fahad General Hospital, Jeddah, 2019–2020

Alsulami¹,

Fathaldin²,

Alghamdi³

et al. 2022

Cureus

View full text Add to dashboard Cite

BackgroundBariatric surgery is one of the most effective interventions for morbid obesity. Despite its benefits, unwanted consequences such as dumping syndrome (DS) have been reported following the procedure. This study aims to estimate the prevalence of DS and identify the factors associated with it in Saudi Arabia. MethodologyThis cross-sectional study collected data from patients who underwent bariatric surgery at King Fahad General Hospital, Jeddah, Saudi Arabia, in 2019-2020. A validated questionnaire was used to collect the data. The questionnaire included demographic items such as age and sex and items relating to DS such as nausea, vomiting, and palpitations. A modified version of the Sigstad diagnostic scoring system was used to confirm the diagnosis. ResultsOf the 240 investigated cases, two-thirds (67.5%) were females. The most reported symptoms were nausea (37.9%), vomiting (36.7%), desire to lie down (25.5%), restlessness (25.5%), and abdominal fullness (23.7%). Based on the modified Sigstad diagnostic scoring system, 75 (31.4%) patients met the criteria for DS. The bivariate analysis showed the prevalence was significantly higher in females (36.4%), those with university qualifications (40.3%), and those with high monthly income (62.5%) (p<0.05). Also, dietary behaviors in terms of frequency, size of meals, and drinking liquids with meals were significantly associated with the prevalence of DS, where the lowest prevalence was recorded among those who ate more than one small meal (10.9%), while the highest prevalence was found in those who ate more than one large meal (81.8%); also, the prevalence was significantly higher in patients who drank liquids with meals (40.8%) than those who drank liquids between meals (26.8%) (p<0.05). ConclusionIn this single institutional study, we report a 31.4% prevalence of DS among our cohort. The predictors of the syndrome include gender, education level, monthly income, eating more than one large meal per day, and drinking liquids with meals. In the future, these predictors will be explained to patients before and after bariatric surgery to reduce the prevalence of such inconvenient syndromes.

show abstract

Section: Introductionmentioning

confidence: 99%

Prevalence of Dumping Syndrome and Its Determinants Among Post-Bariatric Surgery Adult Patients at King Fahad General Hospital, Jeddah, 2019–2020

Alsulami¹,

Fathaldin²,

Alghamdi³

et al. 2022

Cureus

View full text Add to dashboard Cite

show abstract

“…Furthermore, in a meta-analysis, patients with binge eating disorders were suggested to have less post-operative weight loss and greater psychosocial distress after MBS [ 39 ]. Therefore, current guidelines worldwide [ 40 ], including in Japan [ 6 ], recommend the assessment of candidates for MBS in order to identify potential psychological factors that may compromise surgical outcomes. Emotional eating is an eating behavior that transfers psychological stress to food intake and has been indicated to reflect multiple negative emotions such as depression and anxiety, thereby leading to uncontrolled overeating [ 41 ].…”

Section: Discussionmentioning

confidence: 99%

Changes in Eating Behaviors and Their Associations with Weight Loss in Japanese Patients Who Underwent Laparoscopic Sleeve Gastrectomy

et al. 2023

View full text Add to dashboard Cite

Background: Metabolic and bariatric surgery (MBS) has been established to provide long-term weight loss in severe obesity. In this study, we investigated the factors that affect post-operative weight loss, with a particular focus on changes in eating behaviors. Methods: Time-course changes in body weight and eating behaviors were examined in 49 Japanese patients who underwent laparoscopic sleeve gastrectomy from the first visit to 12 months after surgery. Each eating behavior was evaluated via the questionnaire of the Japan Society for the Study of Obesity. Results: Pre-operative weight reduction mediated by dietary and lifestyle interventions showed significant positive correlations with weight loss outcomes at 12 months after surgery. We observed significant decreases in scores for most of the eating behaviors 12 months after surgery. However, “emotional eating behavior” scores declined temporarily in the early post-operative period of one month but thereafter returned to the pre-operative level at 12 months. Furthermore, increases in the scores for “emotional eating behavior” and “sense of hunger” from 1 to 12 months post-operatively were significantly associated with poor weight loss. Conclusions: Our results demonstrate the beneficial effects of MBS on obesity-related eating behaviors, as well as highlighting “emotional eating behavior” as requiring particular attention.

show abstract

“…Bariatric surgery is currently the most effective treatment for patients with obesity and its related diseases, with sleeve gastrectomy (SG) being the most performed bariatric procedure worldwide [1,2].…”

Section: Introductionmentioning

confidence: 99%

Investigating the Safety of Patients with Preoperative Tachycardia and Hypertension Undergoing Sleeve Gastrectomy

Widjaja

Wang

Dong

et al. 2022

Preprint

View full text Add to dashboard Cite

Background: Studies have suggested that elevated postoperative heart rate was associated with bleeding following bariatric surgery. Therefore, we questioned whether patients with preoperative elevated heart rate are more prone to postoperative bleeding following sleeve gastrectomy (SG) than those with normal heart rate. Methods: Patients who underwent laparoscopic SG between January 2020 and January 2022 at our hospital were included. The primary parameters for this analysis were the patients’ age, gender, weight, body mass index (BMI), preoperative and postoperative day-1 heart rate and blood pressure, drainage placement and volume, incidence of postoperative complications. Results: Two hundred and fifty-two SG patients were included in this study (elevated heart rate, EHR n=54 vs. normal heart rate, NHR n=198). Postoperatively, the EHR group had significantly higher heart rate, incidence of drainage placement, and postoperative length of stay than the NHR groups(p<0.05). We further analyzed the hypertensive patients (HT) with and without preoperative elevated heart rate (HT with EHR, n=30 vs. HT without EHR, n=60). Postoperatively, the HT with EHR group had significantly higher heart rate and incidence of drainage placement than the HT without EHR group (p<0.05). No incidence of postoperative bleeding was observed in all the groups. Conclusion: Our study found that patients with preoperative elevated heart rate have increased risk for the need of drainage placement intraoperatively, however, did not result in the increased incidence for postoperative complications. Further studies will be needed to understand better the safety of performing bariatric surgery in patients with elevated heart rate.

show abstract

2022 American Society of Metabolic and Bariatric Surgery (ASMBS) and International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) Indications for Metabolic and Bariatric Surgery

Cited by 273 publications

References 152 publications

Prevalence of Dumping Syndrome and Its Determinants Among Post-Bariatric Surgery Adult Patients at King Fahad General Hospital, Jeddah, 2019–2020

Prevalence of Dumping Syndrome and Its Determinants Among Post-Bariatric Surgery Adult Patients at King Fahad General Hospital, Jeddah, 2019–2020

Changes in Eating Behaviors and Their Associations with Weight Loss in Japanese Patients Who Underwent Laparoscopic Sleeve Gastrectomy

Investigating the Safety of Patients with Preoperative Tachycardia and Hypertension Undergoing Sleeve Gastrectomy

Contact Info

Product

Resources

About