Challenges associated with bariatric surgery - a multi-center report.

Stefura, Tomasz; Skomarovska, Oksana; Wysocki, Michał; Janik, Michał; Krzysztofik, Marta; Pędziwiatr, Michał; Kowalewski, Piotr; Małczak, Piotr; Bartosiak, Katarzyna; Rubinkiewicz, Mateusz; Orłowski, Michał; Matłok, Maciej; Wierdak, Mateusz; Major, Katarzyna; Myśliwiec, Piotr; Szeliga, Jacek; Budzyński, Andrzej; Major, Piotr

doi:10.5114/wiitm.2019.81370

Cited by 8 publications

(9 citation statements)

References 25 publications

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“…Although LSG is credited with excellent results, both in terms of weight reduction and improvement of the main comorbidities [22, 23], more studies with medium- and long-term follow-up describe a tendency for relapse with weight regain, after variable intervals of time from primary surgery [1, 5]. We also noted this aspect in our studied group, where this trend becomes evident after approximately 2 years of follow-up.…”

Section: Discussionsupporting

confidence: 70%

Long-term outcomes of laparoscopic sleeve gastrectomy - a single-center prospective observational study.

Neagoe¹,

Mureşan²,

Timofte³

et al. 2019

Videosurgery and Other Miniinvasive Techniques

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Introduction Laparoscopic sleeve gastrectomy (LSG) is an established bariatric procedure. Aim We present our long-term results regarding weight loss and comorbidities during 9 years. Material and methods We calculated the percent excess weight loss (%EWL) and changes in body mass index (ΔBMI). We evaluated arterial hypertension (AHT), type 2 diabetes (T2DM) and obstructive sleep apnea syndrome (OSAS). Results One hundred seventy-nine patients were included (136 female/43 male), mean age of 40.47 ±11.08 years, median preoperative body mass index (BMI) of 42.93 kg/m 2 . Median follow-up period was 72 months (36–84 months). The %EWL during follow-up was 41.8 (n = 179 patients, at 3-month follow-up), 64.1 (n = 163), 75.33 (n = 134), 77.1 (n = 103), 76,03 (n = 99), 73.78 (n = 64), 71.58 (n = 37), 63.83 (n = 22) and 64.1 (n = 14) at 6, 12, 18, 24, 36, 48, 60 and 72 months, respectively. We noted a negative correlation between %EWL and both the age and initial weight and BMI of the patient; a negative correlation between gender (male patients) and %EWL was also found. After LSG, 68.2% of patients with AHT presented resolution (no medication) or significant improvement (doses reduced) of the disease. As regards T2DM, 65.8% described resolution or significant improvement after surgery. Furthermore, 31 (70.4%) patients with preoperative OSAS reported resolution/improvement within a year from surgery. Conclusions Laparoscopic sleeve gastrectomy is a safe and effective procedure, with good results in the short and medium term. Long-term follow-up reveals a tendency to weight regain after approximately 2 years from primary surgery, with the need for revisional surgery in some cases.

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Section: Discussionsupporting

confidence: 70%

Long-term outcomes of laparoscopic sleeve gastrectomy - a single-center prospective observational study.

Neagoe¹,

Mureşan²,

Timofte³

et al. 2019

Videosurgery and Other Miniinvasive Techniques

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“…Worth emphasizing is that there are many other factors influencing overall postoperative outcome, that are not connected with operative technique. Patient compliance, preoperative clinical status, perioperative care standards and clinical bariatric experience are proven to be significant factors not only in procedure-related complication risk, but also in postoperative therapeutic efficacy and should also be considered in assessment of a specific bariatric procedure's influence on certain comorbidities [44][45][46]. Our follow-up period was limited to 1 year after the performed LSG operation, but the data collection from many patients who participated in this study and newly acquired patients is still in progress to be assessed in further studies.…”

Section: Niddm Arterial Hypertension Partial Remission (%)mentioning

confidence: 99%

Laparoscopic sleeve gastrectomy: a study of efficiency in treatment of metabolic syndrome components, comorbidities and influence on certain biochemical markers.

Wójciak¹,

Pawluszewicz²,

Diemieszczyk³

et al. 2019

Videosurgery and Other Miniinvasive Techniques

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A b s t r a c tIntroduction: The worldwide outbreak of morbid obesity forced contemporary medicine to adopt a multidisciplinary approach, which led to the description of metabolic syndrome (MS): a disease with self-aggravating components and one of the most important causes of morbidity and mortality. The need for therapeutic methods provoked development of metabolic surgery, which nowadays give possibilities for safe and effective treatment of all MS aspects simultaneously and improves many obesity-related comorbidities. Aim: To assess the laparoscopic sleeve gastrectomy (LSG) procedure's efficiency in resolving MS components, treating comorbidities and to analyze the influence on certain biochemical markers in 1-year follow-up. Material and methods: The retrospective cohort study of 211 patients after an LSG operation relied on statistical analysis of clinical data collected prospectively in follow-up visits. All applicable guidelines and bioethical recommendations were respected in this study. Results: Assessment of bariatric efficiency proved the LSG operation to be effective in inducing significant weight loss and treating obesity. Analysis on the influence on MS components, such as non-insulin dependent diabetes (NIDDM), arterial hypertension (AH) and dyslipidemia, showed substantial improvement in all observed cases of these diseases. In the present study, follow-up also proved a partial remission inducing effect of this bariatric operation in many comorbidities, especially in chronic obstructive pulmonary disease, obstructive sleep apnea, peptic ulcer disease and depression. A desirable reduction in creatinine, C-reactive protein, uric acid, alanine aminotransferase, asparagine aminotransferase, g-glutamyltransferase serum levels has also been observed during the follow-up. Conclusions: The LSG is an effective method of treatment in all areas of metabolic syndrome, provides a significant positive clinical outcome in obesity-related comorbidities and induces desirable changes in inflammatory, kidney and liver related biomarkers.

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“…Patients with the obesity should be qualified for the bariatric surgery, if attempts at conservative treatment have been made, but they turned out to be ineffective [11]. Nowadays, there are many bariatric surgeries performed around the world, which the most frequently performed are laparoscopic sleeve gastrectomy (LSG) and Roux-Y gastric by-pass (RYGB) [12]. Before the planned bariatric surgery the patient should appropriately prepare.…”

Section: The Importance Of Physical Activity In the Context Of A Barimentioning

confidence: 99%

“…Before the planned bariatric surgery the patient should appropriately prepare. In addition to carrying out the necessary specialist consultations, imaging and laboratory tests, he should achieve the required weight reduction, stop smoking at least 4 weeks before the operation and implement physical activity appropriate to his body weight and physical performance [12][13][14][15].…”

Section: The Importance Of Physical Activity In the Context Of A Barimentioning

confidence: 99%

Physical activity as one of the elements of a comprehensive obesity treatment

Kucharczuk

Sikorska

Juraszek

et al. 2020

J Educ Health Sport

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Obesity is nowadays a disease of civilization contributing to the increase in mortality worldwide, especially in developing and developed countries. There is a need to take action to normalise the weight of as many people as possible, bearing in mind disadvantageous to the health and the life, effects of exaggerated increasing the amount of the fatty tissue. In this connection, the need to shape patterns of pro-healthy behaviour should be particularly emphasised. The implementation of appropriate physical activity should be one of the basic elements of a comprehensive obesity treatment. Taking into account a wide range of exercises, it is important to choose the right activity for a given person, taking into account their abilities and performance, as well as indications and contraindications to a specific form of training. A key role in the weight reduction process is played by the determination to continue the recommendations made in a long-term and systematic manner. If attempts of the non-invasive treatment turn out to be ineffective, sick persons with the obesity can be qualified for the bariatric surgery. Implementing the physical activity in the period before and post-operative is bringing the sequence of beneficial changes in the body of the patient. It often improves the well-being of patients as well as results in the faster convalescence and lowering the risk of complications. Both the non-invasive and surgical treatment of obesity should be complemented by the introduction of appropriate physical activity.

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Challenges associated with bariatric surgery - a multi-center report.

Cited by 8 publications

References 25 publications

Long-term outcomes of laparoscopic sleeve gastrectomy - a single-center prospective observational study.

Long-term outcomes of laparoscopic sleeve gastrectomy - a single-center prospective observational study.

Laparoscopic sleeve gastrectomy: a study of efficiency in treatment of metabolic syndrome components, comorbidities and influence on certain biochemical markers.

Physical activity as one of the elements of a comprehensive obesity treatment

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