Comparison of anthropometric measures in people with and without short- and long-term complications after laparoscopic sleeve gastrectomy

Rojhani-Shirazi, Zahra; Amini, Masoud; Meftahi, Narges; Sepehrimanesh, Masood; Poorbaghi, Seyedeh Leila; Vafa, Leila

doi:10.1007/s00580-017-2543-y

Cited by 8 publications

(9 citation statements)

References 19 publications

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“…After subgroup analysis, we found a complication rate of 4.39 %, 4.04 % and 3.83 % for RYGB, SG and MGB/OAGB respectively. These data are consistent with those reported in other countries and support the safety of the operations under scrutiny [7][8][9][10][11][12]. The array of complications reported was extremely wide.…”

Section: Discussionsupporting

confidence: 90%

“…The subsequent shorter operative time could reduce complication linked with prolonged anaesthesia and immobilization (respiratory complications, deep vein thrombosis, pulmonary embolism, rhabdomyolisis). A lower incidence of internal herniation and abdominal pain was advocated because of the absence of mesenteric defect [11]. Moreover a reduced incidence of bleeding from anastomosis was deemed likely as only one anastomosis is performed rather than two.…”

Section: Discussionmentioning

confidence: 99%

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Thirty days post-operative complications after Sleeve Gastrectomy, Gastric Bypass and Mini Gastric Bypass/one Anastomosis Gastric Bypass. Analysis of the Italian Society for Bariatric Surgery and Metabolic Disorders (S.I.C.OB.) database of 7 years time frame

Luca¹

2017

Arch Surg Clin Res

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Background: To date, the scientifi c community has mainly focused on outcomes of obesity surgery such as weight loss and resolution of associated complications. Adverse post-operative events and reoperation rates have been poorly reported even if they are a marker of surgical safety and therefore of great importance in guiding patients and surgeons in the choice of the more suitable operation. Methods:This retrospective multicenter observational study is based on the data extracted from the Italian Society of Bariatric Surgery and Metabolic Disorders (S.I.C.OB.) database, which covers almost all the bariatric operations performed in Italy. We analysed the 30 days post-operative complications occurring, in the period from 2009 to 2015, after Roux-en-Y Gastric Bypass (RYGB), Sleeve Gastrectomy (SG) and Mini Gastric Bypass/One Anastomosis Gastric Bypass (MGB/OAGB) qualitatively, quantitatively and on the basis of the Clavien-Dindo classifi cation of surgical complications. Complications following surgeries were tested using the 95% confi dence interval. Statistical analysis was performed with Statistical Analysis System (SAS). Results:In the 2009-2015 time frame, a total of 31,624 operations were performed of which 6,864 RYGB, 10,833 SG and 992 MGB/OAGB. The complication rate was 4.39 %, 4.04 % and 3.83% respectively. The most frequent complications were hemoperitoneum (0.9%) and perforation, fi stula and dehiscence (1%) which were higher in SG when compared with RYGB (with a statistical signifi cance) and when compared with MGB/OAGB (without a statistical signifi cance). When dividing the complications by the different grades of the ClavienDindo classifi cation, the only signifi cant difference encountered, from a statistical standpoint, was between MGB/OAGB and SG. MGB/OAGB was associated with a lower grade I Clavien-Dindo complication rate (1.31% versus 2.34%). Conclusions:This study supports a safe profi le of obesity surgey in Italy, along with positive bariatric outcomes. The rate of 30 days post-operative complications is progressively lower after MGB/OAGB (3.83%), SG (4.04%) and RYGB (4.39%) respectively. In particular, MGB/OAGB records statistically less low-grade Clavien-Dindo complications compared to SG and RYGB.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Thirty days post-operative complications after Sleeve Gastrectomy, Gastric Bypass and Mini Gastric Bypass/one Anastomosis Gastric Bypass. Analysis of the Italian Society for Bariatric Surgery and Metabolic Disorders (S.I.C.OB.) database of 7 years time frame

Luca¹

2017

Arch Surg Clin Res

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“…[2] Research suggested that postoperative body weight, body mass index (BMI), arm circumference, waist circumference, hip circumference, and waist-to-height ratio index were significantly lower than preoperative indices. [3] The bioactive substances secreted by adipose tissues are called adipokines or adipocytokines, including leptin and adiponectin. These 2 can increase energy consumption, insulin sensitivity, and fatty acid oxidation, while leptin can inhibit the appetite and fat aggregation.…”

Section: Introductionmentioning

confidence: 99%

The correlation between oxidative stress level and intra-abdominal fat in obese males

Jia¹,

Liu

Tian³

et al. 2019

Medicine

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This study aims to investigate the correlation between oxidative stress and intra-abdominal fat (IAF) in obese young and middle-aged males. The present study included 136 male examinees in the Examination Center of the First Hospital of Qinhuangdao from October 10, 2015 to December 10, 2015. Then, clinical data, oxidative stress indices (8-iso-prostaglandin F 2α [8-iso-PGF 2α ], malondialdehyde [MDA], and superoxide dismutase [SOD]), and IAF area were recorded. All subjects were assigned into 3 groups according to body mass index (BMI): obese group (BMI ≥ 28 kg/m 2 , 43 subjects), overweight group (24 ≤ BMI < 28 kg/m 2 , 46 subjects), and control group (BMI < 24 kg/m 2 , 47 subjects). Then, statistical analysis was performed. There were significant differences in IAF area, leptin, adiponectin, 8-iso-PGF 2α , MDA, SOD, fasting insulin (FINS), fasting blood glucose (FBG), and homeostasis model assessment-insulin resistance (HOMA-IR) among these 3 groups ( P < .05). Male subjects in the obese group had higher leptin, 8-iso-PGF 2α , MDA, FINS, and HOMA-IR levels, compared to subjects in the overweight and control groups. Furthermore, subjects in the overweight group had a larger IAF area and higher 8-iso-PGF 2α , MDA, and FBG levels, when compared to controls. In addition, SOD was significantly lower in the obese and overweight groups than in the control group. However, there were no statistical differences in age, systolic and diastolic blood pressure, lipids, and islet β-cell secretion function (homeostasis model assessment-β) among these 3 groups ( P ≥ .05). Moreover, the IAF area was positively correlated to 8-iso-PGF 2α and MDA, and negatively correlated to SOD. Oxidative stress is significantly associated with the IAF area in obese males, and abdominal obesity could increase oxidative stress level and insulin resistance.

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“…NAFLD usually develops due to the accumulation of fatty acids in hepatocytes, which can progress to steatohepatitis through rise in oxidative stress in the body (6,12,13). Due to the rising prevalence of obesity and sedentary life, NAFLD has become the most common cause of chronic liver disease (14)(15)(16).…”

Section: Contextmentioning

confidence: 99%

Nigella sativa and Non-Alcoholic Fatty Liver Disease: A Review of the Current Evidence

2018

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Context: Nigella sativa (NS) has been used as an herbal remedy for the treatment and prevention of a variety of diseases. In this review, we aimed to summarize the current evidence on the effects of NS consumption on non-alcoholic fatty liver disease (NAFLD) characteristics. Evidence Acquisition: We reviewed the existing literature published by the end of 2017 using the following key words: "Nigella sativa", "black seeds", "black cumin", "thymoquinone", "NAFLD", "NASH", and "diabetes". Papers used in this study were collected by searching the PubMed, Google Scholar, Science Direct and Scopus databases. Our search was limited to English-language articles. All the articles published between 2000 and 2017 meeting the inclusion criteria were included in the study. Results: The results of current studies indicate that NS has many biological effects such as anti-inflammatory, anti-hyperlipidemic, anti-microbial, anti-cancer, anti-oxidative, anti-diabetic, anti-hypertensive and wound healing activities. In summary, it can be used as a valuable plant for designing therapeutic strategies in NAFLD. Conclusions: Results from available studies indicate that NS can ameliorate the main metabolic disturbances related to NAFLD including hyperglycemia, hyperlipidemia, and overweight. These effects are mainly attributed to the anti-oxidative and antiinflammatory properties of thymoquinone. Clinical trials on human subjects are highly essential to confirm the results found in in vivo and in vitro studies.

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Comparison of anthropometric measures in people with and without short- and long-term complications after laparoscopic sleeve gastrectomy

Cited by 8 publications

References 19 publications

Thirty days post-operative complications after Sleeve Gastrectomy, Gastric Bypass and Mini Gastric Bypass/one Anastomosis Gastric Bypass. Analysis of the Italian Society for Bariatric Surgery and Metabolic Disorders (S.I.C.OB.) database of 7 years time frame

Thirty days post-operative complications after Sleeve Gastrectomy, Gastric Bypass and Mini Gastric Bypass/one Anastomosis Gastric Bypass. Analysis of the Italian Society for Bariatric Surgery and Metabolic Disorders (S.I.C.OB.) database of 7 years time frame

The correlation between oxidative stress level and intra-abdominal fat in obese males

Nigella sativa and Non-Alcoholic Fatty Liver Disease: A Review of the Current Evidence

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