National Trends in Bariatric Surgery 2012–2015: Demographics, Procedure Selection, Readmissions, and Cost

Kizy, Scott; Jahansouz, Cyrus; Downey, Michael; Hevelone, Nathanael D.; Ikramuddin, Sayeed; Leslie, Daniel B.

doi:10.1007/s11695-017-2719-1

Cited by 116 publications

(66 citation statements)

References 25 publications

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“…Some preoperative factors that can influence the choice of the type of surgery are body mass index, age, diabetes mellitus and its duration, and gastroesophageal reflux disease [12]. Currently, the most commonly used methods include restrictive methods-sleeve gastrectomy (SG)-and hybrid methods-Roux-en-Y gastric bypass (RYGB) [16].…”

Section: Introductionmentioning

confidence: 99%

Nutritional Deficiencies, Bariatric Surgery, and Serum Homocysteine Level: Review of Current Literature

Komorniak

Szczuko

Kowalewski³

et al. 2019

OBES SURG

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Obesity is currently one of the biggest global health problems. In the case of severe obesity, bariatric surgeries are considered to be the most important method of treatment. The 2 most commonly performed bariatric surgery procedures include Roux-en-Y gastric bypass and sleeve gastrectomy. However, these methods are not free from complications, and the most common ones (moderately long or long term) are micronutrient deficiencies. The deficiency of vitamins B6, B12, and folic acid as cofactors of the folate cycle contributes to the development of hyperhomocysteinemia. It seems that apart from nutritional factors, there are other aspects that have a significant influence on the concentration of homocysteine in blood, such as the type of conducted bariatric surgery, the post-surgical concentration of betaine and creatinine, and the clearance of methionine (i.e., the mutations of the gene that encodes the MTHFR reductase as well as other genes associated with the process of methylation, e.g., methionine synthase). Their presence might be one of the causes of the increased concentration of homocysteine after surgery despite the fact that patients take vitamin-mineral supplementation.

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Section: Introductionmentioning

confidence: 99%

Nutritional Deficiencies, Bariatric Surgery, and Serum Homocysteine Level: Review of Current Literature

Komorniak

Szczuko

Kowalewski³

et al. 2019

OBES SURG

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“…Bariatric surgery is accepted as the best long-term treatment for obesity and its related comorbidities and is among the most common types of abdominal surgery performed in the United States today. 1 – 3 Trends in bariatric surgery have shown a recent shift from laparoscopic adjustable gastric banding (LAGB) to laparoscopic Roux-en-Y gastric bypass (LGBP) and laparoscopic sleeve gastrectomy (LSG). 1 , 4 LAGB has been associated with increased overall complications, when compared to LGBP and LSG, including pouch dilation, esophageal dilation, and stomach obstruction.…”

Section: Introductionmentioning

confidence: 99%

“… 1 – 3 Trends in bariatric surgery have shown a recent shift from laparoscopic adjustable gastric banding (LAGB) to laparoscopic Roux-en-Y gastric bypass (LGBP) and laparoscopic sleeve gastrectomy (LSG). 1 , 4 LAGB has been associated with increased overall complications, when compared to LGBP and LSG, including pouch dilation, esophageal dilation, and stomach obstruction. Failure rates and revisional surgery rates have been reported to be as much as 44% and 30%, respectively, and LAGB has been associated with excess body weight loss of <50% compared to 60%–70% in LSG and LGBP.…”

Section: Introductionmentioning

confidence: 99%

Predictors of Reoperation and Failure to Rescue in Bariatric Surgery

Ilonzo²,

Neifert

et al. 2018

JSLS

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Background and Objectives:Morbidity and mortality have been shown to increase several-fold in patients who have undergone bariatric surgery and returned to the operating room after their initial procedures. Failure-to-rescue (FTR) analyses allow for an understanding of patient management and outcomes that is more distinguished than assessments of adverse occurrences and mortality rates alone. The objective of this study was to assess failure to rescue (FTR) and the characteristics and outcomes of patients undergoing reoperation after laparoscopic gastric bypass (LGBP) and laparoscopic sleeve gastrectomy (LSG).Methods:The American College of Surgeons-National Surgical Quality Improvement Program (ACS-NSQIP) participant data files were accessed to identify patients >18 years of age who underwent LGBP and LSG from 2011 through 2015. Patients were further classified into 3-day reoperation and nonreoperation cohorts. Patient demographics, comorbidities, and baseline health characteristics were collected. Pertinent outcomes, complications, and FTR were analyzed.Results:A total of 96,538 patients were included. Of those, 1,850 (1.92%) returned to the operating room, and 94,688 (98.08%) did not. Patients who underwent reoperation had a greater likelihood of having any complication (72.20% vs. 51.29%; P < .0001) and had a higher overall mortality rate (1.46% vs. 0.10%, P < .0001). The FTR rates were 2.01% in the reoperation group and 0.14% in the nonreoperation group (P < .0001).Conclusion:Patients who undergo LGBP and LSG and have reoperations are at higher risk of developing complications with subsequent mortality.

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“…Fourth, the current study’s sample was primarily White and female, reflecting national trends for adolescents and adults who seek bariatric surgery [30, 35]. However, findings may not be generalizable to other samples, particularly males and minority youth seeking bariatric surgery.…”

Section: Discussionmentioning

confidence: 98%

Predictors of Preoperative Program Non-Completion in Adolescents Referred for Bariatric Surgery

et al. 2018

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National Trends in Bariatric Surgery 2012–2015: Demographics, Procedure Selection, Readmissions, and Cost

Cited by 116 publications

References 25 publications

Nutritional Deficiencies, Bariatric Surgery, and Serum Homocysteine Level: Review of Current Literature

Nutritional Deficiencies, Bariatric Surgery, and Serum Homocysteine Level: Review of Current Literature

Predictors of Reoperation and Failure to Rescue in Bariatric Surgery

Predictors of Preoperative Program Non-Completion in Adolescents Referred for Bariatric Surgery

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