Staple Disruption in Vertical Banded Gastroplasty

Svenheden, Karl-Erik; Åkesson, Leif-Åke; Holmdahl, C; Näslund, Ingmar

doi:10.1381/096089297765556024

Cited by 23 publications

(12 citation statements)

References 2 publications

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“…One suicide occurred within 5 years of the operation in the study with a cohort of 317 patients and mean follow‐up time of 74 months . Svenheden and colleagues reviewed a cohort of 95 patients for between 6 and 48 months and reported one suicide after 18 months. Cadière et al .…”

Section: Resultsmentioning

confidence: 99%

Risk of completed suicide after bariatric surgery: a systematic review

et al. 2013

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Bariatric surgery is one of the most effective treatments for morbid obesity, and a large body of research indicates significant long-term weight loss. While overall mortality decreases in patients who received bariatric surgery, a number of studies have shown that suicide rates are higher in bariatric patients than in control groups. The objective of this study was to present a systematic review of suicide mortality after bariatric surgery and calculate an estimate for the suicide rate. Literature researches of the databases PubMed, Web of Knowledge, PsychInfo, ScienceDirect and Google Scholar were conducted. Thirty studies concerning bariatric surgery and completed suicides met the inclusion criteria. We included 28 studies in the estimation of a suicide rate for the bariatric population. Only one study (Tindle et al.) put a main focus on suicide after bariatric surgery; this was therefore chosen as an adequate reference figure for comparison. The other 27 chosen studies were compared with World Health Organization data and the suicide rate reported by Tindle et al. Twenty-three thousand eight hundred eighty-five people were included in the analysis. In the literature, we found a total of 95 suicides when examining 190,000 person-years of post-bariatric surgery data. Little information was provided describing the reasons for suicide and the time-point of these events after surgery. We estimated a suicide rate of 4.1/10,000 person-years (95% confidence interval [3.2, 5.1]/10,000 person-years). A comparison with Tindle et al. demonstrates that their rate is significantly higher than our estimate (P = 0.03). Bariatric surgery patients show higher suicide rates than the general population. Therefore, there is a great need to identify persons at risk and post-operative psychological monitoring is recommended.

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Section: Resultsmentioning

confidence: 99%

Risk of completed suicide after bariatric surgery: a systematic review

et al. 2013

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“…Rates of less than1% [29] to 48% [30] have been reported, but correlation between staple line gaps and weight loss is unclear [31] and longterm weight loss results of VBG are good [31,32]. Longerterm studies of the TOGa procedure will be needed to establish the durability of the staple line and weight loss.…”

Section: Discussionmentioning

confidence: 99%

Safety, feasibility and weight loss after transoral gastroplasty: First human multicenter study

Devière

Valdés²,

Herrera³

et al. 2007

Surg Endosc

115

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“…VGs are pure restrictive procedures and their efficacy to achieve weight loss has largely been demonstrated [4]. Unfortunately, regain of body weight after initial satisfactory weight reduction occurs frequently and more than 50% of patients with a VG may require revisional surgery [5][6][7]. The common reasons for failure are: disruption of the staple line, excessive enlargement of the gastric pouch and inefficiency of the prosthetic mesh or the silastic ring (by disruption or intragastric migration).…”

Section: Introductionmentioning

confidence: 99%