Trends in Bariatric Surgery: a 5-Year Analysis of the Israel National Bariatric Surgery Registry

Kaplan, Uri; Romano-Zelekha, Orly; Goitein, David; Keren, Dean; Gralnek, Ian M.; Boker, Lital Keinan; Sakran, Nasser

doi:10.1007/s11695-020-04426-2

Cited by 38 publications

(23 citation statements)

References 29 publications

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“…While indications for VCE might arise in patients who underwent bariatric surgeries, a constantly growing population, delivery methods, and retention rates are still a concern with minimal published data. The increased frequency of bariatric surgeries worldwide and in Israel makes these concerns highly relevant [10]. Our findings suggest that VCE is a feasible and safe method of smallbowel evaluation after bariatric surgery, with completion and retention rates that were comparable to previously reported rates in the general population [11,12].…”

Section: Discussionsupporting

confidence: 78%

Video Capsule Endoscopy after Bariatric Surgery: A Tertiary Referral Center Experience

Peleg¹,

Yanai²,

Gingold‐Belfer³

et al. 2022

Dig Dis

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Background and aim: Minimal data is available regarding the performance of video capsule endoscopy (VCE) in patients that underwent bariatric surgery. We aim to report indications, feasibility and safety of VCE performed after bariatric surgery, specifically focusing on diagnosis rates of Crohn’s disease (CD) in this population. Methods: A retrospective analysis of all VCE procedures performed between January 2015 to December 2019. All patients that underwent bariatric surgery prior to VCE were included. Indication for VCE, Ingestion methods, completion rates, retention rates, and endoscopic findings were recorded. Results: A total of 1255 patients underwent VCE examination during the study period, of which 31 (2.5%) underwent bariatric surgery prior to VCE. The most common bariatric surgery was laparoscopic sleeve gastrectomy (16 patients, 51.6%) and the most common indication for VCE was evaluation of iron deficiency anemia (14 patients, 45.1%). The majority of patient ingested the capsule independently, without endoscopic assistance (20, 64.5%). Although patency capsule was not used in our cohort, no events of capsule retention were documented. Mean transit time was 4.32 hours. Only 4 events of incomplete examination were recorded. Over a median follow up of 27.5 months (IQR 13.0-34.2) 10 patients (31.2%) had a final diagnosis of CD with a median Lewis score of 225 (IQR 135-900). Conclusion: VCE is a feasible and safe procedure after bariatric surgery. Oral ingestion does not carry risk of retention. It is an effective means of diagnosis of small bowel CD in this population.

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Section: Discussionsupporting

confidence: 78%

Video Capsule Endoscopy after Bariatric Surgery: A Tertiary Referral Center Experience

Peleg¹,

Yanai²,

Gingold‐Belfer³

et al. 2022

Dig Dis

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“…England, France and Sweden also experienced increases in BS recently [ [103] , [104] , [105] ]. Notwithstanding, BS is decreasing in some countries [ 106 ]. Nonsurgical weight-loss (diet, exercise, psychological support, pharmaceuticals) has limited/un-sustained benefit for most people [ 49 ], and minimally invasive techniques, media coverage, and patient satisfaction lead obese individuals to BS as a reliable option [ 107 ].…”

Section: Resultsmentioning

confidence: 99%

Missing something? A scoping review of venous thromboembolic events and their associations with bariatric surgery. Refining the evidence base

Ansari

El-Ansari

2020

Annals of Medicine and Surgery

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Background Venous thromboembolic events (VTE) post-bariatric surgery (BS) lead to morbidity and mortality. Methods This scoping review assessed whether reported VTE post-BS could be under/over-estimated; suggested a possible number of VTE post-BS; appraised whether VTE are likely to decrease/increase; examined BS as risk/protective factor for VTE; and mapped the gaps, proposing potential solutions. Results VTE appears under-estimated due to: identification/coding of BS and VTE; reporting of exposure (BS); and reporting of outcomes (VTE). The review proposes a hypothetical calculation of VTE post-BS. VTE are unlikely to decrease soon. BS represents risk and protection for VTE. Better appreciation of VTE-BS relationships requires longer-term strategies. Conclusion VTE are underestimated. Actions are required for understanding the VTE-BS relationships to in order to crease VTE by better-informed prevention strategy/ies.

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“…In 2017, the prevalence rate of bariatric surgeries reached 1428.7 surgeries per one million citizens (Blumenfeld et al, 2020). While over the last five years numbers have been decreasing (Kaplan et al, 2020), the frequency of revision surgery has been increasing (Keren et al, 2019). 2 While professionals have not used the exact phrase 'WLS approach', they have repeatedly referred to 'our approach' or the 'approach we have here'.…”

Section: Author Contributionmentioning

confidence: 99%

‘We Don't Want You to Diet’: Bariatric professionals' boundary work and negotiation of pleasure and control

Nehushtan

2021

Sociology Health & Illness

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Although patients who undergo weight-loss surgery (WLS/ bariatric surgery) must follow severe eating restrictions in a manner similar to that of dieting, professionals strive to demarcate distinctions between the approaches and methods of WLS and diet. Drawing from ethnographic research, this study focuses on the content and interpretative dimensions of professionals' boundary work as well as its meaning and implications for patients. The post-surgical body is revealed as a site of dispute. Professionals portray the logic of diet as one that assumes individuals ought to discipline themselves -and not 'give in' to pleasure -in order to achieve an ideal body. In contrast, WLS is depicted as a more advanced and balanced method that negotiates pleasure and control. Professionals construct boundaries by shifting the causes for obesity from the individual to the context, by expanding the meaning of success and by portraying food as healing. These findings join recent critical literature that shows that the lived experiences of care practices contest the prevailing framing of obesity care as solely about exerting disciplinary power and control. WLS professionals negotiate fat stigma and question dominant discourses regarding body size, thin ideals and responsibility. BOUNDARY WORK AND WEIGHT LOSSMany scholars in the sociology of health care have followed Gieryn's (1983Gieryn's ( , 1999 studies, which focused on the methods and mechanism of boundary work, particularly the strategies deployed by professionals to define jurisdictional authority: expansion of authority, monopolisation of professional authority and protection of autonomy from interference (Hunter & Segrott, 2014;Suh, 2014).

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Trends in Bariatric Surgery: a 5-Year Analysis of the Israel National Bariatric Surgery Registry

Cited by 38 publications

References 29 publications

Video Capsule Endoscopy after Bariatric Surgery: A Tertiary Referral Center Experience

Video Capsule Endoscopy after Bariatric Surgery: A Tertiary Referral Center Experience

Missing something? A scoping review of venous thromboembolic events and their associations with bariatric surgery. Refining the evidence base

‘We Don't Want You to Diet’: Bariatric professionals' boundary work and negotiation of pleasure and control

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