Temat: bariatric surgery - Katalog OPAC zbiorów

Skocz do pozycji: 1.

Tytuł:: Assessment of the Knowledge of GPS Considering the Surgical Treatment of Obesity
Autorzy:: Giaro, Marcin
Wyleżoł, Mariusz
Truszczyński, Olaf
Lewandowski, Tomasz
Powiązania:: https://bibliotekanauki.pl/articles/1396633.pdf
Data publikacji:: 2012-08-01
Wydawca:: Index Copernicus International
Tematy:: bariatric surgery
general practitioners
Opis:: Bariatric surgery is currently the only effective treatment option for morbidly obese patients. There has been observed a considerable disproportion between the number of procedures conducted in Poland and the number of patients requiring such treatment. There are no studies assessing bariatric knowledge among general practitioners who play crucial role in polish health care system.The aim of the study was to assess the knowledge of general practitioners regarding bariatric surgery.Material and methods. An anonymous questionnaire conducted among 282 general practitioners in 2010-2011 during local educational conferences. The questionnaire consisted of 10 questions relating to fundamental issues of bariatric surgery.Results. Only one twelfth (8.1%) of the general practitioners questioned knows the indications for bariatric surgery, can apply them, and has epidemiological awareness. 61.5% of general practitioners know the surgical procedures used for the treatment of obesity, whereas 58% of them show the knowledge of surgical technique in which they are performed. Only 23% of general practitioners were aware that bariatric surgery decreases cancer risk. 92% of the participants noticed a necessity of education regarding the surgical treatment of obesity.Conclusions. Bariatric knowledge among general practitioners is not adequate to scientific research results published during the last years. Most general practitioners who participated in our study are aware of that and are awaiting for educational programmes focused on this issue.
Źródło:: Polish Journal of Surgery; 2012, 84, 8; 383-389
0032-373X
2299-2847
Pojawia się w:: Polish Journal of Surgery
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 2.

Tytuł:: Endoscopic Insertion Of A Self-Expandable Stent Combined With Laparoscopic Rinsing Of Peritoneal Cavity As A Method For Staple Line Leaks Treatment In Patients Post Laparoscopic Sleeve Gastrectomy
Autorzy:: Matłok, Maciej
Major, Piotr
Pędziwiatr, Michał
Winiarski, Marek
Budzyński, Piotr
Małczak, Piotr
Hynnekleiv, Leif
Budzyński, Andrzej
Powiązania:: https://bibliotekanauki.pl/articles/1395616.pdf
Data publikacji:: 2015-05-01
Wydawca:: Index Copernicus International
Tematy:: bariatric surgery
laparoscopic sleeve gastrectomy
post-bariatric surgery complications
staple line leaks
Opis:: Currently, laparoscopic sleeve gastrectomy is one of bariatric surgeries most commonly performed in the world. The most frequent complications of surgeries of this type, with the highest mortality rate, include bleeding into the GI tract and peritoneal cavity, and sleeve staple line leaks. These severe complications prolong the hospital stay, and often are a cause of patient’s death. While in a case of bleeding the procedure appears to be obvious, so far no uniform and standard guidelines have been established for the group of patients with staple line leaks. The aim of the study was to report results of treatment for staple line leaks following laparoscopic sleeve gastrectomy with a laparoscopic procedure and simultaneous endoscopic insertion of a self-expandable stent. Material and methods. 152 laparoscopic sleeve gastrectomies were performed from April 2009 to December 2014. The BMI median was 46.9, and the age median was 42 years. Staple line leaks developed in 3 out of 152 people (1.97%). All patients who developed this complication were included in the study. The treatment involved laparoscopic revision surgery with simultaneous endoscopic insertion of a self-expandable stent (Boston Scientific, Wallflex Easophageal Stent, 150×23 mm) into the gastric stump during gastroscopy. Results. Leaks following laparoscopic sleeve gastrectomy were diagnosed on day 5 after the procedure, on average. Intervention consisting of laparoscopy and endoscopic insertion of a self-expandable stent was initiated within 14 hours of diagnosing the leak, on average. The mean time for which the stent was kept was 5 weeks (4–6 weeks). Stenting proved to be fully effective in all patients, where after discharging home, a cutaneous fistula, periodically (every 2-3 weeks) discharging several millilitres of matter, persisted in one patient. The mean time for the leak healing in 2 patients, in whom the described method was successful in treatment of this complication, was 37 days. No patient died in the perioperative or follow-up period. Conclusions. The proposed method for treatment of staple line leaks following laparoscopic sleeve gastrectomy by combined laparoscopic rinsing and draining of the peritoneal cavity and endoscopic insertion of a self-expandable stent is an interesting and worth recommending method for treatment of this complication.
Źródło:: Polish Journal of Surgery; 2015, 87, 5; 238-244
0032-373X
2299-2847
Pojawia się w:: Polish Journal of Surgery
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 3.

Tytuł:: Bariatric tourists. Foreign bariatric patients treated in Poland – a survey based study
Autorzy:: Kowalewski, Piotr
Janik, Michał
Kwiatkowski, Andrzej
Paśnik, Krzysztof
Walędziak, Maciej
Powiązania:: https://bibliotekanauki.pl/articles/1391735.pdf
Data publikacji:: 2020
Wydawca:: Index Copernicus International
Tematy:: bariatric surgery
foreign
obesity
surgery
tourism
Opis:: Introduction: Bariatric procedures are becoming more popular worldwide. We present a current situation of foreign patients treated by high-volume bariatric surgeons in Poland in 2016. Material and Methods: We sent an online survey to twenty high-volume bariatric surgeons. The questionnaire regarded the year 2016. We asked for number and types of bariatric procedures performed or supervised, number of foreign bariatric patients, their qualification process, country of origin, types of procedure, and post-op recommendations. Results: We received 9 surveys (45%). Five surgeons performed or supervised from 100 to 300 bariatric procedures, 2 performed or supervised over 300 procedures, 2 performed or supervised from 50 to 100 procedures. All of the respondents performed laparoscopic sleeve gastrectomy (LSG) and laparoscopic gastric bypass (LRYGB), four carried out mini gastric bypass, two – gastric banding (LAGB), one – SADI-S and duodenal switch (DS). Six surgeons operated on the total of 64 foreign patients, mainly performing LSG, LRYGB and mini gastric bypass. Most of the patients were qualified based on international criteria [body mass index (BMI) over 40 kg/m2 or BMI over 35 kg/m2 with comorbidities]. United Kingdom was the most popular country of origin, followed by Germany, USA, Ireland and Sweden. Qualification for surgery was based on a personal visit. After surgery, 83.3% (n = 5) of the respondents gave out discharge documents in English, recommending long-term bariatric follow-up in the country of origin. Every respondent carried out 3-month personal follow-up of every foreign patient. Conclusions: Foreign bariatric patients travelling to Poland are qualified for surgery according to known international standards. Most of the patients receive post-op discharge documents in English, with a 3-month follow-up performed by their surgeon. Further bariatric supervision in the country of origin is routinely recommended.
Źródło:: Polish Journal of Surgery; 2020, 92, 4; 12-16
0032-373X
2299-2847
Pojawia się w:: Polish Journal of Surgery
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 4.

Tytuł:: Long-term results of incisional hernia repair with concomitant abdominoplasty in postbariatric patients
Autorzy:: Iljin, Aleksandra
Antoszewski, Bogusław
Durczyński, Adam
Lewandowicz, Edward
Strzelczyk, Janusz
Powiązania:: https://bibliotekanauki.pl/articles/1394123.pdf
Data publikacji:: 2016
Wydawca:: Index Copernicus International
Tematy:: bariatric surgery
abdominoplasty
life quality
Opis:: The aim of the study was evaluation of long-term results after simultaneous incisional hernia repair and abdominoplasty in patients following RYGB (Roux-en-Y Gastric By-pass) and estimation of quality of life before and after this complex operation. Material and methods. We analyzed long-term results in 18 patients who underwent complex anterior abdominal wall surgery after massive weight loss, following previous RYGB. The patients were followed-up for at least 8 years. We compared the quality of life before and after hernia repair combined with abdominoplasty. Results. Observed wide postoperative scar in 4 persons, permanent dysesthesia in one, and flaccidity of the anterior abdominal wall in three cases. Estimation of the quality of life revealed significant improvement in functional, aesthetic and psychological aspects after complex surgery. Conclusions. 1. Simultaneous incisional hernia repair and abdominoplasty resulted in satisfactory long-term postoperative results, which confirms the efficiency of complex anterior abdominal wall surgery in patients following RYGB after massive weight loss. 2. Surgery in patients afflicted with disfigurements of the anterior abdominal wall contributed to significant improvement in their life quality in functional, aesthetic and psychological aspects, as compared with preoperative estimations. 3. All persons confirmed positive influence of abdominal wall surgery on their possibility to take challenges in life, and fulfill plans. 4. Surgery of the anterior abdominal wall deformities, if needed after massive weight loss, should become an integral part of complex multidisciplinary treatment in postbariatric individuals.
Źródło:: Polish Journal of Surgery; 2016, 88, 3; 147-154
0032-373X
2299-2847
Pojawia się w:: Polish Journal of Surgery
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 5.

Tytuł:: One stage onlay hernia repair with abdominoplasty in patients following gastric bypass surgery
Autorzy:: Iljin, Aleksandra
Antoszewski, Bogusław
Zieliński, Tomasz
Skulimowski, Aleksander
Szymański, Dariusz
Strzelczyk, Janusz
Powiązania:: https://bibliotekanauki.pl/articles/1392910.pdf
Data publikacji:: 2018
Wydawca:: Index Copernicus International
Tematy:: bariatric surgery
abdominoplasty
life quality
Opis:: Purpose: 1. Evaluation of results after one-time incisional hernia repair (IHR) modo on-lay and abdominoplasty (Ab-pl) in patients after loss of weight following previous Roux-en-Y Gastric Bypass – RYGB. 2. Analysis of differences in quality of life (QL) changes in bariatric patients before RYGB, as well as before and after abdominal contouring operation. Material and Methods: Clinical analysis involved 20 patients with abdominal disfigurement (following RYGB, and massive weight loss) who underwent one-time IHR using on-lay method together with abdominoplasty. We estimated postoperative results, as well as changes in QL, before RYGB and before and after abdominal contouring procedure (based on DAS 24 and SF-36 scales) in comparison with stage before surgeries. Results: Complications - abnormal wound healing (infection, local necrosis) and pneumonia were found in two persons, seroma in two cases, whereas dysesthesia in four patients. We confirmed QL improvement in all aspects after each stage of treatment. Conclusions: 1. One-stage on-lay hernia repair and abdominoplasty is a safe method improving the functioning of patients.  2. All stages of bariatric treatment resulted in gradual improvement of the quality of life. 3. High BMI in patients before onlay incisional hernia repair with abdominoplasty increases the risk of complications, which is connected with longer hospital stay.
Źródło:: Polish Journal of Surgery; 2018, 90, 6; 32-36
0032-373X
2299-2847
Pojawia się w:: Polish Journal of Surgery
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 6.

Tytuł:: XXL-type personality. Personality traits promoting excess body weight
Autorzy:: Sekula, Marzena
Jarczewska –Gerc, Ewa
Boniecka, Iwona
Jędrzejewski, Emil
Paśnik, Krzysztof
Powiązania:: https://bibliotekanauki.pl/articles/1392075.pdf
Data publikacji:: 2019
Wydawca:: Index Copernicus International
Tematy:: bariatric surgery
morbid obesity
personality traits
Opis:: The aim of the study: The study aimed to determine whether persons suffering from obesity may be characterised by specific personality traits which promote the development of excess body weight. Additionally, the aim involved finding whether persons suffering from morbid obesity differed from healthy individuals and somatic patients as regards selected personality traits. Material and methods: The study enrolled 34 patients with the diagnosis of morbid obesity in the process of qualification for surgical treatment of obesity. The patients’ BMI ranged from 35 to 54 kg/m2. Study participants completed NEO-FFI personality inventory (Costa, McCare; 1998) and the authors’ questionnaire designed to collect demographic data and anthropometric measurements. R esults: The study showed that patients with morbid obesity significantly differed from healthy individuals and somatic patients as regards the analysed measurements of the Big Five. C onclusions: The traits which were significantly distinctive in morbidly obese patients included lowered conscientiousness and increased neuroticism. The results indicate that the above pattern of personality traits may promote the development of excessive body weight.
Źródło:: Polish Journal of Surgery; 2019, 91, 5; 1-4
0032-373X
2299-2847
Pojawia się w:: Polish Journal of Surgery
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 7.

Tytuł:: Withdrawal from bariatric treatment - an analysis under various demographic conditions
Autorzy:: Szeliga, Jacek
Kupczyk, Wojciech
Kupczyk, Kinga
Chojnowski, Jacek
Jackowski, Marek
Ponikowska, Irena
Powiązania:: https://bibliotekanauki.pl/articles/991166.pdf
Data publikacji:: 2016
Wydawca:: Instytut Medycyny Wsi
Tematy:: morbid obesity
general practitioner
bariatric surgery
Opis:: Poland is high on a list of countries affected by epidemics of obesity, a problem that has especially suddenly increased in the post-transformation period. Materials and method. Documentation of 115 subsequent patients diagnosed with grade 3 obesity, considered eligible for surgical treatment, was analysed since 2015. A subgroup of 68 patients was selected from this group and the included patients who decided to cancel their treatment at various stages. Their history since presentation at the obesity treatment centre, BMI with its history, age, education and place of residence were analysed, followed by a telephone survey. 42 patients were finally contacted. Special attention was placed on the analysis of patients taking into account their place of residence. Patients were divided into inhabitants of rural and urban areas. Results. In the study group of 68 patients, 19 (27.9%) were inhabitants of rural areas and 49 (72.1%) of urban areas. Women accounted for 67.6%, and men for 32.4%. The mean age of patients when they presented for treatment was 43 years. On average, men presented 5 years later compared to women. The mean BMI on qualification for treatment of obesity was 47.6 kg/m2. The mean BMI max – 49.6 kg/m2. There were no differences regarding education in both populations. Despite the lack of differences regarding changes in the BMI since withdrawal from treatment, as many as 63% of patients from rural areas reached the BMI max in this time. Conclusions. There were demographic differences between the degree of obesity observed among patients receiving bariatric treatment, and inhabitants of urban areas were favoured. Patients from rural areas who withdrew from bariatric treatment and were left without medical care significantly more often achieved their maximum body weight, when compared to those living in urban areas. The active participation of physicians, both specialists and general practitioners, in the life of obese patients is imperative.
Źródło:: Annals of Agricultural and Environmental Medicine; 2016, 23, 4
1232-1966
Pojawia się w:: Annals of Agricultural and Environmental Medicine
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 8.

Tytuł:: Validity and efficacy of diets used for preoperative weight reduction among patients qualified for bariatric surgery
Autorzy:: Jastrzębska, Weronika
Boniecka, Iwona
Szostak-Węgierek, Dorota
Powiązania:: https://bibliotekanauki.pl/articles/1391328.pdf
Data publikacji:: 2021
Wydawca:: Index Copernicus International
Tematy:: bariatric surgery
obesity
preoperative weight loss
Opis:: Introduction: Bariatric surgery is the most effective method of weight reduction among patients suffering from morbid obesity. Reduction of body weight before surgery is an important element. Aim: The aim of the study was to present the current knowledge on preoperative weight reduction and diet for this purpose. Material and methods: To achieve the aims of the paper, we used articles available in the PubMed/MEDLINE database published in 2005–2020, as well as the guidelines of societies such as Metabolic and Bariatric Surgery Chapter of the Association of Polish Surgeons, American Association of Clinical Endocrinologists, The Obesity Society and American Society for Metabolic & Bariatric Surgery, International Federation for Surgery of Obesity and Metabolic Disorders-European Chapter and European Association for the Study of Obesity. Results: Studies show that even a modest reduction in weight in the early preoperative period facilitates surgery and reduces the number of complications. The available data do not support the effect of preoperative weight loss on increased postoperative weight loss. The use of balanced, energy-restricted diet in the preoperative period prepares the patient for changes in the way of nutrition, which improves the nutritional status of patient. Low calorie (LCD) or very low calorie (VLCD) diet can be an effective method of weight loss before surgery, however, this approach does not allow to modify eating habits. The use of a very low calorie ketogenic diet (VLCKD) remains under discussion. Conclusion: There is a need for large randomized trials to assess short- and long-term benefits of preoperative weight loss and methods of weight loss among patients qualified for bariatric surgery, also the standardization of nutritional management in the preoperative period.
Źródło:: Polish Journal of Surgery; 2021, 93, 2; 52-57
0032-373X
2299-2847
Pojawia się w:: Polish Journal of Surgery
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 9.

Tytuł:: Reoperations in bariatric surgery – indications and initial evaluation of postoperative complicati
Autorzy:: Kuchnika, Jakub
Nawacki, Łukasz
Bryk, Piotr
Matykiewicz, Jarosław
Wawrzycka, Iwona
Kozieł, Dorota
Rogula, Tomasz
Głuszek, Stanisław
Powiązania:: https://bibliotekanauki.pl/articles/1393953.pdf
Data publikacji:: 2016
Wydawca:: Index Copernicus International
Tematy:: bariatric surgery
re-operations
surgical complications
Opis:: Obesity, at present, seems to be a very serious health problem all over the world. The surgery is said to be the most successful treatment of obesity. With the increase in the quantity of conducted bariatric procedures, the number of revision treatments increases as well. The aim of the study was to analyze the indications, results and complications after repeated bariatric surgeries. Material and methods. The repeated bariatric procedures performed in 2009‑2015 have been retrospectively analyzed. The endpoint of the study was the evaluation of early surgical treatment resultsup to 30th day after repeated surgery. Results. Overall, amongs 103 obese patients with a BMI over 35 kg / m2 , qualified for bariatric treatment 7 revision surgeries were conducted (6.8%). Two operations were carried out by laporotomy, other by laparoscopy. In the study group, neither any deaths were noted in perioperative period nor life-threatening complications. The frequency of complications- Surgical site infection and bleeding from the staple lines of stapler in the study group appeared to be 28.6%. Conclusions. Qualification for repeated bariatric surgeries should be based on a thorough analysis of the condition of the patient, previous outcome of the bariatric treatment: evaluation of weight loss as well as possible complications of the original surgery.
Źródło:: Polish Journal of Surgery; 2016, 88, 2; 87-92
0032-373X
2299-2847
Pojawia się w:: Polish Journal of Surgery
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 10.

Tytuł:: Obesity in work-up of kidney transplant candidates – review of clinical practice guidelines
Autorzy:: Dobrzycka, Małgorzata
Spychalski, Piotr
Łącka, Monika
Proczko-Stepaniak, Monika
Dębska-Ślizień, Alicja
Kaska, Łukasz
Kobiela, Jarosław
Powiązania:: https://bibliotekanauki.pl/articles/1196784.pdf
Data publikacji:: 2020-11-16
Wydawca:: Gdański Uniwersytet Medyczny
Tematy:: obesity
end-stage kidney disease
bariatric surgery
Opis:: Background: Incidence of morbid obesity is rising worldwide. Current clinical practice guidelines for the pre-transplant evaluation of end-stage kidney disease (ESKD) patients lack clear recommendations on morbid obesity. Material and methods: The aim of this review was to summarize the current guidelines on the role and treatment of obesity in kidney transplant recipients. Eight current national and international clinical practice guidelines were identified in a comprehensive literature search. Results: All guidelines underline early detection of obesity and obesity-related comorbidities in ESKD patients. Only two guidelines explored the role of weight-loss surgery, however due to the lack of sufficient evidence no formal recommendation of surgical procedure was given. Conclusions: Diagnosis and treatment of obesity remains underappreciated in the current guidelines, most of which do not include pharmacological and surgical interventions. High-quality evidence is warranted to assess the role of weight-loss including surgery in ESKD patients and to update the recommendations in future guidelines.
Źródło:: European Journal of Translational and Clinical Medicine; 2020, 3, 2; 72-79
2657-3148
2657-3156
Pojawia się w:: European Journal of Translational and Clinical Medicine
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 11.

Tytuł:: Quality of life after laparoscopic sleeve gastrectomy – review of literature
Autorzy:: Wityk, Mateusz
Makarewicz, Wojciech
Kaczmarkiewicz, Cezary
Bobowicz, Maciej
Powiązania:: https://bibliotekanauki.pl/articles/895773.pdf
Data publikacji:: 2020-01-09
Wydawca:: Gdański Uniwersytet Medyczny
Tematy:: bariatric surgery
metabolic surgery
SF-36
QOL
BAROS
Opis:: Background: Last decade brought changes in trends of most frequently performed types of bariatric procedures. Despite the well-grounded knowledge of bariatric surgery positive impact on comorbidities, life prolongation, cancer risk, depression etc. there is still insufficient data on patients’ quality of life (QoL) after surgery. Methods: In this review PubMed and Scopus databases as well as Mendeley search engine were used for searching publications from last ten years focusing on QoL after LSG. 702 abstracts were reviewed. 13 publications, with 1630 patients in total were finally included. Results: Six different QoL tools were used: SF-36, BAROS, Moorehead-Ardelt II questionnaire, IWQOL-Lite, GIQLI and SF8. In majority of publications QoL was improved. Pre and postoperative assessment with SF-36 showed significant improvement. The mean BAROS score was 5.1-7.1 with 77-96% of patients achieving good to excellent outcomes. In some studies, QoL was better in females and in one study QoL did not achieve results of general population norms. There was no improvement in QoL after LSG in some studies or no correlation between %EWL and health related QOL. Conclusions: There is limited good quality research into QoL after LSG, though quality of life seems to be better after that procedure.
Źródło:: European Journal of Translational and Clinical Medicine; 2019, 2, 2; 52-60
2657-3148
2657-3156
Pojawia się w:: European Journal of Translational and Clinical Medicine
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 12.

Tytuł:: Direct Trocar Insertion with Elevation of the Rectus Sheath in Bariatric Surgery: A Novel Technique
Autorzy:: Habibi, Mani
Seyit, Hakan
Kones, Osman
Kartal, Bahadir
Alis, Halil
Powiązania:: https://bibliotekanauki.pl/articles/1393107.pdf
Data publikacji:: 2017
Wydawca:: Index Copernicus International
Tematy:: bariatric surgery
direct trocar insertion
rectus sheath elevation
Opis:: Introduction. Initial trocar entry, the first step in laparoscopic surgery, is associated with several complications. In morbidly obese patients, initial trocar placement is associated with a greater number of complications compared to non-obese patients. Materials and Surgical Technique. In this study, we describe our use of an initial trocar entry technique which is direct trocar insertion with elevation of the rectus sheath by a single Backhaus towel clamp and we would like to evaluate the sa fety and efficacy of its administration in bariatric surgery. Discussion. Our results indicate that gaining initial trocar entry using our technique leads to successful laparoscopic bariatric surgery. Our technique is a safe, effective, and reliable first step in successful laparoscopic surgery for almost all patients, and is only contraindicated in patients with severe hepatomegaly.
Źródło:: Polish Journal of Surgery; 2017, 89, 6; 23-25
0032-373X
2299-2847
Pojawia się w:: Polish Journal of Surgery
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 13.

Tytuł:: Serum Cystatin C in Relation to Fat Mass Loss After Bariatric Surgery
Autorzy:: Śledziński, Tomasz
Proczko-Markuszewska, Monika
Kaska, Łukasz
Stefaniak, Tomasz
Świerczyński, Julian
Powiązania:: https://bibliotekanauki.pl/articles/1396727.pdf
Data publikacji:: 2012-04-01
Wydawca:: Index Copernicus International
Tematy:: bariatric surgery
cystatin C
fat mass
obesity
weight loss
Opis:: Serum cystatin C concentration, generally accepted as renal function marker, is associated with cardiovascular risk and metabolic syndrome. Recent studies indicate that cystatin C increases in human obesity and that adipose tissue contributes to enhanced serum cystatin C concentration in obese subjects.The aim of the study was to assess whether a reduction in body and fat mass after bariatric surgery has any impact on serum cystatin C concentrations.Material and methods. Serum from 27 obese patients were tested before and 6 months after bariatric surgery. Twenty healthy subjects with normal body weight served as controls. Serum cystatin C concentrations were assayed by ELISA.Results. Serum cystatin C concentrations were significantly higher in obese patients compared with non-obese subjects. Decrease of body and fat mass after bariatric surgery resulted in improvement of several parameters associated with cardiovascular risk and metabolic syndrome, like serum lipids, blood pressure and insulin sensitivity. Surprisingly the mean postoperative serum cystatin C concentration was not significantly different from that before surgery. Serum creatinine and GFR also remained unchanged.Conclusion. The results presented here suggest that serum cystatin C concentration is not tightly associated with body and fat mass loss in obese patients after bariatric surgery.
Źródło:: Polish Journal of Surgery; 2012, 84, 4; 202-207
0032-373X
2299-2847
Pojawia się w:: Polish Journal of Surgery
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 14.

Tytuł:: Impact of bariatric surgery on non-alcoholic fatty liver disease
Autorzy:: Major, Piotr
Pędziwiatr, Michał
Rubinkiewicz, Mateusz
Stanek, Maciej
Głuszewska, Anna
Pisarska, Magdalena
Małczak, Piotr
Budzyński, Andrzej
Budzyński, Piotr
Powiązania:: https://bibliotekanauki.pl/articles/1393188.pdf
Data publikacji:: 2017
Wydawca:: Index Copernicus International
Tematy:: non-alcoholic fatty liver disease
bariatric surgery
morbid obesity
Opis:: Introduction; p to 300 million people have the body mass index (BMI) greater than 30 kg/m2. Obesity is the cause of many serious diseases, such as type 2 diabetes, hypertension, and non-alcoholic fatty liver disease (NAFLD). Bariatric surgery is the only effective method of achieving weight loss in patients with morbid obesity. Objectives: The aim of the study was to assess the impact of bariatric surgery on non-alcoholic fatty liver disease in patients operated on due to morbid obesity. Material and Methods: We included 20 patients who were qualified for bariatric procedures based on BMI > 40 kg/ m2 or BMI > 35kg/m2 with the presence of comorbidities. The average body weight in the group was 143.85kg, with an average BMI of 49.16kg/m2. Before the procedure, we evaluated the severity of non-alcoholic fatty liver disease in each patient using the Sheriff-Saadeh ultrasound scale. We also evaluated the levels of liver enzymes. Follow-up evaluation was performed twelve months after surgery. Results: Twelve months after surgery, the average weight was 102.34 kg. The mean %WL was 33.01%, %EWL was 58.8%, and %EBMIL was 61.37%. All patients showed remission of fatty liver disease. Liver damage, evaluated with ultrasound imaging, decreased from an average of 1.85 on the Sheriff-Saadeh scale, before surgery, to 0.15 twelve months after surgery (p < 0.001). As regards liver enzymes, the level of alanine aminotransferase decreased from 64.5 (U/l) to 27.95 (U/l) (p < 0.001), and the level of aspartate aminotransferase decreased from 54.4 (U/l) to 27.2 (U/l). Conclusions: Bariatric procedures not only lead to a significant and lasting weight loss, but they also contribute to the reduction of fatty liver disease and improve liver function.
Źródło:: Polish Journal of Surgery; 2017, 89, 2; 1-4
0032-373X
2299-2847
Pojawia się w:: Polish Journal of Surgery
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 15.

Tytuł:: Initial experience with endoscopic sleeve gastroplasty in Poland
Autorzy:: Pyda, Przemysław
Sowier, Aleksander
Sowier, Sebastian
Borucka, Anna-Maria
Kapturzak, Joanna
Białecki, Jacek
Wójtowicz, Stanisław
Powiązania:: https://bibliotekanauki.pl/articles/1392415.pdf
Data publikacji:: 2018
Wydawca:: Index Copernicus International
Tematy:: endoscopic sleeve gastroplasty
ESG
obesity
bariatric surgery
minimally invasive surgical procedures
Opis:: Introduction: Obesity is becoming one of the major public health problems. Bariatric procedures are considered the most effective methods of treating this condition but they are costly and entail a high risk of complications. Thus, there is a need to look for better bariatric treatment solutions. One of the newest, highly promising bariatric methods is endoscopic sleeve gastroplasty (ESG), which is comparably effective to other bariatric procedures in terms of weight loss but at the same time it is much less invasive. Materials and methods: Eight obese patients underwent ESG. Under general anaesthesia, an endoscope was inserted into the stomach, where a row of 4-5 running stitches was placed (from the pyloric part towards the GE junction). Each of the stitches was cinched tight, which resulted in gastric lumen reduction comparable to that achieved with laparoscopic sleeve gastrectomy. Results: The procedures were performed without any severe peri-operative complications. The only adverse event was a minor haemorrhage in one of the patients, which did not require any surgical intervention. After the surgery, the patients reported a substantial weight loss. Mean %TBWL was 8.6%, 15.4% and 19.6% at 1, 2 and 3 months, respectively. Conclusions: Minimally invasive and highly effective in body weight reduction, endoscopic sleeve gastroplasty is a promising method of treating obesity. The procedure requires appropriate tools and equipment. The method guarantees gastric volume reduction comparable to that achieved with sleeve resection. The initial results confirm that the effectiveness of the surgery in terms of body weight loss is similar to that seen in other forms of bariatric treatment. Discussion: Compared to laparoscopic sleeve gastrectomy, endoscopic sleeve gastroplasty is substantially less invasive. Also, it requires shorter procedure time and shorter hospital stay. Data from other medical centres demonstrate somewhat lower dynamics of total body weight loss but these results need to be verified in a long-term follow-up.
Źródło:: Polish Journal of Surgery; 2018, 90, 4; 35-40
0032-373X
2299-2847
Pojawia się w:: Polish Journal of Surgery
Dostawca treści:: Biblioteka Nauki

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