prevalence gastric bypass surgery

08 Jan prevalence gastric bypass surgery

Patients who underwent RYGB surgery were grouped according to the number of symptoms leading to health care contact (0, 1, 2, 3, ≥4 symptoms).  A, Olbers  P, Ernst We also included a question addressing current well-being compared with well-being before RYGB surgery. The discrepancy with Stroh et al,22 who found no difference between sexes after adjustments, may be explained by anemia not being included in that study. Median time since RYGB surgery was 4.7 years. Procedures (open gastric bypass, laparoscopic gastric bypass, sleeve gastrectomy, laparoscopic gastroplasty, and laparoscopic gastric band) and complications were defined by ICD-9 codes.  DA, Nuttleman The Prevalence of Anastomotic Stenosis Post Laparoscopic Gastric Bypass Surgery and the Efficacy of Medical Nutrition Therapy Bariatric surgery has … As bariatric surgery has become more popular, more patients are undergoing body contouring surgery after massive weight loss. As seen in Table 1, the comparison cohort was matched on current body mass index (29.4) and sex (22.5% male), yet it was slightly younger (mean age, 37.7 years). S.B.  S, Knoll The CRS provided data on the vital status of all patients.  A, Ding Little literature is available on how frequently patients who have undergone gastric bypass surgery receive body contouring surgery.  JF, Thompson  RC,  Hospital admissions greater than 30 days following bariatric surgery: patient and procedure matter.Â, Stroh Plast Reconstr Surg Glob Open. For the cohort that underwent RYGB surgery, we computed the prevalence and the unadjusted and adjusted prevalence ratios (PRs) of symptoms, comparing possible predictors of symptoms leading to any health care contact, using Poisson regression analysis. The short- to mid-term symptom prevalence of dumping syndrome after primary gastric-bypass surgery and its impact on health-related quality of …  M, Moretto For patients with morbid obesity, bariatric surgery, including Roux-en-Y gastric bypass (RYGB) surgery, is an effective treatment for weight loss and diseases associated with obesity.1,2 However, various medical, nutritional, and surgical symptoms requiring treatment may occur after RYGB surgery3-5 and may impair patients’ quality of life (QoL).  I, Karlsson  MD, Martin In: Prevalence of Symptoms After RYGB Surgery, Predictors of Symptoms Leading to Health Care Contact After RYGB.  CE, Mottin  P.  Predictors of gallstone formation after bariatric surgery: a multivariate analysis of risk factors comparing gastric bypass, gastric banding, and sleeve gastrectomy [published correction appears in, Shiffman  CB.  Effect of marital status on treatment and survival of extremity soft tissue sarcoma.Â, Tapia Granados The rate increased significantly by age in the 2 younger age categories but most notably among people aged 25 to 64 years: from … Quality of life was inversely associated with the number of symptoms (r = –0.30; P < .001).  F,  |  Therefore, the plastic surgery unit needs to be prepared for a patient's demand. Body contouring following major weight loss. Objectives  Finally, a higher number of symptoms was associated with lower health-related QoL and reduced well-being after RYGB surgery.  RE, Gorman  et al; Michigan Bariatric Surgery Collaborative.  R, HHS Privacy Policy| Prevalence Ratios of Possible Time Since Surgery and Symptoms Leading to Contact With the Health Care System After RYGB. doi: 10.1097/PRS.0b013e3181772aa8.  et al; ESEMeD Investigators. doi: 10.1097/GOX.0000000000002874. RESULTS: There were 90 open gastric To examine patients’ overall well-being and the prevalence and predictors of medical, nutritional, and surgical symptoms after RYGB surgery, and their association with quality of life. Of the patients reporting dumping, 494 (66.0%) also reported abdominal pain. We tabulated characteristics of the cohort that underwent RYGB surgery and the comparison cohort and tabulated the prevalence and severity of symptoms. Mutually adjusting for demographic, clinical, socioeconomic, and lifestyle factors yielded almost unchanged PRs. As surgical symptoms have been associated with reduced QoL,29 we hypothesized that patients with medical and nutritional symptoms following RYGB surgery have a poorer QoL than do patients with no symptoms.  IN, Amdur Quiz Ref IDOur study showed that 87.4% of the patients reported that they felt better after RYGB surgery.  TL. Development of new weight loss treatments with less risk of subsequent symptoms should be a high priority. All Danish patients undergoing RYGB surgery are offered 2 years of postoperative follow-up outpatient visits and then annual follow-up visits in primary care; there is a risk that patients will be unable to remember whether the visit was related to symptoms or simply a part of the postoperative follow-up program, which could lead to inaccurate reports on symptom-related visits. Results:  BK. Predictors of symptoms included young age, female sex, smoking, and experiencing symptoms before RYGB surgery. Plast Reconstr Surg. Aspiration Pneumonia: a Shadow in Post-Bariatric Patient : Correlation between aspiration and minigrastric bypass. Gastric bypass surgery, also called Roux-en-Y gastric bypass, is done in three steps. Prevalence ratios (PRs) of symptoms associated with different predictors were computed.  RC, Inpatient hospitalizations owing to any symptom after surgery were reported by 416 patients (29.1%) in those who underwent RYGB surgery vs 6 individuals (6.7%) in the comparison cohort, We found a higher prevalence of symptoms leading to health care contact among women (PR, 1.23; 95% CI, 1.11-1.37), patients with surgical symptoms before RYGB surgery (PR, 1.34; 95% CI, 1.25-1.43), unemployed patients (PR, 1.15; 95% CI, 1.06-1.24), smokers (PR, 1.11; 95% CI, 1.02-1.20), and patients younger than 35 years (PR, 1.24; 95% CI, 1.13-1.36).  AJ,  Y, Mikami  VK, Pulido Administrative, technical, or material support: Richelsen.  Prospective hematologic evaluation of gastric exclusion surgery for morbid obesity.Â, Brolin Most patients reported improved well-being after RYGB surgery, but the prevalence of symptoms was high and nearly one-third of patients were hospitalized, 4- to 5-fold more than among the comparison group. Predictors of symptoms included younger age, female sex, smoking, and unemployment.  WH, Moore Nevertheless, 88.6% of patients reported 1 or more symptoms (mild to severe) a median of 4.7 years after RYGB surgery. Prevalence of Self-reported Symptoms After Gastric Bypass Surgery for Obesity. Design, Setting, and Participants  A comparison cohort of 89 individuals who were matched with patients according to sex and body mass index but who did not undergo RYGB surgery were surveyed as a point of reference. Gribsholt SB, Pedersen AM, Svensson E, Thomsen RW, Richelsen B. Most patients reported improved well-being after RYGB surgery, but the prevalence of symptoms was high and nearly one-third of patients were hospitalized, 4- to 5-fold more than among the comparison group. The 2 scales are Likert scales, both ranging from 1 to 7. On June 8, 2015, a comparison cohort of 89 individuals who did not undergo RYGB surgery and who were matched with patients according to sex and body mass index were recruited via the Internet; this cohort also responded to the questionnaire. -.  M, Barancelli Estimate of Bariatric Surgery Numbers Fact Sheets Governing Documents Guidelines Integrated Health Tool Kits Low BMI Patient Safety …  S, Medbery 2020 Jul 21;8(7):e2987. Development of weight loss procedures with fewer subsequent symptoms should be a high priority. For patients who underwent RYGB surgery and experienced no symptoms, the median MCS was 44.1 and the median PCS was 54.2 compared with a median MCS of 33.6 and a median PCS of 45.0 for those with 4 or more symptoms.  NJ, Belle She reported no previous history of diabetes or hypoglycemia.  CA, Boni Additional Contributions: Henrik Toft Sørensen, DMSc, PhD, Department of Clinical Epidemiology, Aarhus University Hospital, shared his ideas concerning the design of study, supported the accomplishment of the study, and revised the manuscript critically.  Prevalence of iron, folate, and vitamin B12 deficiency anemia after laparoscopic Roux-en-Y gastric bypass.Â, Chung  Influences of gender on complication rate and outcome after Roux-en-Y gastric bypass: data analysis of more than 10,000 operations from the German Bariatric Surgery Registry.Â, Sanni Accessibility Statement, Figure.  Bariatric surgery versus intensive medical therapy for diabetes—3-year outcomes.Â, Carlin Mean age at the time of the survey was 47.1 years (range, 26.9-68.0 years), and 286 were men (20.0%).  Y, Holt We did not ask about time relation between surgery and symptoms since we considered that to be a risk of misclassification and that recall bias would be large. 2013 Jan;23(1):24-30. doi: 10.1007/s11695-012-0735-8.  JM.  G, Forero We found satisfactory consistency between self-reported and registry-based data as described by a sensitivity and specificity greater than 0.80 (eTable 2 in the Supplement).43 We assumed that these diagnoses were accurately remembered by the patients and were coded correctly. 2008 Jun;121(6):423e-434e. Among these patients, 1266 (88.6%) reported 1 or more symptoms a median of 4.7 years after RYGB surgery.  J, Litton  CM, Lin In total, 1219 of 1394 (87.4%) patients felt better or much better and 113 (8.1%) reported reduced well-being after RYGB surgery (Figure).  KJ, Greenland Accepted for Publication: October 1, 2015.  Nutritional profile of patients before and after Roux-en-Y gastric bypass: 3-year follow-up.Â, von Drygalski The incidence of copper deficiency in these subjects was determined to be 18.8%. Please enable it to take advantage of the complete set of features! Gribsholt, A.M. Pedersen, E. Svensson, et al.Prevalence of self-reported symptoms after gastric bypass surgery for obesity JAMA Surg, 151 (6) … Since some of the symptoms (eg, diarrhea and fatigue) are common in the general population, we focused on symptoms leading to health care contact as indicators of symptom severity. In contrast to a positive judgment of the general aspect of the body image satisfaction after massive weight loss, both genders are unsatisfied with body areas like abdomen/waist, breast, and thighs. Conclusions: There was no difference between the groups in the prevalence of surgical symptoms before RYGB surgery (27 of 113 patients [23.9%] vs 228 of 1281 [17.8%]; P = .11).  E, Rasmussen Although our questions were comprehensive, focusing on the most common symptoms after RYGB surgery, we may have missed some symptoms. A huge disparity exists between the number of subjects who desire a body contouring surgery and those who actually received it. Only 63.7% of patients completed the questionnaire.  G, Herrera  Are vitamin B, Brolin Obesity Surgery We defined mild hypoglycemia as a score of 36 to 71 (symptomatic to the patient), moderate hypoglycemia as a score of 72 to 89 (likely to lead to contact with primary care), and severe hypoglycemia as a score of 90 or more (likely requiring contact with secondary care). Customize your JAMA Network experience by selecting one or more topics from the list below.  RD, Canales However, the amount of symptoms and health care contacts after RYGB surgery is rather high and represents a significant burden from an individual perspective as well as for society. A total of 1219 of 1394 patients (87.4%) reported that their well-being was improved after vs before RYGB surgery, while 113 (8.1%) reported reduced well-being. Gastric bypass surgery receive body contouring procedures are, however, not expected to the... 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