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Gastrointestinal system
Published in David A Lisle, Imaging for Students, 2012
Barium meal has generally been replaced by endoscopy for the investigation of upper gastrointestinal tract (GIT) symptoms such as dyspepsia, suspected upper GIT bleeding, weight loss or anaemia of unknown cause. Water-soluble contrast material (Gastrografin) is used for assessment of anastomoses post-gastric surgery, including various surgical procedures used for control of obesity, such as gastric banding, sleeve gastrectomy and Roux-en-Y gastric bypass.
Heart rate variability after bariatric surgery: The add-on value of exercise
Published in European Journal of Sport Science, 2023
D. Belzile, A. Auclair, J. Roberge, ME Piché, A. Lebel, M. Pettigrew, S. Marceau, L. Biertho, P. Poirier
Patients with severe obesity planned to undergo biliopancreatic diversion with duodenal switch (BPD-DS) or sleeve gastrectomy (SG) were recruited from the bariatric surgery clinic. For each type of surgery, patients were randomised to exercise training (exercise group) or usual care (control group) (2:1 ratio). All patients were evaluated before, and at 3, 6, and 12 months after the surgery. Inclusion criteria were adults (≥ 18 years), severe obesity based on the National Institute of Health criteria [body mass index (BMI) ≥ 40 kg/m2 or BMI ≥ 35 kg/m2 with ≥ 1 comorbidities], and interest in participating in a supervised exercise training programme. Exclusion criteria were: 1) previous bariatric surgery, 2) vagotomy procedure, 3) use of weight-loss drugs in the last 3 months and, 4) implanted pacemaker. Variables were collected before the surgery and at 3-, 6- and 12-month follow-up. Each subject provided written informed consent before inclusion in the study. The study protocol was approved by the Ethics Committee of our Institution.
Systematic review on gastric electrical stimulation in obesity treatment
Published in Expert Review of Medical Devices, 2019
Alimujiang Maisiyiti, Jiande Dz Chen
Surgical treatment is typically recommended for adults with a BMI ≥40 kg/m2 without comorbid illness, or a BMI of 35 to 39.9 kg/m2 with at least one serious comorbidity, who have not met weight loss goals with diet, exercise, and drug therapy [8]. Several surgical procedures are being used clinically, the most common bariatric surgery procedures are gastric bypass, sleeve gastrectomy and biliopancreatic diversion with duodenal switch [9]. Among these various procedures, sleeve gastrectomy is a more commonly performed bariatric procedure for obesity without diabetes, whereas Roux-en-Y gastric bypass has a reliable hypoglycemic effect in addition to weight loss. A recent IFSO worldwide surgery in 2016 reported that the total number of bariatric/metabolic procedures in 2016 was 685, 874 and the most performed procedures were sleeve gastrectomy (53.6%) followed by Roux-en-Y gastric bypass (30.1%) and one-anastomosis gastric bypass (4.8%) [10].
OverStitch Sx Endoscopic suturing system in minimally invasive endoscopic procedures: overview of its safety and efficacy and comparison to oversticthTM
Published in Expert Review of Medical Devices, 2022
Tara Keihanian, Mohamed O Othman
With growing interest in obesity management via minimally invasive techniques, revisional ESG after laparoscopic sleeve gastrectomy instead of surgical revision has drawn attention of endoscopists around the world. Maselli et al. reported their observational study of 82 patients who underwent revisional ESG using OverStitchTM; 72.5% and 81% had ≥10% TBWL at 6 and 12, respectively [61]. About 15% or greater total body weight loss was achieved in 43.5% and 52.4% of participants at 6 and 12 months [61].