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Gastrointestinal cancer
Published in Peter Hoskin, Peter Ostler, Clinical Oncology, 2020
Intestinal bypass surgery (e.g. gastrojejunostomy) is effective at relieving gastric outflow obstruction while gastrectomy may be justified in the presence of metastatic disease when massive bleeding cannot be controlled by less invasive methods.
Obesity
Published in Geoffrey P. Webb, Nutrition, 2019
Other surgical procedures that are used for obesity treatment are listed as follows. Jaw wiring. This involves wiring the jaws together so that the intake of solid food is restricted whereas the intake of liquids is relatively unhindered. This procedure may produce short-term weight loss whilst the jaws are actually wired but patients usually regain the weight once the wires are removed. Fat removal. This can be achieved by cutting or by liposuction (literally sucking out areas of adipose tissue). This unpleasant procedure may be judged by some people to be worthwhile for its short-term, localised, cosmetic effects.Intestinal bypass. This procedure involves surgically bypassing a large section of the small intestine and shunting food past most of it. This hinders digestion and absorption. Patients often suffer from chronic diarrhoea and nutrient deficiencies and may also suffer from liver and kidney damage. This risky procedure has now been largely superseded by gastric banding or gastric bypass.
Kidneys and ureters
Published in Professor Sir Norman Williams, Professor P. Ronan O’Connell, Professor Andrew W. McCaskie, Bailey & Love's Short Practice of Surgery, 2018
Professor Sir Norman Williams, Professor P. Ronan O’Connell, Professor Andrew W. McCaskie
Fat restriction is necessary and oral calcium supplements are indicated. Cholestyramine may be used to bind acidic components in the gut lumen, including oxalate. Intestinal bypass may need to be reversed.
Lipid profile change after bariatric surgeries: laparoscopic gastric plication versus mini gastric bypass
Published in Acta Chirurgica Belgica, 2019
Mohammad Javad Bagheri, Mohammad Talebpour, Amirsina Sharifi, Atieh Talebpour, Alireza Mohseni
Although previous studies are indicative for positive effect of bariatric surgeries on improvement of lipid profile it has been proposed that malabsorptive procedures namely (biliopancreatic diversion and bilio-intestinal bypass) have greater influence on lipid profile rather than restrictive procedures (adjustable gastric banding and sleeve gastrectomy) [8,26]. Benetti et al. [27] reported reduction in cholesterol levels to be significant after malabsorptive procedures but not after restrictive ones. On the other hand, TG had the same depletive trend in both techniques [27]. However, there are other studies, claiming that malabsorptive procedures had led to nearly 50% greater reduction in TG than restrictive techniques [28,29]. This discordance may originate from the fact that patients’ baseline characteristics, body anthropometrics, adiposity, and insulin resistance differ between study groups [30,31]. Furthermore, it should be kept in mind that anatomical alterations are different in each surgical technique and it is not quite rational to limit each technique to have one exclusive effect on lipid profile [32]. Our results showed that both techniques have decreasing trend in TC and TG levels, which mainly did not reach statistical significance and either of LGP or MGB had higher reduction in TC or TG level at different follow ups. We assume it is much more important to pay attention to the fact that LGP is far easier technique to perform than conventional RYGB or MGB and as we have shown in our previous reports it has comparable postoperative results in percent of excess weight loss as well [20]. Thus LGP should be considered as an eligible alternative for RYGB but needs further investigations.
Actualized lower body contouring surgery after bariatric surgery – a nationwide register-based study
Published in Journal of Plastic Surgery and Hand Surgery, 2022
Susanna Pajula, Mika Gissler, Janne Jyränki, Erkki Tukiainen, Virve Koljonen
A total of 7703 patients underwent bariatric surgery in Finland during 1998–2016. The most common bariatric procedures were gastric bypass (5687, 73.8%) and sleeve gastrectomy (1992, 25.9%). Most of the patients did not have intestinal bypass together with gastric operations; only 17 had both operations. Intestinal bypass operations were the only bariatric procedures in 24 patients.