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  • 11
    Online Resource
    Online Resource
    Maternal nutritional status and related pregnancy outcomes following bariatric surgery: A systematic review
    Elsevier BV ; 2019
    In:  Surgery for Obesity and Related Diseases Vol. 15, No. 2 ( 2019-02), p. 324-332
    Details
    In: Surgery for Obesity and Related Diseases, Elsevier BV, Vol. 15, No. 2 ( 2019-02), p. 324-332
    Type of Medium: Online Resource
    ISSN: 1550-7289
    URL: Article
    DOI: 10.1016/j.soard.2018.11.018
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2019
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  • 12
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    Knowledge, attitudes, and behaviors of women during pregnancy after bariatric surgery
    Elsevier BV ; 2020
    In:  Surgery for Obesity and Related Diseases Vol. 16, No. 7 ( 2020-07), p. 925-930
    Details
    In: Surgery for Obesity and Related Diseases, Elsevier BV, Vol. 16, No. 7 ( 2020-07), p. 925-930
    Type of Medium: Online Resource
    ISSN: 1550-7289
    URL: Article
    DOI: 10.1016/j.soard.2020.02.016
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2020
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  • 13
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    Effect of Dietary Strategies on Respiratory Quotient and Its Association with Clinical Parameters and Organ Fat Loss: A Randomized Controlled Trial
    MDPI AG ; 2021
    In:  Nutrients Vol. 13, No. 7 ( 2021-06-29), p. 2230-
    Details
    In: Nutrients, MDPI AG, Vol. 13, No. 7 ( 2021-06-29), p. 2230-
    Abstract: The relation between changes in respiratory quotient (RQ) following dietary interventions and clinical parameters and body fat pools remains unknown. In this randomized controlled trial, participants with moderate abdominal obesity or/and dyslipidemia (n = 159) were randomly assigned to a Mediterranean/low carbohydrate (MED/LC, n = 80) or a low fat (LF, n = 79) isocaloric weight loss diet and completed a metabolic assessment. Changes in RQ (measured by indirect calorimeter), adipose-tissue pools (MRI), and clinical measurements were assessed at baseline and after 6 months of intervention. An elevated RQ at baseline was significantly associated with increased visceral adipose tissue, hepatic fat, higher levels of insulin and homeostatic insulin resistance. After 6 months, body weight had decreased similarly between the diet groups (−6 ± 6 kg). However, the MED/LC diet, which greatly improved metabolic health, decreased RQ significantly more than the LF diet (−0.022 ± 0.007 vs. −0.002 ± 0.008, p = 0.005). Total cholesterol and diastolic blood pressure were independently associated with RQ changes (p = 0.045). RQ was positively associated with increased superficial subcutaneous-adipose-tissue but decreased renal sinus, pancreatic, and intramuscular fats after adjusting for confounders. Fasting RQ may reflect differences in metabolic characteristics between subjects affecting their potential individual response to the diet.
    Type of Medium: Online Resource
    ISSN: 2072-6643
    URL: Article
    DOI: 10.3390/nu13072230
    Language: English
    Publisher: MDPI AG
    Publication Date: 2021
    detail.hit.zdb_id: 2518386-2
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  • 14
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    One size does not fit all; practical, personal tailoring of the diet to NAFLD patients
    Wiley ; 2022
    In:  Liver International Vol. 42, No. 8 ( 2022-08), p. 1731-1750
    Details
    In: Liver International, Wiley, Vol. 42, No. 8 ( 2022-08), p. 1731-1750
    Abstract: Different dietary regimens for weight loss have developed over the years. Since the most evidenced treatment for non‐alcoholic fatty liver disease (NAFLD) is weight reduction, it is not surprising that more diets targeting obesity are also utilized for NAFLD treatment. However, beyond the desired weight loss effects, one should not ignore the dietary composition of each diet, which may not necessarily be healthy or safe over the long term for hepatic and extrahepatic outcomes, especially cardiometabolic outcomes. Some of these diets are rich in saturated fat and red meat, are very strict, and require close medical supervision. Some may also be very difficult to adhere to for long periods, thus reducing the patient's motivation. The evidence for a direct benefit to NAFLD by restrictive diets such as very‐low‐carb, ketogenic, very‐low‐calorie diets, and intermittent fasting is scarce, and the long‐term safety has not been tested. Nowadays, the approach is that the diet should be tailored to the patient's cultural and personal preferences. There is strong evidence for the independent protective association of NAFLD with a diet based on healthy eating patterns of minimally‐processed foods, low in sugar and saturated fat, high in polyphenols, and healthy types of fats. This leads to the conclusion that a Mediterranean diet should serve as a basis that can be restructured into other kinds of diets. This review will elaborate on the different diets and their role in NAFLD. It will provide a practical guide to tailor the diet to the patients without compromising its composition and safety.
    Type of Medium: Online Resource
    ISSN: 1478-3223 , 1478-3231
    URL: Issue
    URL: Article
    DOI: 10.1111/liv.v42.8
    DOI: 10.1111/liv.15335
    Language: English
    Publisher: Wiley
    Publication Date: 2022
    detail.hit.zdb_id: 2124684-1
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  • 15
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    Table_2.docx
    Frontiers Media SA ; 2022
    In:  Frontiers in Nutrition Vol. 9 ( 2022-5-12)
    Details
    In: Frontiers in Nutrition, Frontiers Media SA, Vol. 9 ( 2022-5-12)
    Abstract: Metabolic bariatric surgery (MBS) is an effective treatment for adolescents with severe obesity. However, changes in mental, physical, and social factors, as well as their association with the extent of excess weight loss (%EWL) after MBS, remain controversial. Methods We followed 97 adolescents (64% females, aged 17 ± 0.9 years, BMI 46.1 ± 5.9 kg/m 2 ) before and 9 months following MBS in a multi-center, prospective cohort study. Changes in mental, physical, and social factors were assessed by self-reported questionnaires, and associations with %EWL were evaluated after adjustment for potential confounders. Results The body mass index (BMI) decreased by 30%, and all physical parameters significantly improved ( p ≤ 0.001). Energy level increased by 24%, mood level by 14%, and mental health by 9.5% ( p ≤ 0.002). Social parameters were also improved, with a significant decrease in social rejection ( p = 0.02), and an increase in participation in after-school social activities ( p = 0.008). Mental health improvement was associated with baseline social rejection (r = 0.514, p & lt; 0.001). The improvement in all factors was not related to the extent of %EWL. Conclusion Metabolic bariatric surgery MBS in adolescents led to a meaningful decrease in BMI and to an improvement in short-term physical, mental, and social factors that were not related to %EWL. Patients experiencing social rejection may improve their mental health following BS.
    Type of Medium: Online Resource
    ISSN: 2296-861X
    URL: Article
    URL: Article
    URL: Article
    URL: Article
    DOI: 10.3389/fnut.2022.878202
    DOI: 10.3389/fnut.2022.878202.s001
    DOI: 10.3389/fnut.2022.878202.s002
    DOI: 10.3389/fnut.2022.878202.s003
    Language: Unknown
    Publisher: Frontiers Media SA
    Publication Date: 2022
    detail.hit.zdb_id: 2776676-7
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  • 16
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    Phytobezoar: a rare late complication following laparoscopic sleeve gastrectomy surgery
    Medip Academy ; 2017
    In:  International Surgery Journal Vol. 4, No. 5 ( 2017-04-22), p. 1803-
    Details
    In: International Surgery Journal, Medip Academy, Vol. 4, No. 5 ( 2017-04-22), p. 1803-
    Abstract: Case reports of bezoar after bariatric surgery are available to date only following Roux-en-Y gastric bypass (RYGB) and laparoscopic adjustable gastric banding (LAGB), but not following laparoscopic sleeve gastrectomy (LSG). Presented here is the first case reports of phytobezoars occurrence post LSG. Two case reports are presented. The mechanisms involved and the therapeutic implications are discussed. Case 1: A 41-year-old woman with a body mass index (BMI) of 45 kg/m2 underwent LSG surgery. Seven months postoperatively she developed significant vomiting and an upper GI gastrografin swallow study revealed a gastric bezoar, confirmed by an esophagogastroduodenoscopy (EGD). The bezoar was broken up and removed with the endoscope. Case 2: A 34-year-old woman with initial BMI of 42.7 kg/m2 was readmitted 5 years post LSG due to reflux accompanied with epigastric pain, vomiting, dysphagia and constipation. An upper GI gastrografin swallow study revealed esophageal dilatation. EGD showed a gastric phytobezoar 3x4cm size, removed by the endoscope. The lack of reports on bezoar occurrence after LSG may be related to the higher rates of stricture reported for LRYGB procedure comparing to LSG. In addition, LSG is a relatively new bariatric procedure, and the interval between surgery and detection of bezoars may be many years later.  Thus, even being a rare late complication, bezoars should be suspected in LSG patients presenting with obstructive symptoms during the late post-surgery period. We recommend prompt endoscopic intervention to relieve the obstruction before parts of the bezoar migrate to the small bowel, necessitating operative intervention
    Type of Medium: Online Resource
    ISSN: 2349-2902 , 2349-3305
    URL: Article
    DOI: 10.18203/2349-2902.isj20171644
    Language: Unknown
    Publisher: Medip Academy
    Publication Date: 2017
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  • 17
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    Increased risk for incisional hernia following cytoreductive surgery with hyperthermic intraperitoneal chemotherapy
    Wiley ; 2023
    In:  ANZ Journal of Surgery Vol. 93, No. 9 ( 2023-09), p. 2192-2196
    Details
    In: ANZ Journal of Surgery, Wiley, Vol. 93, No. 9 ( 2023-09), p. 2192-2196
    Abstract: The incidence of incisional hernias (IH) after midline laparotomy varies from 11% to 20%. Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS‐HIPEC) is potentially prone to hernias because a Xiphoid to pubis laparotomy incision performed on patients who have undergone previous abdominal surgeries with the addition of chemotherapy and its related adverse effects. Methods We performed a retrospective analysis on a prospectively maintained single institution database from March 2015 to July 2020. The inclusion criteria were patients who underwent CRS‐HIPEC and had at least 6 months postoperative follow‐up with post‐operative cross‐sectional imaging study. Results Two hundred and one patients were included in the study. All patients underwent CRS‐HIPEC with resection of previous scar and umbilectomy. Fifty‐four patients were diagnosed with IH (26.9%). The major risk factors for IH in multivariate analysis were higher American society of Anesthesiologists score (ASA) (OR 3.9, P  = 0.012), increasing age (OR 1.06, P  = 0.004) and increasing BMI (OR 1.1, P  = 0.006). Most of the hernia sites were median ( n  = 43, 79.6%). Eleven (20.4%) patients had lateral hernias due to stoma incisions or drain sites. Most of the median hernias were at the level of the resected umbilicus 58.9% ( n  = 23). Five (9.3%) of the patients with IH necessitated an urgent surgical repair. Conclusion We have demonstrated that more than a quarter of the patients after CRS‐HIPEC suffer from IH and up to 10% of them may require surgical intervention. More research is needed to find the appropriate intraoperative interventions to minimize this sequela.
    Type of Medium: Online Resource
    ISSN: 1445-1433 , 1445-2197
    URL: Issue
    URL: Article
    DOI: 10.1111/ans.v93.9
    DOI: 10.1111/ans.18594
    Language: English
    Publisher: Wiley
    Publication Date: 2023
    detail.hit.zdb_id: 2095927-8
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