Articles Related to Bariatric Surgery

The current standard of care offers surgery as the most favored treatment modality for morbidly obese patients to achieve weight loss. The currently available surgical techniques have some limitations and introduction of novel techniques is inevitable. The aim of this study is to introduce the novel gastric partitioning bypass technique and assess its effectiveness and adverse effects.Thirty individuals were randomly recruited from a population who were eligible for bariatric surgery. The subjects had a baseline visit and were followed-up after surgery assessing weight loss and adverse effects related to the surgery.The study population included 30 patients (Mean age 41±5 and 93% female). Mean BMI and excess body weight at the baseline were 49±7 kg/m² and 79±15 Kg, respectively. Median follow-up time was 36 months and 27 (90%) patients completed the study. Excess weight loss was 54.76 ± 13.76 % and 60.43 ± 14.49% after 12 and 48 months, respectively. In post-operative period Two patients (6.6%) developed surgical site infection, other complications such as bleeding or anastomotic leakage, or any complication requiring emergent surgery were not detected.

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A 55 year-old man with signs and symptoms of severe sepsis was admitted to the emergency department. He is severely obese with a BMI of 80 Kg/ m2 and a medical history of hypertension and arrhythmia. The abdominal pain was non-specific and the physical examination was impaired by obesity. Ultrasonography (US) was ineffective and no computed tomography (CT) scan was available for a patient of his weight. The acute abdomen presented an inflammatory etiology. The patient underwent laparoscopy and severe cholecystitis was diagnosed and treated. The patient recovered well, and remained for 36h in the intensive care unit and 5 days in the surgical ward.

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The prevalence of overweight and obesity among US adults is well-documented and lifestyle intervention remains the foundation for all overweight and obesity treatment interventions, even when bariatric surgery is offered. Unfortunately, lifestyle intervention, though clearly a vital part of any obesity treatment, including bariatric surgery, has not been found to be as effective in achieving health benefits as hoped for.

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Bariatric surgery (BS) is a potential cause for malabsorption resulting in nutritional deficiency-related neuropathies and myelopathy.

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