An Evidenced-based Assessment of Preoperative Weight Loss in Bariatric Surgery

Tarnoff, Michael; Kaplan, Lee M.; Shikora, Scott A.

doi:10.1007/s11695-008-9603-y

Cited by 75 publications

(51 citation statements)

References 21 publications

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“…Some studies reported maintenance of weight loss up to 9 years after undergoing bariatric surgery; while other studies found weight regain beginning approximately 2 years after surgery (Bocchieri et al, 2002a;. Preoperative preparation in the form of required weight loss and other lifestyle changes has led to consistent findings of greater sustained weight loss, for as long as four years, than individuals who were not required to satisfy preoperative requirements (Alger-Mayer, Polemini, & Malone, 2008;Alvarado et al, 2005;Tarnoff, Kaplan, & Shikora, 2008). In order to achieve preoperative weight loss, patients were provided with dietary plans that began introducing eating behaviors consistent with the post-surgical dietary recommendations (Alger-Mayer et al, 2008).…”

Section: Behavioral Weight Management Behavioral Weight Management Pmentioning

confidence: 99%

Adoption of Recommended Eating Behaviors Following Bariatric Surgery: Predicting Group Membership

Lester

Gerstein

Nicholas

et al. 2014

Bariatric Surgical Practice and Patient Care

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Section: Behavioral Weight Management Behavioral Weight Management Pmentioning

confidence: 99%

Adoption of Recommended Eating Behaviors Following Bariatric Surgery: Predicting Group Membership

Lester

Gerstein

Nicholas

et al. 2014

Bariatric Surgical Practice and Patient Care

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“…Although intragastric balloons might be advantageous in selected cases before metabolic surgery in order to shrink liver volume to allow better intraoperative exposure [16] they are not free of risk. Any indication for intragastric ballooning should be applied with caution.…”

Section: Discussionmentioning

confidence: 99%

Parastomal hernia incarceration due to migrated intragastric balloon

Limani

Steinemann

Clavien

et al. 2011

Hernia

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The temporary placement of intragastric balloons is a common method to achieve rapid weight loss before planned metabolic surgery. We report the case of a 48-year-old morbidly obese patient. Ten years ago the patient underwent emergency sigmoidectomy with creation of a double-barreled ileostomy for perforated diverticulitis. Over time he developed a giant parastomal hernia. For preoperative weight reduction before planned restoration of intestinal continuity, an intragastric balloon was inserted 3 years ago. The patient was admitted to our emergency department with peritonism and a septic shock. After computed tomography showing small bowel ileus, laparotomy was performed, revealing marked ischemia of incarcerated small and large intestine. Only postoperatively was the intragastric balloon found in the resected small bowel, causing a mechanical ileus with consecutive incarceration of the bowel. We review the literature on complications due to the migration of intragastric balloons. This clinical case gives a fair warning of the possible deleterious outcome of intragastric balloons, especially in hernia patients.

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“…Shikora concludes, "…is it now time to suggest that preoperative weight loss be a component of the preoperative preparation process?" [1] We are hopeful that our study will directly inform the development of best practices for preoperative care and promote research designed to optimize the outcomes of bariatric surgery.…”

Section: To the Editormentioning

confidence: 97%

“…Tarnoff, Kaplan, and Shikora [1] summarizing the current literature on the topic of preoperative weight loss in bariatric surgery. As noted in the piece, there is only one published prospective randomized trial on this topic [2].…”

Section: To the Editormentioning

confidence: 99%