Assessing quality of life in gastric bypass clients

Voelker, Margaret D.

doi:10.1016/j.jopan.2004.01.005

Cited by 10 publications

(4 citation statements)

References 38 publications

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“…56,57 A report on 11 adolescents (11-17 y) with a mean BMI of 46.6 (38.0-56.6) who underwent adjustable gastric banding surgery showed in a follow-up of 23 months that BMI fell from 46.6 to 32.1 with marked improvement in all medical conditions. 58 More studies give additional support to this new technique with a longer follow-up.…”

Section: Treatment Based On Psychotherapy Techniquesmentioning

confidence: 99%

New insights into the field of children and adolescents’ obesity: the European perspective

et al. 2004

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EDITOR'S NOTE:The problem of childhood obesity is accelerating throughout the world. The following is a position paper from The European Childhood Obesity Group (ECOG) that outlines the nature of the problem of childhood obesity along with treatment and prevention methods available today. The paucity of literature on prevention and treatment of obesity in children as documented in this paper points out the need for much additional research on obesity in children. OBJECTIVES: The awareness of childhood obesity as a major health problem and an uncontrolled worldwide epidemic has to be increased in the society. DESIGN: In order to improve the quality of the health care and to minimize the cost it is important to investigate and standardize pediatric obesity prevention and treatment and to adapt to social and cultural aspects. RESULTS: Obesity is the result of excess body fat. The different norms and definitions in Europe and the US is described and clarified. However, the available methods for the direct measurement of body fat are not easily used in daily practice. For this reason, obesity is often assessed by means of indirect estimates of body fat, that is, anthropometrics. There are essentially six relevant levels, which could be involved in prevention of child and adolescent obesity: family (child, parents, siblings, etc), schools, health professionals, government, industry and media. Evidence-based health promotion programs has to be given a high priority. Government should encourage media increase information about healthy nutrition and to avoid the marketing of unhealthy foods including sweet drinks, for example, in TV. Many different approaches of treatments of obesity have been investigated, including diet, exercise, behavioral therapy, surgery, and medication. None have been found to be effective enough as sole tools in children. This has led to focus on multidisciplinary programs especially involving families. Behavioral cognitive therapy is effective in treating childhood obesity as is family therapy. Surgery and drug treatment cannot be recommended without additional research. Clinicians should consider the various factors that can influence body composition. CONCLUSION: It is important to know and to follow nutritional factors, energy intake and composition of the diet, nutrition and hormonal status, food preferences and behavior, and the influence of non-nutritional factors. We recommend that obesity should be the major priority both in the health care system, on the scientific level and for future political actions.

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Section: Treatment Based On Psychotherapy Techniquesmentioning

confidence: 99%

New insights into the field of children and adolescents’ obesity: the European perspective

et al. 2004

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“…The European Association of Endoscopic Surgery guidelines recommends EGD for all bariatric procedures, and strongly recommends it for Roux N-Y gastric bypass (RNYGB)[ 13 ]. The American Gastrointestinal Endoscopy Association recommends endoscopy only for symptomatic patients scheduled for bariatric surgery[ 14 ].…”

Section: Is Gastroscopy Necessary Before Bariatric Surgery?mentioning

confidence: 99%

Is gastroscopy necessary before bariatric surgery?

Kanat¹,

Doğan²

2022

WJGE

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Obesity is the abnormal accumulation of fat or adipose tissue in the body. It has become a serious health problem in the world in the last 50 years and is considered a pandemic. Body mass index is a widely used classification. Thus, obese individuals can be easily classified and standardized. Obesity is the second cause of preventable deaths after smoking. Obesity significantly increases mortality and morbidity. We thought of preparing a publication about routine procedures for the preoperative evaluation of obesity. The question that we asked as bariatric and metabolic surgeons but which was not exactly answered in the literature was “Is esophagogastroduodenoscopy (EGD) necessary before bariatric surgery?” We found different answers in our literature review. The European Association of Endoscopic Surgery guidelines recommend EGD for all bariatric procedures. They strongly recommend it for Roux-en-Y gastric bypass (RYGB). As a result of a recent study by the members of the British Obesity & Metabolic Surgery Society, preoperative EGD is routinely recommended for patients undergoing sleeve gastrectomy, even if they are asymptomatic, but not recommended for RYGB. It is recommended for symptomatic patients scheduled for RYGB. According to the International Sleeve Gastrectomy Expert Panel Consensus Statement, preoperative EGD is definitely recommended for patients scheduled for sleeve gastrectomy, but its routine use for RYGB is controversial. However, a different view is that the American Society for Gastrointestinal Endoscopy recommends endoscopy only for symptomatic patients scheduled for bariatric surgery. In the literature, the primary goal of EGD recommended for sleeve gastrectomy has been interpreted as determining esophagitis caused by gastroesophageal reflux. In the light of the literature, it is stated that this procedure is not necessary in America, while it is routinely recommended in the European continent. Considering medicolegal cases that may occur in the future, we are in favor of performing EGD before bariatric surgery. In conclusion, EGD before bariatric surgery is insurance for both patients and physicians. There is a need for larger and prospective studies to reach more precise conclusions on the subject.

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“…As the diet progresses to soft foods, liquid medications may be converted to chewable medications. 42,58 Health care providers should be aware, however, that several of the antidepressant drugs are designed for extended delivery of the medication as indicated by the sustained-or extended-release preparations. These are not recommended to be chewed, crushed, or divided and, as such, should not to be changed from their original tablet or capsule form (Table 1).…”

Section: Preoperative Carementioning

confidence: 99%