BAROS results in 700 patients after laparoscopic Roux-en-Y gastric bypass with subset analysis of age, gender, and initial body mass index

Harakeh, Ayman B. Al; Larson, Christopher J.; Mathiason, Michelle A.; Kallies, Kara J.; Kothari, Shanu N.

doi:10.1016/j.soard.2010.09.020

Cited by 27 publications

(19 citation statements)

References 14 publications

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“…To the best of our knowledge, this is the first study comparing outcomes after RYGB and BPD/DS in super obese patients, using BAROS. Other studies of super obese patients have observed higher total BAROS score for RYGB than we found in this study [ 24 , 26 , 27 ]. However, those studies were of LRYGB and proportions of comorbidities were somewhat different to our RYGB group.…”

Section: Discussioncontrasting

confidence: 51%

Duodenal Switch Is Superior to Gastric Bypass in Patients with Super Obesity when Evaluated with the Bariatric Analysis and Reporting Outcome System (BAROS)

Skogar

Sundbom

2017

OBES SURG

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BackgroundIt is not clear which bariatric procedure that gives the best outcome for patients with super obesity (body mass index [BMI] > 50 kg/m2). This study aims to compare outcomes in patients with super obesity after Roux-en-Y gastric bypass (RYGB) and duodenal switch (BPD/DS) using the Bariatric Analysis and Reporting Outcome System (BAROS) and a local questionnaire for gastrointestinal symptoms.MethodsA retrospective mail survey including 211 patients, 98 RYGB and 113 BPD/DS, with a mean follow-up time of 4 years for both groups. Gender distribution, age, and comorbidities were similar. Weight loss, changes in comorbidities, quality of life (QoL), and adverse events were registered, as well as gastrointestinal symptoms.ResultsPreoperative BMI was higher in the BPD/DS group (56 ± 6.7 vs. 52 ± 4.0 kg/m2, p < 0.01); despite this, the postoperative BMI was lower (31 ± 5.5 vs. 36 ± 7.1 kg/m2, p < 0.01). The effect on diabetes was superior after BPD/DS; otherwise, both groups had a similar reduction in comorbidities. There was no difference in QoL. Adverse events were less common after RYGB (14 vs. 27%). Overall, the BPD/DS group had a superior BAROS score (4.7 ± 2.0 vs. 4.0 ± 2.1, p < 0.05). Dumping was more common after RYGB (p < 0.01), while reflux, diarrhea, fecal incontinence, and problems with malodorous flatus were more common after BPD/DS (all p < 0.05). Frequency of nausea/vomiting and abdominal pain were similar.ConclusionPatients with super obesity have a better weight reduction and metabolic control with BPD/DS, at the cost of higher incidence of adverse events, compared to patients operated with RYGB.

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Section: Discussioncontrasting

confidence: 51%

Duodenal Switch Is Superior to Gastric Bypass in Patients with Super Obesity when Evaluated with the Bariatric Analysis and Reporting Outcome System (BAROS)

Skogar

Sundbom

2017

OBES SURG

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“…(%EWL), improvement in co-morbid conditions, and complications, Therefore, it produces a valid and reliable assessment of the QoL outcomes after weight loss surgery. Several studies have used the BAROS, allowing fairly consistent comparative analysis between various research centers (1,3,14) .…”

Section: Application Of Baros' Questionnaire In Obese Patients Undergmentioning

confidence: 99%

Application of BAROS’ questionnaire in obese patients undergoing bariatric surgery with 2 years of evolution

Queiroz¹,

Sallet

Silva³

et al. 2017

Arq. Gastroenterol.

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-Background -In recent decades, the high prevalence of obesity in the general population has brought serious concerns in terms of public health. Contrarily to conventional treatment involving dieting and physical exercising, often ineffective in generating long term results, bariatric operations have been an effective method for sustained weight loss in morbidly obese individuals. The Bariatric Analysis and Reporting Outcome System (BAROS) is an objective and recognized system in the overall evaluation of results after bariatric surgery. Objective -To investigate results concerning a casuistic of morbidly obese patients undergoing bariatric surgery over a 2-year follow-up in terms of weight loss, related medical conditions, safety and changes in quality of life. Methods -A total of 120 obese (17 male and 103 female) patients, who underwent bariatric surgery, were assessed and investigated using the BAROS system after a 2-year follow-up. Results -Patients obtained a mean excess weight loss of 74.6 (±15.9) % and mean body mass index reduction of 15.6 (±4.4) Kg/m 2 . Pre-surgical comorbidities were present in 71 (59%) subjects and they were totally (86%) or partially (14%) resolved. Complications resulting specifically from the surgical procedure were observed in 4.2% of cases (two bowel obstructions requiring re-operation, and three stomal stenosis treated with endoscopic dilation). Sixteen subjects (13% of total number of patients) presented minor clinical complications managed through outpatient care. The final scores for the BAROS questionnaire showcased excellent to good results in 99% of cases (excellent 44%, very good 38%, good 23%, acceptable 1%). Conclusion -According to the BAROS questionnaire, bariatric surgery is a safe and effective method for managing obesity and associated clinical comorbidities, allowing for satisfactory results after a 2-year follow-up. Future studies should address other clinical and psychosocial variables that impact outcome as well as allow for longer follow-ups. HEADINGS -Morbid obesity. Bariatric surgery. Body weight. Quality of life.Declared conflict of interest of all authors: none Disclosure of funding: no funding received

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“…Portanto, torna-se necessário ampliar a discussão, ainda no ambiente da graduação médica, de algumas questões sociológicas que envolvam os processos de escolha da especialização médica, a fim de oferecer mais suporte aos acadêmicos quando estes se tornarem egressos. Hemodiálise 60,61,62,63,66,68,69,70,71 Hemorragia subaracnóidea 35,36,37,38 Hérnia diafragmática 74, 75 I Idosos 19,27,28,29,45,68,98,102 Inflamação 13,14,15,16,17,18,19,20,21,44,69,121 J Jovens 31,38,69,159,165 L Linfonodo sentinela 1, 2, 3, 4, 5 Maxilares 41,45,47,48,49,50,52,53,55,56 Medula espinhal 8,58,59 N Necrose avascular do osso 50 Neoplasias 8,7,24,…”

Section: Conclusãounclassified

Carcinoma De Células Escamosas Oral Em Pessoas Jovens Com Papilomavírus Humano

Vieira¹,

Mota²,

Silva³

2019

Revisão Da Teoria E Da Prática Médica 2

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BAROS results in 700 patients after laparoscopic Roux-en-Y gastric bypass with subset analysis of age, gender, and initial body mass index

Cited by 27 publications

References 14 publications

Duodenal Switch Is Superior to Gastric Bypass in Patients with Super Obesity when Evaluated with the Bariatric Analysis and Reporting Outcome System (BAROS)

Duodenal Switch Is Superior to Gastric Bypass in Patients with Super Obesity when Evaluated with the Bariatric Analysis and Reporting Outcome System (BAROS)

Application of BAROS’ questionnaire in obese patients undergoing bariatric surgery with 2 years of evolution

Carcinoma De Células Escamosas Oral Em Pessoas Jovens Com Papilomavírus Humano

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