Comparative study of five different surgical techniques for the treatment of morbid obesity using BAROS

Marchesini, João Batista; Nicareta, Jean Ricardo

doi:10.1590/s0102-6720201400s100005

Cited by 9 publications

(6 citation statements)

References 17 publications

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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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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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“…The Bariatric Analysis and Reporting Outcome System (BAROS) was developed by NIH Consensus Conference panelists at 1998 to answer a need for a standardized method to analyze and report outcomes of bariatric surgery. (109,110) Feedback from its users and additional research prompted some changes in 2009, the updated BAROS includes the percentage of excess body mass index loss, new criteria for the diagnosis of diabetes, and clarifies the concept of its -improvement.‖ The wording and drawings in the quality-of-life questionnaire were modified. A sixth question, analyzing eating behavior, was added, and the scoring key was changed to a 10-point Likert scale, creating the Moorehead-Ardelt Quality of Life Questionnaire II.…”

Section: The Overall Outcome Of Surgerymentioning

confidence: 99%

Comparative Study Between Laparoscopic Sleeve Gastrectomy and Laparoscopic Mini Gastric Bypass for Treatment of Morbid Obesity.

Saad¹,

Hemida²,

Ashour³

et al. 2018

IJAR

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Background:Bariatric surgery proved to be the only successful treatment option leading to long-term weight loss with improvement of obesity related comorbidities. The Laparoscopic Sleeve Gastrectomy (LSG) is now one of the most popular bariatric procedure worldwide with rising prevalence over last decade, while the Mini Gastric Bypass (MGB) is now gaining some popularity as a relatively new bariatric procedure Methods:The study involved forty patients; twenty of them had Laparoscopic Sleeve Gastrectomy (LSG), and twenty of them had Laparoscopic Mini Gastric Bypass (MGB). The patients were selected according to National Institute of Health (NIH) guidelines. All procedures were performed by the same team of experienced bariatric surgeons. all the patients had a one-year period of follow up after surgery and were evaluated for weight loss, morbidity (early, and late), impact on obesity associated diseases and effect on quality of life (QoL). Results:The two groups were matched considering the demographic data. Operative time was significantly longer in MGB group (P = 0.001), with mean operative time in MGB group was 74.75, while in LSG group was 53.25 min. One patient (5%) from LSG group developed stenosis and was managed by endoscopic balloon dilatation. Mean excess weight loss % after one year was 66.99% (± 1.739%) for LSG group and 67.76% (± 1.813%) for MGB group. The QoL after one year was varied between good and very good in both groups, with 70% of LSG group lie in very good category, and 75% of MGB group lie in the very good category. Conclusion:Both studied laparoscopic techniques; LSG and MGB were safe and effective, with similar results as regards significant weight loss and improvement of obesity-associated medical comorbidities and quality of life, with acceptable morbidity.

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“…However, bariatric surgery patients, after satisfactory weight loss, may regain weight if they go back to bad eating habits and sedentary lifestyle 9 , 13 , 14 , 15 , 20 . Other causes may be equally important factors for regaining weight, for example, excessive consumption of alcohol, craving for sweets or fattening foods in general, increase in the diameter of the gastrojejunal anastomosis and the length of the gastric pouch.…”

Section: Introductionmentioning

confidence: 99%

Post-bariatric surgery weight regain: evaluation of nutritional profile of candidate patients for endoscopic argon plasma coagulation

Cambi

Marchesini

Baretta

2015

ABCD, arq. bras. cir. dig.

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BackgroundBariatric surgery is effective treatment for weight loss, but demand continuous nutritional care and physical activity. They regain weight happens with inadequate diets, physical inactivity and high alcohol consumption.AimTo investigate in patients undergoing Roux-Y-of gastroplasty weight regain, nutritional deficiencies, candidates for the treatment with endoscopic argon plasma, the diameter of the gastrojejunostomy and the size of the gastric pouch at the time of treatment with plasma.MethodsA prospective 59 patients non-randomized study with no control group undergoing gastroplasty with recurrence of weight and candidates for the endoscopic procedure of argon plasma was realized. The surgical evaluation consisted of investigation of complications in the digestive system and verification of the increased diameter of the gastrojejunostomy. Nutritional evaluation was based on body mass index at the time of operation, in the minimum BMI achieved after and in which BMI was when making the procedure with plasma. The laboratory tests included hemoglobin, erythrocyte volume, ferritin, vitamin D, B12, iron, calcium, zinc and serum albumin. Clinical analysis was based on scheduled follow-up.ResultsOf the 59 selected, five were men and 51 women; were included 49 people (four men and 44 women) with all the complete data. The exclusion was due to the lack of some of the laboratory tests. Of this total 19 patients (38.7%) had a restrictive ring, while 30 (61.2%) did not. Iron deficiency anemia was common; 30 patients (61.2%) were below 30 with ferritin (unit); 35 (71.4%) with vitamin B12 were below 300 pg/ml; vitamin D3 deficiency occurred in more than 90%; there were no cases of deficiency of protein, calcium and zinc; glucose levels were above 99 mg/dl in three patients (6.12%). Clinically all had complaints of labile memory, irritability and poor concentration. All reported that they stopped treatment with the multidisciplinary team in the first year after the operation.ConclusionsThe profile of patients submitted to argon plasma procedure was: anastomosis in average with 27 mm; multiple nutritional deficiencies with predominance of iron deficiency anemia; ferritin below 30; vitamin B12 levels below 300 pg/ml; labile memory complaints, irritability and poor concentration.

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Comparative study of five different surgical techniques for the treatment of morbid obesity using BAROS

Cited by 9 publications

References 17 publications

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

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

Comparative Study Between Laparoscopic Sleeve Gastrectomy and Laparoscopic Mini Gastric Bypass for Treatment of Morbid Obesity.

Post-bariatric surgery weight regain: evaluation of nutritional profile of candidate patients for endoscopic argon plasma coagulation

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