Massive Weight Loss Without Surgery in a Super Obese Patient

Marzocchi, Rebecca; Cappellari, Davide; Grave, Riccardo Dalle; Marchesini, Giulio

doi:10.1007/s11695-009-0011-8

Cited by 5 publications

(3 citation statements)

References 23 publications

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“…16 studies were identified as possibly relevant and underwent a full text critical appraisal, resulting in 8 exclusions. One study investigated exercise programs for Prader-Willi patients [ 14 ], 3 studies investigated pulmonary physiotherapy in the bariatric population [ 15 , 16 , 17 ], 1 publication appeared to be a case report [ 18 ], 1 was a research protocol [ 19 ], 1 article was only available in Swedish [ 20 ], and 1 article was only available in Spanish [ 21 ].…”

Section: Resultsmentioning

confidence: 99%

Aspects of Exercise before or after Bariatric Surgery: A Systematic Review

et al. 2015

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Background: Bariatric surgery has a considerable effect on weight loss. A positive relation of exercise and weight loss has been described before. However, the mode of exercise and its timing pre- or postoperatively or a combination remains unclear. Methods: A multi-database search was conducted. Identified articles were reviewed on description of exercise, timing around a bariatric intervention, and outcome. Methodological quality of the included studies was rated using the Physiotherapy Evidence Database scale. A Cohen's kappa score assessed the level of agreement. Outcome measurements were improvement of anthropometric and physical fitness variables, operation related complications, weight regain, and quality of life. Results: A total of 8 prospective studies were included. Four focused on training before and 4 on training after a bariatric procedure. Details of exercises varied from 45 min treadmill up to full descriptive programs. Supervision was frequently included. Significant improvement was encountered for biometric results physical fitness variables. Conclusion: In the majority of reports on exercising in a (future) bariatric population, positive effects on anthropometrics, cardiovascular risk factors and physical fitness were described. However, the results were not unanimous, with a wide range of exercise programs and perioperative timing, therefore hampering adequate practical guidance.

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Section: Resultsmentioning

confidence: 99%

Aspects of Exercise before or after Bariatric Surgery: A Systematic Review

et al. 2015

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“…However, losing and maintaining weight from overweight/obesity and losing weight and maintaining weight loss from severe obesity might be significantly different phenomena, and qualitative studies of long-term weight loss maintenance after severe obesity are lacking. Stories of people who manage to lose weight and keep it off for the long term after severe obesity exist and are acknowledged, but are presented as exceptional, anecdotal success stories and are not analysed in detail (Freedhoff & Hall, 2016; Marzocchi, Cappellari, Dalle Grave, & Marchesini, 2011; Sharma, 2017). This means that as an experiential phenomenon, long-term weight loss after severe obesity is largely unexplored.…”

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confidence: 99%

Living a successful weight loss after severe obesity

Natvik

Råheim

Andersen

et al. 2018

International Journal of Qualitative Studies on Health and Well

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Purpose: Losing weight and keeping it off for the long term is difficult. Weight regain is common. Experiences of successful non-surgical weight loss after severe obesity are largely unexplored. We know little about long-term weight loss processes, and how health care services can be of help to those living them. Methods: Drawing on in-depth interviews of 8 women and 2 men, the aim of this phenomenological study is to describe the experiences of adults who have been severely obese, who have lost weight and maintained weight loss for the long term (>5 years). Results: Findings show that after severe obesity, sustained weight loss has no endpoint, yet is always easy to end. Keeping weight off means committing to oneself, continuing profound changes and cultivating sensitivity towards oneself and others. A phenomenological understanding of sustained weight loss can inform professionals who deal with health issues and challenges occurring in the life of people leaving severe obesity.

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“…Entretanto, em até 90% dos pacientes o emagrecimento obtido clinicamente não se sustenta em longo prazo (MIRAS e LE ROUX, 2013) e apenas um em cada seis indivíduos adultos com obesidade mantém uma perda de 10% do peso por um ano (KRASCHNEWSKI et al, 2010). Relatos de manutenção de perdas de peso mais expressivas com tratamento clínico são bastante raros (MARZOCCHI et al, 2009).…”

Section: Cirurgia Da Obesidadeunclassified

Influência do volume e da velocidade de esvaziamento da bolsa gástrica sobre a perda de peso tardia e a tolerância alimentar após derivação gástrica em Y de Roux para tratamento da obesidade mórbida

Oliveira¹

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sempre pronta ajuda na obtenção de artigos de referência bibliográfica. v À Srta. Priscila Caproni, bióloga responsável pela organização e manutenção do Banco de Dados da Unidade de Cirurgia Bariátrica e Metabólica do HC-FMUSP, pela prontidão em nos ajudar sempre. A todos funcionários da administração das Disciplinas de Cirurgia do Aparelho Digestivo e Coloproctologia do HC-FMUSP, do Departamento de pósgraduação em Gastroenterologia, aos profissionais de Enfermagem, Serviço Social, Nutrição e Psicologia da Unidade de Cirurgia Bariátrica e Metabólica, e aos funcionários e voluntários do Ambulatório de Cirurgia de Obesidade, que muito nos ajudam na nossa rotina profissional e acadêmica dentro da instituição. Aos alunos da Faculdade de Medicina da USP, e aos médicos residentes das Disciplinas de Cirurgia Geral e do Aparelho Digestivo do HC-FMUSP. A proximidade, sempre renovada, com gerações de estudantes de medicina e de jovens cirurgiões, dentro do ambiente acadêmico do Hospital Escola, muito nos ensina, e nos faz ansiar pela busca de repostas e por aprimoramento e atualização constantes. Aos pacientes, que com altruísmo e generosidade aceitaram participar do protocolo desta pesquisa científica, pelo exemplo diário de resiliência e otimismo com os quais enfrentam as dificuldades.

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Massive Weight Loss Without Surgery in a Super Obese Patient

Cited by 5 publications

References 23 publications

Aspects of Exercise before or after Bariatric Surgery: A Systematic Review

Aspects of Exercise before or after Bariatric Surgery: A Systematic Review

Living a successful weight loss after severe obesity

Influência do volume e da velocidade de esvaziamento da bolsa gástrica sobre a perda de peso tardia e a tolerância alimentar após derivação gástrica em Y de Roux para tratamento da obesidade mórbida

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