Vertical Banded Gastroplasty at More than 5 Years

Baltasar, Aniceto; Bou, Rafael; Arlandis, Francisco; Martínez, Rosa; Serra, Carlos; Bengochea, Marcelo; Miró, Javier

doi:10.1381/096089298765555015

Cited by 71 publications

(36 citation statements)

References 11 publications

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“…This study indicates that long term nutritional monitoring, and clear and appropriate dietetic advice on diet quality, together with adherence to an appropriate multivitaminamineral supplement, is essential. Our conclusion can at present only be applied to one year post surgery, as longer term review has not yet been completed, but our data and that from other studies, 14,20 suggests that there may be ongoing issues of concern, requiring nutritional intervention and support. This is in line with the National Institutes of Health (NIH) Consensus Development Conferences report, 21 emphasising the importance of a multidisciplinary approach involving surgeons and nutritionists, in the care of severely obese patients.…”

Section: Resultsmentioning

confidence: 72%

Nutritional consequences of modified vertical gastroplasty in obese subjects

et al. 1999

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BACKGROUND: Gastroplasty results in a considerable reduction in food intake and dramatic weight loss. This is likely to have a nutritional impact, although it is expected that this may be minimised by good advice and supplement use. METHODS: Twenty six obese subjects were studied in detail before and after modi®ed long vertical gastroplasty (MLVG), in a setting where comprehensive nutritional advice on symptom avoidance was readily available and multivitamin supplements advised. Nutritional intake and anthropometry were measured preoperatively and at 2, 5 (n 22) and 12 months (n 11) postoperatively. RESULTS: Mean weight loss was 13%, 22% and 31% of initial body weight at the respective time points. Energy intake (EI) was signi®cantly reduced postoperatively, with the mean protein intake being only 40 gad. At 2 months, mean intakes of iron, calcium and zinc from food were 40%, 71% and 39%, respectively, of the Australian recommended dietary intake (RDI), and iron and zinc intake remained below half the RDI at 5 months. Only regular adherence to the vitaminamineral supplement, brought iron and calcium intakes close to RDI, but zinc remained low. Haemoglobin and serum ferritin concentrations did not alter signi®cantly and remained within the reference range, but serum folate fell signi®cantly between 5 months and 12 months. By 5 months, 60% of subjects never regurgitated or regurgitated less than once a week. Fresh bread was the least tolerated food. Frequency of regurgitation was not correlated with adequacy of nutrient intake. CONCLUSIONS: The results emphasise the need for regular follow-up of MLVG patients, and nutritional advice which includes diet quality as well as symptom management, and regular intake of the vitaminamineral supplement for at least a year postoperatively. Low protein intakes, however, remain of potential long-term concern.

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Section: Resultsmentioning

confidence: 72%

Nutritional consequences of modified vertical gastroplasty in obese subjects

et al. 1999

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“…Within the EC IIb studies, 72 70 to 86% 79 were very satisfied with the operation; within the EC III studies, the rate even went up to 90%. 95 A minority of patients disapproved the result of the operation, ranging from 4.2 70 to 18% 79 within the EC IIb and EC III studies, respectively.…”

Section: General Quality Of Lifementioning

confidence: 96%

“…Satisfaction with obesity surgery A total of 11 studies, five corresponding to EC IIb 62,66,70,79,88 and six to EC III, 35,75,81,83,89,95 asked patients about their satisfaction with the operation. Within the EC IIb studies, 72 70 to 86% 79 were very satisfied with the operation; within the EC III studies, the rate even went up to 90%.…”

Section: General Quality Of Lifementioning

confidence: 99%

Does obesity surgery improve psychosocial functioning? A systematic review

Herpertz¹,

Kielmann²,

et al. 2003

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OBJECTIVE:The objective of this study is to present a review of the psychosocial outcome of bariatric surgery with special consideration of psychiatric comorbidity, psychopathology, psychosocial functioning, econometric data, and general quality of life (QoL). PURPOSE: A review of all (non-) controlled trials of the last two decades both with a retrospective and prospective design and a follow-up period of at least 1 y. RESEARCH METHODS AND PROCEDURES:The relevant literature was identified by a search of computerized databases. All articles published in English and German since 1980 were reviewed. Based on the requirements of the evidenced-based guidelines of the Agency for Health Care Policy and Research and the Scottish Intercollegiate Guidelines Network, each study was rated by a level of evidence. RESULTS: In all, 171 publications were reviewed. Using the above inclusion/exclusion criteria, 63 articles including two systematic reviews were identified. A total of 40 studies focused on psychosocial outcome after obesity surgery. CONCLUSION: Mental health and psychosocial status including social relations and employment opportunities improve for the majority of people after bariatric surgery thus leading to an improved QoL. Psychiatric comorbidity, predominantly affective disorders, and psychopathologic symptoms decrease postsurgically. A substantial percentage of bariatric surgery patients suffer from binge eating disorder or binge eating symptoms. The effect of bariatric surgery on the outcome of binge eating symptoms largely depends on the type of operation. With the exception of patients with a severe psychiatric comorbidity, the concern that obesity surgery will reinforce psychic symptoms and lead to a reduction in the QoL seems to be unfounded.

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“…No entanto, cerca de 10% dos pacientes não consideraram que as suas expectativas pré-cirúrgicas se tivessem realizado. Isto vai de encontro à conclusão de uma revisão sistemática [29] da literatura conduzida por Herpertz et al , onde se verificou que a insatisfação com os resultados pós-39 [40] cirúrgicos variava entre 4.2% e 18% . É importante realçar também que além dos 15% de pacientes insatisfeitos com a rapidez de perda de peso, todos os participantes referiram que se sujeitariam de novo à cirurgia bariátrica.…”

Section: Resultsunclassified

“…This reflects the conclusion from a systematic literature review conducted by Herpertz et [29] al. where they found that dissatisfaction with post- [40] surgical results varied between 4.2% and 18% . It is also important to note that besides the 15% of patients who were unsatisfied with the pace of weight loss, all participants reported that they would undergo bariatric surgery again.…”

Section: Discussionmentioning

confidence: 99%