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Metabolic and Bariatric Surgery in Patients with Obesity Class V (BMI > 60 kg/m...

Ponce de Leon-Ballesteros, G; Pouwels, S; Romero-Velez, G; Aminian, A; Angrisani, L; Bhandari, M; Brown, W; Copaescu, C; De Luca, M; Fobi, M; Ghanem, OM

Background: Metabolic and bariatric surgery (MBS) is the preferred method to achieve significant weight loss in patients with Obesity Class V (BMI > 60 kg/m2). However, there is no consensus regarding the best procedure(s) for this population. Additionally, these patients will likely have a higher risk of complications and mortality. The aim of this study was to achieve a consensus among a global panel of exper...

Date: 2024   |   Origin: Lusíadas Saúde

Best practice approach for redo-surgeries after sleeve gastrectomy, an expert's...

Kermansaravi, M; Parmar, C; Chiappetta, S; Shikora, S; Aminian, A; Abbas, SI; Angrisani, L; Bashir, A; Behrens, E; Bhandari, M; Clapp, B; Cohen, R

Background: Sleeve gastrectomy (SG) is the most common metabolic and bariatric surgical (MBS) procedure worldwide. Despite the desired effect of SG on weight loss and remission of obesity-associated medical problems, there are some concerns regarding the need to do revisional/conversional surgeries after SG. This study aims to make an algorithmic clinical approach based on an expert-modified Delphi consensus re...

Date: 2023   |   Origin: Lusíadas Saúde

Patient Selection in One Anastomosis/Mini Gastric Bypass—an Expert Modified Del...

Kermansaravi, M; Parmar, C; Chiappetta, S; Shahabi, S; Abbass, A; Abbas, SI; Abouzeid, M; Antozzi, L; Asghar, ST; Bashir, A; Bhandari, M; Billy, H

Purpose: One anastomosis/mini gastric bypass (OAGB/MGB) is up to date the third most performed obesity and metabolic procedure worldwide, which recently has been endorsed by ASMBS. The main criticisms are the risk of bile reflux, esophageal cancer, and malnutrition. Although IFSO has recognized this procedure, guidance is needed regarding selection criteria. To give clinicians a daily support in performing the ...

Date: 2022   |   Origin: Lusíadas Saúde

Esophageal and Gastric Malignancies After Bariatric Surgery: a Retrospective Gl...

Parmar, C; Zakeri, R; Abouelazayem, M; Shin, T; Aminian, A; Mahmoud, T; Abu Dayyeh, B; Wee, M; Fischer, L; Daams, F; Mahawar, K; Gallardo, C; Agustin, C

Background: Bariatric surgery can influence the presentation, diagnosis, and management of gastrointestinal cancers. Esophagogastric (EG) malignancies in patients who have had a prior bariatric procedure have not been fully characterized. Objective: To characterize EG malignancies after bariatric procedures. Setting: University Hospital, United Kingdom. Methods: We performed a retrospective, multicenter observa...


Enhanced Recovery After Surgery (ERAS) protocol in bariatric and metabolic surg...

Rossoni, C; Oliveira Magro, D; Santos, ZC; Cambi, MP; Patias, L; Bragança, R; Pellizzaro, D; Parmar, C; Ribeiro, R

This study aims to understand the prevalent practices on the nutritional aspects of the enhanced recovery after surgery (ERAS) protocol based on the knowledge and practice of surgeons, nutritionists, and anesthesiologists who work in the bariatric and metabolic surgery (BMS) units worldwide. This cross-sectional study enrolled BMS unit professionals from five continents-Africa, America, Asia, Europe, and Oceani...

Date: 2020   |   Origin: Lusíadas Saúde

Outcomes of Long Pouch Gastric Bypass (LPGB): 4-Year Experience in Primary and ...

Ribeiro, R; Pouwels, S; Parmar, C; Pereira, J; Manaças, L; Guerra, AC; Borges, N; Ribeiro, J; Viveiros, O

Background: One of the most important complications of the one anastomosis gastric bypass (OAGB) is enterobilio acid reflux (EBAR). We report the concept of the long pouch Roux-en-Y gastric bypass (LPRYGB) meaning a Roux-en-Y with a long pouch and a 100-cm alimentary limb to avoid EBAR, with a long biliopancreatic limb to increase metabolic effects. Methods: A total of 300 LPRYGB cases in a 4-year period, with ...

Date: 2019   |   Origin: Lusíadas Saúde

Outcomes of Long Pouch Gastric Bypass (LPGB): 4-Year Experience in Primary and ...

Ribeiro, R; Pouwels, S; Parmar, C; Pereira, J; Manaças, L; Guerra, A; Borges, N; Ribeiro, J; Viveiros, O

Background: One of the most important complications of the one anastomosis gastric bypass (OAGB) is enterobilio acid reflux (EBAR). We report the concept of the long pouch Roux-en-Y gastric bypass (LPRYGB) meaning a Roux-en-Y with a long pouch and a 100-cm alimentary limb to avoid EBAR, with a long biliopancreatic limb to increase metabolic effects. Methods: A total of 300 LPRYGB cases in a 4-year period, with ...


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