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Tag: Weight Loss Surgery and Bariatric

Excess weight loss immediately preceding bariatric surgery is associated with improved outcomes

Pre-Op Weight Loss Improves Outcomes of Bariatric Surgery

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Pre-op excess weight loss tied to significantly greater rate of post-op excess weight loss over one year
Bariatric surgery is associated with lower risks of obesity-related comorbidities but a clinically important increased risk for complications compared with medical treatment

Increased Risk of Complications With Bariatric Surgery

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Lower risks of obesity-related comorbidities but increased risk for complications versus medical tx
For patients with morbid obesity

Lap Sleeve Gastrectomy, RYGB Equally Effective in Weight Loss

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Studies show no significant difference in BMI loss at five years between these laparoscopic procedures
The rates of three major complications at less than 30 days after bariatric surgery are low and vary among surgical procedures

Low Rates of Major Complications After Bariatric Surgery

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<30-day rates for anastomotic leak, MI, PE, and following mortality generally low
Individuals with prior Roux-en-Y gastric bypass have blunted β-cell sensitivity to changes in glycemia

β-Cell Sensitivity to Glucose Impaired After Gastric Bypass

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Individuals with prior Roux-en-Y gastric bypass have reduced β-cell glucose sensitivity
Different weight loss patterns are observed following Roux-en-Y gastric bypass and laparoscopic adjustable gastric banding

Different Weight Loss Patterns Observed Following Bariatric Sx

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Mean weight loss of 38.2 kg (28.4 percent), 18.8 kg (14.9 percent) seven years after RYGB, LAGB
Continuous positive airway pressure may be a more effective treatment than laparoscopic gastric banding for control of severe obstructive sleep apnea

CPAP May Be Superior to Gastric Banding for Severe Sleep Apnea

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At 9 months, apnea-hypopnea index is significantly lower with CPAP than with laparoscopic banding
The central effects of glucagon-like peptide-1 may mediate the effects of Roux-en-Y gastric bypass on central nervous system activation in response to visual and gustatory food cues

GLP-1 May Mediate Effects of Gastric Bypass on CNS Activation

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After Roux-en-Y, CNS activation reduced in response to food cues, GLP-1 levels significantly elevated
For many obese Americans

High Rate of Anemia Seen After Weight-Loss Surgery

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Anemia much more common among patients who did not have close follow-up with weight-loss surgeon
For patients with severe obesity

Long-Term Weight Loss, T2DM Remission for Roux-en-Y Surgery

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Twelve-year follow-up shows durability of weight loss and remission and prevention of type 2 diabetes