The Experts below are selected from a list of 58914 Experts worldwide ranked by ideXlab platform
Stacy A. Brethauer - One of the best experts on this subject based on the ideXlab platform.
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Enhanced Recovery in Bariatric Surgery
The ASMBS Textbook of Bariatric Surgery, 2019Co-Authors: Xiaoxi Feng, Stacy A. BrethauerAbstract:Enhanced recovery is a concept that has been embraced by some surgical specialties with resultant improvements in complication rates, readmissions, length of stay, and costs. While Bariatric Surgery is typically a pathway-driven specialty, there is a large amount of variability regarding perioperative care practices among Bariatric Surgery programs nationally. Enhanced recovery offers the possibility of decreasing this variability across practice settings by implementing evidence-based protocols that minimize surgical stress, maintain homeostasis, and minimize opioid use in all Bariatric Surgery programs. Protocols such as this also challenge surgical dogma and practices that are not supported by evidence such as “NPO after midnight,” the use of bowel preps, the use of drains and catheters, and routine imaging studies or prolonged periods without oral intake after Surgery. Evidence is emerging to support the safety and effectiveness of specific components of enhanced recovery for this unique population, and, as implementation increases, the field of Bariatric Surgery will continue to be the leader in quality and patient safety among all surgical specialties.
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systematic review on reoperative Bariatric Surgery american society for metabolic and Bariatric Surgery revision task force
Surgery for Obesity and Related Diseases, 2014Co-Authors: Stacy A. Brethauer, Shanu N. Kothari, Wayne J English, Ranjan Sudan, Brandon Williams, Matthew Brengman, Marina Kurian, Matthew M Hutter, Lloyd Stegemann, Kara J KalliesAbstract:Abstract Background Reoperative Bariatric Surgery has become a common practice in many Bariatric Surgery programs. There is currently little evidence-based guidance regarding specific indications and outcomes for reoperative Bariatric Surgery. A task force was convened to review the current evidence regarding reoperative Bariatric Surgery. The aim of the review was to identify procedure-specific indications and outcomes for reoperative procedures. Methods Literature search was conducted to identify studies reporting indications for and outcomes after reoperative Bariatric Surgery. Specifically, operations to treat complications, failed weight loss, and weight regain were evaluated. Abstract and manuscript reviews were completed by the task force members to identify, grade, and categorize relevant studies. Results A total of 819 articles were identified in the initial search. After review for inclusion criteria and data quality, 175 articles were included in the systematic review and analysis. The majority of published studies are single center retrospective reviews. The evidence supporting reoperative Surgery for acute and chronic complications is described. The evidence regarding reoperative Surgery for failed weight loss and weight regain generally demonstrates improved weight loss and co-morbidity reduction after reintervention. Procedure-specific outcomes are described. Complication rates are generally reported to be higher after reoperative Surgery compared to primary Surgery. Conclusion The indications and outcomes for reoperative Bariatric Surgery are procedure-specific but the current evidence does support additional treatment for persistent obesity, co-morbid disease, and complications.
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Bariatric Surgery for treatment of obesity
International Journal of Obesity, 2011Co-Authors: S Eldar, Stacy A. Brethauer, H M Heneghan, Philip R. SchauerAbstract:This article focuses on recent trends and outcomes of Bariatric Surgery. The outcomes discussed include perioperative morbidity and mortality, weight loss, long-term complications and the impact of Bariatric Surgery on comorbidities, cardiovascular risk and mortality.
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Minimally Invasive Bariatric Surgery - Minimally invasive Bariatric Surgery
2007Co-Authors: Philip R. Schauer, Bruce D. Schirmer, Stacy A. BrethauerAbstract:Minimally invasive Bariatric Surgery / , Minimally invasive Bariatric Surgery / , کتابخانه دیجیتال جندی شاپور اهواز
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Bariatric Surgery Training
Minimally Invasive Bariatric Surgery, 2007Co-Authors: Stacy A. Brethauer, Philip R. SchauerAbstract:The number of Bariatric procedures performed worldwide has increased dramatically over the last decade (1). Factors contributing to this increase include (1) the rising prevalence of obesity in industrialized countries; (2) increasing awareness of the societal costs of this epidemic; (3) the introduction of minimally invasive approaches to Bariatric Surgery; and (4) a growing body of literature supporting the safety, effectiveness, and durability of Bariatric Surgery. The United States has the highest prevalence of adult and childhood obesity in the world (2), and the increasing number of Bariatric surgeries performed over the last decade is a reflection of this troubling epidemic (Table 7-1).
Philip R. Schauer - One of the best experts on this subject based on the ideXlab platform.
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Bariatric Surgery for treatment of obesity
International Journal of Obesity, 2011Co-Authors: S Eldar, Stacy A. Brethauer, H M Heneghan, Philip R. SchauerAbstract:This article focuses on recent trends and outcomes of Bariatric Surgery. The outcomes discussed include perioperative morbidity and mortality, weight loss, long-term complications and the impact of Bariatric Surgery on comorbidities, cardiovascular risk and mortality.
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Minimally Invasive Bariatric Surgery - Minimally invasive Bariatric Surgery
2007Co-Authors: Philip R. Schauer, Bruce D. Schirmer, Stacy A. BrethauerAbstract:Minimally invasive Bariatric Surgery / , Minimally invasive Bariatric Surgery / , کتابخانه دیجیتال جندی شاپور اهواز
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Bariatric Surgery Training
Minimally Invasive Bariatric Surgery, 2007Co-Authors: Stacy A. Brethauer, Philip R. SchauerAbstract:The number of Bariatric procedures performed worldwide has increased dramatically over the last decade (1). Factors contributing to this increase include (1) the rising prevalence of obesity in industrialized countries; (2) increasing awareness of the societal costs of this epidemic; (3) the introduction of minimally invasive approaches to Bariatric Surgery; and (4) a growing body of literature supporting the safety, effectiveness, and durability of Bariatric Surgery. The United States has the highest prevalence of adult and childhood obesity in the world (2), and the increasing number of Bariatric surgeries performed over the last decade is a reflection of this troubling epidemic (Table 7-1).
Emily M. Stein - One of the best experts on this subject based on the ideXlab platform.
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The Skeletal Consequences of Bariatric Surgery
Current Osteoporosis Reports, 2020Co-Authors: Alexandra Krez, Emily M. SteinAbstract:Purpose of Review This review outlines the recent findings regarding the impact of Bariatric Surgery on bone. It explores potential mechanisms for skeletal changes following Bariatric Surgery and strategies for management. Recent Findings Bone loss following Bariatric Surgery is multifactorial. Probable mechanisms include skeletal unloading, abnormalities in calciotropic hormones, and changes in gut hormones. Skeletal changes that occur after Bariatric Surgery are specific to procedure type and persist for several years post-operatively. Studies suggest that while bone loss begins early, fracture risk may be increased later in the post-operative course, particularly after Roux-en-Y gastric bypass (RYGB). Summary Further research is needed to assess the extent to which skeletal changes following Bariatric Surgery result in fragility. Current management should be geared toward prevention of bone loss, correction of nutritional deficiencies, and incorporation of weight bearing exercise. Pharmacologic treatment should be considered for high-risk patients.
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The Skeletal Consequences of Bariatric Surgery
Current osteoporosis reports, 2020Co-Authors: Alexandra Krez, Emily M. SteinAbstract:This review outlines the recent findings regarding the impact of Bariatric Surgery on bone. It explores potential mechanisms for skeletal changes following Bariatric Surgery and strategies for management. Bone loss following Bariatric Surgery is multifactorial. Probable mechanisms include skeletal unloading, abnormalities in calciotropic hormones, and changes in gut hormones. Skeletal changes that occur after Bariatric Surgery are specific to procedure type and persist for several years post-operatively. Studies suggest that while bone loss begins early, fracture risk may be increased later in the post-operative course, particularly after Roux-en-Y gastric bypass (RYGB). Further research is needed to assess the extent to which skeletal changes following Bariatric Surgery result in fragility. Current management should be geared toward prevention of bone loss, correction of nutritional deficiencies, and incorporation of weight bearing exercise. Pharmacologic treatment should be considered for high-risk patients.
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Bariatric Surgery 3 Bone loss after Bariatric Surgery: causes, consequences, and management
2014Co-Authors: Emily M. Stein, Shonni J. SilverbergAbstract:Bariatric Surgery is an eff ective and increasingly common treatment for severe obesity and its many comorbidities. The side-eff ects of Bariatric Surgery can include detrimental eff ects on bone and mineral metabolism. Bone disease in patients who have had Bariatric Surgery is aff ected by preoperative abnormalities in bone and mineral metabolism related to severe obesity. Changes that arise after Bariatric Surgery are specifi c to procedure type: the most pronounced abnormalities in calciotropic hormones and bone loss are noted after procedures that result in the most malabsorption. The most consistent site for bone loss after all Bariatric procedures is at the hip. There are limitations of dual-energy x-ray absorptiometry technology in this population, including artefact introduced by adipose tissue itself. Bone loss after Bariatric Surgery is probably multifactorial. Proposed mechanisms include skeletal unloading, abnormalities in calciotropic hormones, and changes in gut hormones. Few data for fracture risk in the Bariatric population are available, and this is a crucial area for additional research. Treatment should be geared toward correction of nutritional defi ciencies and study of bone mineral density in high-risk patients. We explore the skeletal response to Bariatric Surgery, potential mechanisms for changes, and strategies for management.
Alexandra Krez - One of the best experts on this subject based on the ideXlab platform.
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The Skeletal Consequences of Bariatric Surgery
Current osteoporosis reports, 2020Co-Authors: Alexandra Krez, Emily M. SteinAbstract:This review outlines the recent findings regarding the impact of Bariatric Surgery on bone. It explores potential mechanisms for skeletal changes following Bariatric Surgery and strategies for management. Bone loss following Bariatric Surgery is multifactorial. Probable mechanisms include skeletal unloading, abnormalities in calciotropic hormones, and changes in gut hormones. Skeletal changes that occur after Bariatric Surgery are specific to procedure type and persist for several years post-operatively. Studies suggest that while bone loss begins early, fracture risk may be increased later in the post-operative course, particularly after Roux-en-Y gastric bypass (RYGB). Further research is needed to assess the extent to which skeletal changes following Bariatric Surgery result in fragility. Current management should be geared toward prevention of bone loss, correction of nutritional deficiencies, and incorporation of weight bearing exercise. Pharmacologic treatment should be considered for high-risk patients.
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The Skeletal Consequences of Bariatric Surgery
Current Osteoporosis Reports, 2020Co-Authors: Alexandra Krez, Emily M. SteinAbstract:Purpose of Review This review outlines the recent findings regarding the impact of Bariatric Surgery on bone. It explores potential mechanisms for skeletal changes following Bariatric Surgery and strategies for management. Recent Findings Bone loss following Bariatric Surgery is multifactorial. Probable mechanisms include skeletal unloading, abnormalities in calciotropic hormones, and changes in gut hormones. Skeletal changes that occur after Bariatric Surgery are specific to procedure type and persist for several years post-operatively. Studies suggest that while bone loss begins early, fracture risk may be increased later in the post-operative course, particularly after Roux-en-Y gastric bypass (RYGB). Summary Further research is needed to assess the extent to which skeletal changes following Bariatric Surgery result in fragility. Current management should be geared toward prevention of bone loss, correction of nutritional deficiencies, and incorporation of weight bearing exercise. Pharmacologic treatment should be considered for high-risk patients.
Kara J Kallies - One of the best experts on this subject based on the ideXlab platform.
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systematic review on reoperative Bariatric Surgery american society for metabolic and Bariatric Surgery revision task force
Surgery for Obesity and Related Diseases, 2014Co-Authors: Stacy A. Brethauer, Shanu N. Kothari, Wayne J English, Ranjan Sudan, Brandon Williams, Matthew Brengman, Marina Kurian, Matthew M Hutter, Lloyd Stegemann, Kara J KalliesAbstract:Abstract Background Reoperative Bariatric Surgery has become a common practice in many Bariatric Surgery programs. There is currently little evidence-based guidance regarding specific indications and outcomes for reoperative Bariatric Surgery. A task force was convened to review the current evidence regarding reoperative Bariatric Surgery. The aim of the review was to identify procedure-specific indications and outcomes for reoperative procedures. Methods Literature search was conducted to identify studies reporting indications for and outcomes after reoperative Bariatric Surgery. Specifically, operations to treat complications, failed weight loss, and weight regain were evaluated. Abstract and manuscript reviews were completed by the task force members to identify, grade, and categorize relevant studies. Results A total of 819 articles were identified in the initial search. After review for inclusion criteria and data quality, 175 articles were included in the systematic review and analysis. The majority of published studies are single center retrospective reviews. The evidence supporting reoperative Surgery for acute and chronic complications is described. The evidence regarding reoperative Surgery for failed weight loss and weight regain generally demonstrates improved weight loss and co-morbidity reduction after reintervention. Procedure-specific outcomes are described. Complication rates are generally reported to be higher after reoperative Surgery compared to primary Surgery. Conclusion The indications and outcomes for reoperative Bariatric Surgery are procedure-specific but the current evidence does support additional treatment for persistent obesity, co-morbid disease, and complications.
