subject:( Bariatric surgery)

University of Manitoba

1. Kwok, Karen. The impact of a pre-operative exercise program on patients awaiting bariatric surgery.

Degree: Surgery, 2016, University of Manitoba

URL: http://hdl.handle.net/1993/33662

► Background: Evidence supports the association between physical activity and weight loss following bariatric surgery but evidence is lacking for preoperative exercise. Objective: Evaluate short term… (more)

Subjects/Keywords: Bariatric Surgery; Exercise; Fitness

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Kwok, K. (2016). The impact of a pre-operative exercise program on patients awaiting bariatric surgery. (Masters Thesis). University of Manitoba. Retrieved from http://hdl.handle.net/1993/33662

Chicago Manual of Style (16^th Edition):

Kwok, Karen. “The impact of a pre-operative exercise program on patients awaiting bariatric surgery.” 2016. Masters Thesis, University of Manitoba. Accessed February 26, 2021. http://hdl.handle.net/1993/33662.

MLA Handbook (7^th Edition):

Kwok, Karen. “The impact of a pre-operative exercise program on patients awaiting bariatric surgery.” 2016. Web. 26 Feb 2021.

Vancouver:

Kwok K. The impact of a pre-operative exercise program on patients awaiting bariatric surgery. [Internet] [Masters thesis]. University of Manitoba; 2016. [cited 2021 Feb 26]. Available from: http://hdl.handle.net/1993/33662.

Council of Science Editors:

Kwok K. The impact of a pre-operative exercise program on patients awaiting bariatric surgery. [Masters Thesis]. University of Manitoba; 2016. Available from: http://hdl.handle.net/1993/33662

University of Illinois – Urbana-Champaign

2. Robinson, Katie Nicole. Fetuin-A: a novel marker for obesity and associated comorbidities.

Degree: PhD, Nutritional Sciences, 2017, University of Illinois – Urbana-Champaign

URL: http://hdl.handle.net/2142/97616

► Background: Obesity is a disease characterized by excess adiposity which complicates metabolism, mobility, and multiple systems in the body. Over a third of Americans have… (more)

▼ Background: Obesity is a disease characterized by excess adiposity which complicates metabolism, mobility, and multiple systems in the body. Over a third of Americans have a body mass index (BMI) greater than 30 kg/m2 and therefore, are considered obese. Excess adiposity may be prevented or reduced through behavioral, pharmacological and surgical methods. Bariatric surgery results in significant and sustained loss of body weight and body fat. Many bariatric surgeries have also been termed metabolic surgeries as they result in significant improvements of metabolic abnormalities associated with obesity including dyslipidemia and insulin resistance. It is estimated that 80% of individuals with Type 2 Diabetes Mellitus (T2DM) will experience resolution after bariatric surgeries such as Roux-en-Y gastric bypass and sleeve gastrectomy (SG). Although individuals with morbid obesity have a greater risk of T2DM, 25% remain insulin-sensitive. To date, it is unclear why some develop insulin-sensitive obesity (Obsen) and others insulin-resistant obesity (Obres). A validated biomarker to distinguish these groups may aid in more targeted interventions and monitoring of at-risk populations. Fetuin-A (FetA) has shown promise as a potential marker of insulin resistance yet much about this hepatokine remains unknown. The overarching goal of this research is to understand whether FetA may be a novel marker of obesity and obesity-associated insulin resistance. Therefore, the objectives of this research were to 1) determine the role genetics play in circulating FetA and metabolic health, 2) investigate how circulating FetA responds to SG, a bariatric procedure known to markedly improve insulin sensitivity, and 3) compare FetA, adipocyte hypertrophy and weight loss trajectories between SG patients with Obsen and Obres. Methods: To determine the genetic influence of FetA, 717 college applicants to the Autonomous University of San Luis Potosi, Mexico (18-25 years old) were genotyped for single nucleotide polymorphisms (rs4917 and rs2518136) in the gene that codes for FetA, alpha2-Heremans-Schmid Glycoprotein (AHSG). Circulating lipids, glucose, insulin and FetA were measured in plasma. To investigate the role of FetA in obesity and interventions aiming to improve insulin sensitivity, forty SG patients were recruited and evaluated longitudinally. Participants met with research staff at baseline (T0) (prior to hypocaloric, low-fat preoperative diet), on the morning of surgery (T1) and six weeks following surgery (T2). At each visit, fasting blood and three-day food logs were collected. Body composition was measured via direct segmental multi-frequency bioelectrical impedance analysis. Circulating FetA, insulin, blood lipids and glucose were measured at each visit. Omental adipose tissue was collected at the time of surgery. Formalin-fixed and paraffin-embedded tissues were stained with hematoxylin and eosin, and adipocyte diameter was calculated. To compare individuals with Obres and Obsen, the cohort was divided into age- and… Advisors/Committee Members: Teran-Garcia, Margarita (advisor), Donovan, Sharon M (Committee Chair), Johnson, Rodney (committee member), Pan, Yuan-Xiang (committee member).

Subjects/Keywords: Fetuin-A; Bariatric surgery; Obesity

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Robinson, K. N. (2017). Fetuin-A: a novel marker for obesity and associated comorbidities. (Doctoral Dissertation). University of Illinois – Urbana-Champaign. Retrieved from http://hdl.handle.net/2142/97616

Chicago Manual of Style (16^th Edition):

Robinson, Katie Nicole. “Fetuin-A: a novel marker for obesity and associated comorbidities.” 2017. Doctoral Dissertation, University of Illinois – Urbana-Champaign. Accessed February 26, 2021. http://hdl.handle.net/2142/97616.

MLA Handbook (7^th Edition):

Robinson, Katie Nicole. “Fetuin-A: a novel marker for obesity and associated comorbidities.” 2017. Web. 26 Feb 2021.

Vancouver:

Robinson KN. Fetuin-A: a novel marker for obesity and associated comorbidities. [Internet] [Doctoral dissertation]. University of Illinois – Urbana-Champaign; 2017. [cited 2021 Feb 26]. Available from: http://hdl.handle.net/2142/97616.

Council of Science Editors:

Robinson KN. Fetuin-A: a novel marker for obesity and associated comorbidities. [Doctoral Dissertation]. University of Illinois – Urbana-Champaign; 2017. Available from: http://hdl.handle.net/2142/97616

Louisiana State University

3. Bayham, Brooke Erwin. Obesity Treatment Alternatives: Foods to Surgery.

Degree: MS, Human Ecology, 2011, Louisiana State University

URL: etd-10312011-102824 ; https://digitalcommons.lsu.edu/gradschool_theses/3593

► The purpose of these studies was to explore the roles of dietary strategies and bariatric surgery in obesity treatment. The breakfast study was a randomized,… (more)

▼ The purpose of these studies was to explore the roles of dietary strategies and bariatric surgery in obesity treatment. The breakfast study was a randomized, crossover trial used to evaluate the role of egg proteins, and a retrospective chart review was conducted to obtain comparative information about two different bariatric surgeries. The breakfast study included 20 subjects who were randomized to receive an egg breakfast (EB) or a cereal breakfast (CB) matched for energy density and macronutrient composition but different protein quality for one week. Following a washout period, each subject was crossed over to receive the opposite breakfast for one week. The EB resulted in lower cumulative lunchtime food intake (p=0.05), reduced hunger on day 1 (p=0.001), greater feelings of fullness on days 1 and 7 (p=0.02), and decreased desire to eat on day 1 (p=0.03). Acylated ghrelin was lower on day 1 of the EB compared to the CB (p=0.005) but not on day 7. PYY was greater at 120 minutes (p=0.006) and 180 minutes (p=0.001) on day 1 and at 180 minutes on day 7 (p=0.03) after the EB. The bariatric surgery studies examined 835 Roux-en-Y gastric bypass (RYGB) patients and 766 vertical sleeve gastrectomy (VSG) patients. Study one focused on patients diagnosed with type 2 diabetes (T2D). The acute effect bariatric surgery had on resolving T2D was measured by calculating the number of patients who discontinued their hypoglycemic medication use post-operatively. Upon discharge, 95 of the 123 (77.2%) RYGB patients and 107 of the 139 (77.0%) VSG patients had been taken off their medication. Eight weeks post-operatively, 30 of the 38 (~79%) RYGB patients and 59 of the 71 (83%) VSG patients with follow-up data remained off medication. Study two examined differences in weight loss, early post-operative surgical complications, and insurance coverage between RYGB and VSG patients. RYGB patients lost more weight at one and two years (p<0.001 for both). There was no significant difference in the percentage of weight loss or complications in insured versus self-pay patients. RYGB patients experienced a higher incidence of major complications than VSG patients (p<0.001).

Subjects/Keywords: obesity; breakfast; bariatric surgery

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APA (6^th Edition):

Bayham, B. E. (2011). Obesity Treatment Alternatives: Foods to Surgery. (Masters Thesis). Louisiana State University. Retrieved from etd-10312011-102824 ; https://digitalcommons.lsu.edu/gradschool_theses/3593

Chicago Manual of Style (16^th Edition):

Bayham, Brooke Erwin. “Obesity Treatment Alternatives: Foods to Surgery.” 2011. Masters Thesis, Louisiana State University. Accessed February 26, 2021. etd-10312011-102824 ; https://digitalcommons.lsu.edu/gradschool_theses/3593.

MLA Handbook (7^th Edition):

Bayham, Brooke Erwin. “Obesity Treatment Alternatives: Foods to Surgery.” 2011. Web. 26 Feb 2021.

Vancouver:

Bayham BE. Obesity Treatment Alternatives: Foods to Surgery. [Internet] [Masters thesis]. Louisiana State University; 2011. [cited 2021 Feb 26]. Available from: etd-10312011-102824 ; https://digitalcommons.lsu.edu/gradschool_theses/3593.

Council of Science Editors:

Bayham BE. Obesity Treatment Alternatives: Foods to Surgery. [Masters Thesis]. Louisiana State University; 2011. Available from: etd-10312011-102824 ; https://digitalcommons.lsu.edu/gradschool_theses/3593

4. Theofanis, Georgios. Προοπτική μελέτη προεγχειρητικής χορήγησης εφάπαξ δόσης κορτικοστεροειδών, σε ασθενείς που υποβάλλονται σε επέμβαση για κλινικά σοβαρή παχυσαρκία.

Degree: 2017, University of Patras; Πανεπιστήμιο Πατρών

URL: http://hdl.handle.net/10442/hedi/39843

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A prospective randomized study of preoperative administration of methylprednisolone in patients with severe clinical obesity who are going to be submitted for bariatric surgery. Abstract… (more)

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A prospective randomized study of preoperative administration of methylprednisolone in patients with severe clinical obesity who are going to be submitted for bariatric surgery. Abstract Background: Bariatric surgery stimulates an intense systemic inflammatory response which might increase postoperative morbidity. Corticosteroids may reduce this inflammatory reaction. The purpose of this study was to investigate any possible effect on postoperative morbidity and patient recovery after administrating a single dose of methylprednisolone in super-obese patients prior to open bariatric surgery. Methods: Sixty super-obese patients with BMI ≥ 50 kg/m2 (mean 57.48 ± 7.33), mean age of 39 ± 9 years and various co-morbidities, who underwent a variant of biliopancreatic diversion with Roux-en-Y reconstruction (BPD–RYGB-LL) at our institution, were enrolled in the study. The participants were blindly allocated to a preoperative single dose of 30 mg/kg (ideal body weight) methylprednisolone (group A, 30 patients) versus placebo (group B, 30 patients). The end points of the study included the assessment of IL-6 and CRP serum levels, the documentation of postoperative complications and the evaluation of the postoperative health and recovery status (pulmonary function, pain management, nausea and vomiting). Results: Significant improvement in spirometry parameters and arterial blood gas analysis, in the first and third postoperative days, was observed to methylprednisolone group. Concomitantly IL-6 and CRP levels were significantly lower in that group. The administration of methylprednisolone was associated with statistically significant, less postoperative pain, nausea. Conclusions: Preoperative administration of a single high dose of methylprednisolone in super obese patients undergoing open bariatric surgery, inhibits the inflammatory signaling cascade, lessens the systemic inflammatory response and results in fewer postoperative complications and better patient recovery.

Προοπτική συγκριτική μελέτη αντιφλεγμονώδους δράσης και κλινικών επιπτώσεων, προεγχειρητικής χορήγησης μονήρους υψηλής δόσης κορτικοστεροειδούς, σε ασθενείς που υποβάλλονται σε ανοιχτή επέμβαση βαριατρικής χειρουργικής. Στόχος: H μελέτη της επίδρασης εφάπαξ προεγχειρητικής ενδοφλέβιας χορήγησης μεθυλπρεδνιζολόνης, στη συστηματική φλεγμονώδη απάντηση και στην άμεση μετεγχειρητική νοσηρότητα, μετά από ανοικτή επέμβαση ασθενών με νοσογόνο παχυσαρκία. Οι ασθενείς αυτοί υποβλήθηκαν σε ανοικτή επέμβαση βαριατρικής χειρουργικής. Υλικό και Μέθοδος: Πρόκειται για προοπτική μελέτη ασθενών με BMI>50, που υποβλήθηκαν σε ανοικτή βαριατρική δυσαπορροφητική επέμβαση (BPD-LL). Σε 30 ασθενείς χορηγήθηκε άμεσα προεγχειρητικά υψηλή δόση μεθυλπρεδνιζολόνης (30 mgr/kgr ιδανικού βάρους) και σε άλλους 30 placebo. Μετρήθηκαν φλεγμονώδεις παράγοντες (IL-6, CRP) προεγχειρητικά, την 1η ,3η και 6η μετεγχειρητική ημέρα και έγινε σύγκριση μεταξύ τους. Επίσης έγινε σπιρομετρική εκτίμηση αναπνευστικής λειτουργίας τις ίδιες χρονικές στιγμές, καθώς και εκτίμηση μετεγχειρητικού πόνου.…

Subjects/Keywords: Παχυσαρκία, νοσογόνος; Bariatric surgery

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APA (6^th Edition):

Theofanis, G. (2017). Προοπτική μελέτη προεγχειρητικής χορήγησης εφάπαξ δόσης κορτικοστεροειδών, σε ασθενείς που υποβάλλονται σε επέμβαση για κλινικά σοβαρή παχυσαρκία. (Thesis). University of Patras; Πανεπιστήμιο Πατρών. Retrieved from http://hdl.handle.net/10442/hedi/39843

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Theofanis, Georgios. “Προοπτική μελέτη προεγχειρητικής χορήγησης εφάπαξ δόσης κορτικοστεροειδών, σε ασθενείς που υποβάλλονται σε επέμβαση για κλινικά σοβαρή παχυσαρκία.” 2017. Thesis, University of Patras; Πανεπιστήμιο Πατρών. Accessed February 26, 2021. http://hdl.handle.net/10442/hedi/39843.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Theofanis, Georgios. “Προοπτική μελέτη προεγχειρητικής χορήγησης εφάπαξ δόσης κορτικοστεροειδών, σε ασθενείς που υποβάλλονται σε επέμβαση για κλινικά σοβαρή παχυσαρκία.” 2017. Web. 26 Feb 2021.

Vancouver:

Theofanis G. Προοπτική μελέτη προεγχειρητικής χορήγησης εφάπαξ δόσης κορτικοστεροειδών, σε ασθενείς που υποβάλλονται σε επέμβαση για κλινικά σοβαρή παχυσαρκία. [Internet] [Thesis]. University of Patras; Πανεπιστήμιο Πατρών; 2017. [cited 2021 Feb 26]. Available from: http://hdl.handle.net/10442/hedi/39843.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Theofanis G. Προοπτική μελέτη προεγχειρητικής χορήγησης εφάπαξ δόσης κορτικοστεροειδών, σε ασθενείς που υποβάλλονται σε επέμβαση για κλινικά σοβαρή παχυσαρκία. [Thesis]. University of Patras; Πανεπιστήμιο Πατρών; 2017. Available from: http://hdl.handle.net/10442/hedi/39843

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

5. Liaskos, Christos. Ορμονικές προσαρμογές που ακολουθούν την απώλεια βάρους μέσω της βαριατρικής χειρουργικής.

Degree: 2018, National and Kapodistrian University of Athens; Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών (ΕΚΠΑ)

URL: http://hdl.handle.net/10442/hedi/44892

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Background and aims: Bariatric surgery, the most effective method for the long-term treatment of morbid obesity, exerts beneficial effects on glucose metabolism. The possible underlying… (more)

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Background and aims: Bariatric surgery, the most effective method for the long-term treatment of morbid obesity, exerts beneficial effects on glucose metabolism. The possible underlying mechanisms include massive loss of fat mass, restricted caloric intake and changes in gut hormones. The aim of our study was to compare the effects of Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) on glucose, insulin resistance, as well as ghrelin, PYY and GLP-1 levels.Materials and methods: Twenty-eight morbidly obese patients were consecutively recruited, of which 11 underwent RYGB (age: 38.6±8.2 years; BMI: 48±6 kg/m2), and 17 SG (age: 41.3±8.1 years; BMI: 50.7±7.3 kg/m2, p=NS vs RYGB). They were examined preoperatively, as well as 3, 6, and 12 months after surgery. Blood samples were drawn before, and 30, 60, 90, 120, 150 and 180 min after consumption of a mixed meal for the measurement of glucose, insulin, triglycerides, ghrelin, PYY and GLP-1. Insulin resistance was estimated with the HOMA-IR index. Postprandial responses were expressed as area under the curve (AUC).Results: There were no preoperative differences between groups in any of the parameters. Both experienced significant and comparable weight loss postoperatively. Amelioration of glucose metabolism, as well as reduction of insulin resistance was observed after both surgeries. RYGB had a beneficial effect in terms of lipid metabolism when compared with SG. Fasting ghrelin levels decreased after SG (Ghrelin_preop_SG: 223.2±77 vs 3months: 129.3±20.9, 6months: 106.4±15.8, 12months: 128±19.8 pg/mL, all p<0.02 vs preop), while they were increased at 12 months (p=0.04 vs preop) after RYGB. Ghrelin postprandial response was decreased significantly at 6 and 12 months after SG (both p<0.01), with nonsignificant changes after RYGB. Postprandial PYY response was increased at 3, 6, and 12 months after RYGB (PYY_AUC_preop_RYGB: 11406.7±4593.9 vs 3months: 19187.4±5617.5, 6months: 22405.8±8259.2, 12months: 24940.6±9399.1 pg•min/mL, all p≤0.02), and only at 3 months after SG (p=0.016). Finally, postprandial GLP-1 levels were significantly higher in the RYGB group compared to that after SG at 6 months (GLP-1_AUC_6months_RYGB: 9966±2137.9 vs SG: 7507.7±3011.1 pM•min, p=0.046). Lipidemic profil was reduced only after RYGB.Conclusion: RYGB and SG induce distinctly differing gut hormone responses, the first leading to a pronounced increase in PYY, and the second to a decrease in ghrelin. However, the satiety-inducing effects of both lead to comparable effects on weight loss, glucose dynamics, and insulin sensitivity. It seems that weight loss per se is the primary driving force behind these metabolic improvements, while gut hormones play a secondary role. RYGB exerts also a beneficial effect in terms of fasting and postprandial lipidemia.

Εισαγωγή και στόχοι: Η βαριατρική χειρουργική θεωρείται ως η πιο αποτελεσματική μέθοδος για τη μακροχρόνια θεραπεία της νοσογόνου παχυσαρκίας, έχοντας ευμενείς επιδράσεις στον μεταβολισμό της γλυκόζης και των λιπιδίων. Πιθανοί υποκείμενοι…

Subjects/Keywords: Βαριατρική χειρουργική; Bariatric surgery

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APA (6^th Edition):

Liaskos, C. (2018). Ορμονικές προσαρμογές που ακολουθούν την απώλεια βάρους μέσω της βαριατρικής χειρουργικής. (Thesis). National and Kapodistrian University of Athens; Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών (ΕΚΠΑ). Retrieved from http://hdl.handle.net/10442/hedi/44892

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Liaskos, Christos. “Ορμονικές προσαρμογές που ακολουθούν την απώλεια βάρους μέσω της βαριατρικής χειρουργικής.” 2018. Thesis, National and Kapodistrian University of Athens; Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών (ΕΚΠΑ). Accessed February 26, 2021. http://hdl.handle.net/10442/hedi/44892.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Liaskos, Christos. “Ορμονικές προσαρμογές που ακολουθούν την απώλεια βάρους μέσω της βαριατρικής χειρουργικής.” 2018. Web. 26 Feb 2021.

Vancouver:

Liaskos C. Ορμονικές προσαρμογές που ακολουθούν την απώλεια βάρους μέσω της βαριατρικής χειρουργικής. [Internet] [Thesis]. National and Kapodistrian University of Athens; Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών (ΕΚΠΑ); 2018. [cited 2021 Feb 26]. Available from: http://hdl.handle.net/10442/hedi/44892.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Liaskos C. Ορμονικές προσαρμογές που ακολουθούν την απώλεια βάρους μέσω της βαριατρικής χειρουργικής. [Thesis]. National and Kapodistrian University of Athens; Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών (ΕΚΠΑ); 2018. Available from: http://hdl.handle.net/10442/hedi/44892

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of New South Wales

6. Chan, Jade. Life after bariatric surgery: psychosocial predictors of post-operative adherence.

Degree: Psychology, 2018, University of New South Wales

URL: http://handle.unsw.edu.au/1959.4/60360 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:51900/SOURCE02?view=true

► Bariatric surgery is among the most effective treatments for obesity, but 10-20% of patients fail to achieve sufficient weight loss or to maintain weight loss… (more)

▼ Bariatric surgery is among the most effective treatments for obesity, but 10-20% of patients fail to achieve sufficient weight loss or to maintain weight loss over time. This variability in outcomes may be associated with variability in adherence to treatment instructions after bariatric surgery. The first aim of this thesis was to identify psychosocial predictors of post-operative adherence that can be addressed through psychological interventions. A systematic review (Chapter 2) was conducted to consolidate current literature of clinically malleable psychosocial factors associated with post-operative adherence. The review indicated that depression is commonly linked to poorer adherence, and self-efficacy was associated with better adherence, although the literature overall was fairly sparse. Next, a pilot study (Chapter 3) and a longitudinal study (Chapter 4) were conducted to identify psychosocial predictors of post-operative adherence. The cross-sectional pilot study found that higher self-efficacy and more positive beliefs about adherence were associated with better adherence, and higher levels of depressive symptoms were associated with poorer adherence. The longitudinal study (with 6- and 12-month follow-ups) found that baseline self-efficacy predicted better dietary and exercise adherence at the 6-month follow-up. Conversely, baseline anxiety about weight regain predicted poorer adherence to follow-up appointments. Adherence to dietary and exercise instructions, follow-up appointments, and support groups at the 6-month follow-up was positively predictive of adherence at the 12-month follow-up which, in turn, was associated with better treatment outcomes (weight loss, quality of life, improvements in comorbidities).The second aim of this thesis was to qualitatively explore patient perspectives on psychological services in the bariatric setting (Chapter 5). Participants reported believing that psychological care is essential for treatment success and indicated that they wanted support with adjusting to lifestyle, self-identity, and relationship changes after surgery. Participants suggested that psychological aftercare should be recommended by their medical team and incorporated into standard patient management after bariatric surgery. Taken together, the findings of this thesis suggest that there may be value in providing psychological care to patients after bariatric surgery to address psychosocial factors that are associated with adherence and to offer support in patients’ adjustment to life after bariatric surgery. Advisors/Committee Members: Vartanian, Lenny, Psychology, Faculty of Science, UNSW.

Subjects/Keywords: Compliance; Bariatric surgery; Adherence

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APA (6^th Edition):

Chan, J. (2018). Life after bariatric surgery: psychosocial predictors of post-operative adherence. (Doctoral Dissertation). University of New South Wales. Retrieved from http://handle.unsw.edu.au/1959.4/60360 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:51900/SOURCE02?view=true

Chicago Manual of Style (16^th Edition):

Chan, Jade. “Life after bariatric surgery: psychosocial predictors of post-operative adherence.” 2018. Doctoral Dissertation, University of New South Wales. Accessed February 26, 2021. http://handle.unsw.edu.au/1959.4/60360 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:51900/SOURCE02?view=true.

MLA Handbook (7^th Edition):

Chan, Jade. “Life after bariatric surgery: psychosocial predictors of post-operative adherence.” 2018. Web. 26 Feb 2021.

Vancouver:

Chan J. Life after bariatric surgery: psychosocial predictors of post-operative adherence. [Internet] [Doctoral dissertation]. University of New South Wales; 2018. [cited 2021 Feb 26]. Available from: http://handle.unsw.edu.au/1959.4/60360 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:51900/SOURCE02?view=true.

Council of Science Editors:

Chan J. Life after bariatric surgery: psychosocial predictors of post-operative adherence. [Doctoral Dissertation]. University of New South Wales; 2018. Available from: http://handle.unsw.edu.au/1959.4/60360 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:51900/SOURCE02?view=true

7. Mori, Candace Lynn. Understanding the Experience of Osteoporosis Risk in Bariatric Surgical Patients.

Degree: PhD, College of Nursing, 2019, Kent State University

URL: http://rave.ohiolink.edu/etdc/view?acc_num=kent1573669680874186

► Despite what is known about risk factors, preventive treatment, and increased prevalence of fragility fractures in post-bariatric surgical patients, little is known about how patient… (more)

Subjects/Keywords: Nursing; Bariatric Surgery, Osteoporosis

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APA (6^th Edition):

Mori, C. L. (2019). Understanding the Experience of Osteoporosis Risk in Bariatric Surgical Patients. (Doctoral Dissertation). Kent State University. Retrieved from http://rave.ohiolink.edu/etdc/view?acc_num=kent1573669680874186

Chicago Manual of Style (16^th Edition):

Mori, Candace Lynn. “Understanding the Experience of Osteoporosis Risk in Bariatric Surgical Patients.” 2019. Doctoral Dissertation, Kent State University. Accessed February 26, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=kent1573669680874186.

MLA Handbook (7^th Edition):

Mori, Candace Lynn. “Understanding the Experience of Osteoporosis Risk in Bariatric Surgical Patients.” 2019. Web. 26 Feb 2021.

Vancouver:

Mori CL. Understanding the Experience of Osteoporosis Risk in Bariatric Surgical Patients. [Internet] [Doctoral dissertation]. Kent State University; 2019. [cited 2021 Feb 26]. Available from: http://rave.ohiolink.edu/etdc/view?acc_num=kent1573669680874186.

Council of Science Editors:

Mori CL. Understanding the Experience of Osteoporosis Risk in Bariatric Surgical Patients. [Doctoral Dissertation]. Kent State University; 2019. Available from: http://rave.ohiolink.edu/etdc/view?acc_num=kent1573669680874186

University of Tasmania

8. Kuzminov, A. Public bariatric surgery in Tasmania : patient pathways and health service use.

Degree: 2019, University of Tasmania

URL: https://eprints.utas.edu.au/31718/1/Kuzminov_whole_thesis.pdf ; Kuzminov, A ORCID: 0000-0002-7544-4752 <https://orcid.org/0000-0002-7544-4752> 2019 , 'Public bariatric surgery in Tasmania : patient pathways and health service use', PhD thesis, University of Tasmania.

► Background: Many patients eligible for bariatric surgery in Australia do not have private health insurance, which creates significant pressure on the public system, with prolonged… (more)

▼ Background: Many patients eligible for bariatric surgery in Australia do not have private health insurance, which creates significant pressure on the public system, with prolonged wait-list times. Public hospital service use by this patient group is under-investigated. Australia-wide, public hospitals perform a higher proportion of revisional procedures than private hospitals (36% vs 25%), possibly limiting access to primary procedures. The aim of the study was to investigate the impact of bariatric surgery provision in the Tasmanian public sector on public hospital service use, particularly hospital admissions and emergency department (ED) presentation rates and to identify and describe revisional surgery pathways, including subsequent re-revisions. Methods: A statewide retrospective cohort study was conducted of public hospital service use by all Tasmanian patients on the wait-list for publicly funded bariatric surgery from 2008 to 2013. Multiple administrative databases and data linked with the Tasmanian Death Registry were used. Rates of hospital admissions in 2006–2014 and ED presentations in 2000–2014 were compared for operated-on patients and those who dropped-out of the wait-list. Public hospital service use was analysed in different periods: prior to wait-list placement, while on the wait-list, and after removal from the wait-list either after having a bariatric procedure or dropping out without surgery. Incidence rate ratios (IRR) with 95% confidence intervals (CI) for groups and periods comparisons were derived using a negative binomial regression mixed-effects model adjusted for sex, age and non-independent observation periods. Hospital service use was analysed for primary vs revisional bariatric surgery recipients using similar methods. A systematic review of revisional surgery outcomes, such as subsequent revisions and complication rates, was performed, including papers following at least 75% of patients for 12 months or more. Results: The cohort study identified 652 patients wait-listed for primary bariatric surgery, of whom 178 (27.3%) had bariatric surgery and 236 (36.2%) dropped-out from the wait-list. Together, these patients had 3,120 public hospital admissions and 5,149 ED presentations. Number of days in hospital per year was higher for the dropped-out patients than for surgery recipients while on the wait-list (IRR 2.22, 95% CI 1.36–3.61). Hospital admission rates did not increase post-surgery (IRR 1.08, 95% CI 0.83–1.41) but days admitted per year did increase (IRR 1.53, 95% CI 1.01–2.34). ED presentation rates did not change significantly post-surgery compared with the waiting period (IRR 1.19, 95% CI 0.90–1.56). Presentation rates significantly increased for digestive system (IRR 2.02, 95% CI 1.19–3.45) and psychiatric diseases (IRR 4.85, 95% CI 1.06–22.26) after surgery. The likelihood of being admitted from the ED significantly increased after surgery (31.7% to 38.9%, p<0.05). A total of 95 patients wait-listed for revisional surgery were identified; 91 (95.2%) of the patients were…

Subjects/Keywords: bariatric surgery; wait-list; bariatric revision; public health service use

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APA (6^th Edition):

Kuzminov, A. (2019). Public bariatric surgery in Tasmania : patient pathways and health service use. (Thesis). University of Tasmania. Retrieved from https://eprints.utas.edu.au/31718/1/Kuzminov_whole_thesis.pdf ; Kuzminov, A ORCID: 0000-0002-7544-4752 <https://orcid.org/0000-0002-7544-4752> 2019 , 'Public bariatric surgery in Tasmania : patient pathways and health service use', PhD thesis, University of Tasmania.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Kuzminov, A. “Public bariatric surgery in Tasmania : patient pathways and health service use.” 2019. Thesis, University of Tasmania. Accessed February 26, 2021. https://eprints.utas.edu.au/31718/1/Kuzminov_whole_thesis.pdf ; Kuzminov, A ORCID: 0000-0002-7544-4752 <https://orcid.org/0000-0002-7544-4752> 2019 , 'Public bariatric surgery in Tasmania : patient pathways and health service use', PhD thesis, University of Tasmania..

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Kuzminov, A. “Public bariatric surgery in Tasmania : patient pathways and health service use.” 2019. Web. 26 Feb 2021.

Vancouver:

Kuzminov A. Public bariatric surgery in Tasmania : patient pathways and health service use. [Internet] [Thesis]. University of Tasmania; 2019. [cited 2021 Feb 26]. Available from: https://eprints.utas.edu.au/31718/1/Kuzminov_whole_thesis.pdf ; Kuzminov, A ORCID: 0000-0002-7544-4752 <https://orcid.org/0000-0002-7544-4752> 2019 , 'Public bariatric surgery in Tasmania : patient pathways and health service use', PhD thesis, University of Tasmania..

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Kuzminov A. Public bariatric surgery in Tasmania : patient pathways and health service use. [Thesis]. University of Tasmania; 2019. Available from: https://eprints.utas.edu.au/31718/1/Kuzminov_whole_thesis.pdf ; Kuzminov, A ORCID: 0000-0002-7544-4752 <https://orcid.org/0000-0002-7544-4752> 2019 , 'Public bariatric surgery in Tasmania : patient pathways and health service use', PhD thesis, University of Tasmania.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Boston University

9. Smith, Catherine Mary. The development of a mouse model of post-bariatric hyperinsulinemic hypoglycemia.

Degree: MS, Medical Sciences, 2017, Boston University

URL: http://hdl.handle.net/2144/23731

► BACKGROUND: Post-bariatric hypoglycemia (PBH), a complication of gastric bypass surgery, is characterized by postprandial hyperinsulinemic hypoglycemia. To date, the etiology of PBH has not been… (more)

Subjects/Keywords: Endocrinology; Diabetes; Endocrinology; Hypoglycemia; Bariatric surgery; Post bariatric hypoglycemia

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APA (6^th Edition):

Smith, C. M. (2017). The development of a mouse model of post-bariatric hyperinsulinemic hypoglycemia. (Masters Thesis). Boston University. Retrieved from http://hdl.handle.net/2144/23731

Chicago Manual of Style (16^th Edition):

Smith, Catherine Mary. “The development of a mouse model of post-bariatric hyperinsulinemic hypoglycemia.” 2017. Masters Thesis, Boston University. Accessed February 26, 2021. http://hdl.handle.net/2144/23731.

MLA Handbook (7^th Edition):

Smith, Catherine Mary. “The development of a mouse model of post-bariatric hyperinsulinemic hypoglycemia.” 2017. Web. 26 Feb 2021.

Vancouver:

Smith CM. The development of a mouse model of post-bariatric hyperinsulinemic hypoglycemia. [Internet] [Masters thesis]. Boston University; 2017. [cited 2021 Feb 26]. Available from: http://hdl.handle.net/2144/23731.

Council of Science Editors:

Smith CM. The development of a mouse model of post-bariatric hyperinsulinemic hypoglycemia. [Masters Thesis]. Boston University; 2017. Available from: http://hdl.handle.net/2144/23731

University of Manchester

10. Mackintosh, Michelle. The impact of obesity and weight loss on the malignant potential of endometrium.

Degree: 2016, University of Manchester

URL: http://www.manchester.ac.uk/escholar/uk-ac-man-scw:302438

► IntroductionThe incidence of endometrial cancer is rising steeply, with the obesity epidemic believed to be the cause. Women with a BMI > 42kg/m2 have a… (more)

▼ IntroductionThe incidence of endometrial cancer is rising steeply, with the obesity epidemic believed to be the cause. Women with a BMI > 42kg/m2 have a 9-fold increase in their relative risk of endometrial cancer. Few studies have investigated the endometrial effects of obesity or weight loss. I hypothesised that morbidly obese women had a high prevalence of undiagnosed endometrial cancer and pre-cancer, and that major weight loss would result in measurable systemic and endometrial effects. Methods118 morbidly obese women undergoing weight loss surgery or non-surgical weight management were recruited into a prospective cohort study. Blood and endometrial samples were taken at baseline, 2 and 12 months.Results80 women have undergone baseline assessment (mean age 44 years, median BMI 52kg/m2). Menstrual and reproductive dysfunction was common (15% pre-menopausal amenorrhoea, 31% oligomenorrhoea) and less than one third reported regular menstrual cycles. Four cases of endometrial cancer and six of atypical endometrial hyperplasia were detected at baseline (prevalence 12.5%, 95% CI 6.2-21.8), and women with abnormal endometrium had significantly higher HbA1c and pAKT levels. Undiagnosed diabetes was found in 6%, and overall more than 38% were diabetic and up to 40% more had raised HOMA-IR levels.Significant serial improvements were seen in insulin resistance, adipokines, inflammation and androgens after bariatric surgery. In endometrium significant reductions were seen in Ki-67, pAKT, ER and PR expression. In samples matched for cycle timing and not affected by exogenous hormone treatment Ki-67 reduced by 11% and 17% at 2 and 12 months post-surgery. AEH resolved with weight loss alone in 3/6 patients and with weight loss and LNG-IUS in 2/6 women. Ki-67 expression correlated weakly with pAKT, serum oestradiol, HOMA-IR, FAI and adipokines.ConclusionsSuch a high prevalence of endometrial cancer and pre-cancer in morbidly obese women supports targeted screening in this high-risk group and highlights the importance of diagnosing and managing insulin resistance. Reduction in proliferation appears to be mediated by the PI3K/AKT pathway and through changes in insulin resistance, reproductive hormones and inflammation. Ki-67 may have a use as a marker of the ‘high-risk’ endometrium or in the future surveillance of endometrial abnormality being managed by fertility-sparing means. Advisors/Committee Members: CROSBIE, EMMA E, Kitchener, Henry, Crosbie, Emma.

Subjects/Keywords: Obesity; Endometrium; Weight loss; Bariatric surgery

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APA (6^th Edition):

Mackintosh, M. (2016). The impact of obesity and weight loss on the malignant potential of endometrium. (Doctoral Dissertation). University of Manchester. Retrieved from http://www.manchester.ac.uk/escholar/uk-ac-man-scw:302438

Chicago Manual of Style (16^th Edition):

Mackintosh, Michelle. “The impact of obesity and weight loss on the malignant potential of endometrium.” 2016. Doctoral Dissertation, University of Manchester. Accessed February 26, 2021. http://www.manchester.ac.uk/escholar/uk-ac-man-scw:302438.

MLA Handbook (7^th Edition):

Mackintosh, Michelle. “The impact of obesity and weight loss on the malignant potential of endometrium.” 2016. Web. 26 Feb 2021.

Vancouver:

Mackintosh M. The impact of obesity and weight loss on the malignant potential of endometrium. [Internet] [Doctoral dissertation]. University of Manchester; 2016. [cited 2021 Feb 26]. Available from: http://www.manchester.ac.uk/escholar/uk-ac-man-scw:302438.

Council of Science Editors:

Mackintosh M. The impact of obesity and weight loss on the malignant potential of endometrium. [Doctoral Dissertation]. University of Manchester; 2016. Available from: http://www.manchester.ac.uk/escholar/uk-ac-man-scw:302438

Boston University

11. Flynn, Elizabeth Maureen. The effects of bariatric surgery on fetal development and neonatal outcomes.

Degree: MS, Medical Sciences, 2016, Boston University

URL: http://hdl.handle.net/2144/19180

► BACKGROUND: Over two-thirds of the United States population is considered overweight or obese. Bariatric surgery is often used when conservative weight loss measures fail. The… (more)

Subjects/Keywords: Medicine; Bariatric surgery; Small for gestational age

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APA (6^th Edition):

Flynn, E. M. (2016). The effects of bariatric surgery on fetal development and neonatal outcomes. (Masters Thesis). Boston University. Retrieved from http://hdl.handle.net/2144/19180

Chicago Manual of Style (16^th Edition):

Flynn, Elizabeth Maureen. “The effects of bariatric surgery on fetal development and neonatal outcomes.” 2016. Masters Thesis, Boston University. Accessed February 26, 2021. http://hdl.handle.net/2144/19180.

MLA Handbook (7^th Edition):

Flynn, Elizabeth Maureen. “The effects of bariatric surgery on fetal development and neonatal outcomes.” 2016. Web. 26 Feb 2021.

Vancouver:

Flynn EM. The effects of bariatric surgery on fetal development and neonatal outcomes. [Internet] [Masters thesis]. Boston University; 2016. [cited 2021 Feb 26]. Available from: http://hdl.handle.net/2144/19180.

Council of Science Editors:

Flynn EM. The effects of bariatric surgery on fetal development and neonatal outcomes. [Masters Thesis]. Boston University; 2016. Available from: http://hdl.handle.net/2144/19180

12. Andersson, Emma. Patient Experiences after Undergoing Bariatric Surgery.

Degree: 2015, , Department of Health

URL: http://urn.kb.se/resolve?urn=urn:nbn:se:bth-754

► Background: Overweight and obesity has increased worldwide and is a leading cause of preventable death. This has led to the quantity of bariatric surgical… (more)

▼ Background: Overweight and obesity has increased worldwide and is a leading cause of preventable death. This has led to the quantity of bariatric surgical procedures in Sweden increasing. Research has identified significant medical benefits such as long-term weight loss, improved risk factors and significant reduction of mortality resulting from the surgery, however research focusing on the experiences of patients has not been undertaken to the same degree. The increasing incidence of overweight and obesity suggest that this patient group will continue to increase each year. Knowledge about the experience of bariatric surgery, including the challenges it represents from the patients’ perspective, is essential for nurses in order to provide the best possible care. Aim: The aim of the study was to investigate the patient’s experiences after undergoing bariatric surgery beyond the initial post-operative period of 6 months. Method: This study has been conducted as a literature review of nine qualitative scientific nursing articles. The data was analysed by conducting a manifest content analysis. Result: The results found that experiences after bariatric surgery beyond the initial post-operative period were both positive and negative. How the individuals adapted to the changes the surgery entailed was found to be a strong factor in determining the nature of the experience. Two main categories emerged from the data; ‘Enforced Structure’ and ‘A Complete Transformation’. Conclusion: Undergoing bariatric surgery results in extensive and complex changes for this patient group to adapt to. Exploring their experiences has allowed factors for successful and challenging adaption to these changes to be identified. Nursing professionals can use this knowledge to help guide bariatric patients towards a successful adaption to the multitude of changes that surgery encompasses.

Subjects/Keywords: Adaption; bariatric surgery; experience; transition.; Nursing; Omvårdnad

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APA (6^th Edition):

Andersson, E. (2015). Patient Experiences after Undergoing Bariatric Surgery. (Thesis). , Department of Health. Retrieved from http://urn.kb.se/resolve?urn=urn:nbn:se:bth-754

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Andersson, Emma. “Patient Experiences after Undergoing Bariatric Surgery.” 2015. Thesis, , Department of Health. Accessed February 26, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-754.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Andersson, Emma. “Patient Experiences after Undergoing Bariatric Surgery.” 2015. Web. 26 Feb 2021.

Vancouver:

Andersson E. Patient Experiences after Undergoing Bariatric Surgery. [Internet] [Thesis]. , Department of Health; 2015. [cited 2021 Feb 26]. Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:bth-754.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Andersson E. Patient Experiences after Undergoing Bariatric Surgery. [Thesis]. , Department of Health; 2015. Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:bth-754

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Kristianstad University

13. Olin, Nathalie. När magen krympte : patientupplevelser före och efter överviktskirurgi.

Degree: Health and Society, 2014, Kristianstad University

URL: http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-12812

►

Bakgrund: Överviktsoperationer ökar i snabb takt runt om i världen i samband med en eskalerande fetmaepidemi. En överviktsoperation innebär stora förändringar i livet och… (more)

▼

Bakgrund: Överviktsoperationer ökar i snabb takt runt om i världen i samband med en eskalerande fetmaepidemi. En överviktsoperation innebär stora förändringar i livet och ställer krav på att sjukvårdspersonal är kunniga om dessa förändringar ur patientens perspektiv. Syfte: Syftet med litteraturstudien var att belysa patienters upplevelser före och efter överviktskirurgi. Metod: 13 vetenskapliga artiklar granskades och analyserades. Sammanställningen resulterade i ett tema och fem presenterade underkategorier. Resultat: Överviktskirurgi blev en sista chans till ett bättre liv för patienterna. De hade förväntningar på ett förändrat liv, som i många fall till stor besvikelse inte blev bättre. Patienterna upplevde att den mentala hälsan blev åsidosatt vid överviktskirurgi, varav de önskade att vårdpersonalen la mer fokus på just detta. Slutsats: Då överviktskirurgi är en livsomvälvande process är det viktigt att sjuksköterskan har förståelse för patientens hela upplevelse, även den känslomässiga.

Background: The number of bariatric surgeries performed globally is increasing in relation to an escalating obesity epidemic. Bariatric surgery leads to life-changing processes and put demands on health care staff to have knowledge about these changes from the patients’ perspective. Purpose: The purpose of the literature review was to illuminate patients’ experiences before and after bariatric surgery. Method: Thirteen scientific articles were reviewed and analysed. The combination resulted in a theme and five presented subcategories. Results: Bariatric surgery became the last chance to a better life for the patients. They had expectations of a changed life, which in many cases to great disappointment didn’t became better. The patients experienced that the mental health was disacknowledged while going through bariatric surgery and was something they wished that the health care staff had focused more on. Conclusion: Bariatric surgery is a life-changing process, why it’s important for the nurse to understand the experiences of the patient, even the emotional experience.

Subjects/Keywords: bariatric surgery; patient; experience; överviktskirurgi; patient; upplevelser

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Olin, N. (2014). När magen krympte : patientupplevelser före och efter överviktskirurgi. (Thesis). Kristianstad University. Retrieved from http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-12812

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Olin, Nathalie. “När magen krympte : patientupplevelser före och efter överviktskirurgi.” 2014. Thesis, Kristianstad University. Accessed February 26, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-12812.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Olin, Nathalie. “När magen krympte : patientupplevelser före och efter överviktskirurgi.” 2014. Web. 26 Feb 2021.

Vancouver:

Olin N. När magen krympte : patientupplevelser före och efter överviktskirurgi. [Internet] [Thesis]. Kristianstad University; 2014. [cited 2021 Feb 26]. Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-12812.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Olin N. När magen krympte : patientupplevelser före och efter överviktskirurgi. [Thesis]. Kristianstad University; 2014. Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-12812

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Manchester

14. Mackintosh, Michelle. The impact of obesity and weight loss on the malignant potential of endometrium.

Degree: Thesis (M.D.), 2016, University of Manchester

URL: https://www.research.manchester.ac.uk/portal/en/theses/the-impact-of-obesity-and-weight-loss-on-the-malignant-potential-of-endometrium(99ba5e72-6a91-4812-a97e-67648d105b9f).html ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.756803

► Introduction: The incidence of endometrial cancer is rising steeply, with the obesity epidemic believed to be the cause. Women with a BMI > 42kg/m2 have… (more)

▼ Introduction: The incidence of endometrial cancer is rising steeply, with the obesity epidemic believed to be the cause. Women with a BMI > 42kg/m2 have a 9-fold increase in their relative risk of endometrial cancer. Few studies have investigated the endometrial effects of obesity or weight loss. I hypothesised that morbidly obese women had a high prevalence of undiagnosed endometrial cancer and pre-cancer, and that major weight loss would result in measurable systemic and endometrial effects. Methods: 118 morbidly obese women undergoing weight loss surgery or non-surgical weight management were recruited into a prospective cohort study. Blood and endometrial samples were taken at baseline, 2 and 12 months. Results: 80 women have undergone baseline assessment (mean age 44 years, median BMI 52kg/m2). Menstrual and reproductive dysfunction was common (15% pre-menopausal amenorrhoea, 31% oligomenorrhoea) and less than one third reported regular menstrual cycles. Four cases of endometrial cancer and six of atypical endometrial hyperplasia were detected at baseline (prevalence 12.5%, 95% CI 6.2-21.8), and women with abnormal endometrium had significantly higher HbA1c and pAKT levels. Undiagnosed diabetes was found in 6%, and overall more than 38% were diabetic and up to 40% more had raised HOMA-IR levels. Significant serial improvements were seen in insulin resistance, adipokines, inflammation and androgens after bariatric surgery. In endometrium significant reductions were seen in Ki-67, pAKT, ER and PR expression. In samples matched for cycle timing and not affected by exogenous hormone treatment Ki-67 reduced by 11% and 17% at 2 and 12 months post-surgery. AEH resolved with weight loss alone in 3/6 patients and with weight loss and LNG-IUS in 2/6 women. Ki-67 expression correlated weakly with pAKT, serum oestradiol, HOMA-IR, FAI and adipokines. Conclusions: Such a high prevalence of endometrial cancer and pre-cancer in morbidly obese women supports targeted screening in this high-risk group and highlights the importance of diagnosing and managing insulin resistance. Reduction in proliferation appears to be mediated by the PI3K/AKT pathway and through changes in insulin resistance, reproductive hormones and inflammation. Ki-67 may have a use as a marker of the 'high-risk' endometrium or in the future surveillance of endometrial abnormality being managed by fertility-sparing means.

Subjects/Keywords: 616.99; Weight loss; Bariatric surgery; Endometrium; Obesity

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Mackintosh, M. (2016). The impact of obesity and weight loss on the malignant potential of endometrium. (Doctoral Dissertation). University of Manchester. Retrieved from https://www.research.manchester.ac.uk/portal/en/theses/the-impact-of-obesity-and-weight-loss-on-the-malignant-potential-of-endometrium(99ba5e72-6a91-4812-a97e-67648d105b9f).html ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.756803

Chicago Manual of Style (16^th Edition):

Mackintosh, Michelle. “The impact of obesity and weight loss on the malignant potential of endometrium.” 2016. Doctoral Dissertation, University of Manchester. Accessed February 26, 2021. https://www.research.manchester.ac.uk/portal/en/theses/the-impact-of-obesity-and-weight-loss-on-the-malignant-potential-of-endometrium(99ba5e72-6a91-4812-a97e-67648d105b9f).html ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.756803.

MLA Handbook (7^th Edition):

Mackintosh, Michelle. “The impact of obesity and weight loss on the malignant potential of endometrium.” 2016. Web. 26 Feb 2021.

Vancouver:

Mackintosh M. The impact of obesity and weight loss on the malignant potential of endometrium. [Internet] [Doctoral dissertation]. University of Manchester; 2016. [cited 2021 Feb 26]. Available from: https://www.research.manchester.ac.uk/portal/en/theses/the-impact-of-obesity-and-weight-loss-on-the-malignant-potential-of-endometrium(99ba5e72-6a91-4812-a97e-67648d105b9f).html ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.756803.

Council of Science Editors:

Mackintosh M. The impact of obesity and weight loss on the malignant potential of endometrium. [Doctoral Dissertation]. University of Manchester; 2016. Available from: https://www.research.manchester.ac.uk/portal/en/theses/the-impact-of-obesity-and-weight-loss-on-the-malignant-potential-of-endometrium(99ba5e72-6a91-4812-a97e-67648d105b9f).html ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.756803

McMaster University

15. Chen, Yuk Kwan Cassandra. Bariatric surgery alters the gut microbiota and blood glucose in mice.

Degree: MSc, 2020, McMaster University

URL: http://hdl.handle.net/11375/25945

►

The prevalence of obesity is increasing globally. Obesity is characterized by increased fat mass and is a risk factor for type 2 diabetes (T2D). Obesity… (more)

▼

The prevalence of obesity is increasing globally. Obesity is characterized by increased fat mass and is a risk factor for type 2 diabetes (T2D). Obesity is associated with hyperglycaemia, hyperinsulinemia, insulin resistance and chronic inflammation. Currently, the most effective and durable treatment for obesity and its comorbidities is bariatric surgery. Bariatric surgery changes food intake, energy balance and the composition of gut microbiota. Bariatric surgery can lower blood glucose and put T2D into remission. It was unknown if bariatric surgery-induced changes in the gut microbiota was an independent yet sufficient factor to lower blood glucose. Fecal microbiota transplantation (FMT) was performed on conventional (specific-pathogen-free, SPF) and germ-free (GF) mice using fecal material obtained from patients before surgery and 12 months after bariatric surgery. We tested FMT into mice from the same patients before and after vertical sleeve gastrectomy (VSL) and biliopancreatic diversion with duodenal switch (BPD/DS). FMT did not alter body weight, fat mass, glucose tolerance or glucose transporter mRNA expression in all intestine segments in SPF mice. FMT lowered blood glucose during an oral glucose load in GF mice receiving bacteria after VSL and BPD/DS bariatric surgery. Post-BPD/DS surgery FMT decreased Glut1 transcript level in the ileum and increased Glut1 transcript level in the TA muscle of GF mice, but did not change GLUT1 protein levels. Post-BPD/DS surgery FMT also decreased goblet cell count, villus height and crypt depth in the ileum of GF mice. We conclude that changes in the gut microbiota caused by bariatric surgery is a standalone factor that can lower blood glucose and alter gut morphology.

Thesis

Master of Science (MSc)

Type 2 diabetes is a chronic disease that involves high blood sugar (i.e. glucose), which can damage many parts of the body leading to serious complications. Diabetes is a growing global problem and is the seventh leading cause of death. Obesity is one of the largest factors leading to type 2 diabetes. Bariatric surgery reduces obesity and is to date the most effective method to lower blood glucose and reverse type 2 diabetes. Bariatric surgery alters gut anatomy and the types of bacteria that inhabit the gut. Gut bacteria can change obesity and blood glucose levels, but it was not known if the bacterial community present after bariatric surgery was a factor that is sufficient to lower blood glucose. We found that transferring gut bacteria from humans after bariatric surgery into mice lowers the blood glucose and alters the gut barrier structure where food is absorbed. It is not yet clear how this happens, but these findings show that a change in gut microbes is a standalone factor that can alter host blood glucose. Finding the glucose lowering factor in bacteria may be a new treatment to combat type 2 diabetes.

Advisors/Committee Members: Schertzer, Jonathan D., Biochemistry.

Subjects/Keywords: bariatric surgery; gut microbiota; diabetes; blood glucose

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Chen, Y. K. C. (2020). Bariatric surgery alters the gut microbiota and blood glucose in mice. (Masters Thesis). McMaster University. Retrieved from http://hdl.handle.net/11375/25945

Chicago Manual of Style (16^th Edition):

Chen, Yuk Kwan Cassandra. “Bariatric surgery alters the gut microbiota and blood glucose in mice.” 2020. Masters Thesis, McMaster University. Accessed February 26, 2021. http://hdl.handle.net/11375/25945.

MLA Handbook (7^th Edition):

Chen, Yuk Kwan Cassandra. “Bariatric surgery alters the gut microbiota and blood glucose in mice.” 2020. Web. 26 Feb 2021.

Vancouver:

Chen YKC. Bariatric surgery alters the gut microbiota and blood glucose in mice. [Internet] [Masters thesis]. McMaster University; 2020. [cited 2021 Feb 26]. Available from: http://hdl.handle.net/11375/25945.

Council of Science Editors:

Chen YKC. Bariatric surgery alters the gut microbiota and blood glucose in mice. [Masters Thesis]. McMaster University; 2020. Available from: http://hdl.handle.net/11375/25945

University of Minnesota

16. Beckman, Lauren Marie. Changes in gastrointestinal hormones, leptin, and satiety after gastric bypass surgery.

Degree: 2012, University of Minnesota

URL: http://purl.umn.edu/155611

► The Roux-en-Y gastric bypass (RYGB) is a well-accepted tool for the treatment of obesity and compared to conventional weight loss methods (e.g. diet and exercise)… (more)

▼ The Roux-en-Y gastric bypass (RYGB) is a well-accepted tool for the treatment of obesity and compared to conventional weight loss methods (e.g. diet and exercise) and other weight loss surgeries (e.g. gastric banding), it results in considerable weight loss that is maintained long-term. Although successful, the mechanisms for weight loss are not completely understood and it is thought that favorable changes in several gastrointestinal (GI) hormones and satiety play a role. Previous research suggests that the satiety promoting hormones, GLP-1 and PYY increase after RYGB, while the orexigenic GI hormone ghrelin and the adipocytokine leptin decrease. These changes generally occur before substantial weight loss, suggesting that a component of the surgery is responsible. Subjective satiety has also been reported to increase after RYGB, likely because of changes in the GI hormones and due to the reduced stomach capacity after surgery, but it is not clear if this alteration is maintained long-term. In addition, it is currently not well understood what effect different macronutrients have on the GI hormones and subjective satiety in the post-RYGB patient population. From a clinical perspective, there is a need for understanding how various macronutrients affect these parameters, as this is useful information that might allow for improved dietary treatment recommendations after RYGB. In the first study, changes in the GI hormones and leptin were evaluated after RYGB. This study also assessed if the GI hormones differed after a short-term dose of protein (PRO-BEV) or fat (FAT-BEV). GLP-1, PYY, ghrelin, and leptin were assessed in 16 women before and at 2, 6, 26, and 52 weeks after RYGB. GLP-1 increased at Weeks 6 and 52 in the FAT-BEV group compared to before surgery. PYY remained elevated at Week 52 in the FAT-BEV group. Ghrelin decreased at Weeks 2, 6, and 52 in the PRO-BEV group compared with Pre-RYGB. Ghrelin was lower in the PRO-BEV group compared with the FAT-BEV group at Week 6. Fasted leptin decreased at all visits in both groups and was lower in the FAT-BEV compared with the PRO-BEV group at Week 52. In the second study, subjective satiety was evaluated before and after RYGB. This study also assessed if subjective satiety differed after a dose of either protein or fat and investigated if subjective satiety, the GI hormones, and/or weight loss are related. Subjective satiety was not different between treatment groups. Satiety increased at the Week 2 visit compared to before surgery. Satiety scores had generally returned to Pre-RYGB levels after the Week 6 visit. Subjective satiety was not related to any of the GI hormones. Weight loss was unrelated to subjective satiety and the GI hormones. Results from these studies indicate that favorable changes occur after RYGB for the GI hormones/leptin and subjective satiety; some differences were evident soon after surgery (ghrelin, leptin, subjective satiety) while others were maintained long-term (GLP-1, PYY, ghrelin, leptin). In response to a short-term stimulus, protein…

Subjects/Keywords: Bariatric Surgery; Gastrointestinal Hormones; Leptin; Obesity; Satiety

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Beckman, L. M. (2012). Changes in gastrointestinal hormones, leptin, and satiety after gastric bypass surgery. (Thesis). University of Minnesota. Retrieved from http://purl.umn.edu/155611

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Beckman, Lauren Marie. “Changes in gastrointestinal hormones, leptin, and satiety after gastric bypass surgery.” 2012. Thesis, University of Minnesota. Accessed February 26, 2021. http://purl.umn.edu/155611.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Beckman, Lauren Marie. “Changes in gastrointestinal hormones, leptin, and satiety after gastric bypass surgery.” 2012. Web. 26 Feb 2021.

Vancouver:

Beckman LM. Changes in gastrointestinal hormones, leptin, and satiety after gastric bypass surgery. [Internet] [Thesis]. University of Minnesota; 2012. [cited 2021 Feb 26]. Available from: http://purl.umn.edu/155611.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Beckman LM. Changes in gastrointestinal hormones, leptin, and satiety after gastric bypass surgery. [Thesis]. University of Minnesota; 2012. Available from: http://purl.umn.edu/155611

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Akron

17. Stevens, Corey Elizabeth. The Bariatric Bodies Project.

Degree: PhD, Sociology, 2018, University of Akron

URL: http://rave.ohiolink.edu/etdc/view?acc_num=akron1542104863252499

► How do bariatric patients make sense of the medical, aesthetic, and moral discourses related to fat, health, and illness? How are patients’ identities shifted as… (more)

▼ How do bariatric patients make sense of the medical, aesthetic, and moral discourses related to fat, health, and illness? How are patients’ identities shifted as their bodies change throughout the bariatric surgery process? To answer these questions, I interviewed 35 bariatric patients at various stages of their bariatric careers. I divide my findings into three chapters. First, I describe the bariatric process using Goffman’s concept of the moral career and Foucault’s ideas about discipline. The moral career of the bariatric patient proceeds through 4 stages: the pre-surgery process, recovery, the honeymoon stage, and the struggle stage. I argue that bariatric surgery utilizes two types of disciplinary technology: (1) a discursive process where patients are socialized into health behaviors and must prove themselves morally worthy of surgery; (2) an embodied process where patients’ digestive tracts are modified to punish them for straying from “the program.” Next, I focus on the illness experience of bariatric patients. Before surgery, patients experience their bodies as chronically ill and lacking in freedom. They describe fitness and pain issues which limit their day-to-day mobility. They also count down their prescription medications as an important symbol of health and illness. After surgery, patients do not view the symptoms of bariatric surgery (such as vomiting, chest pain, diarrhea, constipation, hair loss, etc.) as illness but instead as worth it in the end, as something to adjust to, and as useful tools for weight loss. After that, I explore the relationship between health, appearance, and stigma, and how this relationship is impacted by intersecting identities of race, class, gender, and age. Bariatric patients describe their often-contradictory experience of the Western aesthetic of health; bariatric patients carry a highly visible fat stigma which is believed to convey their health status, yet they often view appearance as less important than health. Even after losing weight, many patients continue to carry a discreditable identity, in part due to the visible markers of their former obese status on their bodies—i.e., loose skin and plastic surgery scars. Finally, I tie my findings together using the concepts of obese embodied identity and bariatric embodied identity. I conclude with a discussion of the theoretical implications and limitations of this study and propose future research. Advisors/Committee Members: Stacey, Clare (Committee Chair).

Subjects/Keywords: Sociology; Bariatric Surgery, Obesity, Fat, Stigma, Medicine

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Stevens, C. E. (2018). The Bariatric Bodies Project. (Doctoral Dissertation). University of Akron. Retrieved from http://rave.ohiolink.edu/etdc/view?acc_num=akron1542104863252499

Chicago Manual of Style (16^th Edition):

Stevens, Corey Elizabeth. “The Bariatric Bodies Project.” 2018. Doctoral Dissertation, University of Akron. Accessed February 26, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=akron1542104863252499.

MLA Handbook (7^th Edition):

Stevens, Corey Elizabeth. “The Bariatric Bodies Project.” 2018. Web. 26 Feb 2021.

Vancouver:

Stevens CE. The Bariatric Bodies Project. [Internet] [Doctoral dissertation]. University of Akron; 2018. [cited 2021 Feb 26]. Available from: http://rave.ohiolink.edu/etdc/view?acc_num=akron1542104863252499.

Council of Science Editors:

Stevens CE. The Bariatric Bodies Project. [Doctoral Dissertation]. University of Akron; 2018. Available from: http://rave.ohiolink.edu/etdc/view?acc_num=akron1542104863252499

Boston University

18. Puckett, Justin. Sustained elevation of postprandial GLP-1 after bariatric surgery.

Degree: MS, Physician Assistant Program, 2018, Boston University

URL: http://hdl.handle.net/2144/33026

► The incidence of obesity is on the rise globally and is associated with many comorbidities, especially type 2 diabetes mellitus (T2DM). Bariatric surgery is the… (more)

Subjects/Keywords: Surgery; Bariatric surgery; Diabetes; Enteroendocrine; GLP-1; Surgery

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Puckett, J. (2018). Sustained elevation of postprandial GLP-1 after bariatric surgery. (Masters Thesis). Boston University. Retrieved from http://hdl.handle.net/2144/33026

Chicago Manual of Style (16^th Edition):

Puckett, Justin. “Sustained elevation of postprandial GLP-1 after bariatric surgery.” 2018. Masters Thesis, Boston University. Accessed February 26, 2021. http://hdl.handle.net/2144/33026.

MLA Handbook (7^th Edition):

Puckett, Justin. “Sustained elevation of postprandial GLP-1 after bariatric surgery.” 2018. Web. 26 Feb 2021.

Vancouver:

Puckett J. Sustained elevation of postprandial GLP-1 after bariatric surgery. [Internet] [Masters thesis]. Boston University; 2018. [cited 2021 Feb 26]. Available from: http://hdl.handle.net/2144/33026.

Council of Science Editors:

Puckett J. Sustained elevation of postprandial GLP-1 after bariatric surgery. [Masters Thesis]. Boston University; 2018. Available from: http://hdl.handle.net/2144/33026

19. Pumper, Candace. PROTOCOLS FOR PERIOPERATIVE NUTRITIONAL CARE PRACTICE IN ACCREDITED BARIATRIC SURGICAL CENTERS: A SURVEY OF CURRENT PRACTICE.

Degree: MS, College and Graduate School of Education, Health and Human Services / School of Health Sciences, 2017, Kent State University

URL: http://rave.ohiolink.edu/etdc/view?acc_num=kent1500560856156472

► The purpose of this study was to investigate the existence of protocols available for perioperative nutritional care practice in accredited bariatric surgical centers, and determine… (more)

▼ The purpose of this study was to investigate the existence of protocols available for perioperative nutritional care practice in accredited bariatric surgical centers, and determine current perioperative nutritional care practices for patients undergoing bariatric surgery. Descriptive study using an electronic survey of bariatric dietitians in accredited bariatric surgical centers. A total of 48 bariatric dietitians participated (response rate 52%). Descriptive statistics and content analysis were obtained. The majority (94.2%) felt that a standardized protocol addressing perioperative nutritional management of the bariatric population was either very important or extremely important. Respondents at 91.5% of institutions reported availability of protocols for preoperative nutrition care, and 91.5% of institutions had protocols for postoperative nutrition care. One-quarter (23.4%) reported availability of perioperative nutrition care protocols for patient-specific subpopulations. Respondents had divergent attitudes towards their institution's current perioperative nutrition management practices. The majority (91.4%) believed they had enough knowledge of different surgical procedures to provide safe and appropriate nutrition care to their patients. Practice variation was seen among respondents for perioperative nutrition risk screening. Standardization of perioperative nutritional care protocols was universally considered important. There were written protocols available for perioperative nutrition care in the majority of surveyed institutions; however, the content of these protocols was not standardized. Low awareness of perioperative nutrition care protocols for patient-specific subpopulations was found. The survey highlights divergences in respondents' attitudes toward their institution's current perioperative nutrition management practices. There are important discrepancies between surveyed respondents' practices relative to perioperative nutrition risk screening and the available evidence. Advisors/Committee Members: Ha, Eun-Jeong (Advisor).

Subjects/Keywords: Nutrition; Surgery; Health Sciences; Bariatric surgery; protocols; perioperative nutritional care practice; bariatric nutrition care; bariatric dietitians

1 more image…

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APA (6^th Edition):

Pumper, C. (2017). PROTOCOLS FOR PERIOPERATIVE NUTRITIONAL CARE PRACTICE IN ACCREDITED BARIATRIC SURGICAL CENTERS: A SURVEY OF CURRENT PRACTICE. (Masters Thesis). Kent State University. Retrieved from http://rave.ohiolink.edu/etdc/view?acc_num=kent1500560856156472

Chicago Manual of Style (16^th Edition):

Pumper, Candace. “PROTOCOLS FOR PERIOPERATIVE NUTRITIONAL CARE PRACTICE IN ACCREDITED BARIATRIC SURGICAL CENTERS: A SURVEY OF CURRENT PRACTICE.” 2017. Masters Thesis, Kent State University. Accessed February 26, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=kent1500560856156472.

MLA Handbook (7^th Edition):

Pumper, Candace. “PROTOCOLS FOR PERIOPERATIVE NUTRITIONAL CARE PRACTICE IN ACCREDITED BARIATRIC SURGICAL CENTERS: A SURVEY OF CURRENT PRACTICE.” 2017. Web. 26 Feb 2021.

Vancouver:

Pumper C. PROTOCOLS FOR PERIOPERATIVE NUTRITIONAL CARE PRACTICE IN ACCREDITED BARIATRIC SURGICAL CENTERS: A SURVEY OF CURRENT PRACTICE. [Internet] [Masters thesis]. Kent State University; 2017. [cited 2021 Feb 26]. Available from: http://rave.ohiolink.edu/etdc/view?acc_num=kent1500560856156472.

Council of Science Editors:

Pumper C. PROTOCOLS FOR PERIOPERATIVE NUTRITIONAL CARE PRACTICE IN ACCREDITED BARIATRIC SURGICAL CENTERS: A SURVEY OF CURRENT PRACTICE. [Masters Thesis]. Kent State University; 2017. Available from: http://rave.ohiolink.edu/etdc/view?acc_num=kent1500560856156472

20. Biren-Caverly, Jessica. Psychological Factors in Weight Loss Following Bariatric Surgery.

Degree: 2009, Nova Southeastern University

URL: https://nsuworks.nova.edu/cps_stuetd/10

► Purpose: The authors' aim in this study was to gain insight on the psychological risk factors related to weight loss following bariatric surgery. Method: The… (more)

Subjects/Keywords: bariatric surgery; obesity; obesity surgery; weight loss; Psychology

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APA (6^th Edition):

Biren-Caverly, J. (2009). Psychological Factors in Weight Loss Following Bariatric Surgery. (Thesis). Nova Southeastern University. Retrieved from https://nsuworks.nova.edu/cps_stuetd/10

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Biren-Caverly, Jessica. “Psychological Factors in Weight Loss Following Bariatric Surgery.” 2009. Thesis, Nova Southeastern University. Accessed February 26, 2021. https://nsuworks.nova.edu/cps_stuetd/10.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Biren-Caverly, Jessica. “Psychological Factors in Weight Loss Following Bariatric Surgery.” 2009. Web. 26 Feb 2021.

Vancouver:

Biren-Caverly J. Psychological Factors in Weight Loss Following Bariatric Surgery. [Internet] [Thesis]. Nova Southeastern University; 2009. [cited 2021 Feb 26]. Available from: https://nsuworks.nova.edu/cps_stuetd/10.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Biren-Caverly J. Psychological Factors in Weight Loss Following Bariatric Surgery. [Thesis]. Nova Southeastern University; 2009. Available from: https://nsuworks.nova.edu/cps_stuetd/10

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Freie Universität Berlin

21. Peichl, Jonathan Florian. 5-Jahres-Ergebnisse bei morbid-adipösen Patienten nach Sleeve-Gastrektomie und Magenbypass am Interdisziplinären Adipositaszentrum der Charité- Universitätsmedizin Berlin.

Degree: 2020, Freie Universität Berlin

URL: http://dx.doi.org/10.17169/refubium-27084

► Background: Laparoscopic sleeve gastrectomy (LSG) and laparoscopic gastric bypass (LRYGB) are the two most popular bariatric surgical methods. In Germany, LSG outperforms LRYGB in the… (more)

▼ Background: Laparoscopic sleeve gastrectomy (LSG) and laparoscopic gastric bypass (LRYGB) are the two most popular bariatric surgical methods. In Germany, LSG outperforms LRYGB in the number and growth of operations. Nevertheless, LRYGB proves to be more effective in reducing body weight and improving comorbidities. The aim of this study is to analyze the benefits of the two intervention procedures in terms of weight loss, comorbidities, quality of life and postoperative complications in patients of Center for obesity and metabolic surgery – Berlin Charité. Methods: The weight progression and preoperative clinical status of 370 patients were obtained. Postoperative comorbidities, clinical status and quality of life were recorded in 239 patients by means of a postal questionnaire and subsequently compared according to the course of time and intervention procedures performed. Result: In terms of weight reduction, LRYGB is significantly more effective (p<0.05) than LSG up to 36 months postoperatively. Subsequently (> 36 months postoperatively) weight regain was observed after both interventions. In the improvement of arterial hypertension, type 2 diabetes, insulin resistance, dyslipidemia and obstructive sleep apnea syndrome there were no significant differences between the surgical methods. A constant improvement in comorbidities was observed over time after LSG. Similar results were achieved by patients after LRYGB. However, a significantly higher remission rate was observed in type 2 diabetics after 36 months compared to those under 36 months postoperatively (71.4% vs. 52.9%, p=0.032). Both short-term (< 36 months) and long-term (> 36 months) quality of life in patients with LRYGB and LSG did not differ significantly. Over time, a statistically significant decrease in quality of life was observed after both interventions. There was no statistically significant difference in the complication rate between LRYGB and LSG patients in the first 30 postoperative days. Summary: In view of the available results, in this study the LRYGB has proven to be the more effective method for weight loss in the first three postoperative years than the LSG. There is no difference between the intervention procedures in terms of long-term weight loss, improvement in obesity-associated comorbidities and quality of life, and complication rate in the first 30 postoperative days. For a final assessment, further prospective randomized trials are required to assess the potential superiority of one of the respective surgical procedures and the long-term postoperative course. Advisors/Committee Members: male (gender), N.N. (firstReferee), N.N. (furtherReferee).

Subjects/Keywords: bariatric surgery; obesity surgery; Charité; longterm outcome; ddc:610

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APA (6^th Edition):

Peichl, J. F. (2020). 5-Jahres-Ergebnisse bei morbid-adipösen Patienten nach Sleeve-Gastrektomie und Magenbypass am Interdisziplinären Adipositaszentrum der Charité- Universitätsmedizin Berlin. (Thesis). Freie Universität Berlin. Retrieved from http://dx.doi.org/10.17169/refubium-27084

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Peichl, Jonathan Florian. “5-Jahres-Ergebnisse bei morbid-adipösen Patienten nach Sleeve-Gastrektomie und Magenbypass am Interdisziplinären Adipositaszentrum der Charité- Universitätsmedizin Berlin.” 2020. Thesis, Freie Universität Berlin. Accessed February 26, 2021. http://dx.doi.org/10.17169/refubium-27084.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Peichl, Jonathan Florian. “5-Jahres-Ergebnisse bei morbid-adipösen Patienten nach Sleeve-Gastrektomie und Magenbypass am Interdisziplinären Adipositaszentrum der Charité- Universitätsmedizin Berlin.” 2020. Web. 26 Feb 2021.

Vancouver:

Peichl JF. 5-Jahres-Ergebnisse bei morbid-adipösen Patienten nach Sleeve-Gastrektomie und Magenbypass am Interdisziplinären Adipositaszentrum der Charité- Universitätsmedizin Berlin. [Internet] [Thesis]. Freie Universität Berlin; 2020. [cited 2021 Feb 26]. Available from: http://dx.doi.org/10.17169/refubium-27084.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Peichl JF. 5-Jahres-Ergebnisse bei morbid-adipösen Patienten nach Sleeve-Gastrektomie und Magenbypass am Interdisziplinären Adipositaszentrum der Charité- Universitätsmedizin Berlin. [Thesis]. Freie Universität Berlin; 2020. Available from: http://dx.doi.org/10.17169/refubium-27084

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Washington

22. Alfonso, Rafael. Bariatric Surgery for Severe Obesity: Determinants of Use and Economic Impact.

Degree: PhD, 2014, University of Washington

URL: http://hdl.handle.net/1773/25199

► Objectives: Obesity in the U.S. population is a major public health problem with important clinical and economic implications. Bariatric surgery is currently the most effective… (more)

Subjects/Keywords: Bariatric Surgery; Economics; Obesity; Medicine; Surgery; Public health; to be assigned

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Alfonso, R. (2014). Bariatric Surgery for Severe Obesity: Determinants of Use and Economic Impact. (Doctoral Dissertation). University of Washington. Retrieved from http://hdl.handle.net/1773/25199

Chicago Manual of Style (16^th Edition):

Alfonso, Rafael. “Bariatric Surgery for Severe Obesity: Determinants of Use and Economic Impact.” 2014. Doctoral Dissertation, University of Washington. Accessed February 26, 2021. http://hdl.handle.net/1773/25199.

MLA Handbook (7^th Edition):

Alfonso, Rafael. “Bariatric Surgery for Severe Obesity: Determinants of Use and Economic Impact.” 2014. Web. 26 Feb 2021.

Vancouver:

Alfonso R. Bariatric Surgery for Severe Obesity: Determinants of Use and Economic Impact. [Internet] [Doctoral dissertation]. University of Washington; 2014. [cited 2021 Feb 26]. Available from: http://hdl.handle.net/1773/25199.

Council of Science Editors:

Alfonso R. Bariatric Surgery for Severe Obesity: Determinants of Use and Economic Impact. [Doctoral Dissertation]. University of Washington; 2014. Available from: http://hdl.handle.net/1773/25199

23. Clayton, Jennifer. A qualitative exploration of candidates' expectations and preparations for weight loss surgery in the NHS.

Degree: Thesis (D.Clin.Psy.), 2018, University of Hertfordshire

URL: http://hdl.handle.net/2299/21824

► Introduction: Weight loss surgery is the primary intervention offered by the NHS for patients with morbid obesity and associated health conditions (Welbourn, Fiennes & Kinsman,… (more)

Subjects/Keywords: bariatric surgery; weight loss surgery; obesity; thematic analysis; qualitative; prepare; expectations

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Clayton, J. (2018). A qualitative exploration of candidates' expectations and preparations for weight loss surgery in the NHS. (Doctoral Dissertation). University of Hertfordshire. Retrieved from http://hdl.handle.net/2299/21824

Chicago Manual of Style (16^th Edition):

Clayton, Jennifer. “A qualitative exploration of candidates' expectations and preparations for weight loss surgery in the NHS.” 2018. Doctoral Dissertation, University of Hertfordshire. Accessed February 26, 2021. http://hdl.handle.net/2299/21824.

MLA Handbook (7^th Edition):

Clayton, Jennifer. “A qualitative exploration of candidates' expectations and preparations for weight loss surgery in the NHS.” 2018. Web. 26 Feb 2021.

Vancouver:

Clayton J. A qualitative exploration of candidates' expectations and preparations for weight loss surgery in the NHS. [Internet] [Doctoral dissertation]. University of Hertfordshire; 2018. [cited 2021 Feb 26]. Available from: http://hdl.handle.net/2299/21824.

Council of Science Editors:

Clayton J. A qualitative exploration of candidates' expectations and preparations for weight loss surgery in the NHS. [Doctoral Dissertation]. University of Hertfordshire; 2018. Available from: http://hdl.handle.net/2299/21824

University of Sydney

24. Story, Narelle Margaret. Eating behaviours, choice, expectations and perceptions associated with metabolic surgery: A multi-centre investigation .

Degree: 2016, University of Sydney

URL: http://hdl.handle.net/2123/15577

► Restraint, Disinhibition and Hunger eating behaviours have been examined in relation to three metabolic surgical procedures commonly performed to treat severe obesity: adjustable gastric banding… (more)

▼ Restraint, Disinhibition and Hunger eating behaviours have been examined in relation to three metabolic surgical procedures commonly performed to treat severe obesity: adjustable gastric banding (AGB), gastric bypass (GBP), and sleeve gastrectomy (SG). No study to date has compared the effects of these three procedures in relation to eating behaviours. Severely obese adults, with guidance from their doctor, choose between the procedure types. Little is known about how procedure choices are made. The primary study aim was to investigate eating behaviours associated with AGB, GBP and SG procedures and to identify associations between eating behaviours and weight loss. Secondary aims were to discover factors that influence patients’ choice and expectations of their procedure; perceptions of the mechanisms of metabolic surgery; whether perceptions changed after surgery; and whether patients considered they were fully informed before undergoing metabolic surgical procedures. This was a before and after (one year) study of severely obese patients from ten sites in the USA, Australia, and New Zealand. Restraint, Disinhibition and Hunger were measured using the Three Factor Eating Questionnaire. Height/weight was self-reported. Participants responded to questions concerning procedure choice, expectations and perceptions. Linear Mixed Modelling; Pearson’s Chi Square; McNemar’s test; and content analysis were utilized. Each procedure group showed statistically and clinically significant increases in Restraint and decreases in Disinhibition and Hunger over time. There were non-significant and clinically small differences between procedures for Restraint and Hunger at baseline and one year later. At baseline the AGB Disinhibtion score was statistically higher compared to GBP and SG groups. This was a clinically large difference compared with the GBP group, but only a small clinical difference compared to the SG group. The significant difference and clinically large effect size difference between the AGB and GBP groups was retained after surgery; and was marginally retained when AGB was compared with the SG with a small clinical difference. Disinhibition was the only eating behaviour that was significantly associated with body weight, BMI and the percent of weight loss.

Subjects/Keywords: Restraint; disinhibition; hunger; Three Factor Eating Questionnaire; bariatric surgery; metabolic surgery

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APA (6^th Edition):

Story, N. M. (2016). Eating behaviours, choice, expectations and perceptions associated with metabolic surgery: A multi-centre investigation . (Thesis). University of Sydney. Retrieved from http://hdl.handle.net/2123/15577

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Story, Narelle Margaret. “Eating behaviours, choice, expectations and perceptions associated with metabolic surgery: A multi-centre investigation .” 2016. Thesis, University of Sydney. Accessed February 26, 2021. http://hdl.handle.net/2123/15577.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Story, Narelle Margaret. “Eating behaviours, choice, expectations and perceptions associated with metabolic surgery: A multi-centre investigation .” 2016. Web. 26 Feb 2021.

Vancouver:

Story NM. Eating behaviours, choice, expectations and perceptions associated with metabolic surgery: A multi-centre investigation . [Internet] [Thesis]. University of Sydney; 2016. [cited 2021 Feb 26]. Available from: http://hdl.handle.net/2123/15577.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Story NM. Eating behaviours, choice, expectations and perceptions associated with metabolic surgery: A multi-centre investigation . [Thesis]. University of Sydney; 2016. Available from: http://hdl.handle.net/2123/15577

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

25. Morgan, Jocelyn R. An Evaluation of Methods to Assess Whether Health Information Technology-Based Tools Improve Weight Loss Measures in Bariatric Surgery Patients.

Degree: MS, Industrial Engineering & Operations Research, 2013, University of Massachusetts

URL: https://scholarworks.umass.edu/theses/1142

► Obesity is a chronic and growing disease defined by weighing 20% or more than the ideal, or having a body mass index (BMI) of… (more)

Subjects/Keywords: bariatric surgery; weight loss surgery; weight loss interventions; Industrial Engineering

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APA (6^th Edition):

Morgan, J. R. (2013). An Evaluation of Methods to Assess Whether Health Information Technology-Based Tools Improve Weight Loss Measures in Bariatric Surgery Patients. (Masters Thesis). University of Massachusetts. Retrieved from https://scholarworks.umass.edu/theses/1142

Chicago Manual of Style (16^th Edition):

Morgan, Jocelyn R. “An Evaluation of Methods to Assess Whether Health Information Technology-Based Tools Improve Weight Loss Measures in Bariatric Surgery Patients.” 2013. Masters Thesis, University of Massachusetts. Accessed February 26, 2021. https://scholarworks.umass.edu/theses/1142.

MLA Handbook (7^th Edition):

Morgan, Jocelyn R. “An Evaluation of Methods to Assess Whether Health Information Technology-Based Tools Improve Weight Loss Measures in Bariatric Surgery Patients.” 2013. Web. 26 Feb 2021.

Vancouver:

Morgan JR. An Evaluation of Methods to Assess Whether Health Information Technology-Based Tools Improve Weight Loss Measures in Bariatric Surgery Patients. [Internet] [Masters thesis]. University of Massachusetts; 2013. [cited 2021 Feb 26]. Available from: https://scholarworks.umass.edu/theses/1142.

Council of Science Editors:

Morgan JR. An Evaluation of Methods to Assess Whether Health Information Technology-Based Tools Improve Weight Loss Measures in Bariatric Surgery Patients. [Masters Thesis]. University of Massachusetts; 2013. Available from: https://scholarworks.umass.edu/theses/1142

Queensland University of Technology

26. Janse Van Vuuren, Michele. Psychosocial presentation of revisional and primary bariatric surgery patients.

Degree: 2016, Queensland University of Technology

URL: https://eprints.qut.edu.au/99501/

► The research program outlined in this thesis has focused on identifying the causes of weight-loss failure for primary, revisional and multiple revisional bariatric-surgery patients. Phase… (more)

Subjects/Keywords: Bariatric Surgery; Revisional Bariatric Surgery; Sleeve Gastrectomy; Laparoscopic Adjustable Band; Emotional Eating; Weight maintenance; Taste Changes

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APA (6^th Edition):

Janse Van Vuuren, M. (2016). Psychosocial presentation of revisional and primary bariatric surgery patients. (Thesis). Queensland University of Technology. Retrieved from https://eprints.qut.edu.au/99501/

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Janse Van Vuuren, Michele. “Psychosocial presentation of revisional and primary bariatric surgery patients.” 2016. Thesis, Queensland University of Technology. Accessed February 26, 2021. https://eprints.qut.edu.au/99501/.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Janse Van Vuuren, Michele. “Psychosocial presentation of revisional and primary bariatric surgery patients.” 2016. Web. 26 Feb 2021.

Vancouver:

Janse Van Vuuren M. Psychosocial presentation of revisional and primary bariatric surgery patients. [Internet] [Thesis]. Queensland University of Technology; 2016. [cited 2021 Feb 26]. Available from: https://eprints.qut.edu.au/99501/.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Janse Van Vuuren M. Psychosocial presentation of revisional and primary bariatric surgery patients. [Thesis]. Queensland University of Technology; 2016. Available from: https://eprints.qut.edu.au/99501/

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Pretoria

27. [No author]. Investigation of MC4 receptor polymorphisms and the effect of bariatric surgery on a selected group of South African obese patients .

Degree: 2009, University of Pretoria

URL: http://upetd.up.ac.za/thesis/available/etd-11262009-175918/

► A) Bariatric surgery for the treatment of obesity has shown much promise. The Roux-en-Y gastric bypass is a procedure that combines both restrictive and malabsorptive… (more)

▼ A) Bariatric surgery for the treatment of obesity has shown much promise. The Roux-en-Y gastric bypass is a procedure that combines both restrictive and malabsorptive elements. Post-operative weight loss and co-morbidity improvements previously achieved are over and above those which are seen during life style modification and drug therapy. 330 patients (2005-2007) with a mean BMI of 45.87 ± 0.63 were characterised pre-operatively with regard to clinical, anthropometric and DEXA scan measurements. 130 were matched for the same parameters post-operatively over a 9-12 month observation period. The data was analysed statistically using paired t-tests and regression analyses. Significant post-operative improvements were observed with regard to patients’ weight loss and co-morbidity improvement. Positive and significant correlations of anthropometric measures to biochemical parameters ensued. Risk factor scoring methodology produced an average total score of 17 points / 36. Average post-op weight loss at 9-12 months follow-up was 20% of initial pre-op weight. Co-morbid diseases and anthropometric measurements illustrated significant changes following surgery. Risk factor scoring is a valuable pre-op tool for assessing eligibility for medical aid re-imbursement for surgery. B) Obesity is a global epidemic and is increasing the worlds’ mortality rate. Genetic predisposition to obesity is recognized as being significant. Polymorphisms within the Melanocortin 4 Receptor (MC4R) gene, which encodes a G-protein coupled receptor responsible for post-prandial satiety signalling, have been associated with monogenic obesity. Obesity prevalence in South Africa is drastically increasing, however there has been no causative investigation done. Thus we sought to perform an initial assessment of the prevalence of MC4R polymorphisms within a South African representative group. Blood was drawn from a mixed Body Mass Index (BMI) cohort of 259 adult individuals and their DNA was extracted. The MC4R gene was PCR amplified from the DNA, the amplicon sequenced and the sequence data was analyzed for polymorphisms. A polymorphism prevalence of 13.51% was found within the patients across a BMI range that spanned from underweight (19.6) to super-obese (126.0). In addition to MC4R polymorphisms that had been identified previously, two new polymorphisms namely R7H and S36T were observed. Four haplotypes were also identified. MC4R mutation frequency was observed to be ethnically dependant; however the hypothesis of differing ethnic backgrounds illustrating varying mutational penetrance was not confirmed. The expected trend regarding MC4R polymorphism functional effect and associated pathogenicity was not followed in light of our results. The question of whether or not MC4R polymorphisms contribute to the development of obesity is indisputable; however the current accepted trend regarding their precise role may be incorrect and must be challenged. Advisors/Committee Members: Prof M Pepper (advisor), Prof T van der Merwe (advisor).

Subjects/Keywords: Bariatric surgery; Mc4 receptor polymorphisms; Obese patients; UCTD

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APA (6^th Edition):

author], [. (2009). Investigation of MC4 receptor polymorphisms and the effect of bariatric surgery on a selected group of South African obese patients . (Masters Thesis). University of Pretoria. Retrieved from http://upetd.up.ac.za/thesis/available/etd-11262009-175918/

Chicago Manual of Style (16^th Edition):

author], [No. “Investigation of MC4 receptor polymorphisms and the effect of bariatric surgery on a selected group of South African obese patients .” 2009. Masters Thesis, University of Pretoria. Accessed February 26, 2021. http://upetd.up.ac.za/thesis/available/etd-11262009-175918/.

MLA Handbook (7^th Edition):

author], [No. “Investigation of MC4 receptor polymorphisms and the effect of bariatric surgery on a selected group of South African obese patients .” 2009. Web. 26 Feb 2021.

Vancouver:

author] [. Investigation of MC4 receptor polymorphisms and the effect of bariatric surgery on a selected group of South African obese patients . [Internet] [Masters thesis]. University of Pretoria; 2009. [cited 2021 Feb 26]. Available from: http://upetd.up.ac.za/thesis/available/etd-11262009-175918/.

Council of Science Editors:

author] [. Investigation of MC4 receptor polymorphisms and the effect of bariatric surgery on a selected group of South African obese patients . [Masters Thesis]. University of Pretoria; 2009. Available from: http://upetd.up.ac.za/thesis/available/etd-11262009-175918/

Universidade do Rio Grande do Norte

28. Freitas, Cledna da Rocha Barreto de. Efeitos da perda de peso induzida pela cirurgia bariátrica sobre a função respiratória .

Degree: 2011, Universidade do Rio Grande do Norte

URL: http://repositorio.ufrn.br/handle/123456789/16698

► Background: Obesity leads to alteration of lung volumes and capacities due to accumulation of fat in the chest wall and abdomen. Few studies have shown… (more)

Subjects/Keywords: Obesidade; Cirurgia bariátrica; Função pulmonar; Obesity; Bariatric surgery; Lung function

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APA (6^th Edition):

Freitas, C. d. R. B. d. (2011). Efeitos da perda de peso induzida pela cirurgia bariátrica sobre a função respiratória . (Thesis). Universidade do Rio Grande do Norte. Retrieved from http://repositorio.ufrn.br/handle/123456789/16698

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Freitas, Cledna da Rocha Barreto de. “Efeitos da perda de peso induzida pela cirurgia bariátrica sobre a função respiratória .” 2011. Thesis, Universidade do Rio Grande do Norte. Accessed February 26, 2021. http://repositorio.ufrn.br/handle/123456789/16698.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Freitas, Cledna da Rocha Barreto de. “Efeitos da perda de peso induzida pela cirurgia bariátrica sobre a função respiratória .” 2011. Web. 26 Feb 2021.

Vancouver:

Freitas CdRBd. Efeitos da perda de peso induzida pela cirurgia bariátrica sobre a função respiratória . [Internet] [Thesis]. Universidade do Rio Grande do Norte; 2011. [cited 2021 Feb 26]. Available from: http://repositorio.ufrn.br/handle/123456789/16698.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Freitas CdRBd. Efeitos da perda de peso induzida pela cirurgia bariátrica sobre a função respiratória . [Thesis]. Universidade do Rio Grande do Norte; 2011. Available from: http://repositorio.ufrn.br/handle/123456789/16698

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Universiteit Utrecht

29. Riele, W.W. te. Clinical outcome of gastric banding and gastric bypass in morbidly obese patients.

Degree: 2011, Universiteit Utrecht

URL: http://dspace.library.uu.nl:8080/handle/1874/216308

► Obesity has become a global problem and an obesity epidemic has risen. Bariatric surgery has become the first treatment of choice in patients who have… (more)

▼ Obesity has become a global problem and an obesity epidemic has risen. Bariatric surgery has become the first treatment of choice in patients who have a BMI greater than 35 kg/m2 with significant comorbid conditions and patients who have a BMI greater than 40 kg/m2 with or without any significant comorbid conditions. Laparoscopic adjustable gastric banding (LAGB) and (laparoscopic) gastric bypass (GB) are the two procedures mostly performed worldwide. In Chapter 2 LAGB has shown to be a safe procedure, with good mid term weight loss results in the majority (77%) of the patients, but with a high reoperation rate. In Chapter 3 it is shown that after 8 years of follow-up, 39% of the patients were lost to follow-up after LAGB and the majority of these patients (60%) were therapy failures. Long term follow-up of the total LAGB group resulted in a fair outcome in 32% of patients. The most frequent complication and reason for reoperation after LAGB is slippage of the gastric band. Uncertainty exists of the best treatment of a slipped band. In Chapter 4 it is shown that rebanding for slippage is not a prognostic factor for inadequate weight loss. In patients successfully treated by LAGB, rebanding for band slippage should be considered, as good long term success was found in 62% of these patients. The main benefits of the GB are the high percentage (71%) of successfully treated patients, and the higher percentage of weight loss in the short term (Chapter 5). However, the GB is associated with surgery related mortality and morbidity. Comparing the two most performed procedures shows that significantly more patients had good treatment results (excess weight loss > 50 %) after a GB than after LAGB (76% versus 40% after 2 years of follow-up, P = 0,03) (Chapter 6). In terms of complications, the most obvious difference existed in severe early complications after GB compared to LAGB (11% vs 0%). In conclusion, the GB compared to LAGB results in increased weight loss, in a higher number of patients, but is associated with a higher incidence of severe early complications. A secondary GB procedure after failed LAGB (40-50%) is a technically more demanding procedure than primary GB. Our study presented in Chapter 7 shows that it can be performed equally safe and effective as a primary GB. In Chapter 8 we show that reconstructive surgery after successful bariatric surgery improves significantly patients’ physical functioning, mental well being, physical appearance, social acceptance, self-efficacy towards eating and intimacy. The contribution of reconstructive surgery plays a substantial role in the multidisciplinary treatment of the morbidly obese patient. Bariatric surgery has proven to be safe and the most effective answer to the obesity epidemic. In the near future a new definition of successful bariatric treatment should be formulated including weight loss, comorbidities and quality of life. This new consensus should be the purpose of future studies and lead to the selection of the… Advisors/Committee Members: Borel Rinkes, I.H.M., Ramshorst, B. van, Wiezer, M.J..

Subjects/Keywords: Geneeskunde; Morbid obesity; bariatric surgery; gastric banding; gastric bypass

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APA (6^th Edition):

Riele, W. W. t. (2011). Clinical outcome of gastric banding and gastric bypass in morbidly obese patients. (Doctoral Dissertation). Universiteit Utrecht. Retrieved from http://dspace.library.uu.nl:8080/handle/1874/216308

Chicago Manual of Style (16^th Edition):

Riele, W W te. “Clinical outcome of gastric banding and gastric bypass in morbidly obese patients.” 2011. Doctoral Dissertation, Universiteit Utrecht. Accessed February 26, 2021. http://dspace.library.uu.nl:8080/handle/1874/216308.

MLA Handbook (7^th Edition):

Riele, W W te. “Clinical outcome of gastric banding and gastric bypass in morbidly obese patients.” 2011. Web. 26 Feb 2021.

Vancouver:

Riele WWt. Clinical outcome of gastric banding and gastric bypass in morbidly obese patients. [Internet] [Doctoral dissertation]. Universiteit Utrecht; 2011. [cited 2021 Feb 26]. Available from: http://dspace.library.uu.nl:8080/handle/1874/216308.

Council of Science Editors:

Riele WWt. Clinical outcome of gastric banding and gastric bypass in morbidly obese patients. [Doctoral Dissertation]. Universiteit Utrecht; 2011. Available from: http://dspace.library.uu.nl:8080/handle/1874/216308

30. Beek, E.S.J. van der. Body Contouring Surgery in Post-Bariatric Patients.

Degree: 2015, Universiteit Utrecht

URL: http://dspace.library.uu.nl:8080/handle/1874/308869

► The dramatic rise of morbid obesity worldwide and the success of bariatric surgery results in a significant rise in the demand for post-bariatric body contouring… (more)

▼ The dramatic rise of morbid obesity worldwide and the success of bariatric surgery results in a significant rise in the demand for post-bariatric body contouring surgery, a new field in plastic surgery. This makes a national clinical guideline for patient selection and treatment mandatory. In developing such a guideline, we should get more insight in risk factors for complications, post-bariatric patient’s concerns and expectations of the postoperative result and the expected result of body contouring surgery on short and long-term quality of life. The underlying purpose of this thesis is improvement of care for post-bariatric patients presenting for body-contouring surgery. The first part of this thesis focuses on patient selection. In chapter 2 we analyzed the nutritional deficiencies after gastric bypass surgery. This chapter answers the question at what time most deficiencies occur after the operation and what the value is of preoperative laboratory control. Chapter 3 presents a validation study of the Pittsburgh Rating Scale (PRS). The applicability of this classification system for clinical use in The Netherlands is discussed. The motives, barriers and expectations of massive weight loss patients concerning body contouring surgery are outlined in chapter 4 and this chapter contains a preoperative checklist, which can be used in the screening of candidates for body contouring surgery. The second part addresses the question if the quality of life improves on the short (chapter 5) and long-term (chapter 6) after body contouring surgery. In the third part we focus on post-operative complications. In chapter 7 we analyzed the results of body contouring surgery in patients after laparoscopic gastric banding and in chapter 8 we studied the complications in post-gastric bypass patients. The last part of this thesis contains a general discussion in which we will provide the overall implications of this thesis and recommendations for the care of the post-bariatric patient (chapter 9). This thesis is completed with a summary of the results (chapter 10). Advisors/Committee Members: Kon, M., Mink van der Molen, A.B..

Subjects/Keywords: body contouring surgery; post-bariatric; weight loss; massive weight loss

8 more images…

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APA (6^th Edition):

Beek, E. S. J. v. d. (2015). Body Contouring Surgery in Post-Bariatric Patients. (Doctoral Dissertation). Universiteit Utrecht. Retrieved from http://dspace.library.uu.nl:8080/handle/1874/308869

Chicago Manual of Style (16^th Edition):

Beek, E S J van der. “Body Contouring Surgery in Post-Bariatric Patients.” 2015. Doctoral Dissertation, Universiteit Utrecht. Accessed February 26, 2021. http://dspace.library.uu.nl:8080/handle/1874/308869.

MLA Handbook (7^th Edition):

Beek, E S J van der. “Body Contouring Surgery in Post-Bariatric Patients.” 2015. Web. 26 Feb 2021.

Vancouver:

Beek ESJvd. Body Contouring Surgery in Post-Bariatric Patients. [Internet] [Doctoral dissertation]. Universiteit Utrecht; 2015. [cited 2021 Feb 26]. Available from: http://dspace.library.uu.nl:8080/handle/1874/308869.

Council of Science Editors:

Beek ESJvd. Body Contouring Surgery in Post-Bariatric Patients. [Doctoral Dissertation]. Universiteit Utrecht; 2015. Available from: http://dspace.library.uu.nl:8080/handle/1874/308869

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Open Access Theses and Dissertations