The Anatomy of a Weight Recidivism and Revision Bariatric Surgical Clinic
المؤلفون المشاركون
de Gara, Christopher J.
Karmali, Shahzeer
المصدر
Gastroenterology Research and Practice
العدد
المجلد 2014، العدد 2014 (31 ديسمبر/كانون الأول 2014)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2014-02-11
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Abstract.
Weight recidivism in bariatric surgery failure is multifactorial.
It ranges from inappropriate patient selection for primary surgery to technical/anatomic issues related to the original surgery.
Most bariatric surgeons and centers focus on primary bariatric surgery while weight recidivism and its complications are very much secondary concerns.
Methods.
We report on our initial experience having established a dedicated weight recidivism and revisional bariatric surgery clinic.
A single surgeon, dedicated nursing, dieticians, and psychologist developed care maps, goals of care, nonsurgical candidate rules, and discharge planning strategies.
Results.
A single year audit (2012) of clinical activity revealed 137 patients, with a mean age 49 ± 10.1 years (6 years older on average than in our primary clinic), 75% of whom were women with BMI 47 ± 11.5.
Over three quarters had undergone a vertical band gastroplasty while 15% had had a laparoscopic adjustable gastric band.
Only 27% of those attending clinic required further surgery.
As for primary surgery, the role of the obesity expert clinical psychologist was a key component to achieving successful revision outcomes.
Conclusion.
With an exponential rise in obesity and a concomitant major increase in bariatric surgery, an inevitable increase in revisional surgery is becoming a reality.
Anticipating this increase in activity, Alberta Health Services, Alberta, Canada, has established a unique and dedicated clinic whose early results are promising.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
de Gara, Christopher J.& Karmali, Shahzeer. 2014. The Anatomy of a Weight Recidivism and Revision Bariatric Surgical Clinic. Gastroenterology Research and Practice،Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-493307
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
de Gara, Christopher J.& Karmali, Shahzeer. The Anatomy of a Weight Recidivism and Revision Bariatric Surgical Clinic. Gastroenterology Research and Practice No. 2014 (2014), pp.1-6.
https://search.emarefa.net/detail/BIM-493307
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
de Gara, Christopher J.& Karmali, Shahzeer. The Anatomy of a Weight Recidivism and Revision Bariatric Surgical Clinic. Gastroenterology Research and Practice. 2014. Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-493307
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-493307
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر