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The Anatomy of a Weight Recidivism and Revision Bariatric Surgical Clinic
Joint Authors
de Gara, Christopher J.
Karmali, Shahzeer
Source
Gastroenterology Research and Practice
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-02-11
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-493307