After massive weight loss: patients' expectations of body contouring surgery.  EW. A total of 1266 patients (88.6%) who underwent RYGB surgery reported 1 or more symptoms (Table 2) vs 70 (78.7%) in the comparison cohort.  R, Vaziri From 1996 through 2007, the estimated annual number of gastric bypass surgeries increased significantly from 37 surgeries in 1996 to 318 in 2007 (Table 1), and the estimated annual rate of gastric bypass surgeries increased significantly from 3.3 to 22.4 per 100,000 people (Figure).  J, Litton  CC. Population-based studies on the prevalence of symptoms after Roux-en-Y gastric bypass (RYGB) surgery are sparse. Body contouring following major weight loss. Plastic surgery after gastric bypass improves long-term quality of life. Nutritional Deficiencies in Chinese Patients Undergoing Gastric Bypass and Sleeve Gastrectomy: Prevalence and Predictors. In Denmark, all patients must be seen by the general practitioner to be referred to secondary care (outpatient and inpatient clinics or hospitalization).32. Concerning analysis restricted to hospitalizations, results were similar except for higher PRs for patients who underwent RYGB surgery and experienced a large amount of postoperative weight loss (PR for weight loss ≥35%, 1.53; 95% CI, 1.29-1.82) and for those with surgical symptoms before RYGB surgery (PR, 1.75; 95% CI, 1.48-2.07) (eTable 1 in the Supplement). The media has reported extensively on weight-loss surgery for obesity today, with The Daily Telegraph saying that the number of gastric bypass …  S, Medbery Additional Contributions: Henrik Toft Sørensen, DMSc, PhD, Department of Clinical Epidemiology, Aarhus University Hospital, shared his ideas concerning the design of study, supported the accomplishment of the study, and revised the manuscript critically.  Hospital admissions greater than 30 days following bariatric surgery: patient and procedure matter.Â, Stroh Most patients undergoing RYGB surgery are women; recent studies have pointed toward a higher risk of hospitalization after RYGB surgery for women than for men,20,21 whereas others have found no influence of sex on the rate of hospitalization after the procedure.22 Furthermore, advanced age has been associated with increased risk of hospitalization after surgery.20,21,23 Increased mortality and morbidity after other types of surgery has been observed for smokers,24 unmarried patients,25 and unemployed persons.26 Whether such demographic and lifestyle factors also predict symptoms after bariatric surgery, to our knowledge, have not yet been examined. More of the nonrespondents were male; since male sex was associated with a lower risk of symptoms, we would expect an even larger sex difference than what we observed. S.B. Sarwer DB, Thompson JK, Mitchell JE, Rubin JP. Nonrespondents tended to be younger, but the age distribution differed only by a few percentage points, not comprising a risk of bias (eTable 3 in the Supplement). The risk of symptoms was higher among women (crude PR, 1.23; 95% CI, 1.11-1.37), among patients younger than 35 years (PR, 1.24; 95% CI, 1.13-1.36), among smokers (PR, 1.11; 95% CI, 1.02-1.20), among unemployed persons (PR, 1.15; 95% CI, 1.06-1.24), and in those with surgical symptoms before RYGB surgery (PR, 1.34; 95% CI, 1.25-1.43).  SC, Adams to download free article PDFs,  IN, Amdur The time elapsed since surgery also poses a risk of misclassification in answers concerning preoperative symptoms and weight. METHODS We prospectively studied 279 morbidly obese patients seeking gastric bypass surgery … Most patients reported improved well-being after RYGB surgery, but the prevalence of symptoms was high and nearly one-third of patients were hospitalized, 4- to 5-fold more than among the comparison group. Please enable it to take advantage of the complete set of features! 2006 Jul;203(1):82-93 a concern has been raised, that, postoperatively, alcohol metabolism might be altered in gastric bypass patients.  CM, Lin Acquisition, analysis, or interpretation of data: All authors. Therefore, the plastic surgery … More nonrespondents than respondents underwent RYGB surgery during 2010-2011, but there were no significant differences in PRs at time since surgery (eTable 4 in the Supplement). Nutrient …  T; Obesity Surgery Working Group; Competence Network Obesity. Furthermore, we had to construct cutoff points for hypoglycemia and dumping syndrome based on clinical knowledge, and not all scales have been validated exactly in the way we used them.9,34 The cutoff points we defined for dumping produced prevalence estimates consistent with those in the existing literature. Get free access to newly published articles. Quiz Ref IDCommon surgical symptoms after RYGB surgery include gallstones (7%-16% after 18-26 months’ follow-up)6,7 and kidney stones (≤8% after 19-42 months’ follow-up).8 Well-known medical and nutritional symptoms include dumping syndrome (12%-42% after 1-2 years),9-11 hypoglycemia (0.2% of patients were hospitalized within 0-20 years),12 diarrhea (18% of patients with anal leakage of stool potentially provoked by diarrhea after 2 years),13 peripheral neuropathy (16% of patients, with unknown follow-up period),14 and anemia (23%-47% after 24-48 months).15-17 Commonly observed symptoms in clinical practice, such as abdominal pain and fatigue, are sparsely described in the literature on RYGB surgery despite the importance of such symptoms for patients’ functional status and QoL.18,19 Thus, a large population-based study with long-term follow-up of patients who had undergone RYGB surgery, providing a more comprehensive examination of symptom prevalence, is warranted. ):924-930. doi: 10.1007/s11695-019-04081-2 of body contouring surgery after massive weight loss patient are complex and.... 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