Publications
259 results found
Moussa OM, Macaskill A, Fakir N, et al., 2016, IS BARIATRIC SURGERY IN THE SUPER OBESE, SUPER SAFE? RESULTS FROM HIGH-VOLUME BARIATRIC CENTER, 21st World Congress of International-Federation-for-the-Surgery-of-Obesity-and-Metabolic-Disorders (IFSO), Publisher: SPRINGER, Pages: S363-S364, ISSN: 0960-8923
Ahmed AR, Guido IS, 2016, DO WE REALLY NEED TO CLOSE INTERNAL HERNIA SPACES?, 21st World Congress of International-Federation-for-the-Surgery-of-Obesity-and-Metabolic-Disorders (IFSO), Publisher: SPRINGER, Pages: S276-S276, ISSN: 0960-8923
Pucher PH, Lord AC, Sodergren MH, et al., 2016, Reversal to normal anatomy after failed gastric bypass: systematic review of indications, techniques, and outcomes, Surgery for Obesity and Related Diseases, Vol: 12, Pages: 1351-1356, ISSN: 1550-7289
BackgroundRoux-en-Y gastric bypass (RYGB) is one of the most common and most effective procedures performed to combat obesity and obesity-related metabolic disease. In a small proportion of patients, however, complications may necessitate the attempted reversal of RYGB to normal anatomy. The indications for this procedure, as well as technique, complication rate, and success in resolving symptoms are not clearly defined.ObjectiveTo assess current literature describing outcomes after reversal of RYGB.MethodsA systematic search of online databases was conducted. Two independent researchers identified and extracted data for studies describing outcomes after RYGB reversal surgery. Indications, techniques, and outcomes were compared, with results pooled where possible.ResultsEight articles were included in the final data synthesis, incorporating data for 46 patients. Reversal was undertaken due to metabolic, physical, nutritional, or other complications. All successfully underwent RYGB reversal with no reported mortality. Surgical technique varied greatly across the included studies. Postoperative morbidity was high, with 42% suffering complications (56% of which were major). Symptom relief or improvement was achieved in 82% of cases.ConclusionReversal of RYGB may be undertaken for a variety of indications after RYGB. Though this may successfully eliminate or improve symptoms in a large proportion of patients, the risk of morbidity is high. Surgery should be undertaken after careful patient selection and in appropriately skilled centers only.
Ahmad SS, Sherpa G, Ahmed AR, et al., 2016, Intragastric Botolinum Toxin-A Injection as a Treatment for Obesity in Comparison to Gastric Balloon, Obesity Surgery, ISSN: 1708-0428
Gomez NF, Yeung D, Byars R, et al., 2016, Band-Preserving Mini Gastric Bypass, 7th BOMSS Annual Scientific Meeting, Publisher: WILEY-BLACKWELL, Pages: 10-10, ISSN: 0007-1323
Gomez NF, Yeung D, Tsironis C, et al., 2016, Gastric Bypass after Nissen'S Fundoplication for Recurrent Gord in Obese Patient, 7th BOMSS Annual Scientific Meeting, Publisher: WILEY-BLACKWELL, Pages: 11-11, ISSN: 0007-1323
Yeung D, Gomez NF, Jamshidi S, et al., 2016, Obesity associated with Massive Pannus: Simultaneous Abdominoplasty and Gastric Bypass, 7th BOMSS Annual Scientific Meeting, Publisher: WILEY-BLACKWELL, Pages: 11-11, ISSN: 0007-1323
group ISOSISOS, Holt P, Rhodes A, et al., 2016, Global patient outcomes after elective surgery: Prospective cohort study in 27 low-, middle- and high-income countries, British Journal of Anaesthesia, ISSN: 0007-0912
Tsironis C, Ahmed A, 2016, Bariatric Surgery: Clinical Aspects, INCRETIN BIOLOGY: A PRACTICAL GUIDE, Editors: Rutter, ZacVarghese, Publisher: IMPERIAL COLL PRESS, Pages: 131-145, ISBN: 978-1-78326-736-1
Ahmad SS, Kohl S, Ahmad S, et al., 2015, Citation Analysis in Bariatric Surgery Reply, OBESITY SURGERY, Vol: 25, Pages: 2419-2420, ISSN: 0960-8923
Zhang R, Borisenko O, Telegina I, et al., 2015, A systematic literature review of risk prediction models for mortality, complications and diabetes outcomes after bariatric surgery, Value in Health, Vol: 18, Pages: A662-A663, ISSN: 1098-3015
Borisenko O, Adam D, Funch-Jensen P, et al., 2015, Bariatric Surgery can Lead to Net Cost Savings to Health Care Systems: Results from a Comprehensive European Decision Analytic Model., Obesity Surgery, Vol: 25, Pages: 1559-1568, ISSN: 1708-0428
BACKGROUND: The objective of the present study was to evaluate the cost-utility of bariatric surgery in a lifetime horizon from a Swedish health care payer perspective. METHODS: A decision analytic model using the Markov process was developed covering cardiovascular diseases, type 2 diabetes, and surgical complications. Clinical effectiveness and safety were based on the literature and data from the Scandinavian Obesity Surgery Registry. Gastric bypass, sleeve gastrectomy, and gastric banding were included in the analysis. Cost data were obtained from Swedish sources. RESULTS: Bariatric surgery was cost saving in comparison with conservative management. It also led to a substantial reduction in lifetime risk of events: from a 16 % reduction in the risk of transient ischaemic attacks to a 62 % reduction in the incidence of type 2 diabetes. Over a lifetime, surgery led to savings of <euro>8408 and generated an additional 0.8 years of life and 4.1 quality-adjusted life years (QALYs) per patient, which translates into gains of 32,390 quality-adjusted person-years and savings of <euro>66 million for the cohort, operated in 2012. Analysis of the consequences of a 3-year delay in surgery provision showed that the overall lifetime cost of treatment may be increased in patients with diabetes or a body mass index >40 kg/m(2). Delays in surgery may also lead to a loss of clinical benefits: up to 0.6 life years and 1.2 QALYs per patient over a lifetime. CONCLUSION: Bariatric surgery, over a lifetime horizon, may lead to significant cost savings to health care systems in addition to the known clinical benefits.
Cheruvu MS, Saleh M, Moorthy K, et al., 2015, The impact of bariatric surgery on patient mobility using a novel ambulation scoring system (BARS score), International Surgical Congress of the Association-of-Surgeons-of-Great-Britain-and-Ireland, Publisher: WILEY-BLACKWELL, Pages: 32-33, ISSN: 0007-1323
Gomez NF, Bueno A, Tsironis C, et al., 2015, LAPAROSCOPIC EMERGENCY SPLENECTOMY FOR SPLENIC RUPTURE AFTER REVISIONAL SURGERY OF GASTRIC BYPASS, 20th World Congress of the International-Federation-for-the-Surgery-of-Obesity-and-Metabolic-Disorders (IFSO), Publisher: SPRINGER, Pages: S138-S139, ISSN: 0960-8923
Gomez NF, Ahmed A, 2015, BAND-PRESERVING MINI GASTRIC BYPASS, 20th World Congress of the International-Federation-for-the-Surgery-of-Obesity-and-Metabolic-Disorders (IFSO), Publisher: SPRINGER, Pages: S243-S243, ISSN: 0960-8923
Gomez NF, Tharakan G, MacLaughlin HL, et al., 2015, BARIATRIC SURGERY IN PATIENTS WITH CHRONIC RENAL DISEASE, 20th World Congress of the International-Federation-for-the-Surgery-of-Obesity-and-Metabolic-Disorders (IFSO), Publisher: SPRINGER, Pages: S121-S122, ISSN: 0960-8923
Tsironis C, Fakih N, Ahmed A, 2015, MODIFIED LAPAROSCOPIC REVERSAL OF ROUX EN Y GASTRIC BYPASS WITH EXCISION OF MATED HYPOPERISTALTIC ROUX LIMB, 20th World Congress of the International-Federation-for-the-Surgery-of-Obesity-and-Metabolic-Disorders (IFSO), Publisher: SPRINGER, Pages: S143-S144, ISSN: 0960-8923
Ahmed A, Adamo M, Balchandra S, 2015, THE REAL COSTS OF TREATING EARLY POST-OPERATIVE LEAKS FOLLOWING SLEEVE GASTRECTOMY PROCEDURES, 20th World Congress of the International-Federation-for-the-Surgery-of-Obesity-and-Metabolic-Disorders (IFSO), Publisher: SPRINGER, Pages: S45-S45, ISSN: 0960-8923
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Gomez NF, Lorenzi B, Bueno A, et al., 2015, COMBINED ABDOMINOPLASTY AND GASTRIC BYPASS FOR OBESITY ASSOCIATED WITH MASSIVE PANNICULUS, 20th World Congress of the International-Federation-for-the-Surgery-of-Obesity-and-Metabolic-Disorders (IFSO), Publisher: SPRINGER, Pages: S194-S194, ISSN: 0960-8923
Borisenko O, Adam D, Funch-Jensen P, et al., 2015, Response to the Comment on "Bariatric Surgery can Lead to Net Cost Savings to Health Care Systems: Results from a Comprehensive European Decision Analytic Model", Obesity Surgery, Vol: 25, Pages: 1256-1257, ISSN: 1708-0428
Ahmad SS, Ahmad SS, Kohl S, et al., 2015, The Hundred Most Cited Articles in Bariatric Surgery, OBESITY SURGERY, Vol: 25, Pages: 900-909, ISSN: 0960-8923
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- Citations: 38
Ahmed A, Balachandra S, Adamo M, 2015, The real costs of treating early post-operative leaks following sleeve gastrectomy procedures, 6th Annual Scientific Meeting of the British-Obesity-and-Metabolic-Surgery-Society (BOMSS), Publisher: WILEY-BLACKWELL, Pages: 18-19, ISSN: 0007-1323
Fakih N, Bueno A, Ahmed A, 2015, Single incision sleeve gastrectomy using spider® surgical system, 6th Annual Scientific Meeting of the British-Obesity-and-Metabolic-Surgery-Society (BOMSS), Publisher: WILEY-BLACKWELL, Pages: 9-9, ISSN: 0007-1323
Saleh M, Cheruvu S, Moorthy K, et al., 2015, Laparoscopic Sleeve Gastrectomy Using a Synthetic Bioabsorbable Staple Line Reinforcement Material: 6 year outcomes, 6th Annual Scientific Meeting of the British-Obesity-and-Metabolic-Surgery-Society (BOMSS), Publisher: WILEY-BLACKWELL, Pages: 16-16, ISSN: 0007-1323
Tsironis C, Hakky S, Ahmed A, et al., 2015, Unusual case of radiolucent gastric band with no port for band adjustments inserted abroad, 6th Annual Scientific Meeting of the British-Obesity-and-Metabolic-Surgery-Society (BOMSS), Publisher: WILEY-BLACKWELL, Pages: 8-8, ISSN: 0007-1323
Fakih N, Lorenzi B, Bansi D, et al., 2015, Transgastric ERCP for bile duct stones after Roux- en- Y gastric bypass, 6th Annual Scientific Meeting of the British-Obesity-and-Metabolic-Surgery-Society (BOMSS), Publisher: WILEY, Pages: 8-8, ISSN: 0007-1323
Fakih N, Bueno A, Ahmed A, 2015, Spontaneous splenic rupture after revisional surgery of Roux-en-Y gastric bypass, 6th Annual Scientific Meeting of the British-Obesity-and-Metabolic-Surgery-Society (BOMSS), Publisher: WILEY, Pages: 8-8, ISSN: 0007-1323
Ahmed AR, Roux CLG, 2015, Bariatric surgery, ESSENTIAL SURGICAL PRACTICE: HIGHER SURGICAL TRAINING IN GENERAL SURGERY, 5TH EDITION, Editors: Cuschieri, Hanna, Publisher: CRC PRESS-TAYLOR & FRANCIS GROUP, Pages: 846-859, ISBN: 978-1-4441-3762-0
Borisenko O, Colpan Z, Dillemans B, et al., 2014, Clinical indications, utilization, and funding of bariatric surgery in Europe, Obesity Surgery, Vol: 25, Pages: 1408-1416, ISSN: 1708-0428
PurposeThe objective of this study was to evaluate the current utilization, the level of endorsement by professional societies, and health technology assessment bodies, as well as the reimbursement levels for bariatric surgery in European countries.Materials and MethodsWe performed an analysis of the indications for bariatric surgery based on national clinical and commissioning guidelines, current utilization of surgery, characteristics of patients who underwent surgery, and reimbursement tariffs in Belgium, Denmark, England, France, Germany, Italy, and Sweden. Data were obtained from national patient registries, administrative databases, and published literature for the year 2012.ResultsDespite clear consensus outlined in clinical guidelines, significant differences were found in the eligibility criteria for surgery. Patients with no significant comorbidities were deemed eligible if they had a body mass index (BMI) of 40 or 50 kg/m2 in Denmark. Irrespective of the country, patients with comorbidities were eligible if they had a BMI of 35 kg/m2. The highest utilization of bariatric surgery (number of surgeries per 1 M population) was observed in Belgium (928), Sweden (761), and France (571) while Italy (128), England (117), and Germany (72) had the lowest utilization. There was a strong negative correlation between utilization and average BMI level of the patient population (r = −.909, p = 0.005). The annual per capita spending on surgery differed significantly between countries, ranging from €0.54 in Germany to €4.33 in Belgium.ConclusionsThere are significant variations in the clinical indications, utilization, and funding of bariatric surgery in European countries.
El-khani U, Ahmed A, Hakky S, et al., 2014, The Impact of Obesity Surgery on Musculoskeletal Disease, OBESITY SURGERY, Vol: 24, Pages: 2175-2192, ISSN: 0960-8923
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- Citations: 6
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