Le suivi internet des patients après chirurgie bariatrique

International audienc

Le suivi internet des patients après chirurgie bariatrique

International audienc

Evolution de l’IMC et de la qualité de vie après la chirurgie bariatrique : Une étude longitudinale sur 2 ans

International audienc

Sortir de l’obésité par la chirurgie bariatrique… et après ? Suivi sur 2 ans de l’évolution de l’IMC des patients et de leur perception de qualité de vie

International audienc

Sortir de l’obésité par la chirurgie bariatrique… et après ? Suivi sur 2 ans de l’évolution de l’IMC des patients et de leur perception de qualité de vie

International audienc

Weight loss and quality of life after bariatric surgery: a 2-year longitudinal study

International audienceBackgroundBariatric surgery is currently recognized as being an effective technique for weight loss and the improvement of patients’ postoperative well-being.ObjectivesThe objective of the study was to measure changes in quality of life (QoL) and body mass index (BMI) according to patients’ sex and 2 types of surgical procedures.SettingLongitudinal cohort study using an online platform from a private hospital in West France.MethodsTwo hundred six patients (38 men and 168 women) undergoing one-anastomosis gastric bypass or sleeve gastrectomy surgery provided online information concerning their QoL and weight both before the operation and then every 3 months over a postoperative period of 24 months.ResultsBMI clinically decreased on average by 19.6% in the first 3 months and up to 39.2% 24 months after surgery. Slight differences between men and women appeared as from 18 months after the operation, with men experiencing increased BMI between 18 and 24 months, contrary to women whose BMI remained unchanged during the same period. QoL also improved significantly. The average level of women’s quality of life increased between 3 and 15 months after surgery, then decreased between 15 and 24 months. As for men, no change was observed in their improved QoL between 3 and 24 months after the operation.ConclusionsThis study highlights the importance of optimizing patients’ monitoring, notably around 15 to 18 months after bariatric surgery. This period can be identified as a first “critical” period during which weight regain (especially for men) and diminished self-perceived quality of life (especially for women) appear

Intérêts d’un objet connecté de santé (OCS) de type oxymètre de pouls après chirurgie bariatrique ambulatoire. Etude contrôlée

International audienc

Evolution de l’IMC et de la qualité de vie après la chirurgie bariatrique : Une étude longitudinale sur 2 ans

International audienc

Gastrectomie en manchon (sleeve) laparoscopique : Incidence de la rotation de la ligne d'agrafe sur les résultats postopératoires précoces

International audienc

Postoperative Outcomes of Laparoscopic Bariatric Surgery in Older Obese Patients: a Matched Case-Control Study

The online version of this article (doi: 10.1007/s11695-016-2517-1) contains supplementary material, which is available to authorized users.International audienceBACKGROUND: Laparoscopic bariatric surgery (LBS) in older obese patients remains debated regarding postoperative outcomes. OBJECTIVES: The aim of this case-control study is to evaluate global results of LBS in patients ≥60 years (yr) with a matched case control study. METHODS: All patients ≥60 years who benefited from LBS in our center between January 2009 and January 2014 were included in this retrospective study. They were matched (1:2) to patients <40 and 40-59 years on BMI, surgical procedure and year, and history of previous LBS. Postoperative complications in the first 90 days following LBS, micronutrient and mineral deficiencies, and Bariatric Analysis and Reporting Outcome System (BAROS) were analyzed. RESULTS: Fifty-five patients ≥60 year (40 sleeve gastrectomy, 14 one anastomosis gastric bypass, 1 gastric bypass revision) were matched to patients <40 year and patients 40-59 year (n = 55 each). Patients ≥60 year presented more obesity-related comorbidities at baseline. Except for bleeding complications (P = 0.01), no difference in major complication rate was observed (P = 0.43). At 24 months, %EWL was lower in older patients compared to others (76.3, 82.2 and 89.7, respectively, P = 0.009). Iron and vitamin B12 deficiencies were less prevalent in patients ≥60 year After a mean follow-up of 27 months, BAROS score (filled in by 82% of patients) was lower in patients ≥60 years (P = 0.01). CONCLUSION: Despite less weight loss, postoperative complications rate, and lower BAROS results, LBS keeps an acceptable benefit-risk balance in selected older patients and should not be rejected on the sole argument of age. Additional studies are needed to assess the long-term benefits of LBS in older patients