scholarly journals A case of chronic tophi gout in morbidly obese patient after laparoscopic adjustable gastric banding

2020 ◽  
Vol 17 (1) ◽  
pp. 93-99
Author(s):  
Natalia N. Kushnarenko ◽  
Marina Yu. Mishko ◽  
Tatyana A. Medvedeva ◽  
Kirill E. Kushnarenko
Keyword(s):  
Gastric Banding ◽  
Metabolic Disorders ◽  
Laparoscopic Gastric Banding ◽  
Overweight And Obesity ◽  
Biologically Active ◽  
Morbidly Obese ◽  
Malignant Neoplasms ◽  
Tophaceous Gout ◽  
Positive Effects ◽  
Surgical Methods

Currently, increasing attention is being paid to studying the metabolic activity of adipose tissue, a source of biologically active mediators involved in vascular remodeling, immunological and inflammatory reactions. Today obesity is considered not only as independent risk factor of development of chronic noninfectious diseases (such as arterial hypertension, diabetes mellitus types 2, pathology of a cardiovascular system, malignant neoplasms), but also as a significant predictor of metabolic disorders (dyslipidemia, insulin resistance, hyperuricemia), contributes to the early formation of metabolic syndrome and goat. Despite such an obvious problem, the current state of conservative therapy for overweight and obesity remains unsatisfactory. Most of patients, even after successful treatment, have a recurrence of the disease with the restoration of the initial anthropometric indicators or even an increase in body weight. In this regard, currently more widely used surgical methods of correction of obesity. However along with the expected positive effects of treatment bariatric surgery may be accompanied by the development of a number of specific surgical complications and impaired energy metabolism with aggravation of the existing polymorbid pathology. This clinical case demonstrates the association of obesity with the development of metabolic disorders, illustrates the development of severe tophaceous gout in a patient during 2 years after laparoscopic gastric banding. It shows the possible reasons for its debut and reflects the dynamics of the patients condition, as well as the nature and characteristics of the course of the joint syndrome in the postoperative period.

Impact of Gastric Prolapse after Laparoscopic Adjustable Gastric Banding for Morbid Obesity

2014 ◽  
Vol 80 (11) ◽  
pp. 1164-1168
Author(s):  
John P. Davis ◽  
Damien J. LaPar ◽  
Bruce D. Schirmer ◽  
Peter T. Hallowell
Keyword(s):  
Gastric Banding ◽  
Laparoscopic Adjustable Gastric Banding ◽  
Adjustable Gastric Banding ◽  
Laparoscopic Gastric Banding ◽  
Morbidly Obese ◽  
Patient Demographics ◽  
Average Patient ◽  
Low Incidence ◽  
The Impact ◽  
Univariate Analyses

Gastric prolapse (GP) after laparoscopic adjustable gastric banding (LAGB) remains a complication that has the potential to result in significant morbidities. The purpose of this study was to evaluate the incidence of GP after LAGB and to determine its impact on patient outcomes among the morbidly obese. From 2005 to 2012, 379 consecutive morbidly obese patients underwent LAGB procedures at a single institution. Patients were placed into two groups based on the occurrence of gastric prolapse (GP vs no GP). Patient demographics and risk factors, operative features, and postoperative outcomes were analyzed by univariate analyses to assess the impact of GP. Average patient age was 47 ± 29 years and patients were commonly female (80%) with a median body mass index (BMI) of 44 kg/m2. Incidence of GP was 4.2 per cent (n = 16). LAGB median BMIs at 1 month and 1 year were 41 and 36 kg/m2. There was no difference in 1-year weight loss (BMI GP: 36 kg/m2 vs no GP: 36 kg/m2, P = 0.617). Laparoscopic gastric banding results in significant weight reduction and a low incidence of gastric prolapse. Gastric prolapse has no difference in 1-year postoperative median BMI when compared with patients who did not prolapse.

Room G, 10/16/2000 9: 00 AM - 11: 00 AM (PS) Hemodynamic and Respiratory Changes in Morbidly Obese Patients Undergoing Laparoscopic Gastric Banding

2000 ◽  
Vol 93 (Supplement) ◽  
pp. A-1109
Author(s):  
Katrin Bangert ◽  
Thomas Standl ◽  
Stephan H. Bohm ◽  
Marc Burmeister ◽  
Jochen Schulte Esch
Keyword(s):  
Gastric Banding ◽  
Laparoscopic Gastric Banding ◽  
Morbidly Obese ◽  
Obese Patients

Long-term cardiovascular risk and coronary events in morbidly obese patients treated with laparoscopic gastric banding

2014 ◽  
Vol 10 (1) ◽  
pp. 112-120 ◽  
Author(s):  
Luca Busetto ◽  
Fabio De Stefano ◽  
Sabrina Pigozzo ◽  
Gianni Segato ◽  
Maurizio De Luca ◽  
...  
Keyword(s):  
Cardiovascular Risk ◽  
Gastric Banding ◽  
Laparoscopic Gastric Banding ◽  
Morbidly Obese ◽  
Obese Patients ◽  
Coronary Events

scholarly journals Comparison of Volume-controlled and Pressure-controlled Ventilation during Laparoscopic Gastric Banding in Morbidly Obese Patients

2008 ◽  
Vol 18 (6) ◽  
pp. 680-685 ◽  
Author(s):  
L. E. C. De Baerdemaeker ◽  
C. Van der Herten ◽  
J. M. Gillardin ◽  
P. Pattyn ◽  
E. P. Mortier ◽  
...  
Keyword(s):  
Gastric Banding ◽  
Laparoscopic Gastric Banding ◽  
Morbidly Obese ◽  
Obese Patients ◽  
Controlled Ventilation ◽  
Pressure Controlled Ventilation ◽  
Volume Controlled ◽  
Pressure Controlled

Plasma Protein Carbonyl and Thiol Stress Before and After Laparoscopic Gastric Banding in Morbidly Obese Patients

2007 ◽  
Vol 17 (10) ◽  
pp. 1367-1373 ◽  
Author(s):  
Hafize Uzun ◽  
Dildar Konukoglu ◽  
Remisa Gelisgen ◽  
Kagan Zengin ◽  
Mustafa Taskin
Keyword(s):  
Gastric Banding ◽  
Plasma Protein ◽  
Laparoscopic Gastric Banding ◽  
Protein Carbonyl ◽  
Morbidly Obese ◽  
Obese Patients ◽  
Before And After

Changes in High-sensitivity C-reactive Protein Levels after Laparoscopic Gastric Stapling Procedures versus Laparoscopic Gastric Banding

2014 ◽  
Vol 80 (10) ◽  
pp. 1044-1048
Author(s):  
Alana Gebhart ◽  
Monica Young ◽  
James Villamere ◽  
Anderson Shih ◽  
Ninh T. Nguyen
Keyword(s):  
Cardiovascular Risk ◽  
Gastric Banding ◽  
Laparoscopic Gastric Banding ◽  
High Sensitivity ◽  
Risk Category ◽  
Morbidly Obese ◽  
C Reactive Protein ◽  
Preoperative Body Mass Index ◽  
Reactive Protein ◽  
Hs Crp

Obesity, hypertension, diabetes, and hyperlipidemia are risk factors for the development of coronary artery disease. High-sensitivity C-reactive protein (hs-CRP) is an inflammatory biomarker that has been shown to be an independent predictor for cardiovascular risk. The aim of the current study was to examine the changes in cardiovascular risk profile in morbidly obese patients who underwent laparoscopic gastric stapling procedures (bypass and sleeve) compared with laparoscopic gastric banding. Levels of hs-CRP were measured preoperatively and at 12 to 24 months post-operatively. Based on hs-CRP levels, cardiovascular risk was categorized as low (less than 1 mg/L), moderate (1 to 3 mg/L), or high (greater than 3 mg/L). A total of 52 patients underwent gastric stapling procedures and 49 underwent gastric banding and both had preoperative and postoperative hs-CRP levels measured. There were no significant differences in age, gender, or preoperative body mass index (BMI) between groups. At baseline, 48.0 per cent of patients undergoing gastric stapling and 38.8 per cent of patients undergoing gastric banding had moderate or high cardiovascular risk. BMI at 24 months was significantly lower in the gastric stapling compared with the gastric banding group (30.4 ± 5.4 vs 36.1 ± 5.5 kg/m2, respectively, P < 0.01). Of the patients with elevated cardiovascular risk, 64.0 per cent of gastric stapling versus 57.8 per cent of gastric banding patients had a reduction in risk category at 12 to 24 months follow-up, whereas 1.9 per cent of patients undergoing gastric stapling versus 4.1 per cent of patients undergoing gastric banding had an increase in risk category. The mean reduction in hs-CRP level for patients with elevated cardiovascular risk was greater for gastric stapling compared with gastric banding procedures (-1.10 ± 0.94 mg/L vs -0.67 ± 0.82 mg/L, respectively, P < 0.05). Cardiovascular risk improved in the majority of patients after bariatric surgery, but a more pronounced improvement occurred in patients who underwent gastric stapling procedures.

Randomized Comparison of Isoflurane and Sevoflurane for Laparoscopic Gastric Banding in Morbidly Obese Patients

2001 ◽  
Vol 13 (8) ◽  
pp. 565-570 ◽  
Author(s):  
Giorgio Torri ◽  
Andrea Casati ◽  
Andrea Albertin ◽  
Laura Comotti ◽  
Elena Bignami ◽  
...  
Keyword(s):  
Gastric Banding ◽  
Laparoscopic Gastric Banding ◽  
Morbidly Obese ◽  
Obese Patients
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