Post sleeve gastrectomy acute foot drop, Case presentation

Obesity Surgery, 2007

Surgery for Obesity and Related Diseases, 2019

Background: It has been highlighted that obesity influences the gait reducing walking velocity, stride length, ankle dorsal flexion at initial contact and ankle power generation. Meanwhile, step width, double support, hip flexion, knee extension during stance, hip moment and ankle power absorption was described increased. A tendency to the normalization of these parameters occur when subjects reduced their weight during growth. Objective: We studied the effect of fast weight loss due to Sleeve Gastrectomy on gait pattern of adolescent with severe obesity. The aim is to assess the functional benefit of the surgery. Setting: Pediatric hospital, public health, Italy. Methods: 11 patients before and after 1 year from surgery and 10 controls participated to the study. We studied the gait with an optoelectronic system and two force plates. We evaluated both kinetics and kinematics of walking. Then we looked at the differences between the pre-vs post-surgery and with the control group. Results: Step length and velocity were lower and step width was bigger in adolescent with obesity. Kinematic and kinetic parameters were altered. After surgery we observed the reduction of several gait alteration. Meanwhile, after 1 year alterations at the level of the foot, the knee and the pelvis persist. Conclusion: The sudden loss of weight highlighted the presence of long-term effects on the locomotor system. The results discourage intense walking activities before the weight loss and we suggest further studies for evaluating the necessity of a rehabilitative intervention.

Turkish Journal of Surgery, 2017

The aim of this study is to evaluate the effects of sleeve gastrectomy on shoe size one year after the procedure. To our knowledge, no study has yet been conducted addressing this issue. Material and Methods: Patients who were prepared for sleeve gastrectomy were eligible for the study, and all data and preoperative shoe sizes were recorded in our prospective database. At the 12 th month of follow-up, each patient's excess weight loss % was calculated, and their shoe sizes were recorded by verbal report. Arbitrary or halfsize changes were not taken into consideration. The probability of a change in shoe size and the effects of age, sex, preoperative body mass index, and 12th month excess weight loss % on this change were investigated. p<0.05 was regarded as statistically significant. Results: The subjects of the study were 212 patients who completed their 12-month follow-ups after sleeve gastrectomy between January 2012 and February 2016. The mean shoe size was 41.5; this decreased to 40.5 one year after sleeve gastrectomy (p<0.001). In patients with body mass index (BMI)>50, both the mean decrease (p=0.008) and the percentage of at least two size decreases (p=0.009) were significantly higher than those in patients with BMI<40. Age, sex, and excess weight loss % did not have any significant effects on shoe size. Conclusion: Sleeve gastrectomy was clearly associated with decrease in shoe size after 12 months. Only preoperative body mass index was found to be directly associated with this decrease.

Benha Journal of Applied Sciences, 2021

Background: One of the most common operation for weight loss is the laparoscopic sleeve gastrectomy which are an effective and relatively safe. Laparoscopic sleeve gastrectomy is superior in comparison to other restrictive procedures due to the decrease of large parts of ghrelin producing stomach mass. Aim of the Work: to outline recent modalities in management of early complications of sleeve gastrectomy. This study was performed at Benha university hospitals and Kasr El Aini University Hospitals on 30 early complicated cases post sleeve gastrectomy at the period from 1/1/2018 to 30/6/2018. Patients and Methods: This study was performed at Benha university hospitals at the period from 1/1/2018 to 30/6/2018 on 30 early complicated cases post sleeve gastrectomy. Consent of the patients was taken and data were collected included: age, sex, BMI, and comorbid conditions at the time of admission. Results: According to the co morbidities, eight of the studied cases (26.7%) suffered from hypertension, and 22 others (73.3%) didn"t suffer from hypertension, also half of the studied cases (50.0%) suffered from diabetes. As regard the complications that the patients suffered after the operation in our study, 7 patients (23.3%) suffered of Tachycardia, 5 patients (16.7%) suffered of Vomiting, 4 patients (13.3%) suffered of Hemorrhage, Leakage and Hematemsis, 3 patients (10.0%) suffered of Wound infection, 2 patients (6.7%) suffered of Gastric stenosis, Conversion to open and Melena. On the other side, none of the patients suffered from DVT, Gastric volvulus, pulmonary embolism and Mortality. Conclusion: LSG is one of the most effective surgical procedures in weight loss and is considered safe if its complications are diagnosed and managed early and we recommended to do this study on largenumber of patients to support our results and to know more about the sleeve gastrectomy complications to manage them as early as possible to get benefit from sleeve gastrectomy and to be used on a wide range.

Sleeve gastrectomy (SG) is a bariatric operation that has rapidly gained popularity as a first-stage procedure and even as a stand-alone operation.

Surgical Endoscopy, 2014

Introduction Laparoscopic sleeve gastrectomy (LSG) is becoming a very common bariatric procedure, based on several advantages it carries over more complex bariatric procedures such as gastric bypass or duodenal switch (DS), and a better quality of life over gastric banding. However, in the long-term follow-up, weight loss failure and intractable severe reflux after primary LSG can necessitate further surgical interventions, and revisional sleeve gastrectomy (ReSG) can represent an option to correct these. Methods From October 2008 to June 2013, 36 patients underwent an ReSG for progressive weight regain, insufficient weight, or severe gastroesophageal reflux in 'La Casamance' Private Hospital. All patients with weight loss failure after primary LSG underwent radiological evaluation. If Gastrografin swallow showed a huge unresected fundus or an upper gastric pouch dilatation, or if the computed tomography (CT) scan volumetry revealed a gastric tube superior to 250 cc, ReSG was proposed. Results Thirty-six patients (34 women, two men; mean age 41.3 years) with a body mass index (BMI) of 39.9 underwent ReSG. Thirteen patients (36.1 %) had their original LSG surgery performed at another hospital and were referred to us for weight loss failure. Twenty-four patients (66.6 %) out of 36 had a history of gastric banding with weight loss failure. Thirteen patients (36.1 %) were super-obese (BMI [ 50) before primary LSG. The LSG was realized for patients with morbid obesity with a mean BMI of 47.1 (range 35.4-77.9). The mean interval time from the primary LSG to ReSG was 34.5 months (range 9-67 months). The indication for ReSG was insufficient weight loss for 19 patients (52.8 %), weight regain for 15 patients (41.7 %), and 2 patients underwent ReSG for invalidating gastroesophageal reflux disease. In 24 cases the Gastrografin swallow results were interpreted as primary dilatation, and in the remaining 12 cases results were interpreted as secondary dilatation. The CT scan volumetry was realized in 21 cases, and it has revealed a mean gastric volume of 387.8 cc (range 275-555 cc). All 36 cases were completed by laparoscopy with no intraoperative incidents. The mean operative time was 43 min (range 29-70 min), and the mean hospital stay was 3.9 days (range 3-16 days). One perigastric hematoma was recorded. The mean BMI decreased to 29.2 (range 20.24-37.5); the mean percentage of excess weight loss was 58.5 % (±25.3) (p \ 0.0004) for a mean follow-up of 20 months (range 6-56 months). Conclusions The ReSG may be a valid option for failure of primary LSG for both primary or secondary dilatation. Long-term results of ReSG are awaited to prove efficiency. Further prospective clinical trials are required to compare the outcomes of ReSG with those of Roux en Y Gastric Bypass or DS for weight loss failure after LSG. Patrick Noel and Marius Nedelcu contributed equally to this study.

Videosurgery and Other Miniinvasive Techniques, 2016

Introduction: The effectiveness of sleeve gastrectomy has been confirmed in many studies. The impact of individual factors on the parameters of weight loss is still not clear. Aim: To identify important factors affecting the parameters of weight loss after sleeve gastrectomy. Material and methods: The impact of prognostic factors and postoperative care components on body mass index (BMI) and percentage excess weight loss (%EWL) was assessed in a group of 100 consecutive patients who underwent laparoscopic sleeve gastrectomy. Results: The baseline BMI and body mass in patients with BMI < 30 kg/m 2 and BMI ≥ 30 kg/m 2 12 months after sur

Obesity surgery, 2017

The objectives of this study were to investigate the occurrence of oxidative stress, status of protective antioxidants enzymes, inflammatory biomarkers, and some metabolic health variables in the blood and to compare the results between those of the normal controls and obese patients submitted to sleeve gastrectomy-induced weight loss over a 1-year follow-up period. A prospective study was conducted in Aseer Central Hospital and Abha Private Hospital in the Kingdom of Saudi Arabia from January 2012 to January 2013 on 50 normal (BMI = 22-25 kg/m(2)) control subjects and 50 obese (BMI = 45-50 kg/m(2)) patients. A subset of 20 men and 80 women patients, aged 20-45 years, was included. The systemic blood cell counts were determined by Beckman Coulter UniCel analyzer. The occurrence of oxidative stress, the status of antioxidant enzyme system in the blood, levels of serum hepatic enzymes, cardiovascular risk factors, and serum sodium, potassium, copper, and zinc levels were determined by...

Meltem İzmir akdeniz akademisi dergisi, 2022

Sicily has always been a frontier land and a place of encounters between different peoples, cultures, and religions, due to its position in the middle of the Mediterranean. In 827, the Arabs, together with Spanish Muslims and Berbers of Tunisia invaded Sicily, starting a period of Islamic domination. The travellers of the tenth century described it as rich in forests, with a large number of springs and rivers, cities and fortresses. The Islamic domination of Sicily lasted about two centuries, but for another century the Muslims continued to occupy high positions in Palermo under the new Christian Norman kings. Little has survived from the Arab period. However, much of the architecture, art and tools in use during the Islamic period was passed on to

Setelah menempuh mata kuliah ini mahasiswa diharapkan mampu memahami konsep dasar bisnis terpadu serta mampu menggunakan pengetahuan tersebut untuk mengidentifikasi pencapaian misi dan tujuan organisasi, yang dalam praktek lapangannya harus dilakukan secara terpadu dan antara fungsi-fungsi bisnis harus dilakukan secara terintegrasi KEMAMPUAN AKHIR : Mahasiswa dapat memahami apa yang dimaksud dengan bisnis, memahami tentang perusahaan serta memahami tentang lingkungan bisnis.