WFRF:(Ma Nina S.)
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| Fältnamn | Indikatorer | Metadata |
|---|---|---|
| 000 | 03404naa a2200349 4500 | |
| 001 | oai:DiVA.org:oru-107660 | |
| 003 | SwePub | |
| 008 | 230817s2023 | |||||||||||000 ||eng| | |
| 024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-1076602 URI |
| 024 | 7 | a https://doi.org/10.1007/s11695-023-06783-02 DOI |
| 040 | a (SwePub)oru | |
| 041 | a engb eng | |
| 042 | 9 SwePub | |
| 072 | 7 | a ref2 swepub-contenttype |
| 072 | 7 | a art2 swepub-publicationtype |
| 100 | 1 | a Axer, Stephanu Faculty of Health and Medicine, Örebro University, Campus USÖ, Örebro, Sweden; Department of Surgery, Torsby Hospital, Box 502, 685 29, Torsby, Sweden4 aut |
| 245 | 1 0 | a Non-response After Gastric Bypass and Sleeve Gastrectomy-the Theoretical Need for Revisional Bariatric Surgery :b Results from the Scandinavian Obesity Surgery Registry |
| 264 | 1 | b Springer,c 2023 |
| 338 | a print2 rdacarrier | |
| 520 | a BACKGROUND: Revisional surgery is a second-line treatment option after sleeve gastrectomy (SG) and gastric bypass (GBP) in patients with primary or secondary non-response. The aim was to analyze the theoretical need for revisional surgery after SG and GBP when applying four indication benchmarks. METHOD: Based on data from the Scandinavian Obesity Surgery Registry, SG and GBP were compared regarding four endpoints: 1. excess weight loss (%EWL) < 50%, 2. weight regain of more than 10 kg after nadir, 3. fulfillment of previous IFSO-guidelines, or 4. ADA criteria for bariatric metabolic surgery 2 years after primary surgery.RESULTS: A total of 60,426 individuals were included in the study (SG: n = 7856 and GBP: n = 52,570). Compared to patients in the GBP group, more SG patients failed to achieve a %EWL > 50% (23.0% versus 8.5%, p < .001), regained more than 10 kg after nadir (4.3% versus 2.5%, p < .001), and more often fulfilled the IFSO criteria (8.0% versus 4.5%, p < .001) or the ADA criteria (3.3% versus 1.8%, p < 001) at the 2-year follow-up.CONCLUSION: SG is associated with a higher risk for weight non-response compared to GBP. To offer revisional bariatric surgery to all non-responders exceeds the bounds of feasibility and operability. Hence, individual prioritization and intensified evaluation of alternative second-line treatments are necessary. | |
| 650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kirurgi0 (SwePub)302122 hsv//swe |
| 650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Surgery0 (SwePub)302122 hsv//eng |
| 653 | a Gastric bypass | |
| 653 | a Revisional bariatric surgery | |
| 653 | a Sleeve gastrectomy | |
| 700 | 1 | a Szabo, Eva,c PhD,d 1973-u Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Surgery4 aut0 (Swepub:oru)eso |
| 700 | 1 | a Näslund, Ingmaru Department of Surgery, Faculty of Health and Medicine, Örebro University, Campus USÖ, Örebro, Sweden4 aut |
| 710 | 2 | a Faculty of Health and Medicine, Örebro University, Campus USÖ, Örebro, Sweden; Department of Surgery, Torsby Hospital, Box 502, 685 29, Torsby, Swedenb Institutionen för medicinska vetenskaper4 org |
| 773 | 0 | t Obesity Surgeryd : Springerg 33:10, s. 2973-2980q 33:10<2973-2980x 0960-8923x 1708-0428 |
| 856 | 4 | u https://doi.org/10.1007/s11695-023-06783-0y Fulltext |
| 856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-107660 |
| 856 | 4 8 | u https://doi.org/10.1007/s11695-023-06783-0 |
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