Talk:Bariatric surgery/Archive 1

Anaesthesia for bariatric surgery
Do we need a section on anaesthesia for bariatric surgery? Mr croc (talk) 21:34, 14 September 2011 (UTC)

No lead section
So what IS Bariatric Surgery? There seems to be no definition, and this should appear in the lead paragraph. Fiddle Faddle 08:14, 26 August 2007 (UTC)


 * I agree totally with the editor who placed context on the page. At least there is, now, an introductory paragraph, but the reader still has no idea what bariatric surgery is.  Now I don't know either.  I can assume that it's cutting bits off and throwing them away, but the article needs to lead us there.  Fiddle Faddle 10:17, 22 September 2007 (UTC)

Review
A systematic review predating the 2007 studies: http://jama.ama-assn.org/cgi/content/full/292/14/1724 JFW | T@lk  01:18, 9 December 2008 (UTC)

There are new studies including "Death Rates and Causes of Death After Bariatric Surgery for Pennsylvania Residents, 1995 to 2004," that call into question some of the content of this article, specifically about the mortality rates arising from bariatric surgery. See: http://archsurg.ama-assn.org/cgi/reprint/142/10/923.pdf Xsub1 (talk) 02:35, 3 March 2009 (UTC)xsub1

obesity
obesity means you are larger in size; you're fat. —Preceding unsigned comment added by 76.180.93.254 (talk) 13:32, 1 April 2009 (UTC)

make sure to head over to the page on body-lenght and point out that short people have a limited height. i'm sure everybody is equally confused about that.

What does the recent article http://www.nytimes.com/2013/01/02/health/study-suggests-lower-death-risk-for-the-overweight.html, say about the real reduction in mortality rates due to the decrease in BMIs in the 25-35 range? Is it important to include in the bariatric surgery article?

Adverse Effects
"Common problems were gastric dumping syndrome in about 20% (bloatedness and diarrhoea after eating, necessitating small meals," How is this an adverse effect? At least in terms of restrictive surgery the inability to eat large meals is the stated goal of the operation. It may not be enjoyable for the patient but it doesn't belong in a section on complications any more than 'loss of a limb' would belong in a section on the complications of amputation. Danikat (talk) 10:27, 21 April 2009 (UTC)

NPOV dispute - Endoluminal sleeve
This section is worded awkwardly, and certain phrases don't belong, such as "It may offer the effective surgery free weight loss" and "Since the preceding paragraphs, the procedure's won the European CE Mark of Approval". —Preceding unsigned comment added by Mystere (talk • contribs) 01:47, 27 June 2010 (UTC)

Sourcing per WP:RS
I have made serious edits to this article. Until the removed information and links are discussed here, they do not belong in the main space. Flowanda | Talk 09:45, 18 August 2010 (UTC)

BMJ review 2014
Good review article. I think the significant phrase is "short term":

Clinical Review State of the Art Review Bariatric surgery for obesity and metabolic conditions in adults BMJ 2014; 349 doi: http://dx.doi.org/10.1136/bmj.g3961 (Published 27 August 2014) Cite this as: BMJ 2014;349:g3961 David E Arterburn, associate investigator1, Anita P Courcoulas, professor of surgery2

Abstract

This review summarizes recent evidence related to the safety, efficacy, and metabolic outcomes of bariatric surgery to guide clinical decision making. Several short term randomized controlled trials have demonstrated the effectiveness of bariatric procedures for inducing weight loss and initial remission of type 2 diabetes. Observational studies have linked bariatric procedures with long term improvements in body weight, type 2 diabetes, survival, cardiovascular events, incident cancer, and quality of life. Perioperative mortality for the average patient is low but varies greatly across subgroups. The incidence of major complications after surgery also varies widely, and emerging data show that some procedures are associated with a greater risk of substance misuse disorders, suicide, and nutritional deficiencies. More research is needed to enable long term outcomes to be compared across various procedures and subpopulations, and to identify those most likely to benefit from surgical intervention. Given uncertainties about the balance between the risks and benefits of bariatric surgery in the long term, the decision to undergo surgery should be based on a high quality shared decision making process.

--Nbauman (talk) 22:25, 27 August 2014 (UTC)

JAMA 2014 systematic review

 * title =Long-term Follow-up After Bariatric Surgery: A Systematic Review
 * journal =JAMA.
 * date =September 3, 2014
 * authors =Nancy Puzziferri, Thomas B. Roshek III, Helen G. Mayo, Ryan Gallagher, Steven H. Belle, Edward H. Livingston
 * volume =312
 * issue =9
 * pages =934-942.
 * url =http://jama.jamanetwork.com/article.aspx?articleid=1900516
 * doi =10.1001/jama.2014.10706.
 * pmid =
 * pmc =

Conclusions and Relevance. Very few bariatric surgery studies report long-term results with sufficient patient follow-up to minimize biased results. Gastric bypass has better outcomes than gastric band procedures for long-term weight loss, type 2 diabetes control and remission, hypertension, and hyperlipidemia. Insufficient evidence exists regarding long-term outcomes for gastric sleeve resections. --Nbauman (talk) 04:28, 5 September 2014 (UTC)

This combined approach?
The second paragraph of the section on sleeve gastrectomy begins with "This combined approach ..." To this layman, it is not clear what is being combined with what. Later in the paragraph is mention of "the second procedure", adding to the confusion. Can someone clarify this? SDCHS (talk) 05:12, 6 July 2015 (UTC)

study comments post-op psych health
Hello I was trying to provide a balanced description of research about psychological health after surgery and had included this source (#2 below). I looked at it again, and it's a relatively small study of surgical patients (N=36) which found that pre-existing distress may improve in the short term but deteriorate 10 years after surgery  The more I looked at it, the more I thought it would give WP:UNDUE weight and therefore didn't think it was vital to include. But the study does suggest the need for better screening and follow up care. I'm leaving it here for discussion and inclusion if warranted. Cityside189 (talk) 00:48, 25 August 2015 (UTC)

Endoscopic treatments
10.1053/j.gastro.2017.01.035 - AGA JFW &#124; T@lk  14:57, 24 March 2017 (UTC)

SIPS/SADI-S/Loop DS surgery
Perhaps someone with the right technical/medical knowledge could add a section about SADI-S and SIPS, the new "modified" versions of the duodenal switch? Muzilon (talk) 11:38, 2 May 2017 (UTC)

Body countouring reads like a lifestyle magazine ad
Edit it or delete it. doesn't fit in with this article — Preceding unsigned comment added by 89.10.252.159 (talk) 18:19, 27 January 2020 (UTC)

Copyright problem removed
Prior content in this article duplicated one or more previously published sources. The material was copied from: http://theslimco.com/blog/body-contouring-non-invasive-ways-to-achieve-a-perfect-body/. Copied or closely paraphrased material has been rewritten or removed and must not be restored, unless it is duly released under a compatible license. (For more information, please see "using copyrighted works from others" if you are not the copyright holder of this material, or "donating copyrighted materials" if you are.)

For legal reasons, we cannot accept copyrighted text or images borrowed from other web sites or published material; such additions will be deleted. Contributors may use copyrighted publications as a source of information, and, if allowed under fair use, may copy sentences and phrases, provided they are included in quotation marks and referenced properly. The material may also be rewritten, providing it does not infringe on the copyright of the original or plagiarize from that source. Therefore, such paraphrased portions must provide their source. Please see our guideline on non-free text for how to properly implement limited quotations of copyrighted text. Wikipedia takes copyright violations very seriously, and persistent violators will be blocked from editing. While we appreciate contributions, we must require all contributors to understand and comply with these policies. Thank you. BiologicalMe (talk) 18:08, 28 January 2020 (UTC)

Endoluminal sleeve edits removed
Why were the edits updating info on the endoluminal sleeve including clinical trials on a new product that uses this method deleted? — Preceding unsigned comment added by 184.9.195.37 (talk) 06:15, 21 June 2011 (UTC)

IceDragon64 (talk) 14:38, 28 September 2021 (UTC)
 * I have put in a simple sentence to express what Endoluminal Sleeve IS, as there is no real information at present. Wikipedia is blocking me from using the BMI wedsite as a reference and I can't find another suitable reference, but the Endoluminal sleeve EXISTS and has approval for use in the UK at least, so we must surely tell people SOMETHING about it.  The rest of the paragraph makes no sense to me at present, but I'm not getting involved in it.

Restructuring of procedure types, additional sections
Planning to make several edits over the course of the next month (Nov 2022) to this article, including:

--Procedure type section: Will restructure this section to focus on the most commonly used procedures. Will likely remove the structure of restrictive vs. blocking procedures, as these terms likely do not accurately portray the physiology that happens in the gut. Will move the less frequently utilized procedures as a subsection of the "History" Section

--Economic Feasibility: While the article very helpfully describes costs of the procedure, there are a number of review articles that analyze the long-term cost effects of this procedure. This is an important thing to know about the procedure, particularly for certain audiences

--Comparative effectiveness: Many reviews and meta-analyses show that bariatric surgery is more effective than lifestyle interventions or medical weight management as a treatment of obesity. Making this especially clear is very important for both clinicians and patients.

--Future directions for the scientific community: These surgeries have in some cases performed better than expectations, which has increased our understanding of digestive physiology. This section would explore these learnings in more detail. Grahtreas (talk) 16:27, 28 October 2022 (UTC)

Wiki Education assignment: WikiMed Fall 2022
— Assignment last updated by Grahtreas (talk) 12:59, 1 November 2022 (UTC)

Sources to check/take out
Sources to check/take out:

·      Source 23 doi:10.7326/0003-4819-142-7-200504050-00013.

·       Source 34  doi:10.1001/jama.294.15.1986

·       Source 40 doi:10.1001/archsurg.141.5.445

·      Source 41  doi:10.1381/096089203322618588

·      Source 42  doi:10.1381/096089202321144522

·      Source 53 doi:10.1097/00000441-200604000-00008

·      Source 56 doi:10.1177/011542650702200129

·      Source 59  "Europeans Find Extra Options for Staying Slim"

Source 60

·      Source 61 "Gastric Balloon | the Health Clinic UK

·      Source 62 Gastric Balloon Surgery: Complete Patient Guide (Annual Gastric Balloon Cost Survey)

·      Source 63 "Intestinal Sleeve May Improve Glycemic Control

·      Source 67 doi:10.1016/j.mcna.2007.01.006

·      Source 70 doi:10.1159/000090964

·      Source 71. doi:10.1159/000090964

Source 72

·      Source 82 doi:10.1542/peds.2005-1141

·      Source 83 "Alumni Interview: Edward Mason, M.D" Petersonmk18 (talk) 16:22, 26 October 2023 (UTC)

Formatting
Upon review of the Wikipedia Manual of Style for Medicine-related articles for "surgeries and procedures," the prior drafts did not follow the suggested format. The headers and sections of the article have been adjusted to accommodate this with: Medical uses, Risks/Complications, Technique, Recovery, History, and Society and Culture sections. CourseAccount2024 (talk) 14:27, 31 October 2023 (UTC) CourseAccount2024 (talk) 16:38, 31 October 2023 (UTC)

Wiki Education assignment: WikiProject Medicine Fall 2023 UCF COM
— Assignment last updated by DLEMERGEBM (talk) 21:37, 9 November 2023 (UTC)

11/6 Sections that still need sources
weight loss

risks and comps

post op comps

kidney stones

technique

rest food intake

dec nutrient absorption

cell signal

roux en y

biliopanc with duod switch

vert band gastroplasty

stomach folding

adjustable gastric band

intragastric balloon

endolum sleebe

implan gastric stimulation

biliopanc diversion

jejunoileal bypass

recovery

dietary recs

fluid recs

family planning

body contour Petersonmk18 (talk) 16:14, 6 November 2023 (UTC)


 * See the style manual for medical content: your goal is to write for the general user (think high school student, non-scientific senior, or someone whose first language is not English); Wikipedia is not a textbook of everything known about bariatric surgery.
 * Your team's work so far has been thorough (thanks and congratulations on the diligence), but the content is excessive in detail and medical jargon. Use plain English, be succinct with common English, and describe just the major points about the procedure. Zefr (talk) 16:51, 6 November 2023 (UTC)
 * Do you think we could take out the historical procedures section? Seems like its relevance is limited 2605:AD80:20:30A8:FC4E:B0F6:CBFF:7397 (talk) 01:04, 8 November 2023 (UTC)
 * Hi, I was unsure since the Wikipedia Manual of Style for Medicine-related articles for surgeries and procedures lists a history section. CourseAccount2024 (talk) 19:55, 14 November 2023 (UTC)
 * Hi, thank you! We will work on editing the technique section to better fit a major point vs detailed overview. Thank you for the suggestions/review of the article edits! CourseAccount2024 (talk) 19:56, 14 November 2023 (UTC)