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Copyright of Turk Psikiyatri Dergisi is the property of Turk Psikiyatri Dergisi and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Nursing Effect / Etkili Hemşirelik Dergisi is the property of Dokuz Eylul Universitesi Hemsirelik Fakultesi Elektronik Dergisi and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Fenerbahce University Journal of Health Sciences (FBU-JOSH) / Fenerbahçe Üniversitesi Sağlık Bilimleri Dergisi is the property of Fenerbahce University Journal of Health Sciences (FBU-JOSH) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of General Health Sciences (JGEHES) is the property of Journal of General Health Sciences (JGEHES) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of General Health Sciences (JGEHES) is the property of Journal of General Health Sciences (JGEHES) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: Postoperative nausea and vomiting (PONV) is common in laparoscopic bariatric surgeries (LBS). The aim of this study is to investigate the effect of muscle relaxant antagonists on PONV seen in the recovery unit by morbidly obese patients undergoing LBS. Material and Method: With the approval of the University Ethics Committee, the files and e-archive records of morbidly obese patients who had LBS were examined, and their demographic data, PONVscore (1: No nausea-vomiting, 2: Nausea, 3: Retching, 4: Vomiting), amount of antiemetic administered in the recovery unit were recorded. According to the muscle relaxant antagonist drugs administered at the end of the surgery, the patients were divided into the neostigmine group (GrupNEO) and the sugammadex group (GrupSUG). Results: A total of 206 patients were included in the study and 80 of the patients were male and 126 were female. There was no statistically significant difference between the groups when the PONV score was evaluated (p >0,05). PONV that occurred by the patients in the recovery unit was 58,16% (57/98) in GroupNEO and 50% (54/108) in GroupSUG, and there was no statistical difference (p >0,05). Regarding the metoclopramide administered in the recovery unit, the dose was lower in GroupSUG than in GroupNEO, and the difference was statistically significant (p =0,05). Conclusion: In our study, in which we compared the effects of muscle relaxant antagonists on the incidence of PONV after LBS in morbidly obese patients, it was observed that while less PONV was observed in the postoperative recovery unit with the use of sugammadex, there was a significant decrease in the dose of antiemetic used. [ABSTRACT FROM AUTHOR]

Aim:The aim of this study is to demonstrate the efficiency of non-invasive imaging method-MR proton density fat fraction (PDFF); ideal IQ sequence- on detecting the effects of bariatric surgery on liver and pancreatic fatty infiltration.Materials and Methods:Thirty-nine patients (25 females, 14 males) who underwent bariatric surgery between May 2016 and April 2017 were analyzed retrospectively in this study. Body mass index (BMI) and body weight (BW) values of all patients were noted one week before and one month after bariatric surgery, and meanwhile an unenhanced upper abdominal MR imaging was performed. Liver fat fraction (LFF), pancreas fat fraction (PFF), liver volume (LV) and craniocaudal length of liver (LL) were measured with MR-PDFF and T2 weighted images. Changes in all parameters after the surgery were recorded and the correlation of these changes with the change in LFF was analyzed.Results:At the end of first month of bariatric surgery, a significant decrease on mean values of LFF and PFF has been observed along with a decrease of LV, LL, BW and BMI (p

Aim: Binge eating disorder (BED) is the most common eating disorder among bariatric surgery candidates. BED may pose a risk to postsurgical outcomes. This study aims to determine the predictors of BED and the impact on the psychiatric comorbidity and quality of life for patients with severe obesity who underwent bariatric surgery. Material and Methods: A total of 207 patients with severe obesity who underwent bariatric surgery were included. Face-to-face psychiatric interviews were performed to diagnose BED according to the DSM-5 diagnostic criteria. A sociodemographic and clinical form, Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), body image scale (BIS), and short form-36 health survey were administered to the participants. Results: The rate of BED was determined as 30.9%. BED was associated with gender (female), lifetime suicidal ideation, previous suicide attempts, age of onset of obesity and the age of onset of dieting. Patients with BED presented with poor scores in BDI, BAI, BIS, and most domains of quality of life. Conclusion: Decreased BIS score, younger ages of onset for dieting, and previous suicide attempts predicted BED. The recognition of factors involved in the development of BED in patients with severe obesity will improve the effectiveness of treatment options for these patients

Copyright of Turk Psikiyatri Dergisi is the property of Turk Psikiyatri Dergisi and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

INTRODUCTION[|]This study aimed to investigate depression-anxiety levels, sexual lives, childhood traumatic experiences, self-esteem, eating attitudes, and Type D personality traits in bariatric surgery candidates. [¤]METHODS[|]Our study was conducted between June 2019 and December 2019 and included a total of 100 individuals, 50 bariatric surgery candidates and 50 healthy people. A sociodemographic data form, the Beck Depression Inventory, the Beck Anxiety Inventory, the Childhood Trauma Questionnaire, the Type D Personality Scale, the Arizona Sexual Experiences Scale, the Rosenberg Self-Esteem Scale, and the Eating Attitudes Test were used in our study.[¤]RESULTS[|]The scores of Type D Personality, Arizona sexual experiences, childhood trauma, eating attitude, and self-esteem scales were significantly higher in the patient group than in the control group. There was no statistically significant difference between the anxiety and depression scores of both groups. In addition, it was found that the predictive factors of the Body Mass Index were education, self-esteem, eating attitude, and childhood traumas, explaining 63.5% of the variance. Type D personality, on the other hand, was not found to be one of the predictive factors.[¤]DISCUSSION AND CONCLUSION[|]Bariatric surgery candidates undergoe routine psychiatric examinations prior to their operations, and preoperative follow-up interviews with a psychiatrist is believed to be important for these individuals.[¤]

Copyright of Dokuz Eylül Üniversitesi Hemsirelik Fakültesi Elektronik Dergisi is the property of Dokuz Eylul Universitesi Hemsirelik Fakultesi Elektronik Dergisi and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Cyprus Turkish Journal of Psychiatry & Psychology (CTJPP) / Kıbrıs Türk Psikiyatri ve Psikoloji Dergisi is the property of Cyprus Turkish Journal of Psychiatry & Psychology (CTJPP) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Purpose: Overweight and obesity are pose health risks. First-line treatments for obesity include diet therapy, physical activity, behavior modification, and medication use. In cases where these methods fail, the surgical option comes to the fore in people's struggle against obesity. The subject of obesity surgery has shown a significant change and development in the light of technological developments. With this study prepared in this context, the thematic development of the "bariatric surgery" subject was visualized to present a holistic perspective by examining the qualified studies published on the subject. Materials and Methods: The data of the articles included in the analysis in the study were obtained from the Web of Science (WoS) Core Collection database. In this study, 9776 articles were reached between 1990-2020 and SciMAT and Vosviewer programs were used to analyze the data. The research findings were evaluated with strategic diagrams, thematic networks, overlap maps, thematic development maps, science mapping and bibliometric analysis. Results: It was observed that the number of published articles increased gradually in 2001 and after. Most articles were published by the USA, followed by France, Italy and Spain. It was seen that the articles were mostly published in English, German and Spanish. It was also determined that the total number of citations of the examined articles was 199.761 and the h-index value was 141. Conclusion: This study emphasizes the fact that bariatric surgery showed much improvement between 1990-2020. The dynamics of this development were studied using science mapping techniques.

Purpose: Obesity is one of the most important health problems in the world that causes increased morbidity and mortality problems. Although surgical treatment has come to the fore in recent years, a certain diet is prescribed to all patients after Laparoscopic Sleeve Gastrectomy (LSG) and it is aimed to change the old eating habits. In our study, the effectiveness of two different dietary prescriptions given after LSG was investigated. Materials and Methods: Patients who underwent LSG due to morbid obesity (n=80) were divided into two groups as diet enriched with 1200-calorie Mediterranean protein and containing a standard protein source. 40 patients in each group were prospectively analysed observationally. Results: When the study group was evaluated according to demographic data, it was seen that 80% of the patients were women and the average age was 39.41±10.3 (min:19, max:61) years. A statistically significant decrease was observed in weight, body mass index (BMI) and ultrasonographic liver fatty levels in all patients (p

Objective: The aim of this study is to determine the service cost of bariatric surgery within the scope of diagnosis-based package price payment which is one of the reimbursement methods in Turkey, and to determine to what extent the reimbursement amount specified in the Health Application Notification covers the service cost. Material and Method: The study is a descriptive and the relevant data were obtained retrospectively. All patients who had bariatric surgery in two university hospitals in Konya/Turkey in 2019 constitute the study population. It was determined that only the services with the P609871 (Obesity, By-pass), P609872 (Obesity, Sleeve) Health Application Notification codes were provided to 70 patients, but the patients who were determined to have different operating codes were excluded from the scope of the study and the study was conducted with 66 patients. Results: In terms of university hospitals, the income-to-expense ratio for obesity bypass surgery is 48.90%, and 39.19% for obesity sleeve surgery. In general, except for the fixed costs for bariatric surgery, the amount paid by Social Security Agency (SSA) within the scope of Health Application Notification covers approximately 40.05% of the cost of university hospitals. It has been determined that the material cost has the highest share among the cost elements. Conclusions: As a result of the cost analysis, it was determined that university hospitals made a loss for the relevant services. It has been concluded that the diagnosis-based package price payment method in university hospitals cannot cover the costs and that threatens the financial sustainability of university hospitals serving with Health Application Notification prices. [ABSTRACT FROM AUTHOR]

Copyright of Turkiye Klinikleri Journal of Forensic Medicine & Forensic Sciences / Türkiye Klinikleri Adli Tıp ve Adli Bilimler Dergisi is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Aim:Obesity has become a rapidly increasing public health problem all over the world. Obesity itself is a risk factor for cholelithiasis, and the fast weight loss period after bariatric surgery is a situation that increases this risk. The fact that both obesity and surgical treatment of obesity increases the formation of stones in the gall bladder has made it even defendible that cholecystectomy should be performed routinely during the bariatric surgery at one stage, even if there is no cholelithiasis. In this study, we aimed to evaluate our gallbladder approach in patients who were decided to undergo bariatric surgery in our center, together with the literature reviews.Methods:In our study, the data of 185 patients who underwent bariatric surgery due to obesity in the University of Health Sciences Kanuni Sultan Suleyman the in Istanbul Training and Research Hospital Clinic of, Department of General Surgery, between 2018 and 2020 were retrospectively obtained. A total of 185 patients were included in the study. The patients were divided into group 1 (sleeve gastrectomy) and Group 2 (gastric bypass) according to their operation techniques.Results:The average age was 36.43 ± 9.52, the ratio of women/men was 151 (81.6%)/34 (18.4%). Mean body mass index (BMI) was determined as 44.16±5.09. In the postoperative period, gallstones were formed in 27 (14.6%) patients, whereas gallstones were not detected in 158 (85.4%) patients. There was no significant difference between the groups in terms of postoperative gallstone formation.Conclusion:In the light of the literature and after our clinical experience, we do not require routine imaging of the gallbladder before bariatric surgery in asymptomatic patients, and we recommend performing concomitant cholecystectomy only in symptomatic patients.

Obesity, which continues to be widespread from past to present, is a disease to have physical, social, environmental and psychological effects. The presence of many causes of obesity and its comorbid diseases results in serious financial consequences in the diagnostic and treatment process. The methods chosen for the treatment of obesity varies according to the person's body mass index and the presence of comorbid disease. One these methods is bariatric and metabolic surgery (obesity surgery), and it is applied in the case of having additional diseases to patient’s obesity and preferences of surgeon in addition to obesity. The most important thing to know about this issue is that obesity surgery is involved in a very comprehensive treatment. After surgery, the person should be followed with a multidisciplinary approach by an internal medicine specialist, a dietician specializing in bariatric surgery, a psychiatrist or psychologist specializing in nutrition and eating disorders. One of the most important problems encountered before and after the operation, which may adversely affect the success of the operation, is binge eating disorder. This article focuses on how binge eating disorder and mood influence obesity surgery.

Objective: Psychiatric evaluation of candidate patients before bariatric surgery (BS) has an important place in the success of the treatment. In this study, it was aimed to examine the relationship between childhood trauma (CT) and body image, self-esteem and eating attitudes of individuals who applied for BS., Method: A total of 87 BS candidate patients with morbid obesity, 57 women and 30 men, were included in the study. Sociodemographic Information Form, Childhood Trauma Questionnaire (CTQ), Body Perception Scale (BPS), Rosenberg Self-Esteem Scale (RSES), and Eating Attitude Test (EAT-40) were used as data collection tools in the study., Results: CT was detected in 47.1% of the cases. RSES (t=3.296; p<0.01) and BPS (t=3.267; p<0.01) scores were found to be significantly higher in those with a history of CT. A positive and significant relationship was found between EAT-40 and CTQ -sexual abuse (SA) sub-dimension (r=0.570; p<0.01). A significant relationship was found between all subdimensions of CTQ and RSES. A significant relationship was found between CTQ physical neglect (PN), emotional neglect (EN), and emotional abuse (EA) sub-dimensions and BPS. In addition, CTQ total score was found to significantly and negatively predict self-esteem (β=- 4.432; p<0.001) and body image (β=-3.700; p<0.001)., Conclusion: In our study, it was found that those with CT were dissatisfied with their bodies and had lower self-esteem. Questioning CT in the psychological evaluation of pre-BS cases may contribute to the understanding of the etiology of obesity and may play an important role in planning the follow-up after BS.

Bariatric surgery is considered to be a highly effective treatment in obese individuals, as it reduces weight loss, obesity-related concomitant diseases and mortality, and improves the quality of life. All Bariatric procedures alter, to varying degrees, the anatomy and physiology of the gastrointestinal tract; These changes make patients more susceptible to deficiencies in macro and micronutrients that can lead to diseases such as anemia, osteoporosis, protein malnutrition. Most obese patients have some nutritional deficiencies before surgery. For this reason, patients should be subjected to a full nutritional assessment before the operation and these deficiencies that exist before the operation should be corrected. Nutritional complications associated with bariatric surgery can be prevented by lifelong nutrition monitoring by administering multivitamins and mineral supplements according to the patient's needs. In this study, literature about long-term complications occurring after bariatric surgery is compiled. [ABSTRACT FROM AUTHOR]

Copyright of Turkiye Klinikleri Journal of Health Sciences / Türkiye Klinikleri Sağlık Bilimleri Dergisi is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Türkiye Klinikleri Journal of Ophthalmology is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Aim:To investigate the role of non-contrast magnetic resonance imaging (MRI) and findings of quantitative MRI in the evaluation of pancreatic lipomatosis in patients undergoing bariatric surgery.Methods:Pre-operative and post-operative MRI findings and laboratory test results of 44 obese patients, who underwent sleeve gastrectomy, were reviewed retrospectively. Liver craniocaudal length, hepatic and pancreatic region of interest (ROI) ratios at in-phase and out-of phase sequences (in-phase/out-of phase), pancreas/spleen ROI ratio on T2-weighted sequence (T2 ratio) and thickness of subcutaneous fat were estimated. The relationship between pre-operative and postoperative findings was analyzed.Results:A total of 44 (41 female, three male) patients with a mean age of 42 were included in the study. Liver length, hepatic and pancreatic in-phase/out-of phase ratios, pancreas/spleen T2 ratio and thickness of subcutaneous fat in the post-operative period were found to be lower than those in the pre-operative period (p

Obesity is a common health problem with serious complications. Medical and surgical methods can be used in treatment. Laparoscopic sleeve gastrectomy (LSG) is a widely used surgical procedure. LSG is a high-risk surgery because of the effects of both existing obesity and the applied laparoscopic technique. Anesthesia plan from preoperative examination to perioperative management and postoperative care should be done carefully. We aimed to share our experience in the anesthetic management of a patient who underwent a LSG operation which was performed for the first time in our hospital.

Intragastric band migration (IGBM) is one of the major complications of gastric banding. In this report, we aimed to present a case of IGBM, which was diagnosed intraoperatively, and to review the relevant literature. A 59-year-old male patient was admitted to our outpatient clinic due to epigastric pain persisting for the past three months. The patient had a history of gastric banding surgery owing to obesity with open surgery nine years ago. Postoperative follow-up was not done properly and the patient had started to gain weight in the third postoperative year. Incisional hernia was found in physical examination and operation for gastric band removal and hernia repair was planned. During surgery, the band could not be found around the stomach, therefore, gastroscopy was performed and it was found that the majority of the band was placed in the stomach. The patient was intraoperatively diagnosed with IGBM and the band was removed through gastrotomy, and hernia repair was performed. The patient was discharged at postoperative 6th day without any complication. Although IGBM is rarely seen, it should be considered as a long-term complication in cases with dysfunctional gastric band and in patients who started to gain weight after operation. Treatment is the removal of the band review.

Aim: Although bariatric surgery for elderly obese patients is having high complication risks and with indefinite results, can be still beneficifial. The aim of this study is to evaluate the results of sleeve gastrectomy in elderly patients. Material and Method: All 65 years or older patients underwent laparascopic sleeve gastrectomy operation between April 2013-September 2017 included in this retrospective study. Demographic data, comorbidities due to obesity, body mass index, pre and post operative weight, recovery from comorbidities, followup time, postoperative complications, and duration of hospital stay were recorded. Elderly patients and patients under 65 years underwent sleeve gastrectomy were comparised according to results. Results: Fourteen patients (mean age 66.9±1.9 years) operated on for laparascopic sleeve gastrectomy. Mean 52.9% BMI loss obtained in the patients after 19-month follow-up. In the elderly patients, significant improvements were obtained for the comorbidities due to obesity. Complication rates were similiar among the two groups. Conclusion: Laparascopic sleeve gastrectomy is an effecitive and safe operation in elderly obese patients, but weight loss is more tolerable compared to younger patients. A selective group of elderly patients may benefit from bariatric surgery. [ABSTRACT FROM AUTHOR]

Copyright of Medical Journal of Istanbul Kanuni Sultan Süleyman / İstanbul Kanuni Sultan Süleyman Tıp Dergisi is the property of Logos Medical Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Amaç: DSÖ verilerine göre 2014’te 18 yaş ve üzeri yetişkinin 1,9 milyardan fazlası kilolu ayrıca bunların 600 milyondan fazlası ise obezdir. Obezite; vücut sistemleri ve psikososyal durum üzerinde yarattığı olumsuz etkilerden dolayı pek çok sağlık problemlerine neden olmakla birlikte diyabet, kardiyovasküler hastalıklar ve kanser dahil birçok kronik hastalığın başlıca risk faktörüdür. Obezite medikal ve cerrahi şeklinde iki yöntemle tedavi edilmektedir. Cerrahi tedavi farklı bir deyişle bariatrik cerrahi, eskiye oranla daha çok tercih edilmektedir. Operasyon sonrasında bireylerde kilo kaybının yanında meydana gelen değişiklikler olmaktadır. Bu çalışmanın amacı, obezite cerrahisi geçiren hasta sonuçlarını belirlemektir. Gereç ve Yöntem: Konuya ilişkin İngilizce ve Türkçe anahtar kelimeler kullanılarak Google Scholar, PubMed ve EBSCOHOST veri tabanlarında tarama yapılıp, ilgili olabilecek çalışmalar ele alınarak literatür derleme şeklinde yapılmıştır. Bulgular: Bariatrik cerrahi geçiren hastaların, çoğunlukla sınıf III obezite ve en sık olarak erişkin kadınlarda görüldüğü saptanmıştır. Bariatrik cerrahiye eşlik eden komorbiditelerden en sık görüleni hipertansiyondur. Hasta yaşı ne kadar yüksek olursa hipertansiyon, diabetes mellitus ve anksiyete veya depresyon insidansının da o kadar yüksek olduğu belirlenmiştir. Ameliyat sonrası erken dönemde en sık karşılaşılan sorunlar solunum güçlüğü, yara yeri komplikasyonları, mide kapasitesinin küçülmesine bağlı bulantı ve kusma, dumping sendromu, bağırsak hareketlerinde yavaşlama ve ameliyat bölgesinde sızıntı gelişmesi olduğu şeklindedir. Birinci yıldan sonra yemek yemekten mutlu olma eğilimleri birçok katılımcının yaşadığı bir mücadeledir. Genel olarak, bariatrik cerrahi sonucunda kilo kaybı görülür. Bir yıla kadar BKİ’de azalma olur. Cerrahi sonrası 5 yıla kadar devam eder fakat yaşça büyük olan hastalardaki kilo kaybı daha yavaş olur. Hastalarla kilo kaybı konusundaki kişisel engellerinin tartışıldığı bir çalışmada diğer kişilerin onları anlamadıklarını düşündükleri ve durumlarıyla alâkalı olmayan birinin tavsiye vermesini yaşadıkları zorluklar olarak belirtmişlerdir. Bu durum; motivasyon ve bağlılığın azalması, başarısızlık ve utanç duygusu ve tedavi sonrası bakıma katılımın azalmasına sebep olmuştur. Tip1 Diabetes Mellitus’lu hastalarda bariatrik cerrahi büyük yarar sağlamıştır. Ağırlık azaltma, insülin gereksinimleri, obezite komorbiditeleri, ve diyabet komplikasyonuyla ilgili bazı avantajlar sağlamıştır. Ancak uzun glisemik kontrol üzerinde herhangi bir etkisi olmadığı. Belirlenmiştir. Ameliyattan sonraki ilk 2 yılda kilo kaybı görülmüş, uzun vadede de kilo kaybının iyi korunduğu ve kilo kaybının da en az 4 yıl devam ettiği belirtilmiştir. Ayrıca kilo kaybına önemli gelişmeler eşlik etmektedir. Önceden var olan Tip2 Diabetes Mellitus (T2DM) ve hipertansiyonda azalma ve aynı zamanda T2DM riski vakasında azalma, angina, MI ve obstrüktif uyku apnesi bulgularında azalma görülmüştür. Sonuç ve Öneriler: Bariatrik cerrahi de her birey ve her operasyon tektir, benzersizdir. Bir hastanın yaş, komorbidite ve kilo durumu gibi birçok özelliğine göre bariatrik cerrahi yöntem seçilir ve tüm süreçler bireye göre yönetilir. Sonuç olarak bariatrik cerrahide başarılı sonuçlar için multidisipliner bir yaklaşım gerektirir.

Copyright of Turkiye Klinikleri Journal of Nursing Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Society & Social Work is the property of Journal of Society and Social Work and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Aim: This study was carried out to evaluate the relationship of body mass index (BMI) change and visible weight recovery with eating attitudes and behaviors after Sleeve Gastrectomy operation. Material and Method: This study was carried out between June 2018 and September 2018 at Liv Hospital Ulus Hospital. This study was carried out as a retrospective clinical study on 200 obese and morbidly obese patients randomly selected who had a Sleeve Gastrectomy operation and completed the Eating Attitude Test 26 (EAT 26) scale before the surgery. Results: Weight loss was found to be statistically significant in 200 patients with Sleeve Gastrectomy operation in the 1 st, 2nd, 3rd and 4th postoperative period (p<0.01). There was a significant difference between the scores of the Eating Attitude Test 26 (EAT 26) according to years of patients (p<0.01). While no significant difference was found in the score of Eating Attitude Test 26 (EAT 26) in the postoperative 3 years and 4 years (p>0.05); The decrease seen between the 1st and 2nd years was found to be significant (p<0.05). There was no significant relationship between body weight change percentages and Eating Attitude Test 26 (EAT 26) scores (p>0.05). Patients in the 1st year after surgery there was a statistically significant low positive correlation (0.287) between Eating Attitude Test (EAT 26) scores and one year BMI values after the operation (r=0.287, p=0.043) and there was no significant correlation for the other years. Conclusion: Each patient planned for bariatric surgery should be evaluated by a multidisciplinary team including the dietitian and psychiatrist before and after the operation, this approach is thought to be important in changing the desired lifestyle and eating habits. [ABSTRACT FROM AUTHOR]

Obesity, which is increasing day by day, has become a major public health problem. With regard to its treatment, both conventional methods-such as medical nutrition therapy, exercise, pharmacological treatment, behavior change therapy- and surgical methods applied with new techniques are becoming increasingly widespread in our country and in the world. To determine the pre-operative nutritional status of the patient and the postoperative nutritional follow-up are extremely important in order to prevent possible nutritional complications. The purpose of this review is to examine the preoperative and postoperative principles of bariatric surgical procedure. [ABSTRACT FROM AUTHOR]

Aim: To investigate the role of non-contrast magnetic resonance imaging (MRI) and findings of quantitative MRI in the evaluation of pancreatic lipomatosis in patients undergoing bariatric surgery. Methods: Pre-operative and post-operative MRI findings and laboratory test results of 44 obese patients, who underwent sleeve gastrectomy, were reviewed retrospectively. Liver craniocaudal length, hepatic and pancreatic region of interest (ROI) ratios at in-phase and out-of phase sequences (in-phase/outof phase), pancreas/spleen ROI ratio on T2-weighted sequence (T2 ratio) and thickness of subcutaneous fat were estimated. The relationship between pre-operative and postoperative findings was analyzed. Results: A total of 44 (41 female, three male) patients with a mean age of 42 were included in the study. Liver length, hepatic and pancreatic in-phase/out-of phase ratios, pancreas/spleen T2 ratio and thickness of subcutaneous fat in the post-operative period were found to be lower than those in the pre-operative period (p<0.05). When pancreas/spleen T2 ratio ≥1 was considered abnormal for the diagnosis of pancreatic lipomatosis, high specificity (100%), positive predictive value (100%) and accuracy (75%) were obtained. Conclusion: Non-enhanced MRI with quantitative measurements, including pancreas/spleen T2 ratios, can be performed efficiently for the diagnosis of pancreatic lipomatosis and patient follow-up. [ABSTRACT FROM AUTHOR]

Aim: The aim of this study is to determine the possible nutrient and protein deficiency in the first six months after sleeve gastrectomy and to determine its effect on some biochemical parameters. Material and Methods: This study is an intervention study including 102 patients (75 female and 27 male) aged between 18-65 years, who had undergone sleeve gastrectomy operation at the General Surgery Clinic of Şişli Florence Nightingale Hospital between 13.07.2017 and 06.01.2018 and been followed up by a dietician for at least six months postoperatively. Anthropometric measurements, three-day food intake, and biochemical parameters were followed pre-operatively and during the first six months. Results: There was a 27.4% decrease in body weight of the patients in first six months after surgery. Both decrease in body weight, and decrease in body fat ratio and body mass index were found statistically significant (p<0.001). A statistically significant difference was found between preoperative and postoperative 6th month biochemical parameters; serum HbA1c, insulin, uric acid, total protein, total cholesterol, HDL-cholesterol, LDL-cholesterol, triglyceride, iron, iron binding capacity, ferritin, zinc, vitamin D, calcium, parathormone, folate and vitamin B12 levels of the patients (p<0.001). The difference between 6th month serum total protein levels of patients using and not using whey protein powder in the first month after sleeve gastrectomy was found statistically significant (p=0.002). Conclusion: It should be kept in mind that regulating patients' lifestyle with post-operative multidisciplinary team and regular follow-up, and supporting with active life are necessary for obesity treatment to be sustainable. [ABSTRACT FROM AUTHOR]

Objective: Obesity is a worldwide public health problem, which increases morbidity and mortality. Bariatric surgery has become increasingly popular in the last decade and is a preferred treatment for obesity. The aim of this study is to evaluate the obese patients who are candidates for bariatric surgery by psychiatric clinical interview and psychometric tests. Material and Methods: 48 obese patients who were consulted to evaluate the psychiatric suitability of bariatric surgery were included in the study. Sociodemographic data form, Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Rosenberg Self-Esteem Scale (RSES), Coping Strategies with Stress Inventory (COPE), Dutch Eating Behavior Questionnaire (DEBQ) and Short Form of Barratt Impulsiveness Scale (BIS-11) were applied to the patients included in the study. Results: Of the patients included in the study, 32 (66.7%) were female and 16 (33.3%) were male. The mean body mass index (BMI) of the patients who are bariatric surgery candidates was found to be 45.23 ± 8.97, there was no difference between the two groups. There was no statistically significant difference in BDI scores between genders, and BAI scores were higher in women. COPE nonfunctional coping subgroup scores were found to be significantly higher in women. There was no significant difference between the sexes in the evaluations of DEBQ, RSS-self-esteem subscale and BIS-11. When the patients were divided into two groups as obese and morbidly obese, and mean scores of BDI and BAI were compared, it was found that both of the scores in the obese group were higher than the morbid obese group. Conclusion: Obesity is a multisystem disorder with mental components. Considering the mental components of obesity and their differences between genders should be evaluated as an important step in facilitating the patient's compliance with treatment with both surgical and non-surgical methods and in preventing recurrences. [ABSTRACT FROM AUTHOR]

Obesity is a common health problem with serious complications. Medical and surgical methods can be used in treatment. Laparoscopic sleeve gastrectomy (LSG) is a widely used surgical procedure. LSG is a high-risk surgery because of the effects of both existing obesity and the applied laparoscopic technique. Anesthesia plan from preoperative examination to perioperative management and postoperative care should be done carefully. We aimed to share our experience in the anesthetic management of a patient who underwent a LSG operation which was performed for the first time in our hospital. [ABSTRACT FROM AUTHOR]

With the rising prevalence of morbid obesity, the numbers of bariatric surgical procedures are also increasing, thus resulting in more neurological complications to be recognized. Among these complications, the most well-defined are Wernicke's encephalopathy and peripheral neuropathies. Guillain Barre Syndrome (GBS) has been reported as a very rare complication of bariatric surgery and reported cases are mostly axonal types. An 18-year-old female patient applied to our outpatient clinic with complaints of pain and weakness in her arms and legs. She had bariatric surgery 3 months ago. The electrophysiological findings of the patient who had proximal muscle strength loss in the lower extremities were consistent with subacute anterior root anterior horn involvement in the L3-S1 innervated muscles. After the intravenous immunoglobulin therapy, the patient improved almost completely. We think that in neurological complications after bariatric surgery, nutritional deficiencies should be taken into consideration as well as inflammatory damage and these cases should be followed up and treated in a multidisciplinary manner in order to prevent permanent neurological damage. [ABSTRACT FROM AUTHOR]

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Obesity is a complex, multifactorial, and largely preventable disease. Today, all countries in the world have reached the alarm level. For this reason, many treatment modalities have been developed in the fight against obesity today. One of them is a bariatric surgery. Individuals may experience serious adjustment problems due to significant changes in eating, lifestyle and body image after bariatric surgery. Roy's Adaptation Model (RAM), widely used in nursing, focuses on determining the adaptation needs of the individuals in the four areas of integration and the changcs that occur in and around the human adaptation system. In this ease study, two patients who underwent bariatric surgery in a university hospital in 2017 were evaluated prcopcrativcly one time and postoperatively four times according to RAM. In this study, it was determined that the first case adapted according to RAM while the second case could not adapt and have physiological and psychological complications. In the study, RAM facilitated the systematic evaluation and monitoring of patients and made it possible to identify problems. [ABSTRACT FROM AUTHOR]

Objective: In this study the effects of intraabdominal high pressure application on perfusion and hemodynamics in bariatric surgery was planned to investigate. Method: Fifty-one patients which are planned for obesity surgery were included to the study. Patients were monitorized with cerebral-oximetry (NIRS) to follow cerebral oxygenation (rSO2) and bispectral index (BIS) to follow depth of anesthesia near the standard monitorization in operating room. Measurements were performed in seven different times and 'before induction' named as T1 time, and 'extubation' as T7 time. Results: Evaluation with T1, when the carbondioxide (ETCO2) and BIS values at the end of inspiration were constant, heart rate was found significantly low in T2, T4, T5, T6 when high in T7; mean arterial pressure (MAP) was found significantly low in T2, T3, T4, T5, T6; NIRS right values was found significantly low in T3, T4, T5 and NIRS left values was found significantly low in T2, T3, T4, T5, T6. In a correlation with T1 based total 64 measurement 20% decreases in NIRS values were found. Conclusion: Application of intraabdominal high pressure in bariatric surgery effects cerebral oxygenation and hemodynamics significantly. For a safe anesthetic process in patients which were applied high intraabdominal pressure it is useful to follow the cerebral oxygenation and close monitoring for hemodynamic parameters. [ABSTRACT FROM AUTHOR]

Aim: Elevated red blood cell distribution width (RDW) and mean platelet volume (MPV) levels which are closely associated with chronic inflammation and platelet aggregation are suggested as independent predictors of obesity and cardiovascular diseases. However influence of significant weight loss following bariatric surgery on these parameters is unknown. Therefore we aimed to find out the effect of significant weight loss following laparoscopic sleeve gastrectomy (LSG) on RDW and MPV levels. Methods: The medical data of 98 morbid obese subjects (25 male, 73 female) who were operated between February 2015 and June 2017 according to indications of bariatric surgery in current guidelines including body mass index (BMI) >40 kg/m² or BMI= 35-40 kg/m² with additional comorbidities were recorded. The difference between baseline and values at one year was expressed as a delta (Δ). Results: The mean age of our study population was 41.89±11.99 years and mean weight loss in one year after LSG was 45.41±13.13 kg (36.5%). BMI decreased from 46.60±7.11 kg/m² to 29.58±4.63 kg/m². Compared to the baseline, significant decreases in RDW (14.61±1.69% vs. 13.71±2.10%; p<0.01) and MPV (8.63±1.45 vs. 7.92±1.24 fL, p<0.001) levels were found in the postoperative oneyear values. In addition; ΔVKI was positively correlated with ΔRDW (r=0.343, p<0.01) and ΔMPV (r=0.322, p<0.01). Conclusion: We found that morbid obese subjects have significantly decreased RDW and MPV levels which are correlated to their weight loss in one-year follow-up after LSG. If we think that several factors may affect these parameters, conduction of further prospective large-scale studies are needed. [ABSTRACT FROM AUTHOR]

Objective: In the present study, we aimed to retrospectively evaluate the preoperative characteristics, intraoperative and postoperative results of patients who underwent laparoscopic obesity surgeries. Methods: After obtaining the approval of the Ethics Committee, records of patients who underwent laparoscopic obesity surgery from January 2013 to December 2016 were reviewed. Demographic characteristics, medications used in anaesthesia and analgesia, the duration of recovery unit/hospital stay, intensive care unit/mechanical ventilation requirements and complications were recorded. Results: A total of 329 ASA II-III patients over a 3-year period were operated. Thiopental and propofol were administered at induction, sevoflurane, isoflurane and desflurane were administered for the maintenance, and vecuronium and rocuronium were administered to aid in neuromuscular blockage. The mean durations of recovery unit and hospital stays were 30.80±6.01 minutes and 4.27±1.68 days, respectively. The hypnotic agent, muscle relaxant or inhalation anaesthetics used did not have a significant effect on the duration of recovery unit and hospital stay. Mask ventilation and intubation were noted to be difficult in 5.5% and 8.5% of the cases, respectively. The presence of obstructive sleep apnoea syndrome and high body mass index and Mallampati scores significantly increased difficult mask ventilation and difficult intubation rates. Four patients were transferred to intensive care unit for close monitoring. Two patients were re-operated on, two patients had rhabdomyolysis, one patient had Wernicke's encephalopathy and two patients had peripheral neuropathy. Perioperative mortality did not occur in any patient. Conclusion: We believe that appropriate patient selection, the use of well-designed anaesthesia and surgical protocols play important roles in increasing the success rate of patient outcomes and early and late complications in laparoscopic obesity surgery. [ABSTRACT FROM AUTHOR]

Objective: Obesity is a chronic metabolic disorder that leads to the increased risk of cardiovascular diseases. This study aims to investigate the effect of weight loss on the platelet count and volume, which is associated with cardiovascular diseases. Methods: In total, 56 obese patients were recruited for the study. The parameters were retrospectively evaluated before and after 6 months of surgery. Results: The mean weight of the patients was 126.2±23.1 kg before surgery and 91.8±20.5 kg after surgery (p<0.001). The mean platelet counts were 292.5±58.6×103/µL before surgery and 246.8±59.1×103/µL after surgery (p<0.001). The mean platelet volumes were 10.4±1.0 fL and 11.6±0.9 fL before and after surgery, respectively (p<0.001). The mean platelet counts before surgery were correlated with the mean platelet volume, mean weight, and mean body mass index (p<0.01, r=-0.39, p<0.01, r=0.35, p<0.01, r=0.41, respectively). The mean platelet counts after surgery were correlated with the mean platelet volume (p<0.001, r=-0.68). Conclusion: This study demonstrated decreased platelet counts and increased platelet volume at 6 months after surgery in obese patients. Further long-term and prospective studies are warranted to clarify these results and pathopsychological mechanisms involved. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Physical Medicine & Rehabilitation Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: Obesity is also seen to cause psychosocial problems as well as medical problems. The aim of this study is to examine the level of life satisfaction, body perception and self-esteem of morbid obese patients as a candidate for bariatric surgery and the effect of body perception and selfesteem on life satisfaction. Material and Method: In this study, 136 morbid obese patients with body mass index (BMI) of at least 40 who applied to the Endocrinology Department of Inonu University and 69 healthy individuals with BMI of less than 30 were included between Jan-Dec 2016. Those with any psychiatric disorder were excluded from the study. Coopersmith Self-Esteem Scale, Body Sense Scale, Life Satisfaction Scale were applied to the groups. Results: Statistical analyzes revealed that the life satisfaction and body image scale scores of the morbid obesity patients were lower than the control group. It was remarkable that self-esteem scale score was higher in patients than control group. In the correlation analysis, a positive correlation between life satisfaction and body perception was found. Conclusion: According to the findings of the study, morbid obesity patients had lower life satisfaction and higher dissatisfaction with body appearance than the control group but higher self esteem. In addition, as the satisfaction of the person's body image increased accordingly with the increase of life satisfaction. In some societies, the concept of weakness is appreciated, while obese individuals are exposed to exclusion. If self-esteem is thought to be influenced by interpersonal relationships, the higher self-esteem in morbid obese patients can be explained by the variation in social structure and number of patients. [ABSTRACT FROM AUTHOR]