Globally, especially in the Asian and African regions, there has been a rising burden of obesity due to high consumption of energy-dense foods and the increase of physical inactivity caused by urbanization and sedentary lifestyle changes.1 Bariatric surgery, or weight-loss surgery, remains to be the most effective treatment for morbid obesity, and it also has resulted in a substantial improvement of obesity-related comorbidities, especially type 2 diabetes mellitus.
Obesity, Morbid

No abstract available.
Obesity, Morbid* ; Polycystic Ovary Syndrome*

No abstract available.
Gastrectomy* ; Hyperhomocysteinemia ; Obesity, Morbid* ; Thrombophilia*

More attention has been paid to bariatric surgery due to an increase in the obese population in Korea. Laparoscopic adjustable gastric banding (LAGB) is the most popular procedure for weight-loss but the complication rate may increase with time. Revision surgery is needed if there are complications or the weight is regained after LAGB, and a laparoscopic sleeve gastrectomy could be performed in the case of band failure. Successful band removal and sleeve gastrectomy wereperformed simultaneously without complications.
Bariatric Surgery ; Gastrectomy ; Korea ; Obesity, Morbid

Bariatric Surgery ; Humans ; Obesity, Morbid ; complications ; surgery

Gastrectomy ; Humans ; Laparoscopy ; Magnetic Phenomena ; Obesity, Morbid

To estimate the prevalence and trend of obesity in primary school-age children, obesity survey was performend in children aged 6 to 12 years(5,226 boys and 5,048 girls)in Kwangju in 1991. Obesity was defined as overweight if more than 20 per cent above the median weight for height and age(relative weight>120%). The following results were obtained: 1) The prevalence of obesity that exceeded the weight centiles at each height by more than 97th percentile was 8.78. Boys (9.70%)was not significantly higher than in girls(7.82%)(p>0.05). 2) The prevalence of obesity that exceeded the standard weight for height by more than 20% was 8.82%. Among them, 5.45% were mild obesity and 2.93% were moderate obesity and 0.44% were severe obesity. The prevalence rate of obesity was no significant differences by sex(p>0.05). 3) Regionally, the prevalence of obesity was a lower rate in Kwangiu in 1991 (8.82%)than that in Seoul in 1989(11.68%).
Child* ; Gwangju* ; Humans ; Obesity* ; Obesity, Morbid ; Overweight ; Prevalence* ; Seoul

Since its first description in 2013, robust evidence supporting the efficacy and safety of the endoscopic sleeve gastroplasty (ESG) has been on the rise. A large case series and meta-analysis report supported results up to 24 months, while some other studies already described 5-year data. If associated with pharmacotherapy, the ESG may help one to achieve weight loss similar to that of surgical sleeve gastrectomy. Though the results of the ongoing randomized trials on ESG are awaited, currently available data support the clinical use of the ESG, especially for patients who are refusing or unfit for bariatric surgery.
Gastrectomy ; Gastroplasty/methods* ; Humans ; Laparoscopy ; Obesity, Morbid ; Treatment Outcome

OBJECTIVETo summarize the surgical technique and perioperative management of laparoscopic sleeve gastrectomy (LSG).

METHODSA total of 57 morbid obesity patients undergoing LSG surgery from May 2010 to December 2012 were enrolled in the study, whose clinical data in perioperative period were analyzed retrospectively. These patients had more than 1 year of follow-up. All the patients received preoperative preparation and postoperative management, and postoperative excess weight loss(EWL%) and improvement of preoperative complications was evaluated.

RESULTSAll the cases completed the operation under laparoscopy, except 1 case because of the abdominal extensive adhesion. The average operation time was(102.0±15.2) min and the mean intraoperative blood loss (132.3±45.6) ml. Of 2 postoperative hemorrhage patients, 1 case received conservative treatment, and another one underwent laparoscopic exploration. The EWL% at 3 months, 6 months and 1 year after procedure was (54.9±13.8)%, (79.0±23.6)% and (106.9±25.1)% respectively. The preoperative complications were improved in some degree. There were no operative death, and anastomotic leak, anastomotic stenosis, or surgical site infection occurred.

CONCLUSIONLSG is a safe and effective surgical technique, whose safety and efficacy may be increased by improving the perioperative management.

Modern weight loss surgery has been transformed from the extensive mode to the precision mode. The new concept of precise laparoscopic Roux-en-Y gastric bypass(PLRYGB)embodies the advanced ideas of humanistic medicine, evidence-based medicine, minimally invasive treatment and so on. The ideal goal is to minimize trauma, maximize organ protection, minimize medical cost, and obtain the best effect of weight loss. This new concept will have broad prospects and probably become the mainstream idea in the field of weight loss surgery.
Gastric Bypass ; Humans ; Laparoscopy ; Obesity, Morbid ; surgery ; Weight Loss