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  1. Article ; Online: Gewichtstoename na bariatrische chirurgie.

    Romeijn, M M / Uittenbogaart, M / Janssen, L / van Dielen, F M H / Leclercq, W K G

    Nederlands tijdschrift voor geneeskunde

    2020  Volume 164

    Abstract: Despite the frequent success of bariatric surgery, 20-30% of patients do not respond well. These patients may experience insufficient weight loss, defined as primary non-response, or may regain an excessive amount of weight after sufficient weight loss, ... ...

    Title translation Weight gain after bariatric surgery.
    Abstract Despite the frequent success of bariatric surgery, 20-30% of patients do not respond well. These patients may experience insufficient weight loss, defined as primary non-response, or may regain an excessive amount of weight after sufficient weight loss, defined as secondary non-response. The aetiology and subsequent treatment of these two types of non-response may differ. This is illustrated by three cases: a patient with primary non-response after gastric bypass (total weight loss 18%) treated conservatively; a patient with secondary non-response after gastric bypass (total weight loss 27%) treated conservatively and lost 7kg as a result of this therapy; a patient with secondary non-response after gastric bypass (total weight loss 27%) treated surgically though experienced malabsorptive complaints as result of distalisation. These cases can be used to demonstrate the challenges that are faced by professionals in the current treatment of post-bariatric surgery patients.
    MeSH term(s) Adult ; Bariatric Surgery ; Female ; Humans ; Male ; Middle Aged ; Obesity, Morbid/physiopathology ; Obesity, Morbid/surgery ; Postoperative Period ; Treatment Failure ; Weight Gain ; Weight Loss
    Language Dutch
    Publishing date 2020-10-29
    Publishing country Netherlands
    Document type Case Reports ; Journal Article
    ZDB-ID 82073-8
    ISSN 1876-8784 ; 0028-2162
    ISSN (online) 1876-8784
    ISSN 0028-2162
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  2. Article: Sentinel bleeding as a sign of gastroaortic fistula formation after oesophageal surgery.

    Uittenbogaart, M / Sosef, M N / van Bastelaar, J

    Case reports in surgery

    2014  Volume 2014, Page(s) 614312

    Abstract: Gastroaortic fistula formation is a very rare complication following oesophageal resection and, in most cases, leads to sudden death. We report the case of a 65-year-old male with an adenocarcinoma of the oesophagus who underwent neoadjuvant ... ...

    Abstract Gastroaortic fistula formation is a very rare complication following oesophageal resection and, in most cases, leads to sudden death. We report the case of a 65-year-old male with an adenocarcinoma of the oesophagus who underwent neoadjuvant chemoradiation followed by a minimally invasive transthoracic oesophagectomy with gastric tube reconstruction and intrathoracic anastomosis. After an uneventful postoperative course and hospital discharge, the patient reported blood regurgitation on postoperative day 23. Endoscopy revealed an adherent blood clot on the oesophageal wall, which after dislocation caused exsanguination. Autopsy determined the cause of death being massive haemorrhage due to a gastroaortic fistula. The sudden onset of haemorrhage makes this condition particularly difficult to treat. Recognition of warning signs such as thoracic or epigastric pain, regurgitation of blood, or the passing of bloody stools or melena is crucial in the early detection of fistula and may improve patient outcome.
    Language English
    Publishing date 2014-12-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2657697-1
    ISSN 2090-6919 ; 2090-6900
    ISSN (online) 2090-6919
    ISSN 2090-6900
    DOI 10.1155/2014/614312
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  3. Article ; Online: Safety and Efficiency of an Articulating Needle Driver in Advanced Laparoscopic Abdominal Surgery.

    van der Vliet, Walderik J / Spaans, Louisa N / Bonouvrie, Daniëlle S / Uittenbogaart, Martine / Leclercq, Wouter K G

    Journal of laparoendoscopic & advanced surgical techniques. Part A

    2021  Volume 32, Issue 4, Page(s) 422–426

    Abstract: Objective: ...

    Abstract Objective:
    MeSH term(s) Gastric Bypass ; Hernia, Diaphragmatic ; Humans ; Laparoscopy/methods ; Learning Curve ; Operative Time ; Postoperative Complications
    Language English
    Publishing date 2021-12-21
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1381909-4
    ISSN 1557-9034 ; 1092-6429
    ISSN (online) 1557-9034
    ISSN 1092-6429
    DOI 10.1089/lap.2021.0272
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  4. Article ; Online: Assessment of pouch and stoma size in weight loss failure after Roux-en-Y gastric bypass.

    Uittenbogaart, Martine / van Dielen, Francois / Leclercq, Wouter

    Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery

    2016  Volume 12, Issue 1, Page(s) 210

    MeSH term(s) Female ; Gastric Bypass/adverse effects ; Gastroplasty/methods ; Humans ; Laparoscopy ; Male ; Obesity, Morbid/surgery ; Outcome Assessment (Health Care)/methods ; Salvage Therapy/methods ; Weight Loss/physiology
    Language English
    Publishing date 2016-01
    Publishing country United States
    Document type Comment ; Letter
    ZDB-ID 2274243-8
    ISSN 1878-7533 ; 1550-7289
    ISSN (online) 1878-7533
    ISSN 1550-7289
    DOI 10.1016/j.soard.2015.08.513
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  5. Article ; Online: Pregnant patient with acute abdominal pain and previous bariatric surgery.

    Leclercq, Wouter Kg / Uittenbogaart, Martine / Niemarkt, Hendrik J / van Laar, Judith Oeh

    BMJ case reports

    2019  Volume 12, Issue 8

    Abstract: Pregnant women who previously had bariatric surgery may develop acute abdominal pain during pregnancy. Two patients, 38-year-old twin primigravida (gestational age of 24+6 weeks) and a 26-year-old woman (gestational age of 24+0 weeks), both of whom had ... ...

    Abstract Pregnant women who previously had bariatric surgery may develop acute abdominal pain during pregnancy. Two patients, 38-year-old twin primigravida (gestational age of 24+6 weeks) and a 26-year-old woman (gestational age of 24+0 weeks), both of whom had laparoscopic gastric bypass surgery previously, developed abdominal pain. The patients both had diffuse abdominal pain in combination with normal blood tests and imaging. Patient B had undergone laparoscopy at another centre after 5 weeks of gestation for internal herniation. After referral to our multidisciplinary bariatric-obstetric-neonatal (MD-BON) team, diagnostic laparoscopy was advised as internal herniation was deemed possible. In both patients, internal herniation was indeed found in Petersen's space and jejunal mesenteric defect, which was closed using laparoscopic surgery. Both women delivered healthy offspring afterwards. The presence of an MD-BON team allows for an increased awareness of potential long-term complications associated with earlier bariatric surgery in pregnancy.
    MeSH term(s) Abdominal Pain/etiology ; Adult ; Bariatric Surgery ; Female ; Hernia, Abdominal/complications ; Hernia, Abdominal/diagnosis ; Hernia, Abdominal/diagnostic imaging ; Hernia, Abdominal/surgery ; Humans ; Laparoscopy ; Pregnancy ; Pregnancy Complications/diagnosis ; Pregnancy Complications/diagnostic imaging ; Pregnancy Complications/surgery ; Pregnancy Trimester, Second ; Pregnancy, Twin
    Language English
    Publishing date 2019-08-21
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2018-228962
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  6. Article ; Online: Primary and Secondary Nonresponse Following Bariatric Surgery: a Survey Study in Current Bariatric Practice in the Netherlands and Belgium.

    Uittenbogaart, Martine / de Witte, Evelien / Romeijn, Marleen M / Luijten, Arijan A P M / van Dielen, Francois M H / Leclercq, Wouter K G

    Obesity surgery

    2020  Volume 30, Issue 9, Page(s) 3394–3401

    Abstract: Purpose: Primary nonresponse (1NR) - inability to achieve adequate weight loss after surgery - and secondary nonresponse (2NR) - excessive weight regain after initial adequate weight loss after surgery - can occur in up to 25-35% of patients after ... ...

    Abstract Purpose: Primary nonresponse (1NR) - inability to achieve adequate weight loss after surgery - and secondary nonresponse (2NR) - excessive weight regain after initial adequate weight loss after surgery - can occur in up to 25-35% of patients after bariatric surgery. The aim of this study was to explore the variations in both definition as well as management of 1NR and 2NR amongst bariatric surgeons.
    Materials and methods: An online survey was distributed to all members of the national bariatric societies in the Netherlands and Belgium regarding questions about definition, work-up and treatment of 1NR and 2NR after bariatric surgery.
    Results: A total of 45 responses from bariatric surgeons were obtained, representing 32 medical centers that perform bariatric procedures. When assessing 1NR, excess weight loss(EWL) was reported to be used by most respondents(30/45), total body weight loss(TBWL) by 18/45 and body mass index(BMI) by 25/45. A great variation in cut off values was observed. When assessing 2NR, percentage weight gain from the lowest (nadir) weight was preferred most by 22/45 respondents with cut off values varying from 5 to 20%. Most respondents deemed 18 months after initial surgery the most appropriate timeframe to determine 1NR or 2NR.
    Conclusions: The current practice regarding primary and secondary nonresponse after bariatric surgery has a wide variety in definitions, work-up and treatment options. Consensus on the definition of 1NR and 2NR is needed to optimize the treatment of bariatric patients.
    MeSH term(s) Bariatric Surgery ; Belgium ; Body Mass Index ; Humans ; Netherlands/epidemiology ; Obesity, Morbid/surgery ; Surveys and Questionnaires ; Treatment Outcome
    Language English
    Publishing date 2020-03-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1070827-3
    ISSN 1708-0428 ; 0960-8923
    ISSN (online) 1708-0428
    ISSN 0960-8923
    DOI 10.1007/s11695-020-04574-5
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  7. Article: Reliability and usefulness of upper gastro intestinal contrast studies to assess pouch size in patients with weight loss failure after Roux-en-Y gastric bypass.

    Uittenbogaart, Martine / Leclercq, Wouter K G / Smeele, Paul / van der Linden, A N / Luijten, Arijan A P M / van Dielen, Francois M H

    Acta chirurgica Belgica

    2019  Volume 120, Issue 5, Page(s) 329–333

    Abstract: Background: ...

    Abstract Background:
    MeSH term(s) Adult ; Aged ; Contrast Media ; Dilatation, Pathologic ; Female ; Fluoroscopy ; Gastric Bypass/adverse effects ; Humans ; Male ; Middle Aged ; Obesity, Morbid/diagnostic imaging ; Obesity, Morbid/surgery ; Postoperative Complications/diagnostic imaging ; Postoperative Complications/etiology ; Reproducibility of Results ; Retrospective Studies ; Treatment Failure ; Upper Gastrointestinal Tract/diagnostic imaging ; Weight Loss ; Young Adult
    Chemical Substances Contrast Media
    Language English
    Publishing date 2019-06-27
    Publishing country England
    Document type Journal Article
    ZDB-ID 210274-2
    ISSN 0001-5458
    ISSN 0001-5458
    DOI 10.1080/00015458.2019.1631625
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  8. Article ; Online: Reply to Letter to the Editor: Measuring and Defining Response and Non-response After Bariatric Surgery.

    Bonouvrie, Daniëlle S / Uittenbogaart, Martine / Luijten, Arijan A P M / van Dielen, François M H / Leclercq, Wouter K G

    Obesity surgery

    2019  Volume 29, Issue 5, Page(s) 1651–1652

    MeSH term(s) Bariatric Surgery ; Gastric Bypass ; Humans ; Obesity, Morbid/surgery
    Language English
    Publishing date 2019-02-01
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 1070827-3
    ISSN 1708-0428 ; 0960-8923
    ISSN (online) 1708-0428
    ISSN 0960-8923
    DOI 10.1007/s11695-019-03747-1
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  9. Article ; Online: Long-Term Results of Laparoscopic Sleeve Gastrectomy for Morbid Obesity: 5 to 8-Year Results.

    Uittenbogaart, Martine / Luijten, Arijan A P M / van Dielen, François M H / Leclercq, Wouter K G

    Obesity surgery

    2017  Volume 27, Issue 6, Page(s) 1624

    Language English
    Publishing date 2017-06
    Publishing country United States
    Document type Letter
    ZDB-ID 1070827-3
    ISSN 1708-0428 ; 0960-8923
    ISSN (online) 1708-0428
    ISSN 0960-8923
    DOI 10.1007/s11695-017-2655-0
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  10. Article ; Online: Laparoscopic Adjustable Gastric Banding After Failed Roux-En-Y Gastric Bypass.

    Uittenbogaart, Martine / Leclercq, Wouter Kg / Luijten, Arijan Apm / van Dielen, Francois Mh

    Obesity surgery

    2017  Volume 27, Issue 2, Page(s) 381–386

    Abstract: Background: Roux-en-Y gastric bypass (RYGB) is associated with approximately 25 % weight loss failure, resulting in insufficient weight loss or weight regain. Strategies of revisional surgery focus on alteration of limb length, pouch or stoma size. ... ...

    Abstract Background: Roux-en-Y gastric bypass (RYGB) is associated with approximately 25 % weight loss failure, resulting in insufficient weight loss or weight regain. Strategies of revisional surgery focus on alteration of limb length, pouch or stoma size. Altering pouch size and outlet by adding laparoscopic adjustable gastric band (LAGB) might initiate further weight loss. The goal of this study is to review the safety and efficacy of LAGB after failed RYGB in a retrospective cohort of patients in our institute.
    Methods: Patients with secondary LAGB (n = 44) were studied between May 2012 and January 2015. Demographics, effects on weight loss and complications were analysed.
    Results: Mean age and body mass index (BMI) at time of LAGB was 45.8 ± 8.2 years and 37.2 ± 5.4 kg/m
    Conclusion: In this largest published cohort, secondary banding of failed RYGB provides only limited additional weight loss. Furthermore, this technique is associated with high morbidity and reoperation rates. A significant difference in effect was found between patients with weight loss failure and weight regain. Larger prospective series are necessary to evaluate if the modest benefits are worth the risks of secondary LAGB.
    Language English
    Publishing date 2017-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1070827-3
    ISSN 1708-0428 ; 0960-8923
    ISSN (online) 1708-0428
    ISSN 0960-8923
    DOI 10.1007/s11695-016-2283-0
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