Scott A Shikora
Affiliation: Tufts Medical Center
- Implantable gastric stimulation for the treatment of clinically severe obesity: results of the SHAPE trialScott A Shikora
Tufts Medical Center, Boston, Massachusetts 02111, USA
Surg Obes Relat Dis 5:31-7. 2009..Implantable gastric stimulation has been proposed as a first-line treatment for severely obese patients; however, previous investigations have reported inconclusive results...
- Adjustable intragastric balloons: a 12-month pilot trial in endoscopic weight loss managementEvzen Machytka
Faculty of Medicine, University of Ostrava, Ostrava, Czech Republic
Obes Surg 21:1499-507. 2011..1) Upward adjustments yielded additional weight loss. (2) Downward adjustments alleviated intolerance, with continued weight loss. (3) Preliminary 1-year implantation results are encouraging...
- Creation of nutrition support centers of excellence: is it truly an excellent idea?Scott A Shikora
Department of Surgery, Tufts Medical Center, 800 Washington Street, Boston, MA 02111, USA
JPEN J Parenter Enteral Nutr 34:106S-14S. 2010..This article reviews the issues leading up to the creation of the BSCOE, describes its certification process, mentions some of the benefits, and offers recommendations for the consideration of an NSCOE program...
- Best practices in policy and access (coding and reimbursement) for weight loss surgeryScott A Shikora
Tufts Medical Center, Boston, Massachusetts, USA
Obesity (Silver Spring) 17:918-23. 2009..However, access to WLS often varies by payer and region. Currently, there are no uniform criteria for determining patient appropriateness for surgery...
- Expert panel on weight loss surgery: executive report updateGeorge L Blackburn
Department of Surgery, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA
Obesity (Silver Spring) 17:842-62. 2009..We expect them to have far-reaching effects of the development of health care policy and the practice of WLS...
- Comparison of permanent and nonpermanent staple line buttressing materials for linear gastric staple lines during laparoscopic Roux-en-Y gastric bypassScott A Shikora
Division of Bariatric Surgery, Tufts New England Medical Center, Boston, Massachusetts 02111, USA
Surg Obes Relat Dis 4:729-34. 2008..This study analyzed our experience with 3 different buttressing materials for creating the gastric division during laparoscopic Roux-en-Y gastric bypass...
- Energy expenditure is very high in extremely obese womenSai Krupa Das
Jean Mayer U S Department of Agriculture Human Nutrition Research Center on Aging at Tufts University, Boston, MA 02111, USA
J Nutr 134:1412-6. 2004..Standard equations developed for nonobese populations provided the most accurate estimates of REE for the obese individuals studied here. REE was not accurately predicted by equations developed in obese populations...
- An update on best practice guidelines for specialized facilities and resources necessary for weight loss surgical programsDavid B Lautz
Department of Surgery, Brigham and Women s Hospital, Boston, Massachusetts, USA
Obesity (Silver Spring) 17:911-7. 2009..Key factors in patient safety include availability of trained personnel and specialized equipment for the care of extremely obese WLS patients...
- The use of staple-line reinforcement during laparoscopic gastric bypassScott A Shikora
Tufts University School of Medicine, Director Division of Bariatric Surgery, Tufts New England Medical Center, Boston, MA 02111, USA
Obes Surg 14:1313-20. 2004..Human experience has suggested that BPS decreased the risk of acute staple-line failures in laparoscopic Roux-en-Y gastric bypass surgery. This report reviews the clinical and research experience with this product...
- A comparison of burst pressure between buttressed versus non-buttressed staple-lines in an animal modelWilliam Arnold
Center for Minimally Invasive Obesity Surgery, Department of Surgery, Tufts New England Medical Center, Boston, MA 02111, USA
Obes Surg 15:164-71. 2005..This study was designed to assess if gastrointestinal staple-lines buttressed with bovine pericardium could tolerate greater intraluminal pressures compared with non-reinforced staple-lines...
- Laparoscopic Roux-en-Y gastric bypass: results and learning curve of a high-volume academic programScott A Shikora
Division of Bariatric Surgery, Department of Surgery, Tufts New England Medical Center, Boston, MA, USA
Arch Surg 140:362-7. 2005..Laparoscopic Roux-en-Y gastric bypass is a complex procedure performed on a high-risk patient population. Good results can be attained with experience and volume...
- Primary hyperparathyroidism after Roux-en-Y gastric bypassYufei Chen
Massachusetts General Hospital, GRB 425, 55 Fruit Street, Boston, MA, 02114, USA
Obes Surg 25:700-4. 2015..The diagnosis can be difficult, as secondary hyperparathyroidism (SHPT) commonly occurs in patients after RYGBP due to calcium malabsorption and vitamin D deficiency...
- "What are the yanks doing?" the U.S. experience with implantable gastric stimulation (IGS) for the treatment of obesity - update on the ongoing clinical trialsScott A Shikora
Tufts University School of Medicine, Boston, MA, USA
Obes Surg 14:S40-8. 2004..IGS(R) offers a novel approach to weight loss that was found to be safe and effective in European trials. In the U.S., 2 consecutive trials have been undertaken...
- Primary laparoscopic gastric bypass can be performed safely in patients with BMI >or= 60Deborah Abeles
Department of Surgery, Center for Minimally Invasive Obesity Surgery, Tufts Medical Center, Boston, MA, USA
J Am Coll Surg 208:236-40. 2009..At our institution, we do not perform staged bariatric operations for these patients; we execute a single-stage laparoscopic Roux-en-Y gastric bypass (LGBP). Here, we analyze our experience in this population with a single-stage LGBP...
- Nutrition and gastrointestinal complications of bariatric surgeryScott A Shikora
Obesity Consult Center, Center for Minimally Invasive Obesity Surgery, Tufts New England Medical Center, Boston, MA 02111, USA
Nutr Clin Pract 22:29-40. 2007..This article will describe these operative procedures and will discuss the more common consequences...
- Bariatric surgery: current concepts and future directionsDeborah Abeles
Department of Surgery, Center for Minimally Invasive Obesity Surgery, Tufts New England Medical Center, Boston, MA 02111, USA
Aesthet Surg J 28:79-84. 2008..Innovative procedures now under study include gastrointestinal neuromodulation, sleeve gastrectomy, intragastric balloons, intraluminal sleeves, and other endoscopic procedures...
- Two-Year Outcomes of Vagal Nerve Blocking (vBloc) for the Treatment of Obesity in the ReCharge TrialCaroline M Apovian
Boston University School of Medicine, 88 East Newton Street, Boston, MA, 02118, USA
Obes Surg . 2016..The ReCharge Trial demonstrated that a vagal blocking device (vBloc) is a safe and effective treatment for moderate to severe obesity. This report summarizes 24-month outcomes...
- Nutritional support of the obese and critically ill obese patientHaytham M A Kaafarani
Department of Surgery, Tufts Medical Center and Tufts University School of Medicine, 800 Washington Street, Box 437, Boston, MA 02111, USA
Surg Clin North Am 91:837-55, viii-ix. 2011..A clear understanding of the nutritional assessment and unique management strategies available for the bariatric and the critically ill obese patient is essential to provide them with the safest and most effective care...
- Implantable Gastric Stimulation - the surgical procedure: combining safety with simplicityScott A Shikora
Tufts University School of Medicine, Boston, MA 02111, USA
Obes Surg 14:S9-13. 2004..In addition, like for all bariatric procedures, the program must have the appropriate equipment and resources to serve this unique patient population. This review will highlight the most significant aspects of each issue...
- Implantable gastric stimulation for the treatment of severe obesity: the American experienceScott A Shikora
Tufts New England Medical Center, Boston, Massachusetts 02111, USA
Surg Obes Relat Dis 1:334-42. 2005
- Severe obesity: a growing health concern A.S.P.E.N. should not ignoreScott A Shikora
Tufts University School of Medicine, Bariatric Surgery, Tufts New England Medical Center, Boston, Massachusetts 02111, USA
JPEN J Parenter Enteral Nutr 29:288-97. 2005..This address will review the field of weight loss (bariatric) surgery and will offer a compelling request for A.S.P.E.N. to include obesity in its fabric...
- Pregnancy after gastric bypass surgery and internal hernia formationNirupama Kakarla
Divisions of General Obstetrics and Gynecology and Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Tufts New England Medical Center, Boston, Massachusetts, USA
Obstet Gynecol 105:1195-8. 2005..Because of the changes associated with pregnancy, women with a history of gastric bypass surgery may be at an increased risk of gastrointestinal complications during the antepartum period, as demonstrated by these cases...
- Roux-en-Y gastric bypass: hyperamylasemia is associated with small bowel obstructionDavid Spector
Department of Surgery, Brigham and Women s Hospital, Harvard Medical School, Boston, Massachusetts Electronic address
Surg Obes Relat Dis 11:38-43. 2015..The objective of this study was to determine if there was an association between small bowel obstruction and an elevated amylase or lipase after RYGB...
- Recalcitrant hypocalcemia after thyroidectomy in patients with previous Roux-en-Y gastric bypassTravis J McKenzie
Massachusetts General Hospital, Department of Surgery, Wang Ambulatory Care Center, Boston, MA Electronic address
Surgery 154:1300-6; discussion 1306. 2013..This complication is poorly described and there is no current consensus on optimal management in this unique population...
- Implantable gastric stimulation for weight lossScott A Shikora
Obesity Consult Center, Tufts New England Medical Center, Tufts University School of Medicine, Boston, Massachusetts, USA
J Gastrointest Surg 8:408-12. 2004..Preliminary worldwide investigations have demonstrated safety and efficacy. This article will review the current experience with the IGS system...
- Long-term changes in energy expenditure and body composition after massive weight loss induced by gastric bypass surgerySai Krupa Das
Jean Mayer US Department of Agriculture Human Nutrition Research Center on Aging at Tufts University, Boston, MA 02111, USA
Am J Clin Nutr 78:22-30. 2003..Little is known about the determinants of individual variability in body weight and fat loss after gastric bypass surgery or about the effects of massive weight loss induced by this surgery on energy requirements...
- Gastric bypass reversal: a 7-year experienceLuise I M Pernar
Department of Surgery, Brigham and Women s Hospital, Boston, MA
Surg Obes Relat Dis 12:1492-1498. 2016..After gastric bypass, some patients develop conditions that ultimately require reversal of the bypass. There are currently few publications on the topic to guide clinicians...
- An Effort to Develop an Algorithm to Target Abdominal CT Scans for Patients After Gastric BypassLuise I M Pernar
Center for Metabolic and Bariatric Surgery, Department of Surgery, Brigham and Women s Hospital, 75 Francis Street, Boston, MA, 02115, USA
Obes Surg 26:2543-6. 2016..No clinical or laboratory parameter predicted imaging results. Imaging decisions for RYGB patients do not appear to be amenable to a simple algorithm, and patient work-up should be based on astute clinical judgment. ..
- Sustained Weight Loss with Vagal Nerve Blockade but Not with Sham: 18-Month Results of the ReCharge TrialScott A Shikora
Division of General and Gastrointestinal Surgery, Brigham and Women s Hospital, 75 Francis Street, Boston, MA 02115, USA EnteroMedics Inc, 2800 Patton Road, St Paul, MN 55113, USA
J Obes 2015:365604. 2015..Vagal block therapy (vBloc) is effective for moderate to severe obesity at one year...
- Morbid obesity is an independent determinant of death among surgical critically ill patientsStanley A Nasraway
Tufts New England Medical Center, Boston, MA, USA
Crit Care Med 34:964-70; quiz 971. 2006....
- Implantable gastric stimulation for the treatment of severe obesityScott A Shikora
Tufts University School of Medicine, Tufts New England Medical Center, Boston, MA 02111, USA
Obes Surg 14:545-8. 2004..With refinements in patient selection and device application, the weight loss results have been steadily improving. The IGS may someday become a reliable and safe surgical option for weight loss...
- Intermittent Vagal Nerve Block for Improvements in Obesity, Cardiovascular Risk Factors, and Glycemic Control in Patients with Type 2 Diabetes Mellitus: 2-Year Results of the VBLOC DM2 StudyScott A Shikora
Brigham and Women s Hospital, 75 Francis Street, Boston, MA, 02115, USA
Obes Surg 26:1021-8. 2016..Longer-term data are needed to determine whether the results are sustained...
- A study on the economic impact of bariatric surgeryPierre Yves Cremieux
Analysis Group, Inc, 111 Huntington Ave, 10th Fl, Boston, MA 02199, USA
Am J Manag Care 14:589-96. 2008..To evaluate the private third-party payer return on investment for bariatric surgery the United States...
- Reinforcing gastric staple-lines with bovine pericardial strips may decrease the likelihood of gastric leak after laparoscopic Roux-en-Y gastric bypassScott A Shikora
Department of Surgery and Obesity Consult Center, Centerfor Minimally Invasive Obesity Surgery Tufts New England Medical Center, Boston, MA 02111, USA
Obes Surg 13:37-44. 2003..Bovine pericardial strips (BPS) have been used to reinforce staple-lines in pulmonary resections and have been shown to decrease air-leaks. This study examined the use of BPS to decrease gastric staple-line leaks...
- Introduction. Gastric pacing for obesityMervyn Deitel
New England Medical Center, Boston, MA, USA
Obes Surg 12:2S. 2002