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Hospitalization outcomes of patients undergoing laparoscopic sleeve gastrectomy

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TitleInfo
Title
Hospitalization outcomes of patients undergoing laparoscopic sleeve gastrectomy
Name (type = personal)
NamePart (type = family)
Allabun
NamePart (type = given)
Sarah M.
NamePart (type = date)
1982-
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Sarah M. Allabun
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author
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NamePart (type = family)
Srinivasan
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Shankar
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Shankar Srinivasan
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Advisory Committee
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chair
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Haque
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Syed
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Syed Haque
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Advisory Committee
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internal member
Name (type = personal)
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Coffman
NamePart (type = given)
Frederick
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Frederick Coffman
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Advisory Committee
Role
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internal member
Name (type = corporate)
NamePart
Rutgers University
Role
RoleTerm (authority = RULIB)
degree grantor
Name (type = corporate)
NamePart
School of Health Related Professions
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school
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Text
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theses
OriginInfo
DateCreated (qualifier = exact)
2016
DateOther (type = degree); (qualifier = exact)
2016-05
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2016
Place
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xx
Language
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eng
Abstract
The increase in the prevalence of obesity in a growing number of populations worldwide presents a rising health threat in this millennium. Overall, about 13% of the world adult population (11% of men and 15% of women) fell into the obese category in 2014.
Management of overweight and obesity used to be through non-surgical methods including diet, exercise, medication, and changing life styles. However, commitment to all these methods is very hard. Hence, surgical intervention has been used on a wide scale. Many types of bariatric surgical procedures were applied, mostly restrictive types such as Laparoscopic Sleeve Gastrectomy, Laparoscopic Adjustable Gastric Banding, or Roux-en-Y Gastric Bypass. The overall goal of this research is to identify the factors and costs associated with patients undergoing different types of gastrectomy, in terms of length of stay in the hospital and the operations’ costs in different types of clinical settings across the United States. Accordingly in the second phase of the project, a prospective study was conducted to evaluate some variables in the LSG candidates, such as hemoglobin level, vitamin levels (B12 and D), and thyroid hormone levels before and after the operation. Moreover, similar study and data sources were made use of from King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia.
Most patients who underwent the LSG had different kinds of comorbidity, for example; among 2012 candidates in the US, there were 34.22% who had hypertension, complicated or uncomplicated; 15.26% had uncomplicated diabetes; and 12.35% complained of depression.
According to this study’s results, a statistically significant association was found between length of stay in the hospitals, and consequently the total cost, and the following comorbidities: obesity (b=1.119, p<0.001), hypertension (b=0.076, p=0.022), and deficiency anemia (b=0.506, p<0.001). No statistically significant evidence of association between length of stay or total cost and hypothyroidism (p=0.12) or uncomplicated diabetes (p=0.385) was found. Regarding Saudi patients who received LSG between 2014 and 2015, no statistically significant difference between level of Hb or Vitamin B12 was found in patients before and after the LSG, while there was a statistically significant difference in the level of vitamin D before and after the operations. Although Sleeve Gastrectomy is popular currently as a solution for obesity, research into the procedure’s long-term effects is scarce. More research is required to improve outcomes and to maximize the benefits of those procedures.
Subject (authority = RUETD)
Topic
Biomedical Informatics
Subject (authority = ETD-LCSH)
Topic
Gastrectomy
Subject (authority = ETD-LCSH)
Topic
Laparoscopic surgery
Subject (authority = ETD-LCSH)
Topic
Obesity--Surgery
RelatedItem (type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier (type = RULIB)
ETD
Identifier
ETD_7340
PhysicalDescription
Form (authority = gmd)
electronic resource
InternetMediaType
application/pdf
InternetMediaType
text/xml
Extent
1 online resource (xiv, 108 p. : ill.)
Note (type = degree)
Ph.D.
Note (type = bibliography)
Includes bibliographical references
Note (type = statement of responsibility)
by Sarah Mohammed A. Allabun
RelatedItem (type = host)
TitleInfo
Title
School of Health Related Professions ETD Collection
Identifier (type = local)
rucore10007400001
Location
PhysicalLocation (authority = marcorg); (displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Identifier (type = doi)
doi:10.7282/T3MG7RNS
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Rights

RightsDeclaration (ID = rulibRdec0006)
The author owns the copyright to this work.
RightsHolder (type = personal)
Name
FamilyName
Allabun
GivenName
Sarah
MiddleName
M
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2016-04-28 23:55:01
AssociatedEntity
Name
sarah Allabun
Role
Copyright holder
Affiliation
Rutgers University. School of Health Related Professions
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License
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Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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2016-04-28T17:03:19
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2016-04-28T17:03:19
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