- Weight recurrence after Sleeve Gastrectomy versus Roux-en-Y gastric bypass: a propensity score matched nationwide analysis. [Journal Article]Surg Endosc. 2023 Feb 06 [Online ahead of print]SE
- CONCLUSIONS: Patients undergoing SG are more likely to experience weight recurrence, and less likely to achieve comorbidity remission than patients undergoing RYGB.
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- The male patient with obesity undergoing metabolic and bariatric surgery: changes in testosterone levels correlate with weight loss after one-anastomosis gastric bypass and Roux-en-Y gastric bypass. [Journal Article]Surg Obes Relat Dis. 2022 Dec 30 [Online ahead of print]SO
- CONCLUSIONS: Serum plasma testosterone levels rise significantly after metabolic and bariatric surgery in male patients. The change of testosterone levels seems to play a role in continued weight loss after surgery. This is true irrespective of the surgical method used.
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- Symmetric three-port laparoscopic Roux-en-Y gastric bypass: a novel technique that is safe, effective, and feasible. [Journal Article]Surg Today. 2023 Feb 04 [Online ahead of print]ST
- CONCLUSIONS: STLGB is safe, effective, and feasible for all kinds of patients. It is reproducible with standardization of the procedure.
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- The effect of bariatric surgery on metabolic syndrome: A retrospective cohort study in Colombia. [Journal Article]
- CONCLUSIONS: Metabolic and bariatric surgery is an effective treatment for weight reduction, with a high impact in reducing the prevalence of metabolic syndrome and insulin resistance in the short and medium term in the Colombian population.
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- Reflux Symptoms Increase Following Sleeve Gastrectomy Despite Triage of Symptomatic Patients to Roux-en-Y Gastric Bypass. [Journal Article]J Clin Gastroenterol. 2022 Dec 19 [Online ahead of print]JC
- CONCLUSIONS: Despite preferential RYGB when preoperative GERD was identified, SG independently predicted worsening heartburn symptoms after bariatric surgery.
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- Analysis of the Efficacy and the Long-term Metabolic and Nutritional Status of Sleeve Gastrectomy with Transit Bipartition Compared to Roux-en-Y Gastric Bypass in Obese Rats. [Journal Article]Obes Surg. 2023 Feb 02 [Online ahead of print]OS
- CONCLUSIONS: In a rat model, at long term compared to RYGB, SG-TB provides greater and better-maintained weight loss and an increased insulin secretion without impairing nutritional status.
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- Health-related quality of life outcomes following Roux-en-Y gastric bypass versus one anastomosis gastric bypass. [Journal Article]Langenbecks Arch Surg. 2023 Feb 02; 408(1):74.LA
- CONCLUSIONS: Concerning SF36 and BAROS evaluated HrQoL in early and late postoperative phases, both procedures demonstrated comparable and relevant improvements. Further (preferably randomized) studies should include evaluation of preoperative HrQoL.
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- Abdominal pain: A foe in the orchestra of improving symptoms after Roux-en-Y gastric bypass surgery. [Journal Article]Clin Obes. 2023 Feb 01 [Online ahead of print]CO
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- Effect of duodenal-jejunal bypass on diabetes in the early postoperative period. [Journal Article]
- Metabolic surgery is an effective treatment for patients with type 2 diabetes mellitus (T2DM). The aim of this study was to investigate the effect of duodenal-jejunal bypass (DJB) in a rat model of T2DM during the early postoperative period. A rat model of non-obese T2DM was allocated to two groups: a sham group and a DJB group. On postoperative day 1 (1POD), oral glucose tolerance testing (OGTT)…
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- Obesity, sleeve gastrectomy and gastro-esophageal reflux disease. [Review]J Visc Surg. 2023 Jan 30 [Online ahead of print]JV
- Sleeve gastrectomy (SG) is the most frequently performed operation for morbid obesity in the world. In spite of its demonstrated efficacy, the Achilles' Heel of this procedure seems to be either pre-existing or de novo gastro-esophageal reflux disease (GERD) with its potential complications such as peptic esophagitis, Barrett's esophagus and, in the long-term, esophageal adenocarcinoma. According…
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- Obesity surgery: Which procedure should we choose and why? [Review]J Visc Surg. 2023 Jan 30 [Online ahead of print]JV
- In the 70years that bariatric surgery has existed, many different surgical procedures have been developed. Four procedures are officially accepted by all learned societies: adjustable gastric banding (AGB), sleeve gastrectomy (SG), Roux-en-Y gastric bypass (RYGB) and bilio-pancreatic diversion (BPD). Gastric banding has the lowest short-term surgical risk, but it has the highest re-operation rate…
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- Effect of bariatric surgery on maternal cardiovascular system. [Journal Article]Ultrasound Obstet Gynecol. 2023 Feb; 61(2):207-214.UO
- CONCLUSIONS: Our findings indicate better maternal cardiovascular adaptation in women with previous bariatric surgery compared with presurgery BMI-matched pregnant women with no history of weight-loss surgery. © 2022 The Authors. Ultrasound in Obstetrics & Gynecology published by John Wiley & Sons Ltd on behalf of International Society of Ultrasound in Obstetrics and Gynecology.
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- Decreasing Surgical Site Infection Associated with the Use of Circular Staplers During Roux-En-Y Gastric Bypass. [Journal Article]
- CONCLUSIONS: We propose a safe, reproducible technique that significantly reduces SSI rates during LRYGB.
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- Incarcerated Diaphragmatic Hernias After Roux-en-Y Gastric Bypass. [Case Reports]
- Laparoscopic Roux-en-Y gastric bypass (LRYGB) is one of the most common operations performed for morbid obesity. Some of the known surgical complications include anastomotic leaks and small bowel obstructions due to internal hernias. Diaphragmatic hernias are common in the general population, and repair of symptomatic hernias is generally recommended. Diaphragmatic hernia after a prior LRYGB is m…
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- Endoscopic Sleeve Gastroplasty: A Safe Bariatric Intervention for Class III Obesity (BMI > 40). [Journal Article]Obes Surg. 2023 Jan 31 [Online ahead of print]OS
- CONCLUSIONS: The feasibility and safety of ESG in patients with class III obesity are comparable to patients with class I and II obesity. Additionally, the safety of ESG in patients with class III obesity is comparable to SG and safer than RYGB. Endoscopic sleeve gastroplasty: a safe bariatric intervention for class III obesity (BMI > 40).
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- The impact of bariatric surgery on macronutrient malabsorption depends on the type of procedure. [Journal Article]
- CONCLUSIONS: The limited macronutrient malabsorption likely does not affect the nutritional status of the patient. However, the higher protein fermentation may affect colonic health and warrants further investigation.
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- Effects of Heterozygous Variants in the Leptin-Melanocortin Pathway on Transoral Outlet Reduction After Roux-en-Y Gastric Bypass: A Case-Control Study and Review of Literature. [Journal Article]Obes Surg. 2023 Jan 28 [Online ahead of print]OS
- CONCLUSIONS: Patients with a LMP variant and that underwent RYGB showed decreased weight loss after undergoing TORe. Further and larger studies are needed to comprehend the effect of TORe on patients with LMP variants.
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- Bariatric Surgery Should Be Offered to Active-Duty Military Personnel: a Retrospective Study of the Canadian Armed Forces' Experience. [Journal Article]Obes Surg. 2023 Jan 28 [Online ahead of print]OS
- CONCLUSIONS: This is the largest series of bariatric surgeries performed in active-duty military personnel. Bariatric surgery is effective and safe and improves deployability without impairing military careers. These results are relevant to the military of many industrialized countries. Bariatric surgery should be considered for all active-duty military personnel who meet surgical criteria for the treatment of obesity.
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- Effect of bariatric surgery on carotid intima-media thickness: A meta-analysis based on observational studies. [Review]
- CONCLUSIONS: Bariatric surgery is consistently effective in reducing CIMT in people with obesity.
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- Long-term Outcomes of Transoral Outlet Reduction (TORe) for Dumping Syndrome and Weight Regain After Roux-en-Y Gastric Bypass. [Journal Article]Obes Surg. 2023 Jan 27 [Online ahead of print]OS
- CONCLUSIONS: TORe is a minimally invasive treatment for DS and/or weight regain after RYGB, with evidence of long-term efficacy.
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- Long-Term Outcomes of Iron Deficiency Before and After Bariatric Surgery: a Systematic Review and Meta-analysis. [Journal Article]Obes Surg. 2023 Jan 26 [Online ahead of print]OS
- CONCLUSIONS: As a result, preoperative evaluation and correction of ID may lead to better outcomes for bariatric surgery candidates. ID is also common in patients after bariatric procedures, especially RYGB. Long-term, even lifelong, medical and nutritional monitoring and tailored interventions are critical.
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- Opioid Use After Gastric Bypass, Sleeve Gastrectomy or Intensive Lifestyle Intervention. [Journal Article]Ann Surg. 2023 Mar 01; 277(3):e552-e560.AnnS
- CONCLUSIONS: Bariatric surgery was associated with a higher proportion of opioid users and larger total opioid dose, compared to actively treated obese individuals. These trends were especially evident in patients who received additional surgery during follow-up.
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- Bariatric surgery improves outcomes of hospitalizations for acute heart failure: a contemporary, nationwide analysis. [Journal Article]Surg Obes Relat Dis. 2022 Dec 20 [Online ahead of print]SO
- CONCLUSIONS: Bariatric surgery is associated with reduced admissions for acute HF. Among acute HF hospitalizations, bariatric surgery is linked to significantly improved clinical and financial outcomes. Given its potential benefits in obesity and related diseases, bariatric surgery holds promise for promoting value-based healthcare for HF.
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- Esophageal function and non-acid reflux evaluated by impedance-24 h-pH-metry, high-resolution manometry, and gastroscopy after one-anastomosis gastric bypass-outcomes of a prospective mid-term study. [Journal Article]Surg Endosc. 2023 Jan 24 [Online ahead of print]SE
- CONCLUSIONS: This study has shown decreased rates of acid reflux and increased non-acid reflux after a mid-term outcome of primary OAGB patients. Gastroscopy showed signs of chronic irritation of the gastrojejunostomy, pouch, and distal esophagus, even in asymptomatic patients. Follow-up gastroscopies in OAGB patients after 5 years may be considered.
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- Best practice approach for redo-surgeries after sleeve gastrectomy, an expert's modified Delphi consensus. [Journal Article]Surg Endosc. 2023 Jan 24 [Online ahead of print]SE
- CONCLUSIONS: Redo-surgeries after SG is still an important issue among bariatric and metabolic surgeons. The proper time and procedure selection for redo-surgery need careful considerations. Although multi-disciplinary team evaluation plays a key role to evaluate best options in these situations, an algorithmic clinical approach based on the expert's consensus as a guideline can help for the best clinical decision-making.
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- Bariatric surgery in a patient with cystic fibrosis and diabetes: A case report. [Case Reports]J Cyst Fibros. 2023 Jan 22 [Online ahead of print]JC
- Cystic fibrosis (CF) is incurable and chronic, causing severe multisystemic damage and long-term complications. The most prominent extrapulmonary long-term complication is CF-related diabetes, which is the most reported form of diabetes in individuals with cystic fibrosis. Here we present the first case of an individual with cystic fibrosis who developed type 2 diabetes due to obesity rather than…
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- Long- and short-term outcomes of bariatric surgery in 7755 patients with obesity and comorbidities. [Journal Article]Minerva Surg. 2023 Jan 24 [Online ahead of print]MS
- CONCLUSIONS: Both SG and RYGB reduce comorbidity and weight. However, RYGB is associated with a higher %EWL and remission rate of obesity-associated diseases than SG. However, it remains to be seen whether the outcomes of the two interventions are similar after a more extended follow-up period.
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- Evolution of Bariatric Surgery in Italy in the Last 11 Years: Data from the SICOB Yearly National Survey. [Journal Article]
- CONCLUSIONS: BS in Italy evolved significantly during the past 10 years. AGB underwent a decline, as did BPD and GP which are disappearing and RYGB which is giving way to OAGB. The latter is rising and is the second most-performed procedure after SG which has been confirmed as the preferred procedure by Italian bariatric surgeons.
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- One-anastomosis gastric bypass reversal due to severe malnutrition and acute hepatic failure: a case report. [Case Reports]
- The one-anastomosis gastric bypass (OAGB) is one of the most popular performed bariatric surgeries and has good long-term success for treating obesity and metabolic diseases. However, some patients can develop severe complications such as malnutrition and hepatic steatosis, which can be corrected with a reversal procedure, as seen in this case. A 20-year-old woman underwent OAGB surgery, which wa…
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