- Same-Day Discharge after Metabolic Bariatric Surgery: Methodological Heterogeneity, Discharge Success Rates and 30-Day Safety Outcomes - A Systematic Review. [Review]Obes Surg. 2026 Aug 10. [Online ahead of print]OS
- CONCLUSIONS: For the first time, this systematic review quantifies severe methodological heterogeneity in same-day discharge research (95-100% unique criteria definitions), violating fundamental assumptions for meta-analysis. Individual studies are well-conducted, but pooled estimates remain invalid when studies measure different interventions in different populations. Importantly, stratified analysis revealed a hypothesis-generating safety signal: same-day discharge after RYGB may carry higher mortality risk than after sleeve gastrectomy, reinforcing the need for procedure-specific standardization. International consensus on standardized patient selection criteria, discharge criteria definitions, and outcome reporting-separately for sleeve gastrectomy and anastomotic procedures-is urgently needed before additional studies are conducted.
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- Alcohol-Related Liver Disease After Metabolic Bariatric Surgery: Reassessing the Hidden Risk-A Meta-Analysis. [Review]Obes Surg. 2026 Aug 10. [Online ahead of print]OS
- CONCLUSIONS: Current evidence does not show a significant overall association between MBS and alcohol-related cirrhosis. However, substantial heterogeneity and increased odds in large-sample and long-term studies preclude firm conclusions regarding long-term hepatic safety.
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- Endoflip Assessment in Patients with Gastric Bypass with Fundectomy and Gastric Remnant Exploration: a Pilot Study. [Journal Article]
- CONCLUSIONS: LRYGBfse appears to be an effective and safe surgical option. The functional data confirmed the presence of a distensibility gradient that underlies the functioning of this variant.
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- Safety and Effectiveness of Metabolic and Bariatric Surgery Before and After Kidney Transplantation: A Systematic Review and Meta-Analysis. [Journal Article]
- CONCLUSIONS: In selected patients with severe obesity, pre-transplant MBS was associated with transplantation access, and post-transplant surgery with metabolic improvement in small cohorts. Observed complication rates were acceptable, but controlled studies are needed. Because the evidence is predominantly observational and heterogeneous, comparative safety and long-term graft effects remain uncertain.
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- Menstrual and Reproductive Function Before and After Metabolic Bariatric Surgery. [Journal Article]
- CONCLUSIONS: Metabolic bariatric surgery was associated with > 30 kg weight loss by 24 months, reduced FAI, and improvements in menstrual regularity, and ovarian morphology, suggesting potential improvement in fertility-related parameters. Given high pregnancy intention, findings support the need for integrated reproductive counselling and preconception care within bariatric pathways.
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- Global Research Hotspots and Trends in Obesity-Related Venous Thromboembolism (2000-2025): a Bibliometric Analysis. [Journal Article]
- CONCLUSIONS: This study systematically summarizes obesity-related VTE research and identifies global hotspots and trends. These findings highlight the collaborative models, research focuses, and emerging research areas commonly found in the existing literature, and can serve as a useful reference to inform future research directions and hypothesis development in this field.
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- Expert Consensus on Obesity Management Protocols - A Joint Position Statement by Obesity and Metabolic Surgery Society of India (OSSI) and Endocrine Society of India (ESI). [Review]
- CONCLUSIONS: This first joint OSSI-ESI consensus provides India-specific guidance across the obesity care continuum. By integrating prevention, individualized therapy and multidisciplinary care, the recommendations aim to standardize clinical practice, inform policy and improve outcomes and quality of life for people living with obesity in India.
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- Clinical and Psychometric Predictors of a Positive Alcohol Use Disorder Screen after Roux-en-Y Gastric Bypass: A Cross-Sectional Study. [Journal Article]
- CONCLUSIONS: After bariatric surgery, male sex and paternal alcohol use are strong, easily ascertained predictors of a positive alcohol screen in this cohort and can be translated into a simple, bedside risk-stratification approach (a candidate requiring external validation). GGT shows a weak, group-level association with alcohol use - specific within the hepatic-enzyme panel tested, yet within the reference range and uninformative at the individual level - so it may complement, but cannot replace, psychometric screening. These findings favor psychometric screening focused on identifiable risk strata, with routine GGT as at most a supportive signal.
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- Chronodisruption as an Emerging Determinant of Weight Loss Trajectories after Metabolic Bariatric Surgery: A Scoping Review. [Review]
- Chronodisruption, i.e. the misalignment between endogenous circadian rhythms and behavioral or environmental cues, is an underrecognized determinant of weight outcomes following metabolic bariatric surgery (MBS). This scoping review synthesizes evidence from 18 primary human studies examining associations of chronodisruption with post-bariatric weight outcomes across six domains: sleep quality an…
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- Post-operative Hemoglobin Trends for Patients Undergoing Bariatric Surgery: A Retrospective Observational Study. [Journal Article]
- CONCLUSIONS: Hemoglobin trends remained similar between groups until the morning of postoperative day 1. Clinical signs of bleeding did not develop until after the typical same day surgery observation period for most patients. These findings suggest that patients who develop clinically significant bleeding after same day bariatric surgery may not be identifiable prior to discharge and that next day discharge is a safer alternative.
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- Revisions of One Anastomosis Gastric Bypass with Biliopancreatic Limb of 250 cm Multicentre Retrospective Study with a Mean Follow-up of 11 years. [Journal Article]
- CONCLUSIONS: OAGB with a fixed biliopancreatic limb length of 250 cm was associated with a high rate of severe long-term complications requiring revisional surgery. These findings support cautious tailoring of BPL length and avoidance of routinely long limbs in OAGB.
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- Comparative Analysis of Clinical Efficacy, Safety, and Cosmetic Outcomes of Modified Bikini Line Laparoscopic Sleeve Gastrectomy (MBLSG) Versus Standard Laparoscopic Sleeve Gastrectomy (LSG): A Large-Series Study. [Journal Article]
- CONCLUSIONS: Despite a minimal extension in operative time and a slight increase in the risk of minor, medically manageable complications (specifically surgical site infections and ecchymosis), MBLSG is a safe, clinically effective, and feasible bariatric surgical approach for selected patients who prioritize cosmetic benefits and aesthetic satisfaction.
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- Seven-Year Comparative Outcomes of One Anastomosis Gastric Bypass and Roux-en-Y Gastric Bypass for Weight Recurrence Regain Post Sleeve Gastrectomy. [Journal Article]
- CONCLUSIONS: OAGB provided superior long-term weight loss, while RYGB offered better GERD resolution. Both procedures were safe and effective, underscoring the need for individualised procedure selection.
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