Comment on: Laparoscopic sleeve gastrectomy as day-case surgery: a review of the litterature
We read with great interest the systematic review by Rebibo et al, a thorough review of the literature as it relates to sleeve gastrectomy performed in the ambulatory surgery setting (1). Specifically, the authors performed a literature search on studies investigating management of perioperative risks and complications following ambulatory sleeve gastrectomy. It is important to clarify the term ambulatory surgery, which was defined both in the review and in the following editorial, as outpatient surgery after which a patient is discharged on the same day.
Conditions: Liver Fibrosis; Liver Steatosis; Weight Loss Intervention: Procedure: laparoscopic sleeve gastrectomy (LSG) and laparoscopic single anastomosis gastric bypass (LSAGB) Sponsor: Tel-Aviv Sourasky Medical Center Completed
Abstract Even though bariatric surgery is one of the most effective treatment option of obesity, post-surgical weight loss is not always ensured, especially in the long term, when many patients experience weight regain. Bariatric procedures are largely based on surgeon's expertise and intra-operative decisions, while an integrated in-silico approach could support surgical activity. The effects of bariatric surgery on gastric distension, which activates the neural circuitry promoting satiety, can be considered one of the main factors in the operation success. This aspect can be investigated trough computational mod...
Laparoscopic sleeve gastrectomy (SG)1 is increasingly popular but concerns its effect on gastro-esophageal reflux disease (GERD) remain. Current literature is conflicting and there has been little objective data.
Due to the large number of Laparoscopic Sleeve Gastrectomy (LSG) performed over the last decade, the management of the leak following LSG has been increasingly reported. The role of covered Self Expandable Metal Stents (cSEMS) for the treatment of the leak is still controversial because of the poor tolerance and high risk of complications.
Condition: Nutritional Disorder Intervention: Procedure: laparoscopic sleeve gastrectomy Sponsor: Alexandria University Completed
Patients with end-stage heart failure (ESHF) treated with ventricular assist devices (VADs) tend to gain weight after implantation, which is associated with higher complication rates and is a contraindication ...
I read with interest the manuscript entitled" Safety of Same-Day Discharge After Laparoscopic Sleeve Gastrectomy: Propensity-Score Matched Analysis of the MBSAQIP registry, by.1 A large number of sleeve gastrectomy patients, over 250,000, were studied, and less than 3% had a day surgery. Indeed, in this very selected group of patients, there was no mortality, and compared to in patient sleeve gastrectomy patients, was associated with a similar risk of a leak (0.56% vs. 0.40%), bleeding (0.38% vs.
ConclusionsRobotic platforms can significantly minimize the difficulty of bariatric surgery, allowing one-stage procedures in patients with extreme obesity that could require two-stage procedures in a laparoscopic approach.
Conclusions: The present study has not revealed increased prevalence/severity of postoperative constipation or anal incontinence 6 months after LSG. Our findings suggest that weight loss in patients after LSG might be associated with an improvement of constipation symptoms of individual patients. PMID: 32904607 [PubMed - as supplied by publisher]
AbstractBackgroundWhile laparoscopic sleeve gastrectomy (LSG) continues to be the most commonly performed bariatric operation, several variables influence surgeons ’ practice patterns and patients’ decision-making in the type of bariatric procedure to perform. The aim of this study was to evaluate patient factors that influence the decision between laparoscopic Roux-en-Y gastric bypass (LRYGB) versus LSG.MethodsThe Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database was queried for patients undergoing LSG and LRYGB between 2015 and 2017. Univariate analysis and multi...