Comments on: Operative Time as a Marker of Quality in Bariatric Surgery

Does operative time (OT) matter and should it serve as a quality metric? Does shorter OT indicate superior and efficient surgical skills or does it contribute to less attention to detail and more mistakes? Does longer OT suggest a safe and considered approach, or inefficiency, poor skills, and inexperience? OT is the result of amalgamation of surgical skill, patient factors, case complexity, surgical trainee involvement, surgical team, equipment, and infrastructure. It is difficult to determine the exact magnitude of contribution of each factor to OT, but it is intuitive that a surgeon ’s technical skill has great impact on OT and outcome.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research

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This study used prospectively collected data from a state-wide quality collaborative. The presence of AUD was determined using the Alcohol Use Disorders Identification Test for Consumption (AUDIT-C), with a score  ≥ 4 in men and ≥ 3 in women suggestive of AUD. We used bivariate Chi-square tests for categorical variables and independent samplest tests for continuous variables. We used multivariable logistic regression to identify patient characteristics that may predispose patients to development of AUD at 1 and 2  years after surgery.ResultsThe overall prevalence of AUD in our population (n&...
Source: Surgical Endoscopy - Category: Surgery Source Type: research
AbstractAs nearly one third of transgender individuals in the USA are obese, more transgender patients may pursue bariatric surgery as a means of sustaining weight loss. Transgender individuals, like bariatric surgery patients, have high rates of mood pathology, substance use, abuse, and self-harm behaviors. However, there is no research on transgender bariatric surgery candidates. The aim of this review is to elucidate potential psychosocial risk factors, including sex hormone management, which may impact surgical clearance, presurgical psychosocial assessment, and treatment recommendations.
Source: Obesity Surgery - Category: Surgery Source Type: research
The aim of the present study was to perform a systematic review and meta-analysis to assess the influence of bariatric surgery on the clinical periodontal conditions in patients with obesity. This review was based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses and registered at International Prospective Registry of Systematic Reviews (CRD42018099313). A search was conducted by two investigators in the PubMed/MEDLINE, Web of Science, and Cochrane Library databases for relevant articles published up to May 2018.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Review articles Source Type: research
AbstractBackgroundThe role of exercise to achieve weight reductions in patients awaiting bariatric surgery has been little studied. The aim of this study was to describe the effects of an exercise program on body composition and cardiometabolic risk factors in patients awaiting bariatric surgery.MethodsTwenty-three patients awaiting bariatric surgery were divided into two groups: (a) an exercise group (EG,n = 12) and (b) a control group (CG,n = 11). Both groups received the usual care prior to surgery, but the EG also performed a 12-week exercise program which combined endurance and resistance t...
Source: Obesity Surgery - Category: Surgery Source Type: research
ConclusionThis study showed a higher decrease in energy intake to be related with a higher %TBWL.
Source: Obesity Surgery - Category: Surgery Source Type: research
Nature Reviews Gastroenterology &Hepatology, Published online: 15 July 2019; doi:10.1038/s41575-019-0187-xA new study has added valuable outcome data from adolescents 5 years after undergoing Roux-en-Y gastric bypass. By comparing outcomes from adolescents and adults, the study adds to the existing evidence base, highlighting metabolic and bariatric surgery as an increasingly valuable tool in the multidisciplinary management of adolescents with severe obesity.
Source: Nature Reviews Gastroenterology and Hepatology - Category: Gastroenterology Authors: Source Type: research
ConclusionsAmong both patient groups, phentermine was more effective in achieving weight loss. Lorcaserin had dyslipidemia improvements only, among surgical patients who achieved significant weight reduction. Anti-obesity medications as part of weight management programs can result in weight loss among non-surgical and surgical patients, or halt weight regain among surgical patients.
Source: Annals of Medicine and Surgery - Category: General Medicine Source Type: research
ConclusionNAFLD patients had lower mortality and complication rates following BS. A significant postsurgical weight loss should attenuate liver inflammation and fibrosis, and therefore has the potential to stop or even reverse progression of liver disease.
Source: Obesity Research and Clinical Practice - Category: Eating Disorders & Weight Management Source Type: research
ConclusionsMultivitamin patch users are more likely to have vitamin D deficiency and lower serum concentration of various vitamins and minerals. Future large studies are needed on the efficacy of multivitamin patches before they can be recommended to bariatric patient population.
Source: Obesity Surgery - Category: Surgery Source Type: research
Abstract PURPOSES: Aberrant eating patterns are frequently observed in bariatric patients. Since bariatric operations produce alterations in food transit and in appetite/satiety balance, postoperative eating behavior changes are not surprising. METHODS: 88 consecutive obese patients undergoing Roux-en-Y gastric bypass (RYGBP, 50 cases) and Sleeve Gastrectomy (SG, 38 cases) were retrospectively evaluated. Beside anthropometric data measurement, eating behavior was assessed by direct interview prior to the operation and at the first and second postoperative years: patients were considered as eating disordered (...
Source: Eating and weight disorders : EWD - Category: Eating Disorders & Weight Management Authors: Tags: Eat Weight Disord Source Type: research
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