Banded versus non-banded sleeve gastrectomy: 5-year results of a matched-pair analysis

Laparoscopic sleeve gastrectomy (SG) achieves excellent weight loss, yet recent reports indicate weight regain in a substantial number of patients.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Original articles Source Type: research

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ConclusionThis study showed a higher decrease in energy intake to be related with a higher %TBWL.
Source: Obesity Surgery - Category: Surgery Source Type: research
I would like to congratulate the authors for an excellent study attempting to answer the important question of how to surgically manage patients presenting with significant weight regain after Roux-en-Y gastric bypass (RYGB). The study is a retrospective analysis of a small series of patients (84 patients) with weight regain after RYGB.1 In addition, 39% of these patients were converted to RYGB from laparoscopic adjustable gastric banding (LAGB), sleeve gastrectomy (SG) or vertical banded gastroplasty (VBG).
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research
This study aimed to evaluate changes in body tissue composition with obesity surgery regarding visceral fat, subcutaneous fat, and skeletal muscle.DesignProspective non-randomized single-center cohort studyMethodsWhole-body magnetic resonance imaging (MRI) measured volumes of subcutaneous adipose tissue (SAT), visceral adipose tissue (VAT), and skeletal muscle (SM) in 31 patients with laparoscopic sleeve gastrectomy (LSG, 20) or Roux-en-Y gastric bypass (RYGB, 11) preoperatively, at three- and 12-months follow-up.ResultsBody mass index (BMI) went down from 45.2  ± 6.5 preoperatively to 37.2 &plu...
Source: Obesity Surgery - Category: Surgery Source Type: research
ConclusionSG leaks can add long-term morbidity. Stent can be used successfully to treat SG leak if used judiciously. There should be low threshold for investigating patients with EWL of>  100% for anatomical complications like stricture, fistula or kink in the gastric sleeve. We wanted to make the bariatric fraternity aware of a rare late (>  12 weeks) complication of gastro-colic fistula after successfully treated SG leak. Limited literature is published about this rare complication and its management which ranges from conservative management to stent placement to surgical intervention (Asian Jour...
Source: Obesity Surgery - Category: Surgery Source Type: research
AbstractObjectiveBariatric surgery has a significant impact on levels of thyroid hormones and various inflammatory markers in obesity. The relationship between changes in thyroid hormones and inflammatory markers after bariatric surgery is unknown. We aimed to investigate the changes in thyroid hormones and their relations to inflammatory changes after laparoscopic sleeve gastrectomy (LSG) in Chinese patients with morbid obesity.MethodsEighty-eight patients with morbid obesity (56.8% female; age 30.9  ± 9.5 years; BMI 39.9 ± 5.7 kg/m2) submitted to LSG were selected. Pati...
Source: Obesity Surgery - Category: Surgery Source Type: research
ConclusionsThis review suggested that RYGB was more effective at demonstrating weight loss after 12 and 24  months, but comparisons of the long-term efficacy of RYGB with that of SG remain inconclusive. In addition, RYGB was accompanied by a greater number of post-operative complications, interventions, and readmissions. Thus, surgeons should consider the overall status of the patients and their comorbi dities as crucial factors when selecting a form of revision surgery. Additional high-quality randomized controlled studies are required to further compare the efficacy and safety of these treatments with longer follow-up times.
Source: Obesity Surgery - Category: Surgery Source Type: research
AbstractIntroductionHelicobacter pylori (H. pylori) is a type of bacteria that affects more than half of the world ’s population and has been associated with gastritis. The relationship betweenH. pylori and obesity is controversial. Laparoscopic sleeve gastrectomy (LSG) is the most commonly used surgery for morbidly obese patients. The aim of this study was to investigate the rate ofH. pylori in patients undergoing LSG.MethodsBiopsy specimens of 32,743 patients who underwent esophagogastroduodenoscopy (EGD) and resection materials from 1257 patients who underwent LSG were examined histopathologically. The relationshi...
Source: Obesity Surgery - Category: Surgery Source Type: research
ConclusionsA significant increase in NEFAs was seen after LSG, compared with RYGB. Compared with the LSG group, several serum fatty acids were significantly reduced after RYGB.Trial RegistrationNCT01228097
Source: Obesity Surgery - Category: Surgery Source Type: research
ConclusionsFrom our preliminary data, the intraoperative view of the blood supply of the stomach does not seem to represent a prognostic factor for the risk of gastric leak, suggesting a complex multifactorial etiology (intragastric hypertension? Abnormal inflammatory response?) which needs further data to be established.
Source: Obesity Surgery - Category: Surgery Source Type: research
AbstractBackgroundDexmedetomidine is an α2 receptor agonist with sedative and analgesic properties. During bariatric surgery, its use may reduce postoperative opioid requirements, reduce their side effects, and improve quality of recovery.The aim of this prospective randomized controlled trial was to compare the effect of dexmedetomidine bolus and infusion versus morphine bolus given prior to the end of laparoscopic bariatric surgery.MethodsSixty morbidly obese patients (BMI  >  40 kg m−2) aged 18 to 60  years, undergoing laparoscopic sleeve gastrectomy, received morphine sulfate...
Source: Obesity Surgery - Category: Surgery Source Type: research
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