To band or not to band, is that the question... or the answer for sleeve gastrectomy?

I read with interest the manuscript entitled " Banded versus non-banded sleeve gastrectomy: 5-year results of a matched-pair analysis" from a reputed University hospital in Germany.1 The obvious weakness of this paper is that it is retrospective and non-randomized.
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
AbstractBackgroundIdentifying risk factors for conversion to diabetes among individuals with obesity and prediabetes is important for preventing diabetes.PurposeWe assessed conversion rates to diabetes 5  years after three types of metabolic surgery and examined predictors of diabetes development.MethodsWe accessed data of individuals with prediabetes, defined as fasting glucose (FG) 100 –125 mg/dL (5.6–6.9 mmol/L) or HbA1c 5.7–6.4% at baseline (preoperatively), who underwent metabolic surgeries in Clalit Health Services during 2002–2011.ResultsOf 1,756 individuals with...
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
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
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
AbstractBackground and AimsLongitudinal assessment of body composition following bariatric surgery allows monitoring of health status. Our aim was to elucidate trends of anthropometric and clinical outcomes 3  years following sleeve gastrectomy (SG).MethodsA prospective cohort study of 60 patients who underwent SG. Anthropometrics including body composition analysis measured by multi-frequency bioelectrical impedance analysis, blood tests, liver fat content measured by abdominal ultrasound and habitual physical activity were evaluated at baseline and at 6 (M6), 12 (M12), and 36 (M36) months post-surgery.ResultsSixty p...
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
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