Comparison of one-anastomosis gastric bypass and Roux-en-Y gastric bypass for treatment of obesity: a 5-year study

Roux-en-Y gastric bypass (RYGB) is the gold standard in bariatric surgery. One-anastomosis gastric bypass (OAGB) has been reported to have equivalent or better weight loss, with added advantages of being technically easy, amenable to reintervention/reversal, and offering better food tolerance.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Original article Source Type: research

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On August 30, 2017, The Medicare Evidence Development and Coverage Advisory Committee (MEDCAC) convened a public hearing to review the available evidence for the “Health Outcomes After Bariatric Surgical Therapies in the Medicare Population”. The purpose of this hearing was to obtain public comment on the findings of an Agency for Healthcare Research and Quality (AHRQ) Technology Assessment Program study of evidence for “Short- and Long-Term Outcomes a fter Bariatric Surgery in the Medicare Population”.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Original articles Source Type: research
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
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
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
This study will evaluate whether neurostimulation can automatically respond to the signals that occur immediately before a loss-of-control eating episode to help patients regain control, a potentially groundbreaking intervention for the most severely affected patients. The RNS System’s ability to continuously monitor brain activity and respond with therapy when these biomarkers are detected makes the system an ideal fit for this research.” Changes in the Market With this study, NeuroPace is venturing out into new territory. Typically, the firm’s closed-loop neuromodulat...
Source: MDDI - Category: Medical Devices Authors: Tags: R & D Source Type: news
Publication date: Available online 9 July 2019Source: Physiology &BehaviorAuthor(s): Nana Gletsu-Miller, Neeta Shevni, Amita Manatunga, D.O. Edward Lin, Dominique MusselmanAbstractBackground and objectivesSevere obesity is associated with fatigue, however, the effects of weight loss after bariatric surgery on particular dimensions of fatigue are unknown. In a secondary analysis of a prospective cohort study of women undergoing roux-en-y gastric bypass (RYGB) we explored relationships among multiple dimensions of fatigue and improving adiposity, insulin resistance and inflammation.MethodsBefore, and 1 and 6 months aft...
Source: Physiology and Behavior - Category: Physiology 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
The objective of this study was the assessment of readmission rate after bariatric surgery.MethodsThis is a retrospective observational study on a national administrative claims database, the Information Systems Medicalization Program, PMSI, which is a nationwide billing tool collecting information on all hospital discharges in France. All adult patients operated of bariatric surgery from January 1, 2013, through December 31, 2016, were included. The main outcome was unplanned 30-day readmission rate. Secondary outcome was the analysis of reasons for readmission.ResultsDuring the study period, out of 187,000 bariatric inte...
Source: Obesity Surgery - Category: Surgery Source Type: research
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