Effects of Intraoperative Leak Testing on Postoperative Leak-related Outcomes after Primary Bariatric Surgery: An Analysis of the MBSAQIP Database
Intraoperative leak test (IOLT) is commonly performed to evaluate the integrity of an anastomosis or staple line during bariatric surgery. However, the utility of IOLT is controversial.
ConclusionsThis study underlined a significant correlation between OAGB-MGB and reflux/starting general anaesthesia in post-bariatric patients. In our experience we believe that it can be useful enlarge the pre-operatory fasting period and positioning a nasogastric tube during anaesthesia induction that can be performed moreover, in anti-Trendelenburg position, in order to prevent pulmonary aspiration.
CONCLUSIONSRYGB offers sustained, long-term weight loss with significant resolution of major comorbidities in older veterans, with acceptably low morbidity and mortality.
We present the first documented case of candida colitis caused by Candida Glabrata in a 56-year-old man with a personal history of morbid obesity and bariatric surgery. The presenting symptoms were diarrhea, rectal bleeding and septic shock. Diagnosis was obtained by histological and microbiological study of the colonoscopy biopsies. Gastroenterologists should be aware of Candida as a cause of colonic infection. Fungal culture is the key to identify specific Candida species and lead to an appropriate antifungal therapy. PMID: 31317758 [PubMed - as supplied by publisher]
Though over one-third of veterans suffer from obesity and its associated comorbidities, bariatric surgery (deleted: is seldom offered) is less commonly offered than in other populations.
At first glance, many readers of SOARD may skim past this article and pay little attention. After all, Laparoscopic Sleeve Gastrectomy(LSG) has become the most common procedure with Roux en Y Gastric Bypass (RYGB) numbers declining. (1) Interest in best methods and limb lengths for distal RYGB may seem impertinent. Furthermore, surgeons performing RYGB have strong feelings about their technique. However, a careful analysis of this paper may alter your practice and provide a different perspective.
We read with great interest Andrew MS's report about weight loss in baboons caused by mesenteric visceral lipoidectomy (MVL) (1). They found that obese baboons lost significant weight when they were performed in MVL. Recently, there was a meta-analysis by Lee et al (2) suggesting that bariatric surgery with omentectomy has significantly reduced in body mass index (BMI) compared with bariatric surgery alone (MD 1.29, 95% CI 0.35, 2.23). However, high-density lipoprotein significantly increased in bariatric surgery alone (MD -2.12, 95% CI -4.13, -0.11).
Condition: Obesity Hypoventilation Syndrome (OHS) Intervention: Procedure: Bariatric Surgery Sponsor: Guy's and St Thomas' NHS Foundation Trust Recruiting
International Journal of Obesity, Published online: 19 July 2019; doi:10.1038/s41366-019-0420-2Role of ghrelin isoforms in the mitigation of hepatic inflammation, mitochondrial dysfunction, and endoplasmic reticulum stress after bariatric surgery in rats
Condition: Obesity Interventions: Dietary Supplement: isocaloric dietary restriction; Procedure: Bariatric surgery Sponsor: Shanghai Jiao Tong University School of Medicine Not yet recruiting
Long-term medical and psychological follow-up post-weight loss surgery (WLS) is associated with improved patient outcomes. Weight regain after WLS is a common concern that has behavioral and psychological components; however, most patients do not attend behavioral medicine (BMED) follow-up appointments post-surgery. Innovative treatment models are needed to improve access to BMED to optimize long-term outcomes.