Comment on: distal gastric bypass: 2-m biliopancreatic limb construction with varying lengths of common channel: application for the current and future practice of bariatric surgery

At first glance, many readers of Surgery for Obesity and Related Diseases may skim past this article and pay little attention. After all, laparoscopic sleeve gastrectomy 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 not seem pertinent. 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.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Editorial comment Source Type: research

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Nonalcoholic Fatty Liver Disease (NAFLD) prevalence is rising worldwide, as a direct consequence of the obesity epidemic. Bariatric Surgery provides proven NAFLD amelioration, although questions remain if Roux-en-Y Gastric Bypass (RYGB) or Laparoscopic Sleeve Gastrectomy (LSG) is more effective. To answer this question, we conducted a Systematic review and meta-analysis exclusively comparing RYGB against LSG for amelioration of NAFLD using four separate criteria: ALT, AST, NAFLD activity score (NAS), and NAFLD fibrosis score (NFS).
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Review articles Source Type: research
AbstractObjectiveMost published work on bariatric surgery (BS) in adolescents describes outcomes after laparoscopic adjustable gastric banding (LAGB) or Roux-en-Y gastric bypass. We compared the efficacy of LAGB and laparoscopic sleeve gastrectomy (LSG) in adolescents.MethodsA National Bariatric Registry was queried for adolescents who underwent BS between June 2013 and December 2015. We collected data on weight and height at baseline and 1-year following surgery, subsequent hospitalizations, interventions, and mortality, which were compared at 30  days post-surgery and until last follow-up (maximum 4.2 years pos...
Source: Obesity Surgery - Category: Surgery Source Type: research
Evidence remains contradictory for perioperative outcomes of super-obese (SO) and super-super-obese (SSO) patients undergoing bariatric surgery.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Original articles Source Type: research
This study shed some light on the modification of postoperative gut microbial composition after bariatric surgery.MethodsA prospective longitudinal study on healthy lean subjects and patients who underwent bariatric surgery (Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy) was carried out. Anthropometric and metabolic data, smoking, food preferences data, and stool samples were collected from lean subjects and from obese patients before and 3 and 6  months after surgery (T0, T3, and T6, respectively).ResultsWe collected stool samples from 25 obese patients before surgery and 3 and 6  months thereafte...
Source: Journal of Gastrointestinal Surgery - Category: Surgery Source Type: research
This study evaluated changes in serum high-density lipoprotein cholesterol (HDL-C) induced by laparoscopic bariatric surgery (BS) in non-diabetic obese subjects with low (L-HDL-C) or normal (N-HDL-C) levels of HDL-C. We assessed whether increased HDL-C is associated with weight loss, serum non-HDL cholesterol (non-HDL-C), serum triglycerides (TG), and physical activity (PA) before and 6 and 15  months after BS.MethodsIn this prospective cohort study, 71 subjects undergoing BS (42 by Roux-en-Y gastric bypass and 29 by sleeve gastrectomy) were evaluated for the % Excess Weight Loss (%EWL), waist circumference (WC), seru...
Source: Obesity Surgery - Category: Surgery Source Type: research
ConclusionsRevisional RYGB is a complex procedure but can be performed with the robotic approach with a low morbidity rate. Weight loss outcomes and resolution of complications of the index procedure are satisfactory.
Source: Obesity Surgery - Category: Surgery Source Type: research
Abstract BACKGROUND: A stronger evidence base is needed to more fully understand the precise role that robot-assisted (RA) approaches may play in bariatrics. OBJECTIVE: To investigate the utilization and safety of RA-sleeve gastrectomy (RA-SG) and RA-Roux-en-Y gastric bypass (RA-RYGB) using data from the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) registry. SETTING: National Database. METHODS: We queried the MBSAQIP 2015 through 2016 registry for patients who underwent primary conventional laparoscopic or RA-SG and RA-RYGB. We compared pre- and perioperati...
Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery - Category: Surgery Authors: Tags: Surg Obes Relat Dis Source Type: research
Morbid obesity is considered a strong independent risk factor for chronic kidney disease (CKD), and bariatric surgery remains the most effective treatment for obesity-related comorbidities. Previous large database analyses have suggested that CKD does not independently increase the risk of adverse outcomes following bariatric surgery. The safety of elective bariatric surgery in this patient population remains unclear. To this end, we compared thirty day outcomes in this patient population after laparoscopic sleeve gastrectomy (SG) or gastric bypass (LRYGB).
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Original articles Source Type: research
Abstract BACKGROUND AND OBJECTIVES: Despite the potential for improving health status or increasing access to transplantation, national practice patterns for bariatric surgery in obese patients with ESKD are poorly understood. The purpose of this study was to describe current trends in surgical care for this population. DESIGN, SETTING, PARTICIPANTS, &MEASUREMENTS: Using 100% Medicare data, we identified all beneficiaries undergoing bariatric surgery in the United States between 2006 and 2016. We evaluated longitudinal practice patterns using linear regression models. We also estimated risk-adjusted compl...
Source: Clinical Journal of the American Society of Nephrology : CJASN - Category: Urology & Nephrology Authors: Tags: Clin J Am Soc Nephrol Source Type: research
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.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research
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