Comment on: perioperative outcomes of laparoscopic Roux-en-Y gastric bypass and sleeve gastrectomy in super-obese and super-super-obese patients: a national database analysis.
Comment on: perioperative outcomes of laparoscopic Roux-en-Y gastric bypass and sleeve gastrectomy in super-obese and super-super-obese patients: a national database analysis. Surg Obes Relat Dis. 2019 Oct 11;: Authors: Billeter AT, Müller-Stich BP PMID: 31676162 [PubMed - as supplied by publisher]
I read with great interest the results of the Bariatric Surgery in the Elderly (BASE) Trial1. This represents the first randomized prospective trial comparing the safety of laparoscopic sleeve gastrectomy (SG) to laparoscopic Roux-en-Y gastric bypass (LRYGB) in patients over 65 years of age. Previous studies on this subject were mainly based on single institution small series or retrospective reviews of administrative data. The authors were able to successfully enroll 36 patients, equally distributed in each arm, and report on complications at the 90 day follow up based on the standardized Clavien-Dindo classification.
ConclusionAccording to this study data, bariatric surgery reduces the need for INI in patients with OA. The effect seems to be related to the amount of weight loss. Additional studies conducted on a larger scale are necessary to validate findings.
AbstractPurpose of ReviewKnowledge regarding postoperative outcomes after bariatric and metabolic surgery continues to evolve. This review highlights key findings in outcomes research over the last 5 years related to weight loss, remission of obesity-related disease, reflux, revisional surgery, robotic-assisted surgical platforms, and adolescent populations.Recent FindingsSleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) produce similar weight loss patterns at 5 years, while duodenal switch (BPD/DS) and related procedures are associated with maximal weight loss overall and optimal resolution of obesit...
This study will examine the QoL of patients who had undergone either LSG or LRYGB. We retrieved the literature from PubMed, Web of Science, Embase, and the Cochrane Library database before November 2019. A total of 10 articles and 2327 obese patients were included in our meta-analysis.
Obesity is a well-known risk factor for the development of type 2 diabetes. The efficacy of bariatric surgery in reducing weight with resulting improvement in type 2 diabetes has been reliably demonstrated.
Obesity is a well-known risk factor for the development of type 2 diabetes mellitus (T2D). The efficacy of bariatric surgery in reducing weight with resulting improvement in T2D has been reliably demonstrated.
Recent data support the use of bariatric surgery in adolescents with severe obesity following unsuccessful non-surgical treatments. Sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) have demonstrated...
As laparoscopic sleeve gastrectomy (LSG) reaches maturity as a stand-alone bariatric procedure, long-term data continue to evolve regarding its associated outcomes and complication profile. Recent randomized clinical trials have confirmed good if somewhat variable excess weight loss (EWL) at 5 years ranging from 50-80%, generally comparable or slightly inferior to that of roux-en-Y gastric bypass (RYGB).[1-3] Various definitions of success have been proposed, but one of the more commonly utilized metrics requires greater than 50% EWL at 12-18 months following surgery.
Conclusions: There are disparities to access for bariatric surgery in Texas. Blacks have the greatest access followed by whites. Hispanics have the lowest procedure rate per population. PMID: 32425480 [PubMed - in process]
AbstractPurpose of ReviewCurrent bariatric surgical practice has developed from early procedures, some of which are no longer routinely performed. This review highlights how surgical practice in this area has developed over time.Recent FindingsThis review outlines early procedures including jejuno-colic and jejuno-ileal bypass, initial experience with gastric bypass, vertical banded gastroplasty and biliopancreatic diversion with or without duodenal switch. The role laparoscopy has played in the widespread utilization of surgery for treatment of obesity will be described, as will the development of procedures which form th...