Response to “What causes gastroseophageal reflux following sleeve gastrectomy?”
ConclusionGiven the increasing number of such surgeries performed the recognition of acute and chronic complications, and their optimal management is of great importance. Although performing a Roux-en-Y fistulojejunostomy was recommended in the literature, conservative and endoscopic treatment should be considered before.
International Journal of Obesity, Published online: 09 December 2019; doi:10.1038/s41366-019-0492-zIntestinal barrier function in morbid obesity: results of a prospective study on the effect of sleeve gastrectomy
ConclusionVitamin D deficiency and insufficiency were prevalent pre-surgery and reduced significantly with routine supplementation post-surgery.
ConclusionIn this study, fewer than 20% of adolescents with severe obesity lost> 50% of their excess weight following LAGB. Nearly 50% of patients required additional surgery. With reports of success following sleeve gastrectomy and gastric bypass, we believe that LAGB is not a preferred choice to treat adolescents with obesity.
Publication date: Available online 7 December 2019Source: Cirugía Española (English Edition)Author(s): Isabel Mora Oliver, Norberto Cassinello Fernández, Raquel Alfonso Ballester, María D. Cuenca Ramírez, Joaquín Ortega SerranoAbstractObjectivesTo evaluate the effectiveness of conversion surgery in a bariatric surgery unit with 25 years of experience.MethodRetrospective observational study of patients with type II obesity or higher who were reoperated by means of conversion surgery due to weight regain, residual body mass index (BMI)>35 kg/m2 or 35 kg/m2 o pérdida
Conclusion: This study suggested that oversewing the staple line during LSG has a significant clinical value: it decreased the incidence of postoperative bleeding, postoperative leakage; moreover, it also significantly prolonged the operative time and but did not change hospital stay. More high-quality and large sample RCTs are expected to get more accurate results. PMID: 31805796 [PubMed - as supplied by publisher]
ConclusionsRYGB is an effective therapy for patients with BE and reflux after SG. Its outcomes in the current study were BE remission in the majority of cases as well as a decrease in reflux activity. Further studies with larger cohorts are necessary to confirm these findings.
Conclusion section should read as follows.
We describe this unusual case which was treated effectively with ARMS. PMID: 31791169 [PubMed - as supplied by publisher]
ConclusionThis study suggests that bariatric surgery is only a prerequisite for weight loss, and the long-term dietary control and exercise can help patients achieve optimal weight loss.