Risk of Offspring Birth Defects in Women After Bariatric Surgery

To the Editor In a Research Letter, Dr Neovius and colleagues investigated the association between gastric bypass surgery and risk of birth defects in offspring. The authors found that bariatric surgery was protective against birth defects.
Source: JAMA - Category: General Medicine Source Type: research

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Post-bariatric hypoglycemia (PBH) affects up to 38% of Roux-en-Y gastric bypass (RYGB) patients. Severe cases are refractory to diet and medications. Surgical treatments including bypass reversal and pancreatectomy are highly morbid and hypoglycemia often recurs. We have developed a highly effective method of treatment by which enteral nutrition administered through a gastrostomy (G-) tube placed in the remnant stomach replaces oral diet: if done correctly this reverses hyperinsulinemia and hypoglycemia, yielding substantial health and quality-of-life benefits for severely affected patients.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research
AbstractBackgroundThe primary objective of this study was to compare outcomes of patients undergoing minimally invasive RYGB (MIS/RYGB) versus MIS/RYGB with concomitant Cholecystectomy (CCY). A secondary objective was to compare the outcomes for laparoscopic RYGB (LRYGB) and robotic RYGB (RRYGB) with concomitant CCY.MethodsOutcomes of 117,939 MIS/RYGB with and without CCY were propensity-matched (Age, Gender, BMI, Comorbidities), 10:1, using the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database from 2015 –2017. The MIS/RYGB with CCY were then separated into LRYGB and RRY...
Source: Surgical Endoscopy - Category: Surgery Source Type: research
Conditions:   Obesity, Morbid;   Overnutrition;   Nutrition Disorders;   Overweight and Obesity;   Body Weight Changes Interventions:   Procedure: Sleeve gastrectomy;   Procedure: Roux-en-Y gastric bypass Sponsors:   Inha University Hospital;   Korean Center for Disease Control and Prevention Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
In people with obesity and severe obesity, hypertrophic white adipose tissue (WAT) starts resisting its main biological function, fat storage, as to prevent further adipocyte architectural damage. This is a WAT self-preservation mechanism and involves release of adipokines that contribute to local and systemic low-grade inflammation, chronic insulin resistance, and impaired glucose and lipid homeostasis. Roux-en-Y gastric bypass surgery (RYGB) and other current bariatric techniques are proven to provide for significant long-term reductions in body weight and fat mass in the majority of patients, which can reverse WAT dysfu...
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research
ConclusionsVariation in training level of the first assist during bariatric surgery had no influence on DSM or readmissions. This provides reassurance that the inclusion of a wide range of first assistants in bariatric procedures does not negatively impact patient outcomes.
Source: Journal of Gastrointestinal Surgery - Category: Surgery Source Type: research
CONCLUSIONS: Postoperative pregnancy did not diminish long-term weight loss in women in the LABS-2 study. The finding of comparable weight loss is relevant for providers counseling women of reproductive age on weight-loss expectations and family planning following bariatric surgery. PMID: 32918404 [PubMed - as supplied by publisher]
Source: Obesity - Category: Eating Disorders & Weight Management Authors: Tags: Obesity (Silver Spring) Source Type: research
Roux-en-Y gastric bypass (RYGB) has been recommended as the bariatric procedure of choice for morbidly obese patients with Barrett ’s esophagus (BE).
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research
ConclusionAll patients were found to have decreased BMD after RYGB and SG. Surgery type was not a significant risk factor in BMD change. Despite vitamin D and calcium supplementation in all patients, a decrease in vitamin D and calcium levels were associated with a decrease in BMD. Close follow-up and treatment of vitamin D and calcium levels are warranted in all bariatric patients.Graphic abstract
Source: Surgical Endoscopy - Category: Surgery Source Type: research
AbstractBackgroundWhile laparoscopic sleeve gastrectomy (LSG) continues to be the most commonly performed bariatric operation, several variables influence surgeons ’ practice patterns and patients’ decision-making in the type of bariatric procedure to perform. The aim of this study was to evaluate patient factors that influence the decision between laparoscopic Roux-en-Y gastric bypass (LRYGB) versus LSG.MethodsThe Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database was queried for patients undergoing LSG and LRYGB between 2015 and 2017. Univariate analysis and multi...
Source: Surgical Endoscopy - Category: Surgery Source Type: research
Abstract PURPOSE: To assess the impact of three-dimensional (3D) vision use on operative time (OT) in laparoscopic Roux-en-Y gastric bypass (LRYGB) with hand-sewn anastomoses. METHODS: We analyzed a prospectively collected database of patients who underwent LRYGB. We included all patients operated on with either 2D or 3D vision. Demographics and clinical characteristics, operative time, hospital stay and 30-day postoperative complications were collected for all patients and analyzed. RESULTS: During the study time, out of 143 patients who underwent LRYGB for morbid obesity, 111 were considered eligible. ...
Source: Acta Cirurgica Brasileira - Category: Surgery Authors: Tags: Acta Cir Bras Source Type: research
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