Gastric bypass but not sleeve gastrectomy increases risk of major osteoporotic fracture: French population ‐based cohort study

ConclusionsIn patients aged 40 ‐65, gastric bypass but not sleeve gastrectomy or the other procedures increased risk of major osteoporotic fractures.This article is protected by copyright. All rights reserved.
Source: Journal of Bone and Mineral Research - Category: Orthopaedics Authors: Tags: Original Article Source Type: research

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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.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research
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]
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - Category: Surgery Tags: JSLS Source Type: research
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...
Source: Current Obesity Reports - Category: Eating Disorders & Weight Management Source Type: research
Bariatric surgery is a proven, efficacious, and durable treatment for obesity and weight-related diseases. In addition to other metabolic effects, surgery can have both a positive and negative clinical impact on GERD. The spectrum of surgical procedures currently offered have varying degrees of improvement or worsening of pre-existing symptoms or development of new symptoms. Of the most commonly performed bariatric procedures, Roux en-Y gastric bypass has been shown to be highly effective in treatment of GERD1, likely through a combination of weight loss and subsequent decrease of intra-abdominal pressure, as well as separ...
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research
In the current manuscript(1), the authors reported the results of the Single Anastomosis Duodeno-Ileal bypass (SADI) and One Anastomosis Gastric Bypass (OAGB) for a cohort of 84 patients who presented with weight loss failure following Laparoscopic Sleeve Gastrectomy (LSG). We especially commend the authors for the interesting topic of their manuscript, as the revisional bariatric surgery after LSG is becoming more common due to the rapid increase in the number of patients undergoing this procedure as treatment for morbid obesity.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research
ConclusionsIntraluminal indocyanine green is an alternative for intraoperative detection of staple line integrity during bariatric surgical procedures with comparable specificity to intraoperative gastroscopy.
Source: Surgical Endoscopy - Category: Surgery Source Type: research
Conclusion: GERD may improve in obese patients who underwent laparoscopic sleeve gastrectomy (LSG); however, the most favorable effect is likely to be found after Roux-en-Y gastric bypass surgery. Prospero registration number: CRD42018090074.
Source: Medicine - Category: Internal Medicine Tags: Research Article: Study Protocol Systematic Review Source Type: research
Bariatric surgeries induce marked and durable weight loss in individuals with morbid obesity through powerful effects on both food intake and energy expenditure. While alterations in gut-brain communication are increasingly implicated in the improved eating behavior following bariatric surgeries, less is known about the mechanistic basis for energy expenditure changes. Brown adipose tissue (BAT) and beige adipose tissue (BeAT) have emerged as major regulators of whole-body energy metabolism in humans as well as in rodents due to their ability to convert the chemical energy in circulating glucose and fatty acids into heat. ...
Source: Frontiers in Endocrinology - Category: Endocrinology Source Type: research
AbstractBariatric and metabolic surgery are being performed in India for 2 decades. Aim of this paper is to evaluate the changing clinical trends over the last 5 years and to present the other aspects helmed by Obesity and Metabolic Surgery Society of India (OSSI) to aid the growth of research, education, data management and registry, quality control, insurance-related issues and policy change. OSSI conducts an annual survey to collect data pertaining to numbers of surgical procedures. With the approval of the executive committee, data collected from 2014 to 2018 were retrieved and analysed. 20,242 surgical procedures were...
Source: Updates in Surgery - Category: Surgery Source Type: research
ConclusionsWhen strict waitlist criteria were applied, bariatric surgery improved access to heart transplantation and thereby increased long-term survival compared with MWM. Morbidly obese CHF patients who anticipate need for heart transplantation should be encouraged to pursue surgical weight management strategies, necessitating discussion between bariatric surgeons, cardiologists, and cardiac surgeons for appropriate perioperative risk management.
Source: Journal of Gastrointestinal Surgery - Category: Surgery Source Type: research
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