The Impact of Age on the Prevalence of Sarcopenic Obesity in Bariatric Surgery Candidates
AbstractBackgroundSarcopenia pre-dating bariatric surgery (BS) has been suggested as concern for the use of BS in older-adults with morbid obesity.ObjectiveTo evaluate the impact of age on the prevalence of sarcopenic obesity (SO) in BS-candidates.MethodsCross-sectional study including 1370 consecutive BS-candidates aged ≥18, and grouped according to age: 18–39 (reference group), 40–49, 50–59 and ≥ 60 years. From body composition analysis data obtained using bioelectrical impedance, skeletal muscle mass (SMM), SMM index (SMMI=SMM/height2), and percentage of SMM (%SMM = SMM/BW*100) were calculated. Class I or class II SO was adjudicated, respectively, when a value between> − 1 and − 2, or > −2 standard deviations from the regression line from the gender-specific distribution of the relationship between BMI and SMMI or the %SMM in the reference group was encountered.ResultsAccording to the SMMI distribution, prevalence of class I and class II SO in the whole cohort was respectively 16.4% and 4.6%. SO was more prevalent in females (p
CONCLUSION The anatomical and/or metabolic changes associated with RYGB may more effectively “reset” the neural processing of reward stimuli, thereby rescuing the blunted activation in the mesolimbic pathway found in patients with obesity. Further, these findings suggest that RYGB may be particularly effective in patients with a preference for sweet foods.FUNDING NIH K23DK100559 and Dalio Philanthropies.
People with severe obesity who undergo sleeve gastrectomy may be less likely to experience fractures than individuals who get Roux-en-Y procedures or those who are eligible for bariatric surgery and don't get it.Reuters Health Information
Intra-gastric balloon placement is an ideal weight loss method for those unfit or unwilling to undergo surgery. It is not known if multi-disciplinary team management helps these patients the way it does with the ones that enroll in bariatric surgery programs.
The authors present a well written systematic review of bariatric surgery as it is utilized in the liver transplant population prior to, during, and after liver transplantation. While there have been review papers written on this subject recently1, this is the first to perform a meta-analysis of the existing literature, which has the added benefit of providing some statistical significance to the findings already reported in the literature. Even though the literature is sparse and filled with case reports and a few series, it is important to collate the data in such a way that the readers can begin to understand if and whe...
AbstractPurpose of ReviewSingle-anastomosis duodeno-ileal bypass was first described in 2007 as a simplified version of the biliopancreatic diversion with duodenal switch. The aim of the following study is to describe the characteristics of this bariatric technique including its results and complications, based on an extensive review of the literature.Recent FindingsSADI has achieved satisfactory short- and long-term results for the treatment of both morbid obesity and its metabolic comorbidities. Despite being reported as postoperative long-term complications and nutritional deficiencies, these are tolerable and comparabl...
SummaryHow the impact of the COVID ‐19 stay‐at‐home orders is influencing physical, mental and financial health among vulnerable populations, including those with obesity is unknown. The aim of the current study was to explore the health implications of COVID‐19 among a sample of adults with obesity. A retrospective medical c hart review identified patients with obesity from an obesity medicine clinic and a bariatric surgery (MBS) practice. Patients completed an online survey from April 15, 2020 to May 31, 2020 to assess COVID‐19 status and health behaviours during stay‐at‐home orders. Logistic regression mod...
CONCLUSION: In patients with KS, LSG demonstrated long-term beneficial effects for weight loss and amelioration of comorbidities. An interdisciplinary approach is mandatory, since it leads to adherence to follow-up programs and mental health well-being. PMID: 32654003 [PubMed - as supplied by publisher]
In the quest to understand the acceptance of bariatric surgery by the eligible patient population, authors explored this concept using a novel word association technique borrowed from the fields of market research and psychology (File, 2019). Free word association encourages respondents to express motivations, beliefs, attitudes, or feelings about a topic, without limiting or suggesting responses as in typical predefined questionnaires. This approach provides valuable insight into the perspective and mindset of people who may be candidates for surgery and how to frame discussions about weight loss.
Whether bariatric surgery should be offered to prisoners is inevitably a controversial topic, but it should not be. Luhrs and Giorgi have used medical, legal, and ethical principles to make a strong argument for offering bariatric surgery to prisoners . The Supreme Court decision in Estelle v. Gamble (1976) articulated the constitutionally protected right of prisoners to health care. Withholding of care or indifference to serious illness and injury is considered cruel and unusual punishments and a direct violation of the Eighth Amendment of the United States Constitution.
As the authors highlight, the rate of revisional bariatric surgery has been rising 1,2. Further analysis reveals indications for revisional surgery vary widely. There is evidence of benefit for revisional surgery but also an increased risk for complications (3). Additional understanding of criteria for best patient selection to apply additional surgical treatment with revision is one of the most important questions of this current era in metabolic bariatric surgery.