Effect of Roux-en-Y gastric bypass on Barrett ’s esophagus: a systematic review

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

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ConclusionsBariatric surgery led to frequent dose adjustments during the first 2  years after surgery. However, 24–48 months after surgery in the majority of patients, the dosage remained stable. No significant change in TSH and fT4 was observed 48 months after RYGB. In the first 2 years after surgery, clinicians should frequently monitor TSH and fT4 for individual dose ad justment of levothyroxine. Thereafter, the frequency of monitoring may be decreased.Graphical abstract
Source: Obesity Surgery - Category: Surgery Source Type: research
J Hand Surg Eur Vol. 2021 Dec 1:17531934211062023. doi: 10.1177/17531934211062023. Online ahead of print.ABSTRACTWe aimed to assess the association between bariatric surgery and incident Dupuytren's disease (DD) using propensity score-matched cohort studies among Swedish nationwide healthcare registries. Patients aged 30-79 years who underwent bariatric surgery 2006-2019 were matched on their propensity scores, up to two obese bariatric surgery-free (unexposed) patients. We applied Cox proportional hazard regression to calculate hazard ratios (HR) with 95% confidence intervals (CI) for the risk of DD overall, in subgroups ...
Source: Hand Surgery - Category: Surgery Authors: Source Type: research
SummaryThe BARI-LIFESTYLE trial is a randomized controlled trial evaluating the efficacy of a post-surgery nutritional and behavioural tele-counselling, and supervised exercise programme to maximize the health benefits of bariatric surgery. Due to the coronavirus disease 2019 (COVID-19) pandemic, the in-person supervised exercise component had to be converted to remote tele-exercise. However, patients' acceptability of this method of exercise provision is unknown. Between 3 and 6  months following bariatric surgery, 13 adults participated in weekly, structured, 60-min supervised exercise classes delivered via Zoom by ...
Source: Clinical Obesity - Category: Eating Disorders & Weight Management Authors: Tags: Original Research Article Source Type: research
CONCLUSION: With an almost complete clearance of liver fat 1 year after surgery, RYGB and SG were both highly effective in reducing hepatic steatosis. Bariatric surgery had less influence on degree of fibrosis in the short term, but assessment of long-term progression is warranted.PRIMARY FUNDING SOURCE: Vestfold Hospital Trust and the South-Eastern Norway Regional Health Authority.PMID:34843380 | DOI:10.7326/M21-1962
Source: Annals of Internal Medicine - Category: Internal Medicine Authors: Source Type: research
CONCLUSION: In view of an increasing number of patients undergoing bariatric surgery, it will probably not be feasible in the future for lifelong follow-up to be provided exclusively in specialized centers.PMID:34819222 | DOI:10.3238/arztebl.m2021.0359
Source: Deutsches Arzteblatt International - Category: General Medicine Authors: Source Type: research
Conclusions: In this study, patients with severe obesity who underwent SG and RYGB lost significantly more weight at 5 years than nonsurgical patients. Weight regain was common after surgery but regain to within 5% of baseline was rare.
Source: Annals of Surgery - Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research
Conclusions: In summary, intrauterine growth delay in twin pregnancies after GB is assumed to be a multifactorial event with altered metabolism as the most i mportant factor. However, special attention must be paid to the particularity of twin pregnancies as they seem to be subject to other additional mechanism.
Source: Obesity Facts - Category: Eating Disorders & Weight Management Source Type: research
Long-term durability of weight loss is a prerequisite for a greater acceptance of bariatric surgery.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Original articles Source Type: research
CONCLUSION: Laparoscopic conversion from OAGB to RYGB is technically feasible with a moderate rate of postoperative complications. Severe (bile) reflux is a serious long-term complication after OAGB, with 4.1% of patients needing conversion to RYGB. Endoscopy after OAGB in patients showing clinical symptoms of gastroesophageal reflux disease is strongly advised to detect underlying pathologic changes.PMID:34794865 | DOI:10.1016/j.soard.2021.10.019
Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery - Category: Surgery Authors: Source Type: research
The following position statement is issued by the American Society for Metabolic and Bariatric Surgery in response to inquiries made to the Society by patients, physicians, society members, hospitals, health insurance payors, the media, and others, regarding the impact of Metabolic and Bariatric Surgery (MBS) on nonalcoholic fatty liver disease, specifically for Laparoscopic Roux-en-Y gastric bypass (LRYGB) and Laparoscopic Sleeve Gastrectomy (LSG). The general principles described here may also apply to other procedures; however, the paucity of procedure-specific literature limits the value of this statement beyond these procedures.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Original articles Source Type: research
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