Cancers, Vol. 12, Pages 158: Stage IV Gastric Cancer: The Surgical Perspective of the Italian Research Group on Gastric Cancer
Conclusions: Our data show that the possibility of effective care also exists for Western patients with stage IV gastric cancer. (Source: Cancers)
Source: Cancers - January 9, 2020 Category: Cancer & Oncology Authors: Silvia Ministrini Maria Bencivenga Leonardo Solaini Chiara Cipollari Silvia Sofia Elisabetta Marino Alessia d ’Ignazio Beatrice Molteni Gianni Mura Daniele Marrelli Maurizio Degiuli Annibale Donini Franco Roviello Giovanni de Manzoni Paolo Morgagni Guid Tags: Article Source Type: research

Sleeve gastrectomy vs gastric bypass in improvement of depressive symptoms following one year from bariatric surgery, Tehran Obesity Treatment Study (TOTS)
ConclusionBariatric surgery had a beneficial effect on weight reduction and BDI score regardless of its type. Further studies with longer follow-up and more samples are needed to clarify the differences between bariatric procedures. (Source: Obesity Research and Clinical Practice)
Source: Obesity Research and Clinical Practice - January 8, 2020 Category: Eating Disorders & Weight Management Source Type: research

Utility of continuous glucose monitoring following gastrectomy
ConclusionsCGM demonstrated diurnal glycemic variability and nocturnal hypoglycemia in patients undergoing gastrectomy. Because some hypoglycemic patients did not develop symptoms and glycemic variability was not necessarily associated with dumping symptom, dumping syndrome must only partially explain the postoperative glucose fluctuations. (Source: Gastric Cancer)
Source: Gastric Cancer - January 8, 2020 Category: Gastroenterology Source Type: research

Serum FABP1 Levels Correlate Positively with Obesity in Chinese Patients After Laparoscopic Sleeve Gastrectomy: a 12-Month Follow-up Study
AbstractObjectiveThe role of liver fatty acid-binding protein (FABP1) in obesity is presently unclear. We investigated the association of FABP1 with obesity and the changes noted after laparoscopic sleeve gastrectomy (LSG) in a Chinese population.MethodsThe cross-sectional analysis included 187 individuals: 65 had normal weight (18.5  ≤ body mass index (BMI) 
Source: Obesity Surgery - January 8, 2020 Category: Surgery Source Type: research

Risk factors and prognosis of gastric stasis, a crucial problem after laparoscopic pylorus-preserving gastrectomy for early middle-third gastric cancer
ConclusionsE-stasis after LPPG occurs in 7.6% of patients. Age, DM, and intraabdominal infection are significantly related to E-stasis. E-stasis is associated with poorer nutritional and functional outcomes even at 1  year postoperatively. (Source: Gastric Cancer)
Source: Gastric Cancer - January 8, 2020 Category: Gastroenterology Source Type: research

Endoscopic septotomy as a treatment for leaks after sleeve gastrectomy
Conclusion Endoscopic septotomy is safe and effective for management of chronic leaks after LSG. Associated non-selective dilatation may be a crucial step to allow distal patency and axis rectification for appropriate leak closure. [...] © Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: Endoscopy International Open)
Source: Endoscopy International Open - January 8, 2020 Category: Gastroenterology Authors: Diaz, Ramon Welsh, Leonard K. Perez, Juan Esteban Narvaez, Andres Davalos, Gerardo Portenier, Dana Guerron, A. Daniel Tags: Original article Source Type: research

Sex and Race Predict Adverse Outcomes Following Bariatric Surgery: an MBSAQIP Analysis
AbstractBackgroundWhile bariatric surgery is safe, rates of postoperative complications continue to vary considerably across specific patient populations.MethodsWe identified all Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program data registry (MBSAQIP) patients who underwent primary laparoscopic sleeve gastrectomy (LSG) or Roux-en-Y gastric bypass (RYGB) from 2015 to 2017. Categorical variables were expressed as percentages and continuous variables as weighted mean ± standard deviation (SD). Univariate analysis was performed using chi-squared tests for categorical data and independent sam...
Source: Obesity Surgery - January 8, 2020 Category: Surgery Source Type: research

Ultrasound Guided Laparoscopic Port Placement in a Patient with Congenital Anomaly of IVC Undergoing Sleeve Gastrectomy
We report a patient with obesity who underwent laparoscopic sleeve gastrectomy after pre-operative ultrasound mark up to enable safe port insertion due to presence of venous collaterals in the abdominal wall as a result of congenial IVC anomaly. This patient was falsely presumed to have NASH cirrhosis. Detailed preoperative workup ruled this out and led to the discovery of congenital IVC anomaly as the cause of engorged blood vessels in the anterior abdominal wall. On table ultrasound mark up of safe sites for port insertion enabled a safe laparosocpic sleeve gastrectomy on this patient. (Source: Obesity Surgery)
Source: Obesity Surgery - January 7, 2020 Category: Surgery Source Type: research

Laparoscopic Roux-en-Y Gastric Bypass Versus Sleeve Gastrectomy for Type 2 Diabetes Mellitus in Nonseverely Obese Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
ConclusionsBoth LRYGB and LSG have comparative effect on resolving T2DM in nonseverely obese patients at midterm follow-up. Further RCTs should address the potential risks and long-term effects of LRYGB and LSG in nonseverely obese patients. (Source: Obesity Surgery)
Source: Obesity Surgery - January 7, 2020 Category: Surgery Source Type: research

Preoperative predictors of early relapse/no ‐remission of type‐2 diabetes after metabolic surgery in Chinese patients
The objective of this study is to look for preoperative predictors of early T2DM relapse/no remission in patients with obesity and diabetes who underwent Roux ‐en‐Y gastric bypass (RYGB) or loop duodeno‐jejunal bypass with sleeve gastrectomy (LDJB‐SG). This is a retrospective study of 113 patients who underwent RYGB or LDJB‐SG for T2DM. All T2DM patients with BMI 27.5 to 37.5 kg/m2, having uncontrolled diabetes and T2DM patients with BMI  >  37.5 were included in the study. A multivariate analysis with a logistic regression model was used for analysed factors. Nineteen patients (16.8%) had early ...
Source: Clinical Obesity - January 7, 2020 Category: Eating Disorders & Weight Management Authors: Hemant K. Nautiyal, Wei Guan, Shibo Lin, Hui Liang Tags: Original Research Article Source Type: research

Plicated Sleeve Gastrectomy with Combined Mesocolon and Greater Omentum Fixation After T-Shaped Omentoplasty: How to Do it?
ConclusionPlicated sleeve gastrectomy combined with mesocolon and greater omentum fixation after T-Shaped omentoplasty is safe and feasible. Long-term follow-up study is required to validate our results. (Source: Obesity Surgery)
Source: Obesity Surgery - January 6, 2020 Category: Surgery Source Type: research

Revisional Bariatric Surgery for Insufficient Weight Loss and Gastroesophageal Reflux Disease: Our 12-Year Experience
ConclusionLBPD/DS or DJB as revision surgery appears to be effective for further weight loss in the medium term, and LRYGB appears to be effective for GERD remission. Bariatric surgeons should bear in mind, however, that the post-LRYGB complication rate appears to be relatively high. (Source: Obesity Surgery)
Source: Obesity Surgery - January 6, 2020 Category: Surgery Source Type: research

ASO Author Reflections: Feasibility and Safety of Early Oral Intake and Discharge After Total or Proximal Gastrectomy: An Analysis of Consecutive Cases Without Exclusion Criteria
(Source: Annals of Surgical Oncology)
Source: Annals of Surgical Oncology - January 6, 2020 Category: Cancer & Oncology Source Type: research

Feasibility of No Prophylactic Antibiotics Use in Patients Undergoing Total Laparoscopic Distal Gastrectomy for Gastric Carcinoma: a Propensity Score-Matched Case-Control Study.
Conclusions: Postoperative morbidity, including SSI rates, did not significantly increase in patients undergoing TLDG without prophylactic antibiotic use. A large prospective randomized trial is warranted to reappraise the efficacy of prophylactic antibiotic use in patients undergoing TLDG. PMID: 31897347 [PubMed] (Source: Journal of Gastric Cancer)
Source: Journal of Gastric Cancer - January 4, 2020 Category: Gastroenterology Tags: J Gastric Cancer Source Type: research

Feasibility of Linear-Shaped Gastroduodenostomy during the Performance of Totally Robotic Distal Gastrectomy.
This study compared the feasibility of LSGD in patients undergoing TRDG and TLDG. Materials and Methods All c: onsecutive patients who underwent LSGD after distal gastrectomy for gastric cancer between January 2009 and December 2017 were analyzed retrospectively. Propensity score matching (PSM) analysis was performed to reduce the selection bias between TRDG and TLDG. Short-term outcomes, functional outcomes, learning curve, and risk factors for postoperative complications were analyzed. Results: This analysis included 414 patients, of whom 275 underwent laparoscopy and 139 underwent robotic surgery. PSM analysis s...
Source: Journal of Gastric Cancer - January 4, 2020 Category: Gastroenterology Tags: J Gastric Cancer Source Type: research

Risk Factors for Gallbladder Stone Formation after Gastric Cancer Surgery.
Conclusions: This study presented risk factors for GB stone formation after gastric cancer surgery, and special attention should be afforded to patients with such risk factors. PMID: 31897344 [PubMed] (Source: Journal of Gastric Cancer)
Source: Journal of Gastric Cancer - January 4, 2020 Category: Gastroenterology Tags: J Gastric Cancer Source Type: research

Temporal Effects of Bariatric Surgery on Adipokines, Inflammation and Oxidative Stress in Subjects with Impaired Glucose Homeostasis at 4 Years of Follow-up
AbstractBackgroundPrevious studies have examined changes in plasma markers of inflammation and oxidative stress up to 24  months following bariatric surgery, but there is limited evidence on the long-term effects of bariatric surgery.ObjectivesTo examine the effects of bariatric surgery on adipokines (adiponectin, leptin), inflammatory cytokines [C-reactive protein (CRP), interleukin-6 (IL-6), interleukin-10(IL-10)] and global plasma measures of oxidative stress [thiobarbituric acid reactive substances (TBARS) and total antioxidant status (TAOS) 1 and 6  months, and 4 years post-surgery in subjects with obes...
Source: Obesity Surgery - January 3, 2020 Category: Surgery Source Type: research

Increased Incidence of Symptomatic Cholelithiasis After Bariatric Roux-En-Y Gastric Bypass and Previous Bariatric Surgery: a Single Center Experience
AbstractBackgroundBariatric surgery predisposes patients to cholelithiasis and therefore the need of a subsequent cholecystectomy; however, the incidence of cholecystectomy after bariatric surgery is debated.Aim and MethodsMedical records of 601patients hospitalized for bariatric surgery between January  2010 and July 2018 were reviewed. Our aim was to evaluate the incidence of cholecystectomy following different types of common bariatric procedures. All patients who developed cholelithiasis and a subsequent cholecystectomy were included. Cholelithiasis was diagnosed by clinical criteria and char acteristic ultra...
Source: Obesity Surgery - January 3, 2020 Category: Surgery Source Type: research

Predictive preoperative and intraoperative factors of anastomotic leak in gastrectomy patients
ConclusionsIn a large single-institutional study, POCs were associated with decreased survival in patients undergoing surgery for gastric adenocarcinoma. Optimizing these patients post-operatively with limited anastomotic stress and enteral feeding tube may allow for a less complicated course. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - January 2, 2020 Category: Surgery Source Type: research

Banded Sleeve Gastrectomy and One Anastomosis Gastric Bypass/Mini-gastric Bypass for Treatment of Obesity: a Retrospective Cohort Comparative Study with 6 years follow-up
ConclusionBoth operations produced excellent weight loss and maintenance in the short to intermediate term. There was better resolution of T2D and HTN after OAGB/MGB at the expense of a higher incidence of nutrient deficiency and some protein caloric malnutrition. There is need for prospective and larger series studies to confirm these findings. (Source: Obesity Surgery)
Source: Obesity Surgery - January 2, 2020 Category: Surgery Source Type: research

Use of the gastroduodenal artery in hepatic artery reconstruction for iatrogenic hepatic artery injury during laparoscopic total gastrectomy – case report and review of the literature
We report the case of a successful hepatic artery reconstruction using the gastroduodenal artery as a transposition graft for inadvertent transection of the common hepatic artery during laparoscopic total gastrectomy. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - January 2, 2020 Category: Surgery Authors: Zoe Zhuo Xuan Tan, Jack Kian Ch ’ng Tags: Case Report Source Type: research

A Genetic Risk Score for the Estimation of Weight Loss After Bariatric Surgery
ConclusionGRS can be used in the future together with other preoperative parameters in order to predict the outcome of bariatric surgery. (Source: Obesity Surgery)
Source: Obesity Surgery - January 2, 2020 Category: Surgery Source Type: research

An Optimal Surgical Approach for Suprapancreatic Area Dissection in Laparoscopic D2 Gastrectomy with Complete Mesogastric Excision
ConclusionA laparoscopic subtotal gastrectomy with D2+CME procedure provides for a complete and standardized en bloc excision of the suprapancreatic area dissection. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - January 2, 2020 Category: Surgery Source Type: research

Laparoscopic gastrectomy using intracorporeally hand-sewn anastomosis of esophagojejunostomy, gastroduodenostomy, or gastrojejunostomy for gastric cancer
In this study, we evaluated various types of IHSA following LG with respect to the technical aspects and postoperative outcomes. Seventy-six patients who underwent LG using IHSA for treatment of gastric cancer between September 2014 and June 2018 were enrolled in this study. We described the details of IHSA in step-by-step manner, evaluated the clinicopathological data and surgical outcomes, and summarized the clinical experiences. Four types of IHSA have been described: one for total gastrectomy (Roux-en-Y) and 3 for distal gastrectomy (Roux-en-Y, Billroth I, and Billroth II). The mean operation time and anastomotic tim...
Source: Medicine - January 1, 2020 Category: Internal Medicine Tags: Research Article: Quality Improvement Study Source Type: research

Mid-term bariatric surgery outcomes for obese patients: does weight matter?
Abstract INTRODUCTION: Studies have attempted to identify prognostic indicators for successful outcomes following bariatric surgery for obesity. The aim of this study was to determine whether the degree of obesity affects outcomes in patients who are morbidly obese (basal metabolic index, BMI, 40-49.9 kg/m2), super-obese (BMI 50-59.9 kg/m2) and super-super-obese (BMI greater than 60 kg/m2) undergoing restrictive or malabsorptive bypass procedures. MATERIAL AND METHODS: Retrospective analysis of a prospectively maintained database was undertaken to include all consecutive laparoscopic adjustable gastric bands ...
Source: Annals of the Royal College of Surgeons of England - January 1, 2020 Category: Surgery Authors: Samuel N, Jalal Q, Gupta A, Mazari F, Vasas P, Balachandra S Tags: Ann R Coll Surg Engl Source Type: research

Long-Term Survival after Minimally Invasive Versus Open Gastrectomy for Gastric Adenocarcinoma: A Propensity Score-Matched Analysis of Patients in the United States and China
ConclusionsAfter PSM of U.S. and Chinese patients with GA undergoing gastrectomy, long-term survival did not differ significantly between the patients undergoing minimally invasive gastrectomy and those undergoing open gastrectomy. (Source: Annals of Surgical Oncology)
Source: Annals of Surgical Oncology - January 1, 2020 Category: Cancer & Oncology Source Type: research

Predictors of iron-deficiency anemia in primary care older adults: a real-world European multi-country longitudinal study.
CONCLUSIONS: Specific signs and symptoms, chronic conditions, a greater comorbidity burden, and specific pharmacological treatments registered in primary care databases represent relevant predictors and correlates of incident IDA in older people in Europe. General practitioners might employ this information to obtain early diagnosis of IDA in community-dwelling older adults. PMID: 31893385 [PubMed - as supplied by publisher] (Source: Aging Clinical and Experimental Research)
Source: Aging Clinical and Experimental Research - January 1, 2020 Category: Geriatrics Authors: Vetrano DL, Zucchelli A, Marconi E, Levi M, Pegoraro V, Cataldo N, Heiman F, Cricelli C, Lapi F Tags: Aging Clin Exp Res Source Type: research

Socio-demographic Characteristics, Biochemical and Cytokine Levels in Bulimia Nervosa Candidates for Sleeve Gastrectomy.
Abstract BACKGROUND: Eating disorders (EDs) are widely known by abnormal eating behaviors associated with significant medical complications. Bulimia nervosa (BN) is an eating disorder characterized by uncontrolled episodes of overeating typically followed by some form of compensatory behaviors. We aimed to determine the relationships between socio-demographic characteristics, biochemical markers, and cytokine levels in BN candidates for laparoscopic sleeve gastrectomy (LSG). METHODS: A case-control study was designed among 76 BN participants of Iranian descent who were candidates for LSG based on defined crit...
Source: Archives of Iranian Medicine - January 1, 2020 Category: Middle East Health Authors: Tabasi M, Anbara T, Siadat SD, Kheirvari Khezerloo J, Elyasinia F, Bayanolhagh S, Sadat Safavi SA, Yazdannasab MR, Soroush A, Bouzari S Tags: Arch Iran Med Source Type: research

Comparison of the efficiency of transgelin, smooth muscle myosin, and CD31 antibodies for the assessment of vascular tumor invasion and free tumor deposits in gastric, pancreatic, and colorectal adenocarcinomas.
This study aimed to compare CD31, smooth muscle myosin (SMM), and transgelin antibodies for their efficiency in detecting venous invasion (VI) and the nature of free tumor deposits (TDs) in gastric, pancreatic, and colorectal adenocarcinomas. Materials and Methods: Eleven Whipple, 5 gastrectomy, and 3 colectomy specimens and 1 low anterior resection specimen were reviewed and examined, revealing 254 probable foci. Foci were reviewed and divided into 3 types: Type A, the "orphan artery" pattern; Type F, free TDs in the periorgan adipose and connective tissue without an unaccompanied artery; and Type X, a focu...
Source: Indian Journal of Pathology and Microbiology - January 1, 2020 Category: Pathology Authors: Ogut B, Ekinci O, Celik B, Unal ER, Dursun A Tags: Indian J Pathol Microbiol Source Type: research

Gastroparesis managed with peroral endoscopic pyloromyotomy.
Abstract Gastroparesis is delayed gastric emptying in the absence of mechanical obstruction. Cases are attributed to narcotic use, smoking, diabetes, and postsurgical complications; however, several incidences are unknown. Treatment options include diet modification, gut-stimulating medications (e.g., metoclopramide, domperidone), laparoscopic pyloroplasty, and, in the most severe cases, partial gastrectomy with Roux-en-Y reconstruction. Recently, a novel therapy has been developed, peroral endoscopic pyloromyotomy (POP). This procedure is similar to a laparoscopic pyloroplasty; however, it is performed completely...
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Clothier JS, Leeds SG, Ebrahim A, Ward MA Tags: Proc (Bayl Univ Med Cent) Source Type: research

Clinicopathological Characteristics and Prognosis of Upper Gastric Cancer Patients in China: A 32-Year Single-Center Retrospective Clinical Study.
Authors: Gong Y, Wang P, Zhu Z, Zhang J, Huang J, Xu H Abstract Purpose: Upper or proximal gastric cancer occurs in the upper third of the stomach between the cardia and a line connecting the greater and lesser curvatures. As it differs from other gastric cancers in pathology and prognosis, we evaluated patient and disease characteristics that might guide improved treatment and survival of upper gastric cancer. Methods: We conducted a retrospective analysis of 649 patients with upper gastric cancer and 1551 patients with lower gastric cancer and R0 radical surgery at our institution between January 1980 and Dec...
Source: Gastroenterology Research and Practice - December 31, 2019 Category: Gastroenterology Tags: Gastroenterol Res Pract Source Type: research

Predictive preoperative and intraoperative factors of anastomotic leak in gastrectomy patients
The preoperative and intraoperative factors that could predict a higher risk of anastomotic/staple line leak for gastric cancer patients has not been accurately defined. (Source: American Journal of Surgery)
Source: American Journal of Surgery - December 31, 2019 Category: Surgery Authors: Paul Palmer, Michael Egger, Prejesh Philips, Kelly M. McMasters, Charles R. Scoggins, Robert C.G. Martin Source Type: research

Correction to: Prophylactic HIPEC with radical D2 gastrectomy improves survival and peritoneal recurrence rates for locally advanced gastric cancer: personal experience from a randomized case control study
Following publication of the original article [1], the authors reported the following errors/updates. (Source: BMC Cancer)
Source: BMC Cancer - December 30, 2019 Category: Cancer & Oncology Authors: Maneesh Kumarsing Beeharry, Zheng-Lun Zhu, Wen-Tao Liu, Xue-Xin Yao, Min Yan and Zheng-Gang Zhu Tags: Correction Source Type: research

Cancers, Vol. 12, Pages 86: Conversion Surgery in Metastatic Gastric Cancer and Cancer Dormancy as a Prognostic Biomarker
In conclusion, conversion surgery showed a durable OS even in patients with initially metastatic gastric cancer when R0 resection was achieved after chemotherapy. (Source: Cancers)
Source: Cancers - December 30, 2019 Category: Cancer & Oncology Authors: Hun Jee Choe Jin Won Kim Song-Hee Han Ju Hyun Lee Sang-Hoon Ahn Do Joong Park Ji-Won Kim Yu Jung Kim Hye Seung Lee Jee Hyun Kim Hyung-Ho Kim Keun-Wook Lee Tags: Article Source Type: research

Gastric electrical stimulation: An emerging therapy for children with intractable gastroparesis.
This article explores gastric electrical stimulation (GES), a new therapy for gastroparesis. Unlike others, it neither needs medications nor gastrectomy; rather, it treats through the use of microelectrodes to deliver high-frequency low energy electric stimulation to the pacemaker area of the stomach. Thus, it is tolerated and safe in children. Like in adult patients, GES appears to work in releasing symptoms, improving nutrition, and enhancing the quality of life; it also helps wean off medications and eliminate many needs for hospitalization. Considering the transient nature of gastroparesis in children in many occasions...
Source: World Journal of Gastroenterology : WJG - December 28, 2019 Category: Gastroenterology Authors: Setya A, Nair P, Cheng SX Tags: World J Gastroenterol Source Type: research

Bariatric surgery and type 2 diabetes
This article describes types of bariatric surgery, proper selection of surgical candidates, patient education, and the postoperative patient management necessary for long-term success in improving blood glucose control. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - December 27, 2019 Category: Primary Care Tags: Review Article Source Type: research

Upper Abdominal Resections as Part of Tertiary Cytoreduction for Relapsed Ovarian Cancer
Conclusion: Extended upper abdominal resection can be safely performed in order to increase the chances of optimal debulking surgery at the time of tertiary cytoreduction. (Source: In Vivo)
Source: In Vivo - December 27, 2019 Category: Research Authors: BACALBASA, N., BALESCU, I., VILCU, M., DIMA, S., BREZEAN, I. Tags: Clinical Studies Source Type: research

Prevalence and impact of acid-related symptoms and diarrhea in patients undergoing Roux-en-Y gastric bypass, Sleeve gastrectomy and Biliopancreatic diversion with duodenal switch
Gastrointestinal symptoms are common in the obese population. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - December 26, 2019 Category: Surgery Authors: K. Elias, J. Hedberg, M. Sundbom Tags: Original articles Source Type: research

Is transit bipartition a better alternative to biliopancreatic diversionwith duodenal switch for superobesity? comparison of the early results of both procedures.
During the past years, 2 alternatives to the powerful but side-effects prone biliopancreatic diversion with duodenal switch (BPD-DS) were developed as one anastomosis duodenal switch (OADS) and sleeve gastrectomy with transit bipartition (TB). (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - December 26, 2019 Category: Surgery Authors: Philippe Topart, Guillaume Becouarn, Jean-Baptiste Finel Tags: Original articles Source Type: research

Prevalence and impact of acid-related symptoms and diarrhea in  patients undergoing Roux-en-Y gastric bypass, sleeve gastrectomy, and biliopancreatic diversion with duodenal switch
Gastrointestinal symptoms are common in the obese population. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - December 26, 2019 Category: Surgery Authors: Khalid Elias, Jakob Hedberg, Magnus Sundbom Tags: Original article Source Type: research

Is transit bipartition a better alternative to biliopancreatic diversion with duodenal switch for superobesity? Comparison of the early results of both procedures
During the past years, 2 alternatives to the powerful but side-effect-prone biliopancreatic diversion with duodenal switch (BPD-DS) were developed: one-anastomosis duodenal switch (OADS) and sleeve gastrectomy with transit bipartition (TB). (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - December 26, 2019 Category: Surgery Authors: Philippe Topart, Guillaume Becouarn, Jean-Baptiste Finel Tags: Original article Source Type: research

Impact of Resected Gastric Volume on Postoperative Weight Loss after Laparoscopic Sleeve Gastrectomy.
Authors: D'Ugo S, Bellato V, Bianciardi E, Gentileschi P Abstract Among the bariatric surgery community, it has recently emerged the idea of a possible association between resected gastric volume (RGV) and weight loss after laparoscopic sleeve gastrectomy (LSG). If the size of the sleeve depends on the bougie caliber, the resected volume of the stomach remains something which is not possible to standardize. The aim of the study was to investigate a possible relationship between RGV and weight loss after LSG. We developed a mathematical method to calculate the RGV, based on the specimen size removed during LSG. Nine...
Source: Gastroenterology Research and Practice - December 25, 2019 Category: Gastroenterology Tags: Gastroenterol Res Pract Source Type: research

Continuous glucose monitoring reveals glycemic variability and hypoglycemia after vertical sleeve gastrectomy in rats
ConclusionsRat bariatric surgery duplicates many features of human post bariatric surgery hypoglycemia including postprandial hypoglycemia and glycemic variability, while blockade of GLP-1 receptor signaling prevents the hypoglycemia but the variability. (Source: Molecular Metabolism)
Source: Molecular Metabolism - December 24, 2019 Category: Endocrinology Source Type: research

Laparoscopic Sleeve Gastrectomy Carries a Lower Perioperative Mortality Including Sudden Cardiac Death over Roux-en-Y Gastric Bypass in Patients with a Prior Cardiac History: An MBSAQIP Analysis
Conclusion and RelevancePrior cardiac history was associated with significant greater risk of perioperative cardiac arrest and 30-day mortality among patients undergoing bariatric surgery. SG was associated with less adverse events than RYGB among this population. While there is a clear benefit to weight loss in patients with CVD, it is important to consider whether cardiac patients considering bariatric surgery may require additional preoperative optimization, perioperative interventions, and postoperative monitoring. (Source: Obesity Surgery)
Source: Obesity Surgery - December 24, 2019 Category: Surgery Source Type: research

Comment on: Comparative analysis of robotic versus laparoscopic revisional bariatric surgery: perioperative outcomes from the MBSAQIP  database
In this paper, Nasser et  al. [1] examine how the use of the robotic technique affects outcomes of revisional bariatric surgery, using Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) data from 2015, 2016, and 2017. The focus of this study was revisional sleeve gastrectomy (SG) and Ro ux-en-Y gastric bypass (RYGB) procedures. As the authors noted, MBSAQIP, unfortunately, does not capture the initial bariatric surgery that is revised. For example, RYGB could be the conversion of a band to RYGB or a sleeve to RYGB. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - December 24, 2019 Category: Surgery Authors: Pavlos Papasavas, Richard Seip, Ilene Staff Tags: Editorial comment Source Type: research

Hybrid Laparoscopic and Endoscopic Partial Gastrectomy for Ulcerated GIST: Surgical Technique with Video
ConclusionIn this technical paper, the procedure is described in detail and demonstrated with video. (Source: World Journal of Surgery)
Source: World Journal of Surgery - December 21, 2019 Category: Surgery Source Type: research

Negative Impact of Endoscopic Submucosal Dissection on Short-Term Surgical Outcomes of Subsequent Laparoscopic Distal Gastrectomy for Gastric Cancer
ConclusionsESD after laparoscopic distal gastrectomy is largely safe in terms of short-term surgical outcomes, but a short interval between the two procedures and a large ESD scar can make subsequent operation difficult. (Source: Annals of Surgical Oncology)
Source: Annals of Surgical Oncology - December 21, 2019 Category: Cancer & Oncology Source Type: research

Primary vs Revisional Gastric Bypass for Weight Loss and Improvements in Comorbidities: Comparisons at Mid-term Follow-up
AbstractBackgroundRevisional gastric bypass (R-RYGB) surgery is utilized for the management of inadequate weight loss or weight regain observed after some cases of bariatric surgeries. Data on the mid-term effectiveness of primary gastric bypass (P-RYGB) compared to R-RYGB (e.g., post sleeve gastrectomy or gastric banding) are controversial.MethodsRetrospective chart review of all patients who received P-RYGB and R-RYGB (January 2011 - June 2015) at our center. One hundred and twenty patients who underwent P-RYGB and 34 R-RYGB who completed 18 months follow-up were included. We compared the effectiveness of P-RYGB with R-R...
Source: Obesity Surgery - December 21, 2019 Category: Surgery Source Type: research

Use of an Endoscopic Suturing Platform for the Management of Staple Line Dehiscence After Laparoscopic Sleeve Gastrectomy
ConclusionEndoscopic suturing may have a role in the management of leaks following LSG, as a primary treatment or as an adjunct to treatment with a stent. However, given that the technique requires considerable endoscopic expertise and in light of a number of other available therapeutic choices, further studies are required to better define the role of this technology in the algorithm of LSG-related leak management. (Source: Obesity Surgery)
Source: Obesity Surgery - December 21, 2019 Category: Surgery Source Type: research

Postoperative D-dimer elevation affects tumor recurrence and the long-term survival in gastric cancer patients who undergo gastrectomy
AbstractIntroductionWe retrospectively evaluated the blood coagulation activity using the D-dimer level in the early period after gastrectomy and investigated whether postoperative hypercoagulation affects tumor recurrence and long-term survival in gastric cancer patients.MethodsThe study involved 650 patients who underwent curative resection for gastric cancer at Kanagawa Cancer Center between July 2009 and July 2013. They were divided into a low-D-dimer group (LD group) and high-D-dimer group (HD group) according to the median D-dimer level on postoperative day (POD) 7. The risk factors for overall survival (OS) and rela...
Source: International Journal of Clinical Oncology - December 21, 2019 Category: Cancer & Oncology Source Type: research