Improvement of nonalcoholic fatty liver disease in ALT  at ≥12 months after Roux-en-Y gastric bypass and sleeve gastrectomy, no effect in ALT and AST at < 12 months after SG and in AST at > 12 and ≤24 months after RYGB
We read with great interest about the amelioration of nonalcoholic fatty liver disease (NAFLD) undergoing Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG). Recently, there was a meta-analysis by Baldwin et  al. [1] suggesting that RYGB and SG had a reduction in alanine transaminase (ALT) compared with baseline level (mean difference [MD]: −12.3, 95% confidence interval [CI]: −16.0, −8.6; MD: −16.5, 95%CI: −25.7, −7.2, respectively). The reduction in aspartate aminotransferase (AST) underg oing RYGB or SG was also obtained compared with baseline levels (MD: −3.6, 95%C...
Source: Surgery for Obesity and Related Diseases - November 29, 2019 Category: Surgery Authors: Yong Wang, Jing Chen, Yi Chen, Xiao-Ting Wu Tags: Letter to the editor Source Type: research

Improvement of nonalcoholic fatty liver disease in ALT  at ≥12 months after Roux-en-Y gastric bypass and sleeve gastrectomy, no effect in ALT and AST at < 12 months after SG and in AST at > 12 and ≤24 months after RYGB.
Improvement of nonalcoholic fatty liver disease in ALT at ≥12 months after Roux-en-Y gastric bypass and sleeve gastrectomy, no effect in ALT and AST at 12 and ≤24 months after RYGB. Surg Obes Relat Dis. 2019 Nov 29;: Authors: Wang Y, Chen J, Chen Y, Wu XT PMID: 31899104 [PubMed - as supplied by publisher] (Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery)
Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery - November 29, 2019 Category: Surgery Authors: Wang Y, Chen J, Chen Y, Wu XT Tags: Surg Obes Relat Dis Source Type: research

Gastrocolic fistula after laparoscopic sleeve gastrectomy: Case report and literature review
ConclusionA high index of suspicion is important in detection of rare complications after laparoscopic sleeve gastrectomy including gastrocolic fistula. Complete laparoscopic resection of gastrocolic fistula is preferred. Gastrectomy might be the definitive surgery. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - November 28, 2019 Category: Surgery Source Type: research

Adiponectin/SIRT1 Axis Induces White Adipose Browning After Vertical Sleeve Gastrectomy of Obese Rats with Type 2 Diabetes
ConclusionsSleeve gastrectomy increased adiponectin levels, which in turn upregulated SIRT1. Thus, SIRT1 may function as an endocrine signal to mediate WAT browning. (Source: Obesity Surgery)
Source: Obesity Surgery - November 28, 2019 Category: Surgery Source Type: research

Endoscopic balloon dilation for treatment of sleeve gastrectomy stenosis: a systematic review and meta-analysis
Gastric stenosis is a rare but potentially serious adverse event after sleeve gastrectomy. Despite current suboptimal treatments, endoscopic balloon dilatation (EBD) has emerged as a safe and efficacious approach. The purpose of this study is to assess the overall success of EBD for sleeve gastrectomy stenosis (SGS) as first-line therapy. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - November 28, 2019 Category: Gastroenterology Authors: Steven Chang, Violeta Popov, Christopher C. Thompson Source Type: research

Primary gastric melanoma: A case report with imaging findings and 5-year follow-up.
CONCLUSION: Certain imaging characteristics could be revealed in PGM. Imaging examination can be of great value in preoperative diagnosis, differential diagnosis, and follow-up of patients with PGM. PMID: 31802836 [PubMed - in process] (Source: World Journal of Gastroenterology : WJG)
Source: World Journal of Gastroenterology : WJG - November 28, 2019 Category: Gastroenterology Authors: Wang J, Yang F, Ao WQ, Liu C, Zhang WM, Xu FY Tags: World J Gastroenterol Source Type: research

The True Story on Deficiencies After Sleeve Gastrectomy: Results of a Double-Blind RCT
AbstractBackgroundSince a few years, the laparoscopic sleeve gastrectomy (SG) has become the most performed bariatric operation worldwide. However, as with all bariatric procedures, SG also leads to vitamin and mineral deficiencies post-operatively and standard multivitamin supplements are probably not sufficient.ObjectiveThe present study evaluates the effectiveness of a specialized multivitamin supplement for SG patients (WLS Optimum 1.0, FitForMe, Rotterdam, the Netherlands), compared to a standard multivitamin supplement (sMVS).DesignA double-blind randomized controlled trial was performed. For 12  months, patient...
Source: Obesity Surgery - November 27, 2019 Category: Surgery Source Type: research

Effects of Bariatric Surgeries on the Size of Myocardial Infarction and Ghrelin Level in Rats with Experimental Decompensated Type 2 Diabetes Mellitus
The effects of bariatric surgeries (sleeve gastrectomy and ileal transposition) on the dynamics of changes in ghrelin level were studied in rats with severe decompensated type 2 diabetes mellitus under conditions of glucose challenge as well as on the size of myocardial infarction in these animals. Diabetes was modelled by high fat diet and a single administration of streptozotocin (25 mg/kg, intraperitoneally). Both bariatric surgeries significantly decreased glucose-induced ghrelin level in the blood of rats with type 2 diabetes mellitus, which attested to an increase in the tissue sensitivity to ghrelin. Sleeve gastrect...
Source: Bulletin of Experimental Biology and Medicine - November 27, 2019 Category: Biology Source Type: research

Laparoscopic sleeve gastrectomy versus laparoscopic Roux-en-Y gastric bypass in the pediatric population: a MBSAQIP analysis.
Abstract BACKGROUND: The growing prevalence of childhood obesity has resulted in an increased number of children and adolescents who undergo bariatric surgery. The safety of laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB) remains controversial in the pediatric population. OBJECTIVE: To assess the safety of LSG compared with LRYGB in patients aged ≤21 years. SETTING: A retrospective analysis of the 2016 to 2017 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database. METHODS: Patients aged ≤21 years who underwent LSG or LRYG...
Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery - November 26, 2019 Category: Surgery Authors: Jackson WL, Lewis SR, Bagby JP, Hilton LR, Milad M, Bledsoe SE Tags: Surg Obes Relat Dis Source Type: research

Gastric mucosal devitalization improves blood pressure, renin and cardiovascular lipid deposition in a rat model of obesity
Conclusion GMD resulted in a significant improvement in BP, renin and cardiovascular lipid deposition. GMD deserves further attention as a method of treating obesity-related CVD. [...] © 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 - November 25, 2019 Category: Gastroenterology Authors: Oberbach, Andreas Schlichting, Nadine Kullnick, Yvonne Heinrich, Marco Lehmann, Stefanie Retschlag, Ulf Friedrich, Maik Fayad, Lea Dietrich, Arne Khashab, Mouen A. Kalloo, Anthony N. Kumbhari, Vivek Tags: Original article Source Type: research

Gastric mucosal devitalization (GMD): translation to a novel endoscopic metabolic therapy
Endosc Int Open 2019; 07: E1640-E1645 DOI: 10.1055/a-0957-3067 Background and study aims The metabolic effects of bariatric surgery may partially result from removal of the gastric mucosa, an often underappreciated endocrine organ. Using argon plasma coagulation (APC), we may be able to selectively devitalize (ablate) the mucosa. The aim of this study was to identify the optimal tissue color that would correspond to selective gastric mucosal devitalization (GMD) using ex-vivo human stomach specimens. Patients and methods Stomach specimens were obtained at sleeve gastrectomy. Prior to APC application, a subm...
Source: Endoscopy International Open - November 25, 2019 Category: Gastroenterology Authors: Fayad, Lea Oberbach, Andreas Schweitzer, Michael Askin, Frederic Voltaggio, Lysandra Larman, Tatianna Enderle, Markus Hahn, Hartmut Khashab, Mouen A. Kalloo, Anthony N. Kumbhari, Vivek Tags: Original article Source Type: research

Population Diversity Challenge the External Validity of the European Randomized Controlled Trials Comparing Laparoscopic Gastric Bypass and Sleeve Gastrectomy
AbstractIntroductionTwo randomized controlled trials (RCTs) from Europe recently showed similar weight loss and rates of type 2 diabetes (T2D) remission following laparoscopic gastric bypass (LRYGB) and laparoscopic sleeve gastrectomy (LSG). However, results from observational studies in the United States (US) have discordant results. We compared 1-year weight loss and T2D remission between LRYGB and LSG in a heterogeneous patient cohort from the US, albeit with similar inclusion and exclusion criteria to the European RCTs.MethodsLogistic regression was used to propensity match LSG and LRYGB patients according to age, gend...
Source: Obesity Surgery - November 25, 2019 Category: Surgery Source Type: research

Single-Anastomosis Sleeve Jejunal Bypass, a Novel Bariatric Surgery, Versus Other Familiar Methods: Results of a 6-Month Follow-up —a Comparative Study
ConclusionsThe weight loss trend after the SASJ bypass was similar to that of older techniques; consequently this technique can be considered for cases with particular indications due to the reversibility and also more accessible gastric follow-up studies in the SASJ approach. Further researches with longer follow-ups are strongly recommended. (Source: Obesity Surgery)
Source: Obesity Surgery - November 25, 2019 Category: Surgery Source Type: research

Laparoscopic sleeve gastrectomy versus laparoscopic Roux-en-Y gastric bypass in the pediatric population: a MBSAQIP analysis
The growing prevalence of childhood obesity has resulted in an increased number of children and adolescents who undergo bariatric surgery. The safety of laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB) remains controversial in the pediatric population. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 25, 2019 Category: Surgery Authors: William L. Jackson, Steven R. Lewis, Jackson P. Bagby, L. Renee Hilton, Mohamed Milad, Samuel E. Bledsoe, William Landon Jackson Tags: Original articles Source Type: research

Twisting of sleeve gastrectomy: two ways of clinic presentation.
We present two cases of patients who underwent laparoscopic sleeve gastrectomy and who were subsequently diagnosed with gastric twisting. Both cases required conversion to laparoscopic gastric bypass. Accompanying symptoms may vary but they commonly include early satiety, epigastric pain associated with food intake, gastroesophageal reflux and early vomiting. Although diagnose is mainly clinical, it requires high suspicion since endoscopy and gastrointestinal studies are not conclusive. The principal therapeutic options are endoscopic dilatations, serotomy and conversion to gastric bypass. PMID: 31755282 [PubMed - as s...
Source: Revista Espanola de Enfermedades Digestivas - November 24, 2019 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Impact of Laparoscopic Sleeve Gastrectomy on Obese Patients with Subclinical Hypothyroidism
Journal of Laparoendoscopic&Advanced Surgical Techniques, Ahead of Print. (Source: Journal of Laparoendoscopic and Advanced Surgical Techniques)
Source: Journal of Laparoendoscopic and Advanced Surgical Techniques - November 23, 2019 Category: Surgery Authors: Tamer N. Abdelbaki Mostafa R. Elkeleny Mohamed Abdallah Sharaan Ahmed Talha Maha Bondok Source Type: research

Impact of Laparoscopic Sleeve Gastrectomy on Obese Patients with Subclinical Hypothyroidism
Journal of Laparoendoscopic&Advanced Surgical Techniques, Ahead of Print. (Source: Journal of Laparoendoscopic)
Source: Journal of Laparoendoscopic - November 23, 2019 Category: Surgery Authors: Tamer N. Abdelbaki Mostafa R. Elkeleny Mohamed Abdallah Sharaan Ahmed Talha Maha Bondok Source Type: research

Endoscopic Repair of Large Gastric Perforation Following Pneumatic Dilation of Sleeve Gastrectomy Stenosis
AbstractSleeve gastrectomy has become the most commonly performed bariatric surgery in the USA (English et al.in Surg Obes Relat Dis. 14(3):259 –63,2018). Despite the rising popularity of this procedure, gastric stenosis is a known complication with an incidence of up to 4% (Rebibo et al. in Obes Surg. 26(5):995 –1001,2016). Endoscopic pneumatic balloon dilation is increasingly utilized to treat this condition and to ameliorate symptoms of nausea, vomiting, reflux, and/or dysphagia (Dhorepatil et al. in BMC Surg. 18(1):52,2018). Pneumatic balloon dilation does carry a risk of gastric perforation of up to 3% in ...
Source: Obesity Surgery - November 23, 2019 Category: Surgery Source Type: research

Multivisceral resection for synchronous inflammatory myofibroblastic tumors of the lung and stomach
Publication date: Available online 21 November 2019Source: Journal of Pediatric Surgery Case ReportsAuthor(s): Naciye Cigdem Arslan, Suha Goksel, Oktar AsogluAbstractInflammatory myofibroblastic tumor is a mesenchymal tumor which commonly originates from lungs. In this paper we report the successful resection of multiple inflammatory myofibroblastic tumors invading thoracic, mediastinal and abdominal viscera in a 14-year old child. We could achieve an R0 resection with distal esophagectomy, proximal gastrectomy, splenectomy, left hepatectomy, left pneumonectomy, left diaphragm resection and pericardiectomy. To our knowledg...
Source: Journal of Pediatric Surgery Case Reports - November 22, 2019 Category: Surgery Source Type: research

Is Bariatric Surgery Safe and Effective in Patients with Inflammatory Bowel Disease?
ConclusionIn carefully selected patients with IBD, bariatric surgery appears safe with respect to short-term infectious complications and results in sustained weight loss until at least 2 years postoperatively. (Source: Obesity Surgery)
Source: Obesity Surgery - November 22, 2019 Category: Surgery Source Type: research

How Relevant Is Pre-operative Obstructive Sleep Apnoea in the Asymptomatic Bariatric Surgery Patient?
ConclusionOSA is very prevalent in morbidly obese patients. The lack of association between patients diagnosed with OSA and unscreened patients, and post-operative complications suggests that not all patients require pre-operative sleep studies. Further studies may help identify which patients can safely avoid OSA screening. (Source: Obesity Surgery)
Source: Obesity Surgery - November 22, 2019 Category: Surgery Source Type: research

Ultra-Early and Early Changes in Bile Acids and Insulin After Sleeve Gastrectomy Among Obese Patients.
AD Abstract BACKGROUND AND OBJECTIVE: In obese patients, sleeve gastrectomy (SG) has shown mixed results on bile acid (BA) values. The aim of our study was to examine the potential ultra-early and early changes of the circulating total BA in relation with the changes of insulin resistance (IR) in obese patients submitted to laparoscopic SG. Materials and Methods: Twenty-four obese subjects were investigated for body mass index (BMI), total fasting BA, insulin, homeostasis model assessment of insulin resistance (HOMA-IR), and leptin before and at 7 and 30 d after SG. Results: After surgery, mean BMI decreased at the first (p
Source: Medicina (Kaunas) - November 22, 2019 Category: Universities & Medical Training Authors: Cӑtoi AF, Pârvu AE, Mironiuc A, Silaghi H, Pop ID, Andreicuț AD Tags: Medicina (Kaunas) Source Type: research

Cardiac remodeling in obesity and after bariatric and metabolic surgery; is there a role for gastro-intestinal hormones?
Authors: Sanches E, Timmermans M, Topal B, Celik A, Sundbom M, Ribeiro R, Parmar C, Ugale S, Proczko M, Stepaniak PS, Pujol Rafols J, Mahawar K, Buise MP, Neimark A, Severin R, Pouwels S Abstract Introduction: Obesity is associated with various diseases such as type 2 diabetes, hypertension, obstructive sleep apnea syndrome (OSAS), metabolic syndrome, and cardiovascular diseases. It affects several organ systems, including the pulmonary and cardiac systems. Furthermore, it induces pulmonary and cardiac changes that can result in right and/or left heart failure.Areas covered: In this review, authors provide an overv...
Source: Expert Review of Cardiovascular Therapy - November 21, 2019 Category: Cardiology Tags: Expert Rev Cardiovasc Ther Source Type: research

Linitis Plastica: a Distinct Type of Gastric Cancer
AbstractBackgroundThe prognosis of patients with linitis plastica (LP) gastric cancer is reported to be poor. The purpose of our retrospective study was to characterize the clinicopathologic features and survival outcomes of patients with LP, using a univocal definition.MethodsWe defined LP as gastric cancer that involves more than 1/3 of the gastric wall macroscopically. We reviewed a prospectively maintained institutional database of gastric cancer patients and summarized and compared clinicopathologic factors of patients with and without LP who had undergone gastrectomy. Patients were matched 1:1 using propensity score ...
Source: Journal of Gastrointestinal Surgery - November 21, 2019 Category: Surgery Source Type: research

Pancreatic enzymes (pancrelipase)
Pancreatic exocrine insufficiency occurs when there is insufficient production or delivery of pancreatic enzymes required for the digestion and absorption of food. It is associated with relatively poor outcomes, including reduced quality of life and survival.1 Common causes are cancer of the head/body of the pancreas, chronic pancreatitis, pancreatic resection and cystic fibrosis. It can occur following duodenectomy, gastrectomy or untreated coeliac disease via a reduction in cholecystokinin and thereby post-prandial pancreatic stimulation. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 21, 2019 Category: Palliative Care Authors: Andrew Wilcock, Laura McGeeney, Emma Kidd, Mary Mihalyo, Sarah Charlesworth Source Type: research

Tuberculosis and gastrectomy : A Nationwide Population-based Matched Cohort Study
The objective of this study was to examine the incidence and risk of tuberculosis in patients who underwent gastrectomy in Korea, an intermediate tuberculosis burden country. This population-based matched cohort study was conducted to analyze the sample database of the National Health Insurance Corporation. There were 3898 subjects with having gastrectomy as the gastrectomy group between 2004 and 2012, and 15,592 randomly selected matched subjects without gastrectomy as the non-gastrectomy group. Subjects with history of pulmonary tuberculosis before the index date 2 year were excluded. Both gastrectomy and non-gastrectomy...
Source: European Respiratory Journal - November 21, 2019 Category: Respiratory Medicine Authors: Jung, W., Choi, S. I., Kim, B.-K., Lee, E. J., In, K. H., Lee, S. Y. Tags: Tuberculosis Source Type: research

The Application of Spleen-Preserving Splenic Regional Laparoscopic Lymphadenectomy with Spleen Kept In Situ and Laparotomy with Spleen Lifted Out of the Abdomen for Locally Advanced Proximal Gastric Cancer: A Retrospective Study.
Conclusions: Similar long-term outcomes were achieved in the LSKS-SRLA and LSLA-SRLA groups for locally advanced proximal gastric cancer. However, in the aspects of surgical time, length of incision, and postoperative recovery, the LSKS-SRLA group had obvious advantages. PMID: 31737066 [PubMed] (Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - November 20, 2019 Category: Gastroenterology Tags: Gastroenterol Res Pract Source Type: research

Clinical Significance of Tumor Deposits in Gastric Cancer: a Retrospective and Propensity Score - Matched Study at Two Institutions
ConclusionsOur research shows that TDs are closely associated with prognosis in GC. TDs should be incorporated into the TNM staging system, which could then accurately improve the staging reliability and prognostic assessment. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - November 20, 2019 Category: Surgery Source Type: research

Impact of Bariatric Surgery on Long-term Cardiovascular Risk: Comparative Effectiveness of Different Surgical Procedures
AbstractIntroductionSeveral reports highlight bariatric surgery as an efficient and long-lasting strategy for weight loss. Herein, we aimed to evaluate the impact of bariatric surgery on 10-year cardiovascular disease (CVD) risk and to compare the effectiveness of different surgical procedures, employing the Framingham Risk Score (FRS).MethodsRetrospective longitudinal observational study of patients undergoing bariatric surgery. Data was assessed preoperatively and during a 4-year follow-up period.ResultsWe evaluated 1449 individuals, 85.2% female, age of 42.4 ± 10.6 years, and preoperative BMI of 44.3 ± 5.8...
Source: Obesity Surgery - November 20, 2019 Category: Surgery Source Type: research

Do Specialized Bariatric Multivitamins Lower Deficiencies After Sleeve Gastrectomy?
This study included 970 patients; 291 patients in the WLS-user group and 679 patients in the non-WLS-user group. In favor of the user group, significantly less de novo deficiencies were found of vitamin B1 (2  years) and vitamin B6 (two and three), folic acid (1 and 2  years), and vitamin B12 (at 1  year). Binomial logistic regression showed a significant influence of multivitamin supplementation mainly on ferritin; vitamins B1, B6, B12, and D; and folic acid, (allp 
Source: Obesity Surgery - November 20, 2019 Category: Surgery Source Type: research

Laparoscopic Gastrectomy Using Instruments with a Minimal Diameter for Early Gastric Cancer: A Feasible Alternative to Conventional Laparoscopic Gastrectomy for Experienced Surgeons
Journal of Laparoendoscopic&Advanced Surgical Techniques, Ahead of Print. (Source: Journal of Laparoendoscopic and Advanced Surgical Techniques)
Source: Journal of Laparoendoscopic and Advanced Surgical Techniques - November 19, 2019 Category: Surgery Authors: Hyuk-Jae Kwon Chul Kyu Roh Jongsu Woo Sang-Yong Son Sang-Uk Han Hoon Hur Source Type: research

Laparoscopic Gastrectomy Using Instruments with a Minimal Diameter for Early Gastric Cancer: A Feasible Alternative to Conventional Laparoscopic Gastrectomy for Experienced Surgeons
Journal of Laparoendoscopic&Advanced Surgical Techniques, Ahead of Print. (Source: Journal of Laparoendoscopic)
Source: Journal of Laparoendoscopic - November 19, 2019 Category: Surgery Authors: Hyuk-Jae Kwon Chul Kyu Roh Jongsu Woo Sang-Yong Son Sang-Uk Han Hoon Hur Source Type: research

Racial Disparity in 30-Day Outcomes of Metabolic and Bariatric Surgery
ConclusionThis study found significant racial differences in short-term outcomes following bariatric surgery. Factors underlying these disparities are unclear and warrant further investigation. (Source: Obesity Surgery)
Source: Obesity Surgery - November 19, 2019 Category: Surgery Source Type: research

Adherence with operative standards in the treatment of gastric cancer in the United States
AbstractBackgroundDespite multiple clinical trials and practice guidelines for the treatment of gastric cancer, oncologic outcomes have not improved in the United States. One potential reason could be differences in the quality of surgery as performed in a controlled trial versus in practice.MethodsUsing the National Cancer Database, rates of adherence with operative standards for gastrectomy for cancer were analyzed. Of the numerous evidence-based operative standards outlined in the manual, two were reliably measured in the NCDB: (1) achieving and R0 resection, and (2) having  >  16 lymph nodes examined. ...
Source: Gastric Cancer - November 19, 2019 Category: Gastroenterology Source Type: research

Return to Intended Oncologic Treatment (RIOT) in Resected Gastric Cancer Patients
ConclusionOlder age, high NLR, and major POC were risk factors for inability to RIOT. RIOT was an independent predictor of survival. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - November 19, 2019 Category: Surgery Source Type: research

A Population-Based Cohort Study Examining the Long-term Risk of Repeated Surgery in Non- Helicobacter pylori -Infected PPU Patients Who Underwent Simple Closure
ConclusionOur findings suggest that in the Asian population, simple closure increases the risk of repeated ulcer-associated surgery in non-HP-infected PPU patients compared with TVP patients. However, further studies are warranted. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - November 19, 2019 Category: Surgery Source Type: research

Analysis of mid-term weight loss after Roux-en-Y gastric bypass and sleeve gastrectomy: Proposed percentile charts for total weight loss percentages to be used in daily clinical practice.
CONCLUSIONS: Percentile charts of % total weight loss after bariatric surgery represent a very useful tool and an important advance in the quality of patient management. PMID: 31757409 [PubMed - as supplied by publisher] (Source: Cirugia eEspanola)
Source: Cirugia eEspanola - November 19, 2019 Category: Surgery Authors: Sabench Pereferrer F, Molina López A, Acín Gándara D, Arroyo Martín JJ, Baltar Boileve J, Barranco Moreno A, Cassinello Fernández N, Del Castillo Déjardin D, Fernández Alsina E, Ferrer-Márquez M, Mans Muntwyler E, Martín García-Almenta E, Garcí Tags: Cir Esp Source Type: research

Lymph Node Yield Following Packet Submission After Isolation By Surgeon During Gastrectomy
(Source: Cancer Management and Research)
Source: Cancer Management and Research - November 18, 2019 Category: Cancer & Oncology Tags: Cancer Management and Research Source Type: research

Controlling Nutritional Status (CONUT) Score Is A Predictor Of Post-Operative Outcomes In Elderly Gastric Cancer Patients Undergoing Curative Gastrectomy: A Prospective Study
(Source: Cancer Management and Research)
Source: Cancer Management and Research - November 18, 2019 Category: Cancer & Oncology Tags: Cancer Management and Research Source Type: research

Intramucosal-lymphatic invasion has a slight impact on lymph node metastasis in patients with early gastric cancer
ConclusionsLI limited to the mucosal region does not seem to be a strong indicator for LNM. When pathological findings of an endoscopic submucosal dissection specimen show only mLI as a non-curative criterion, the probability of LNM may be very low. (Source: Surgery Today)
Source: Surgery Today - November 18, 2019 Category: Surgery Source Type: research

Neurological Complication After Laparoscopic Sleeve Gastrectomy: Foot Drop
ConclusionWe demonstrate that rapid weight loss is correlated with the risk of foot drop incidence as a result of PNEN. (Source: Obesity Surgery)
Source: Obesity Surgery - November 18, 2019 Category: Surgery Source Type: research

Late stage gastric cancer patients with extra gained HER2 positivity by dual block assessment may not show compromised efficacy to trastuzumab treatment.
In conclusion, our study suggests that patients with extra gained HER2 positivity may not show compromised efficacy to trastuzumab treatment. PMID: 31739285 [PubMed - as supplied by publisher] (Source: Aging)
Source: Aging - November 17, 2019 Category: Biomedical Science Authors: Xu C, Liu Y, Jiang D, Ge X, Huang J, Su J, Zhang X, Lu S, Ji Y, Hou J, Liu T, Hou Y Tags: Aging (Albany NY) Source Type: research

Response to “What causes gastroseophageal reflux following sleeve gastrectomy?”
(Source: Obesity Surgery)
Source: Obesity Surgery - November 16, 2019 Category: Surgery Source Type: research

Changes in Left Ventricular Mechanics After Sleeve Gastrectomy
ConclusionsAltered global longitudinal strain values were common in young obese patients. Sleeve gastrectomy increased global longitudinal strain even in the early postoperative phase without promoting changes in global radial strain, global circumferential strain, and left ventricle twist measurements. (Source: Obesity Surgery)
Source: Obesity Surgery - November 15, 2019 Category: Surgery Source Type: research

Jejunogastric intussusception after distal gastrectomy with Billroth II reconstruction
We present a rare case of intussusception of efferent jejunum through gastrojejunostomy in a patient who underwent distal gastrectomy with Billroth II reconstruction. Revision total gastrectomy was performed successfully. High index of suspicion and early diagnosis is crucial as delayed intervention can lead to a mortality rate of 50%. (Source: Surgical Practice)
Source: Surgical Practice - November 15, 2019 Category: Surgery Authors: Shiu ‐Yan Ng, Chun‐Wang Yiu, Ka‐Fai Wong, Siu‐Kee Leung Tags: CASE REPORT Source Type: research

Assessment of lymphatic flow based on the sentinel node concept in early gastric adenocarcinoma that satisfies expanded endoscopic resection criteria
ConclusionsPatients with intramucosal, nonulcerated, undifferentiated adenocarcinoma measuring 20  mm or less could develop a lymphatic network. For these patients, careful follow-up is required after ER. (Source: Gastric Cancer)
Source: Gastric Cancer - November 14, 2019 Category: Gastroenterology Source Type: research

What Causes Gastroesophageal Reflux Following Sleeve Gastrectomy?
(Source: Obesity Surgery)
Source: Obesity Surgery - November 14, 2019 Category: Surgery Source Type: research

Psychological predictors of poor weight loss following LSG: relevance of general psychopathology and impulsivity.
iff S Abstract PURPOSE: After bariatric surgery (BS) a significant minority of patients do not reach successful weight loss or tend to regain weight. In recent years, interest for the psychological factors that predict post-surgical weight loss has increased with the objective of developing interventions aimed to ameliorate post-surgical outcomes. In the present study, predictive models of successful or poor weight loss 12 months after BS were investigated considering pre-surgery level of psychopathological symptoms, dysfunctional eating behaviors and trait impulsivity at baseline (pre-surgery). METHODS: Sixt...
Source: Eating and weight disorders : EWD - November 14, 2019 Category: Eating Disorders & Weight Management Authors: Testa G, Granero R, Siragusa C, Belligoli A, Sanna M, Rusconi ML, Angeli P, Vettor R, Foletto M, Busetto L, Fernández-Aranda F, Schiff S Tags: Eat Weight Disord Source Type: research

Impact of Bariatric Surgery on Female Reproductive Health and Maternal Outcomes
ConclusionObesity is closely associated with primary infertility and PCOD. Menstrual abnormalities associated with PCOD significantly improve after bariatric surgery with significant improvement in fertility along with maternal outcomes. (Source: Obesity Surgery)
Source: Obesity Surgery - November 13, 2019 Category: Surgery Source Type: research

Feasibility and Safety of Early Oral Intake and Discharge After Total or Proximal Gastrectomy: An Analysis of Consecutive Cases Without Exclusion Criteria
ConclusionsEarly feeding and discharge for total or proximal gastrectomy is feasible and safe as long as it is carefully applied to high-risk patients, but we must be aware of the relatively higher readmission rate of this patient group. (Source: Annals of Surgical Oncology)
Source: Annals of Surgical Oncology - November 13, 2019 Category: Cancer & Oncology Source Type: research