Short-term improvements in cognitive function following vertical sleeve gastrectomy and Roux-en Y gastric bypass: a direct comparison study
ConclusionsThis is the first report of cognitive improvements following VSG and the first direct comparison of cognitive improvements following RYGB and VSG. Short-term improvements in specific domains of cognitive function are observed at the beginning of the active weight loss phase following bariatric surgery that persisted to 3  months. The anatomical distinction between the two surgeries and resulting differential metabolic profiles may be responsible for the improvements in attention observed following RYGB but not following VSG. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 2, 2020 Category: Surgery Source Type: research

Reduction of opioid use after implementation of enhanced recovery after bariatric surgery (ERABS)
AbstractBackgroundEnhanced recovery after surgery (ERAS) protocols have been extensively proven in lower gastrointestinal surgery to decrease postoperative physiologic stress and length of stay (LOS). ERAS in bariatric surgery (ERABS) varies immensely from each program with inconsistent results with a predominant goal of reducing LOS. Our focus in implementing enhanced recovery after bariatric surgery (ERABS) protocols is aimed at reducing postoperative pain and opioid use.MethodsThis is a retrospective review of patients who underwent laparoscopic Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (VSG) at a single hig...
Source: Surgical Endoscopy - April 2, 2020 Category: Surgery Source Type: research

Reduced anastomotic complications with intracorporeal esophagojejunostomy using endoscopic linear staplers (overlap method) in laparoscopic total gastrectomy for gastric carcinoma
ConclusionsIntracorporeal anastomosis using linear staplers reduced anastomotic bleeding and stenosis compared to extracorporeal anastomosis after LTG. Future research will be required to determine the ideal method for intracorporeal anastomosis in LTG. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 2, 2020 Category: Surgery Source Type: research

Usefulness of endoscopic metal stent placement for malignant afferent loop obstruction
ConclusionsThe success rate of EMSP for mALO was high in patients with poor general conditions due to advanced-stage malignant tumors and it was able to be safely performed, suggesting its high clinical efficacy. The incidence of mALO recurrence after EMSP was low. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 2, 2020 Category: Surgery Source Type: research

Single Versus Double-Anastomosis Duodenal Switch: Single-Site Comparative Cohort Study in 440 Consecutive Patients
AbstractPurposeTo study weight loss, comorbidity remission, complications, and nutritional deficits after duodenal switch (DS) and single-anastomosis DS with sleeve gastrectomy (SADI-S).Material and MethodsRetrospective review of patients submitted to DS or SADI-S for morbid obesity in a single university hospital.ResultsFour hundred forty patients underwent DS (n = 259) or SADI-S (n = 181). Mean preoperative body mass index (BMI) was 50.8 ± 6.4Kg/m2. Mean follow-up was 56.1  ± 37.2 months for DS and 27.2 ± 18.9 months for ...
Source: Obesity Surgery - April 2, 2020 Category: Surgery Source Type: research

Relationship between neuropilin-1 expression and prognosis, according to gastric cancer histology
AbstractNeuropilin-1 (NRP-1) is known to be related to various types of cancer and is considered a novel tumor marker or therapeutic target. The aim of this study was to identify the clinical implications of NRP-1 expression in terms of prognosis in patients with gastric cancer. A total of 265 patients who underwent radical gastrectomy for the treatment of gastric cancer from 2008 to 2011 were included in this retrospective study. NRP-1 expression of tumors was determined by immunohistochemistry. The patients ’ clinicopathological characteristics, operative details, and long-term outcomes were retrospectively analyze...
Source: Journal of Molecular Histology - April 2, 2020 Category: Laboratory Medicine Source Type: research

Facilitated completion of 1-year adjuvant S-1 monotherapy for pathological stage II or III gastric cancer by medical oncologists
ConclusionsMedical oncologists may facilitate completion of adjuvant S-1 monotherapy. (Source: Surgery Today)
Source: Surgery Today - April 2, 2020 Category: Surgery Source Type: research

Potential Therapeutic Approaches for the Intussusception Through a Side-to-Side Jejunojejunal Anastomosis After Laparoscopic Gastrectomy
We reviewed our experience with the management of intussusception presenting as a complication of laparoscopic gastrectomy (LG) and studied the feasibility of a laparoscopic intervention to treat or prevent this condition. We retrospectively analyzed the data of 12 patients diagnosed with intussusception, following gastrectomy, from 2008 to 2017, including clinical manifestations, incidence, post-LG time-interval before diagnosis, and treatment. Totally, 12/2300 gastrectomy patients (0.52%) developed intussusception. All 12 had undergone laparoscopic distal gastrectomy for gastric cancer (12/1250, 0.96%) and presented with...
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - April 1, 2020 Category: Surgery Tags: Original Articles Source Type: research

The First Report of Laparoscopic Multivisceral Resection for a Gastrocolic Fistula Secondary to Colon Cancer
Conclusion: Laparoscopic multivisceral en bloc R0 resection of locally advanced colon cancer with gastrocolic fistula can be accomplished safely in experienced hands. (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - April 1, 2020 Category: Surgery Tags: Online Articles: Technical Reports Source Type: research

Ingested a fish bone-induced ileal perforation: A case report
Conclusion: An accurate diagnosis of complications due to fish bone intake, often secondary to the unintentional intake, is quite challenging. Detailed history-taking about the patient's diet and eating habits is therefore important. Clinical manifestations are mainly determined by the location of perforation, which typically occurs at the junction of the ileum and rectal sigmoid colon. Imaging examination and surgery are often used for definite diagnosis. (Source: Medicine)
Source: Medicine - April 1, 2020 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research

Laparoscopic distal gastrectomy (with preservation of left hepatic artery) (with video)
Publication date: Available online 30 March 2020Source: Journal of Visceral SurgeryAuthor(s): A. Zarzavadjian Le Bian, L. Genser, P. Wind (Source: Journal of Visceral Surgery)
Source: Journal of Visceral Surgery - April 1, 2020 Category: Surgery Source Type: research

Use of Antihypertensive Medications in Left Ventricular Assist Device Patients Who Undergo Sleeve Gastrectomy
The use of antihypertensive medications has been shown to significantly decrease in most morbidly obese patients who undergo sleeve gastrectomy (SG) surgery, with 58% of patients having complete resolution of their hypertension. It is unknown if this same effect is seen in morbidly obese patients with left ventricular assist devices (LVAD) who undergo SG. (Source: The Journal of Heart and Lung Transplantation)
Source: The Journal of Heart and Lung Transplantation - April 1, 2020 Category: Transplant Surgery Authors: M. Jumean, A. Patel, S. Nathan, S. Kumar, M. Akay, I. Salas de Armas, M. Patel, K. Rajagopal, R. Radovancevic, I. Gregoric, B. Kar Tags: (866) Source Type: research

Post-Transplant Survival of Morbidly Obese LVAD Patients Undergoing Bariatric Surgery
Patients with left ventricular assist devices (LVADs) who are morbidly obese cannot be easily bridged to heart transplantation (HT). Reported UNOS data show that the survival rate of such patients was low after HT. Some patients are obese at the time of LVAD implantation, whereas others become morbidly obese following LVAD implantation. We applied laparoscopic sleeve gastrectomy (LSG) as a treatment strategy and our study looked to determine its efficacy and safety. (Source: The Journal of Heart and Lung Transplantation)
Source: The Journal of Heart and Lung Transplantation - April 1, 2020 Category: Transplant Surgery Authors: M. Akay, M. Alagoz, M. Ng, I.A. Salas de Armas, M.K. Jezovnik, M.K. Patel, K. Rajagopal, S. Kumar, M. Jumean, B.H. Akkanti, R. Radovancevic, S. Shah, K.S. Bajwa, B. Kar, I.D. Gregoric Tags: (835) Source Type: research

A Woman With an Intrauterine and an Extrauterine Intrauterine Device
A 44-year-old woman with a history of hypertension and partial gastrectomy presented to the emergency department with low thoracic back pain of 2  days' duration without red flag symptoms. The physical examination was significant for point tenderness to palpation in the lower thoracic spine without overlying skin changes or neurologic symptoms. Considering her large body habitus and history of gastrectomy, a thoracic radiograph was obtained to rule out compression fracture due to osteoporosis (Figure 1). (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - April 1, 2020 Category: Emergency Medicine Authors: Brian S. Shin, Ryan Giorgetti, Laura D. Melville Tags: Visual Diagnosis in Emergency Medicine Source Type: research

Roux-en-Y Gastric Bypass or Sleeve Gastrectomy for Type 2 Diabetes: Expanding Role of Individualized Metabolic Surgery (IMS) Score
As recently summarized1, there are only four randomized clinical trials (RCTs) in patients with type 2 diabetes mellitus (T2DM) comparing Roux-en-Y gastric bypass (RYGB) with sleeve gastrectomy (SG) and providing level I evidence up to 5 years after randomization.2-5 None of the individual studies were primarily designed and adequately powered to compare the effects of RYGB with SG on T2DM. However, combined analysis of these RCTs (i.e. meta-analysis) in order to increase the sample size and statistical power (RYGB, n=176 versus SG, n=175) would indicate that either there is no significant long-term difference between RYGB...
Source: Surgery for Obesity and Related Diseases - April 1, 2020 Category: Surgery Authors: Ali Aminian Tags: Letter to the Editor Source Type: research

Intraductal papillary neoplasm in common bile duct opening into the stomach
ConclusionEctopic biliary drainage into the stomach is extremely rare, but its recognition may help identify the cause of certain clinical conditions and prevent bile duct injury during surgery if required. (Source: Surgical Practice)
Source: Surgical Practice - April 1, 2020 Category: Surgery Authors: Victoria Cindy Lai, Eric C.H. Lai, Chung Ngai Tang Tags: ORIGINAL ARTICLE Source Type: research

Lymphatic leakage after laparoscopic sleeve gastrectomy; presentation, management and review of the literature.
We report the first case of lymphatic leakage after sleeve gastrectomy, which was treated with conservative treatment. PMID: 32233848 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 1, 2020 Category: Surgery Authors: Bora Makal G Tags: Ann R Coll Surg Engl Source Type: research

Prevention of Nausea and Vomiting After Laparoscopic Sleeve Gastrectomy: Are We Doing Enough?
Abstract The worldwide obesity epidemic has led to an increase in the number of bariatric procedures for treatment. Currently, the most commonly performed bariatric surgical operation in the United States is the laparoscopic sleeve gastrectomy (LSG). The risk of postoperative nausea and vomiting (PONV) is exceptionally high following the LSG: as much as 65%. Anesthesia providers should be mindful of this elevated risk and stay up to date on evidence-based techniques that help to mitigate the incidence of PONV related to this specific procedure. The purposes of this clinical review are to increase provider awarenes...
Source: AANA Journal - April 1, 2020 Category: Anesthesiology Authors: Varner KL, March AL Tags: AANA J Source Type: research

Cholelithiasis After Sleeve Gastrectomy and Effectiveness of Ursodeoxycholic Acid Treatment
Journal of Laparoendoscopic&Advanced Surgical Techniques, Ahead of Print. (Source: Journal of Laparoendoscopic)
Source: Journal of Laparoendoscopic - March 31, 2020 Category: Surgery Authors: Ozan Şen Ahmet G ökhan Türkçapar Mehmet Ali Yerdel Source Type: research

Cholelithiasis After Sleeve Gastrectomy and Effectiveness of Ursodeoxycholic Acid Treatment
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 - March 31, 2020 Category: Surgery Authors: Ozan Şen Ahmet G ökhan Türkçapar Mehmet Ali Yerdel Source Type: research

Degeneration of Barrett's Esophagus after Sleeve Gastrectomy.
PMID: 32245574 [PubMed - as supplied by publisher] (Source: Cirugia eEspanola)
Source: Cirugia eEspanola - March 31, 2020 Category: Surgery Authors: Lucas Guerrero V, Luna A, Rebasa P, Montmany S, Navarro S Tags: Cir Esp Source Type: research

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)
Source: Journal of Bone and Mineral Research - March 30, 2020 Category: Orthopaedics Authors: Julien Paccou, Niels Martign ène, Eric Lespessailles, Evgéniya Babykina, François Pattou, Bernard Cortet, Grégoire Ficheur Tags: Original Article Source Type: research

Laparoscopic Versus Open D2 Gastrectomy for Gastric Cancer: A Case-Matched Comparative Study
Journal of Laparoendoscopic&Advanced Surgical Techniques, Ahead of Print. (Source: Journal of Laparoendoscopic)
Source: Journal of Laparoendoscopic - March 30, 2020 Category: Surgery Authors: Basil J. Ammori Huthaifa Asmer Hani Al-Najjar Hebah Al-Bakri Ali Dabous Faiez Daoud Mahmoud Almasri Source Type: research

Letter in Reply: Long-term Results After Laparoscopic Sleeve Gastrectomy with Concomitant Posterior Cruroplasty: Five-Year Follow-up
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - March 30, 2020 Category: Surgery Source Type: research

Laparoscopic Versus Open D2 Gastrectomy for Gastric Cancer: A Case-Matched Comparative Study
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 - March 30, 2020 Category: Surgery Authors: Basil J. Ammori Huthaifa Asmer Hani Al-Najjar Hebah Al-Bakri Ali Dabous Faiez Daoud Mahmoud Almasri Source Type: research

Primary lung squamous cell carcinoma and its association with gastric metastasis: A case report and literature review
AbstractNearly 50% of primary lung carcinoma patients present with distant metastasis at their first visit. However, gastrointestinal tract (GIT) metastasis is an infrequent impediment. Herein, we report a case of progressive dysphagia and epigastralgia as an initial manifestation of recurrence as gastric metastasis of primary lung squamous cell carcinoma (SCC) after curative surgery. A 64 ‐year‐old man was diagnosed with primary lung SCC of the right lower lobe, and underwent thoracoscopic lower lobectomy. One year after lobectomy, computed tomography (CT) scan showed a gastric fundal mass located in the gastric cardi...
Source: Thoracic Cancer - March 26, 2020 Category: Cancer & Oncology Authors: Mariko Nemoto, Pankaj Prasoon, Hiroshi Ichikawa, Takaaki Hanyu, Yosuke Kano, Yusuke Muneoka, Kenji Usui, Yuki Hirose, Kohei Miura, Yoshifumi Shimada, Masayuki Nagahashi, Jun Sakata, Takashi Ishikawa, Masanori Tsuchida, Toshifumi Wakai Tags: CASE REPORT Source Type: research

Metabolomic profiling of gastric cancer tissues identified potential biomarkers for predicting peritoneal recurrence
AbstractBackgroundMetabolomics is useful for analyzing the nutrients necessary for cancer progression, as the proliferation is regulated by available nutrients. We studied the metabolomic profile of gastric cancer (GC) tissue to elucidate the associations between metabolism and recurrence.MethodsCancer and adjacent non-cancerous tissues were obtained in a pair-wise manner from 140 patients with GC who underwent gastrectomy. Frozen tissues were homogenized and analyzed by capillary electrophoresis time-of-flight mass spectrometry (CE-TOFMS). Metabolites were further assessed based on the presence or absence of recurrence.Re...
Source: Gastric Cancer - March 26, 2020 Category: Gastroenterology Source Type: research

Prognostic Significance of Lymphatic, Venous and Perineural Invasion After Neoadjuvant Chemotherapy in Patients with Gastric Adenocarcinoma.
Abstract BACKGROUND: The significance of perineural (PNI), lymphatic (LI) and venous invasion (VI) in gastric cancer patients who have received neoadjuvant chemotherapy is unclear. The aim of this study is to determine the incidence and prognostic significance of LI, VI and PNI in these patients. PATIENTS AND METHODS: Consecutive patients treated with neoadjuvant chemotherapy followed by gastrectomy with D2 lymphadenectomy were reviewed. Presence of LI, VI and PNI was recorded and correlated with clinical outcomes. RESULTS: A total of 243 patients underwent gastrectomy after neoadjuvant therapy for gastr...
Source: Ann Oncol - March 26, 2020 Category: Cancer & Oncology Authors: Woodham BL, Chmelo J, Donohoe CL, Madhavan A, Phillips AW Tags: Ann Surg Oncol Source Type: research

Optimizing bariatric surgery outcomes: a novel preoperative protocol in a bariatric population with gastroesophageal reflux disease
ConclusionsForegut pathology is common in bariatric patients with subjective symptoms of GERD. Implementing a comprehensive protocol to objectively assess these patients leads to a significant clinical impact on which procedure these patients ultimately undergo. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 24, 2020 Category: Surgery Source Type: research

Determining changes in bone metabolism after bariatric surgery in postmenopausal women
AbstractBackgroundAccelerated bone loss is a known complication after bariatric surgery. Bone mineral density has been shown to decrease significantly after Laparoscopic Roux-en-Y gastric bypass (RYGB). Laparoscopic sleeve gastrectomy (SG) effects on bone density are largely unknown. This should be considered for those with increased preoperative risk for bone loss, such as postmenopausal females.MethodsThis prospective clinical trial included postmenopausal patients, with BMI  ≥ 35 k/m2, being evaluated for either RYGB or SG. Patients with history of osteoporosis, estrogen hormone replacement therapy...
Source: Surgical Endoscopy - March 24, 2020 Category: Surgery Source Type: research

The first consensus statement on revisional bariatric surgery using a modified Delphi approach
ConclusionExperts achieved consensus on a number of aspects of RBS. Though expert opinion can only be regarded as low-quality evidence, the findings of this exercise should help improve the outcomes of RBS while we develop robust evidence to inform future practice. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 24, 2020 Category: Surgery Source Type: research

Predicting surgical site infections following laparoscopic bariatric surgery: development of the BariWound tool using the MBSAQIP database
This study included patients who underwent primary laparoscopic Roux-en-Y gastric bypass (LRYGB) or laparoscopic sleeve gastrectomy (LSG). The primary outcome of interest was incisional SSI occurring within 30  days. Surgeries performed in 2015 were used in a derivation cohort and the predictive tool was validated against the 2016 cohort. A forward selection algorithm was used to build a logistic regression model predicting probability of SSI.ResultsA total of 274,187 patients were included with 71.7% being LSG and 28.3% LRYGB. 0.7% of patients had a SSI in which 71.0% had an incisional SSI, and 29.9% had an organ/spa...
Source: Surgical Endoscopy - March 24, 2020 Category: Surgery Source Type: research

Surgeon variation in severity of reflux symptoms after sleeve gastrectomy
ConclusionsWe found that 1/3 of patients had worsening symptoms of reflux after LSG and that severity of symptoms varied. Surgeons with the highest rates of worsening reflux had similar operative experience and complication rates than those with the lowest. Further assessment of operative technique and skill may be informative. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 24, 2020 Category: Surgery Source Type: research

Comparison of Short and Long-Term Outcomes of Metabolic and Bariatric Surgery in Adolescents and Adults
Objective: We sought to compare the short and long-term outcomes of MBS in adolescents vs. adults who have undergone a Roux-en-Y gastric bypass (RYGB) or Sleeve gastrectomy (SG).Design: Retrospective cohort study.Setting: Single tertiary care academic referral center.Participants: One hundred fifty adolescent (≤ 21-years) and adult (>21-years) subjects with severe obesity between 15 and 70 years of age who underwent RYGB or SG.Outcomes: Metabolic parameters, weight and height measures were obtained pre-and post-surgery (at 3 and 6 months, and then annually for 4 years).Results: Median pre-surgical body mass index (BM...
Source: Frontiers in Endocrinology - March 24, 2020 Category: Endocrinology Source Type: research

Is splenectomy for dissecting splenic hilar lymph nodes justified for scirrhous gastric cancer?
ConclusionThe metastatic rate of the splenic hilar lymph nodes was relatively high, and the therapeutic index was the sixth highest among the 15 regional lymph nodes included in D2 dissection. Splenectomy for dissecting splenic hilar lymph nodes would be justified for scirrhous gastric cancer. (Source: Gastric Cancer)
Source: Gastric Cancer - March 24, 2020 Category: Gastroenterology Source Type: research

Hospital Length of Stay after Metabolic and Bariatric Surgery by Race/Ethnicity and Procedure Type among Florida Patients.
We examined the association of hospital length of stay (LOS) by race-ethnicity (Hispanic, non-Hispanic white [NHW], NH black [NHB]) and MBS-procedure among Florida inpatients. DESIGN: Secondary analysis of inpatient records was performed using the 2016 Florida Agency for Health Care Administrative (AHCA) data. Records of Laparoscopic Roux-en-Y Gastric Bypass (RYGB), Laparoscopic Adjustable Gastric Banding (LAGB), and Sleeve Gastrectomy (SG) procedures based on ICD 10th edition code were analyzed. Via logistic regression analysis, the adjusted odds ratio (aOR) of longer LOS (≥2 versus 
Source: Journal of the National Medical Association - March 23, 2020 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Correction to: Does the preoperative platelet-tolymphocyte ratio and neutrophil-tolymphocyte ratio predict morbidity after gastrectomy for gastric cancer?
In the original publication of this article [1] there are two garbled codes in the second sentence, the fourth paragraph of the Background section. The correct sentence should be: Tumor growth leads to the increased production of inflammatory cytokines and growth factors (mainly IL-1, IL-3, IL-6, IL-11, IL-23, and TNF-), and this perpetual process ensures immortality. These promoting factors are also important for angiogenesis and hematopoiesis, which explains the increase in blood cell types in cancerous diseases. The original publication has been corrected. (Source: Military Medical Research)
Source: Military Medical Research - March 23, 2020 Category: International Medicine & Public Health Source Type: research

Outcomes of endoscopic sleeve gastroplasty; how does it compare to laparoscopic sleeve gastrectomy? A systematic review and meta-analysis
Conclusion ESG demonstrates acceptable weight loss parameters and seems to have a better safety profile when compared to LSG. [...] © 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 - March 23, 2020 Category: Gastroenterology Authors: Mohan, Babu P. Asokkumar, Ravishankar Khan, Shahab R. Kotagiri, Rajesh Sridharan, Gurusravanan Kutti Chandan, Saurabh Ravikumar, Naveen PG. Ponnada, Suresh Jayaraj, Mahendran Adler, Douglas G. Tags: Original article Source Type: research

Non-robotic minimally invasive gastrectomy as an independent risk factor for postoperative intra-abdominal infectious complications: A single-center, retrospective and propensity score-matched analysis.
CONCLUSION: The findings showed that robotic surgery might improve short-term outcomes following minimally invasive radical gastrectomy by reducing intra-abdominal infectious complications. PMID: 32231421 [PubMed - in process] (Source: World Journal of Gastroenterology : WJG)
Source: World Journal of Gastroenterology : WJG - March 21, 2020 Category: Gastroenterology Authors: Shibasaki S, Suda K, Nakauchi M, Nakamura K, Kikuchi K, Inaba K, Uyama I Tags: World J Gastroenterol Source Type: research

Current status of endoscopic sleeve gastroplasty: An opinion review.
Abstract Bariatric surgeries have been demonstrated to be safe and effective treatment options for morbid obesity patients, but operative risks and high health care costs limit their clinical application. Endoscopic bariatric therapies are emerging as valuable alternatives for patients with doubts about bariatric surgery or ineligible for it. Endoscopic sleeve gastroplasty (ESG), a relatively novel technique of endoscopic bariatric therapies, has gained standing in the past few years. The safety, feasibility, repeatability, and potential for reversibility of ESG have been proven by multicenter studies. Compared to...
Source: World Journal of Gastroenterology : WJG - March 21, 2020 Category: Gastroenterology Authors: Wang JW, Chen CY Tags: World J Gastroenterol Source Type: research

Is Revisional Gastric Bypass as Effective as Primary Gastric Bypass for Weight Loss and Improvement of Comorbidities?
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 with R-RYGB (e.g., post sleeve gastrectomy/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 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 - March 20, 2020 Category: Surgery Source Type: research

Impact of Laparoscopic Roux-en-Y gastric bypass and sleeve gastrectomy on gut microbiota: a metagenomic comparative analysis
Bariatric surgery is an effective therapeutic procedure for morbidly obese patients. The two most common interventions are Sleeve Gastrectomy (SG) and Laparoscopic Roux-en-Y Gastric Bypass (LRYGB). (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - March 20, 2020 Category: Surgery Authors: William Farin, Florian Plaza O ñate, Jonathan Plassais, Christophe Bonny, Christoph Beglinger, Bettina Woelnerhanssen, David Nocca, Frederic Magoules, Emmanuelle Le Chatelier, Nicolas Pons, Alessandra C.L. Cervino, S. Dusko Ehrlich Tags: Original articles Source Type: research

FKBP5 polymorphism rs1360780 and weight loss after bariatric surgery
Dear Editor, we read the publication on “Role of the FKBP5 polymorphism rs1360780, age, sex, and type of surgery in weight loss after bariatric surgery: a follow-up study” with a great interest [1]. Peña et al. noted that “KBP5 rs1360780 genotype has specific effects on weight loss outcomes after bariatric surgery depending on sex, age, and type of surgery, suggesting worse results in older males carrying the T allele who have undergone sleeve gastrectomy [1].” In fact, genetic underlying polymorphism effect on weight loss after bariatric surgery is interesting. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - March 20, 2020 Category: Surgery Authors: Sora Yasri, Viroj Wiwanitkit Tags: Letter to the Editor Source Type: research

Comment on “Pouch Versus No Pouch Following Total Gastrectomy: Meta-analysis of Randomized and Nonrandomized Studies”
No abstract available (Source: Annals of Surgery)
Source: Annals of Surgery - March 19, 2020 Category: Surgery Tags: LETTERS TO THE EDITOR Source Type: research

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)
Source: Journal of Bone and Mineral Research - March 19, 2020 Category: Orthopaedics Authors: Julien Paccou, Niels Martign ène, Eric Lespessailles, Evgéniya Babykina, François Pattou, Bernard Cortet, Grégoire Ficheur Tags: Original Article Source Type: research

Gastric remnant necrosis secondary to cholesterol crystal embolization after distal gastrectomy in a gastric cancer patient: a case report
Distal gastrectomy with lymph node dissection, a standard operative technique for gastric cancer treatment, is safely performed because the stomach has a rich vascular supply. Gastric remnant necrosis caused b... (Source: BMC Surgery)
Source: BMC Surgery - March 19, 2020 Category: Surgery Authors: Jumpei Shibata, Motoi Yoshihara and Takehito Kato Tags: Case report Source Type: research

Gut and Metabolic Hormones Changes After Endoscopic Sleeve Gastroplasty (ESG) Vs. Laparoscopic Sleeve Gastrectomy (LSG)
AbstractIntroductionESG reduces gastric lumen similar to LSG and induces significant weight loss. However, the metabolic and physiological alteration after ESG is not fully understood. We aim to study the gastrointestinal hormone changes after ESG and compared it with LSG.MethodsWe conducted a prospective pilot study comparing ESG and LSG at two centers in Spain. We administered a standard test meal after an overnight fast, and collected blood samples before and after meal. We measured the levels of ghrelin, GLP-1, peptide-YY, insulin, leptin, and adiponectin. We evaluated the hormone profile and weight changes (%TBWL) at ...
Source: Obesity Surgery - March 19, 2020 Category: Surgery Source Type: research

The preoperative prognostic nutrition index is a prognostic indicator for survival in elderly gastric cancer patients after gastrectomy: a propensity score-matched analysis
This study included 127 elderly GC patients who underwent gastrectomy. The optimal cutoff value for the PNI score was defined using a receiver operating curve analysis. For the analysis of long-term outcomes, 86 patients were selected by propensity score matching. The long-term outcomes and prognostic factors after gastrectomy were analyzed by univariate and multivariate Cox regression analyses. The cutoff value for the PNI score was set at 46.5. Among the 86 patients, 30 patients died due to noncancer-related disease. The 5-year cancer-specific survival rates of patients with a PNI score 
Source: Updates in Surgery - March 19, 2020 Category: Surgery Source Type: research

Comparison of Magenstrasse and Mill gastroplasty and sleeve gastrectomy techniques as an experimental study on rabbits.
CONCLUSION: We believe that this animal experimental study, which we conducted intending to compare M&M and SG techniques, will contribute to the literature as a pilot study and determine the survey of M&M technique as a pioneer in other studies. KEY WORDS: Bariatric surgery, Magenstrasse and Mill gastroplasty, Sleeve gastrectomy. PMID: 32180569 [PubMed - in process] (Source: Annali Italiani di Chirurgia)
Source: Annali Italiani di Chirurgia - March 18, 2020 Category: Surgery Tags: Ann Ital Chir Source Type: research

Endoscopic Ultrasound (EUS) –Guided Drainage of a Postsleeve Gastrectomy Subphrenic Collection Using a Lumen Apposition Stent
We report the case of a patient presenting with sepsis 2  weeks after surgery. A subphrenic collection and a leak were found on CT. Despite medical treatment, the patient did not show clinical improvement. Hence, we considered a transgastric endosonographic-guided drainage of the collection using an electrocautery-enhanced lumen-apposing metal stent (LAM S). The procedure underwent uneventfully, and the patient status improved rapidly. Two weeks later, the stent was withdrawn. A follow-up endoscopy 6 weeks later showed closure of the gastric wall defect. (Source: Obesity Surgery)
Source: Obesity Surgery - March 18, 2020 Category: Surgery Source Type: research