Preoperative Weight Loss via Very Low Caloric Diet (VLCD) and Its Effect on Outcomes After Bariatric Surgery
AbstractIntroductionThe effect of preoperative weight loss via very low caloric diet (VLCD) on long-term weight loss post-bariatric surgery (BS) is conflicting. We analysed its impact on weight loss and other outcomes post-BS.MethodsPatients (n = 306) who underwent sleeve gastrectomy or gastric bypass from 2008 to 2018 were studied. VLCD was prescribed for 14 days preoperatively. Patients were followed up for 5 years. Postoperative weight loss was compared in patients with preoperative weight gain or weight loss
Source: Obesity Surgery - February 19, 2020 Category: Surgery Source Type: research

Management  of Gastric Fistula After Sleeve Gastrectomy.
Management of Gastric Fistula After Sleeve Gastrectomy. Cir Esp. 2020 Feb 19;: Authors: Vilar A, Priego P, Cuadrado M, Arranz R, Galindo J PMID: 32087951 [PubMed - as supplied by publisher] (Source: Cirugia eEspanola)
Source: Cirugia eEspanola - February 19, 2020 Category: Surgery Authors: Vilar A, Priego P, Cuadrado M, Arranz R, Galindo J Tags: Cir Esp Source Type: research

Operable gastric adenocarcinoma with different histological subtypes: Cancer-specific survival in the United States
Conclusions: Patients with GSRC had a similar prognosis to those with NGSRC. The proposed nomogram allowed a relatively accurate survival prediction for operable GA patients after gastrectomy. (Source: The Saudi Journal of Gastroenterology)
Source: The Saudi Journal of Gastroenterology - February 18, 2020 Category: Gastroenterology Authors: Chun-Lin Lin Guang-Wei Zhu Yong-Jian Huang Wei Zheng Shu-Gang Yang Jian-Xin Ye Source Type: research

Sleeve Gastrectomy enhances glucose utilization and remodels adipose tissue independent of weight loss.
CONCLUSIONS: SG induces a rapid, weight-loss independent shift towards glucose utilization and transcriptional remodeling of metabolic and immune pathways in visceral adipose tissue. Continued study of this early post-SG physiology may lead to better understanding of the anti-diabetic mechanisms of bariatric surgery. PMID: 32069072 [PubMed - as supplied by publisher] (Source: American Journal of Physiology. Endocrinology and Metabolism)
Source: American Journal of Physiology. Endocrinology and Metabolism - February 18, 2020 Category: Physiology Authors: Harris DA, Mina A, Cabarkapa D, Heshmati K, Subramaniam R, Banks AS, Tavakkoli A, Sheu EG Tags: Am J Physiol Endocrinol Metab Source Type: research

Dietary daidzein decreases food intake accompanied with delayed gastric emptying in ovariectomized rats.
Abstract We previously found that equol, a metabolite of intestinal bacterial conversion from soy isoflavone daidzein, has female-specific anorectic effects. In the present study, we used seven-week-old female ovariectomized (OVX) Sprague Dawley rats to test the hypothesis that the anorectic effect of dietary daidzein may be attributed to delayed gastric emptying. Results suggest that dietary daidzein delays gastric emptying and that it has an anorectic effect with residual gastric contents, but not without gastric contents. Dietary equol significantly decreased daily food intake in the OVX rats without sleeve gas...
Source: Bioscience, Biotechnology, and Biochemistry - February 18, 2020 Category: Biochemistry Authors: Adhikari S, Bhattarai K, Abe Y, Kira M, Fujitani M, Miyada T, Kishida T Tags: Biosci Biotechnol Biochem Source Type: research

Laparoscopic gastrectomy with D2 lymphadenectomy for gastric cancer: initial Egyptian experience at the National Cancer Institute.
CONCLUSIONS: Laparoscopic gastrectomy with D2 lymphadenectomy can be carried out safely and in accordance with oncologic principles. PMID: 32372263 [PubMed - in process] (Source: J Egypt Natl Canc In...)
Source: J Egypt Natl Canc In... - February 18, 2020 Category: Cancer & Oncology Authors: Abdelhamed MA, Abdellatif A, Touny A, Mahmoud AM, Ahmed IS, Maamoun S, Shalaby M Tags: J Egypt Natl Canc Inst Source Type: research

Patient factors influence surgical options in gastroparesis
Publication date: Available online 16 February 2020Source: The American Journal of SurgeryAuthor(s): Jon S. Thompson, Alexander Hewlett, Elizabeth Lyden, James R. Scott, Corrigan McBrideAbstractBackgroundPatient selection for the diverse surgical procedures for gastroparesis remains poorly defined. Our aim was to evaluate how patient factors have determined our surgical approach to gastroparesis.Methods95 patients undergoing 105 surgical procedures for gastroparesis were reviewed. Patient factors were compared across six surgical procedures: gastric neurostimulator, pyloroplasty, neurostimulator plus pyloroplasty, sleeve g...
Source: The American Journal of Surgery - February 17, 2020 Category: Surgery Source Type: research

Propensity-score-matched analysis of a multi-institutional dataset to compare postoperative complications between Billroth I and Roux-en-Y reconstructions after distal gastrectomy
AbstractBackgroundFew well-controlled studies have compared postoperative complications between Billroth I (B-I) and Roux-en-Y (R-Y). The aim of the present study was to compare the incidence of overall and severe postoperative complications by reconstruction method after distal gastrectomy.MethodsWe performed a multi-institutional dataset study of patients who underwent distal gastrectomy with B-I or R-Y reconstruction from 2010 to 2014. Using propensity scores to strictly balance the significant variables, we compared postoperative complications between the techniques.ResultsAfter matching, we enrolled 1014 patients (n&t...
Source: Gastric Cancer - February 17, 2020 Category: Gastroenterology Source Type: research

Letter to the Editor: Serendipity during Sleeve Gastrectomy —Blood Supply Might Be Fundamental for Hunger and Satiety
(Source: Obesity Surgery)
Source: Obesity Surgery - February 17, 2020 Category: Surgery Source Type: research

Correlation of Gastric Volume and Weight Loss 5 Years Following Sleeve Gastrectomy
AbstractIntroductionThe volume of the gastric reservoir (VGR) after sleeve gastrectomy influences weight loss in the short-term, but long-term results are scarce. The aim was to analyze the correlation between the VGR and weight loss at 5  years of follow-up.MethodsIt is a prospective observational study of 50 patients undergoing sleeve gastrectomy (SG) from February 2009 to December 2013. An upper gastrointestinal series was performed at 1  month and at 1 and 5 years after surgery. A composite formula was used for VGR estimation. Weight loss-related data included the following: body mass index (BMI), percen...
Source: Obesity Surgery - February 17, 2020 Category: Surgery Source Type: research

Temporal Effects of Sleeve Gastrectomy on Glucose-Insulin Homeostasis and Incretin Hormone Response at 1 and 6  Months
ConclusionsTo our knowledge, no study has examined the detailed dynamic changes in glucose and insulin homeostasis in this number of participants undergoing SG in relation to incretin hormones GIP and GLP-1. This current study supports the role of SG for the treatment of obesity-related glucose dysregulation. (Source: Obesity Surgery)
Source: Obesity Surgery - February 17, 2020 Category: Surgery Source Type: research

Patient preferences regarding bariatric/metabolic procedures: a survey of Korean obese candidates for surgery.
Conclusion: Candidates for bariatric/metabolic surgery favored SG followed by AGB, GP, and RYGB, and their choices were compatible with current evidence-based clinical practice. PMID: 32051816 [PubMed] (Source: Annals of Surgical Treatment and Research)
Source: Annals of Surgical Treatment and Research - February 15, 2020 Category: Surgery Tags: Ann Surg Treat Res Source Type: research

Measurement of Stomach Wall Thickness to Guide Staple Selection during Sleeve Gastrectomy
This study aimed to measure gastric wall thickness using pathology laboratory measurements and to identify variables correlated with stomach wall thickness in patients who had undergone laparoscopic sleeve gastrectomy.MethodsWe obtained fresh resected stomach wall specimens from 30 patients. Stomach wall thickness was immediately measured postoperatively, comprising the muscle layer of the antrum, body, and fundus. Results were correlated with body mass index (BMI), age, and sex and with diagnoses of presurgical diabetes, hypertension, hyperlipidemia, and fatty liver.ResultsStomach wall thickness ranged from 3.4  &p...
Source: Obesity Surgery - February 15, 2020 Category: Surgery Source Type: research

Comparison of Single-Incision and Conventional Laparoscopic Sleeve Gastrectomy for Morbid Obesity: a Meta-Analysis
ConclusionsCompared to CLSG, SILSG resulted in improved cosmetic satisfaction and showed no disadvantages in terms of surgical outcomes; thus, SILSG can serve as an alternative to CLSG for obese patients. Nonetheless, high-quality randomized controlled trials (RCTs) with large study populations and long follow-up periods are needed. (Source: Obesity Surgery)
Source: Obesity Surgery - February 15, 2020 Category: Surgery Source Type: research

Positional Vertigo and Unilateral Gradual Hearing Loss Following Sleeve Gastrectomy: A Case Report
(Source: Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy)
Source: Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy - February 14, 2020 Category: Endocrinology Tags: Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy Source Type: research

Diet change affects intestinal microbiota restoration and improves vertical sleeve gastrectomy outcome in diet-induced obese rats
ConclusionsThe dysbiotic state caused by high-fat diet was improved by the change to the lower fat, higher fiber control diet. Bariatric surgery contributed significantly and additively to the diet in restoring microbiome diversity and complexity. These results highlight the importance of dietary intervention following bariatric surgery for improved restoration of cecal diversity, as neither surgery nor change of diet alone had the same effects as when combined. (Source: European Journal of Nutrition)
Source: European Journal of Nutrition - February 14, 2020 Category: Nutrition Source Type: research

Laparoscopic Transgastric Resection of a Gastrointestinal Stromal Tumor and Concomitant Sleeve Gastrectomy: a Case Report
ConclusionThe LTGR may help to protect the stomach or minimize the degree of partial resection in the treatment of especially GSTs near the EGJ. (Source: Obesity Surgery)
Source: Obesity Surgery - February 14, 2020 Category: Surgery Source Type: research

The Nissen-Sleeve (N-Sleeve): Results of a Cohort Study
ConclusionsComparative trials remain necessary between N-Sleeve and standard bariatric procedures to refine the specific indications of each of them and determine the eventual role of the N-Sleeve. (Source: Obesity Surgery)
Source: Obesity Surgery - February 14, 2020 Category: Surgery Source Type: research

Is Adjuvant Chemotherapy Necessary for Patients with Deficient Mismatch Repair Gastric Cancer?-Autophagy Inhibition Matches the Mismatched.
CONCLUSION: Our data show that fluorouracil-based adjuvant chemotherapy does not work for dMMR cases, if not worse. Autophagy inhibition and/or immune checkpoint inhibition might be promising alternative strategies for gastric cancer treatment. IMPLICATIONS FOR PRACTICE: The use of microsatellite instability (MSI) and mismatch repair (MMR) as predictive biomarkers for adjuvant chemotherapy in colorectal cancer has caused a paradigm shift in cancer therapy, although its implications in gastric cancer are still questionable. The data obtained in the current study indicate that MSI-MMR is an independent prognostic factor...
Source: The Oncologist - February 14, 2020 Category: Cancer & Oncology Authors: Tsai CY, Lin TA, Huang SC, Hsu JT, Yeh CN, Chen TC, Chiu CT, Chen JS, Yeh TS Tags: Oncologist Source Type: research

Indication and Prognostic Significance of Conversion Surgery in Patients with Liver Metastasis from Gastric Cancer.
Abstract OBJECTIVE: Chemotherapy is generally recommended as the first-line standard treatment in patients with liver metastasis from gastric cancer. However, the clinical impact of surgical treatment remains unclear in responders after chemotherapy. The present study aimed to investigate the tumor response and prognosis after chemotherapy and to assess the clinical indication of conversion surgery in responders. METHODS: The study retrospectively reviewed the clinical data of 44 patients with liver metastasis from gastric cancer who were treated with chemotherapy between February 2002 and January 2019. These...
Source: Oncology - February 14, 2020 Category: Cancer & Oncology Authors: Arigami T, Matsushita D, Okubo K, Kawasaki Y, Iino S, Sasaki K, Noda M, Kita Y, Mori S, Kurahara H, Maemura K, Yanagita S, Uenosono Y, Ishigami S, Natsugoe S Tags: Oncology Source Type: research

Cancers, Vol. 12, Pages 434: Clinical Pathways for Oncological Gastrectomy: Are They a Suitable Instrument for Process Standardization to Improve Process and Outcome Quality for Patients Undergoing Gastrectomy? A Retrospective Cohort Study
Conclusions: After implementation of an oncological gastrectomy CP, process quality improved, while indicators of outcome quality such as mortality and reoperation rates remained unchanged. CPs are a promising tool to standardize perioperative care for oncological gastrectomy. (Source: Cancers)
Source: Cancers - February 13, 2020 Category: Cancer & Oncology Authors: Patrick T éoule Emrullah Birgin Christina Mertens Matthias Schwarzbach Stefan Post Nuh N. Rahbari Christoph Rei ßfelder Ulrich Ronellenfitsch Tags: Article Source Type: research

A meta-analysis of the medium- and long-term effects of laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass
This study aimed to compare the effects of the LSG and LRYGB based on high-qu... (Source: BMC Surgery)
Source: BMC Surgery - February 12, 2020 Category: Surgery Authors: Lihu Gu, Xiaojing Huang, Shengnan Li, Danyi Mao, Zefeng Shen, Parikshit Asutosh Khadaroo, Derry Minyao Ng and Ping Chen Tags: Research article Source Type: research

Study of Small Intestinal Bacterial Overgrowth in a Cohort of Patients with Abdominal Symptoms Who Underwent Bariatric Surgery
AbstractIntroductionSmall intestinal bacterial overgrowth (SIBO) is a common complication of bariatric surgery. Digestive decontamination treatments with oral antibiotic therapy vary and are not codified. This retrospective study was conducted to analyse the characteristics of bariatric surgery patients who underwent a glucose breath test (GBT) and to analyse the effectiveness of the antibiotic decontamination therapy.Materials and MethodsA total of 101 operated patients (Roux-en-Y bypass (RYB), omega bypass ( ΩB) and sleeve gastrectomy (SG)) who underwent a GBT (75 g/250 mL) were included. Anthropometric d...
Source: Obesity Surgery - February 12, 2020 Category: Surgery Source Type: research

Some Caveats when Interpreting Surgical Mouse Models of Vertical Sleeve Gastrectomy
(Source: Obesity Surgery)
Source: Obesity Surgery - February 12, 2020 Category: Surgery Source Type: research

Outcomes in conventional laparoscopic versus robotic-assisted primary bariatric surgery: a retrospective, case –controlled study of the MBSAQIP database
In this study, we used a large national risk-stratified bariatric clinical database to compare outcomes between robotic and laparoscopic gastric bypass (RNYGB) and sleeve gastrectomy (SG).MethodsA retrospective analysis of the 2015 and 2016 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) Participant Use Data File (PUF) was performed. Primary robotic and laparoscopic RYNGB and SG were analyzed. Descriptive analysis was performed of the unmatched cohorts, followed by 1:3 case-controlled matching. Cases and controls were matched by patient demographics and pre-operative comorbidities, a...
Source: Surgical Endoscopy - February 11, 2020 Category: Surgery Source Type: research

Surgical and nutritional outcomes of laparoscopic proximal gastrectomy versus total gastrectomy: a meta-analysis
AbstractBackgroundLaparoscopic proximal gastrectomy (LPG) is regarded as a less invasive surgery than laparoscopic total gastrectomy (LTG) for early gastric cancer located on the proximal side of the stomach. However, whether LPG is more effective than LTG remains unclear.MethodsA systematic literature search of studies assessing short-term surgical and nutritional outcomes after LPG and LTG was conducted. A meta-analysis of surgical outcomes (operative time, intraoperative estimated blood loss, postoperative complications, and length of hospital stay) and nutritional outcomes (decrease in body weight, albumin, hemoglobin,...
Source: Surgical Endoscopy - February 11, 2020 Category: Surgery Source Type: research

Wernicke’s encephalopathy, refeeding syndrome and wet beriberi after laparoscopic sleeve gastrectomy: the importance of thiamine evaluation
European Journal of Clinical Nutrition, Published online: 11 February 2020; doi:10.1038/s41430-020-0583-xWernicke’s encephalopathy, refeeding syndrome and wet beriberi after laparoscopic sleeve gastrectomy: the importance of thiamine evaluation (Source: European Journal of Clinical Nutrition)
Source: European Journal of Clinical Nutrition - February 11, 2020 Category: Nutrition Authors: Federico Pacei Laura Iaccarino Enrico Bugiardini Viola Dadone Luisa De Toni Franceschini Chiara Colombo Source Type: research

Inclusion of a Clip Inside the Cartridge and Failure of the Stapler When Performing a Laparoscopic Sleeve Gastrectomy
We present a case of a surgical stapler malfunction due to a titanium clip during laparoscopic sleeve gastrectomy. This mechanical failure produced a complication that was adequately resolved, and the patient completely recovered. Our brief communication shows that errors during sleeve gastrectomy can occur, and that precise surgical skills along with a close follow-up are crucial to improve the patient outcome when these rare complications arise. (Source: Obesity Surgery)
Source: Obesity Surgery - February 11, 2020 Category: Surgery Source Type: research

Nutrient Intake and Deficiency of Patients 1  Year After Bariatric Surgery: Tehran Obesity Treatment Study (TOTS)
This study aimed at assessing nutrient adequacy after 1  year in patients who had undergone gastric bypass (GB) surgery or sleeve gastrectomy (SG) and to investigate the association of nutrient adequacy with anthropometric indices.MethodsA total of 180 severely obese patients (BMI  ≥ 35 kg/m2) were selected among the participants of Tehran Obesity Treatment Study. Nutritional assessments were performed over 3  days of 24-h dietary recall. To evaluate the nutrient adequacy ratio (NAR), the subject’s nutrient intake was divided by the dietary reference intakes. The mean adequacy ratio (M...
Source: Journal of Gastrointestinal Surgery - February 10, 2020 Category: Surgery Source Type: research

Giant phytobezoar; an unusual cause of gastric outlet obstruction: a case report with literature review
ConclusionGOO caused by phytobezoar can occur in patients without history of previous gastric surgery or diabetes mellitus. Urgent laparotomy may be indicated. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - February 8, 2020 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
ConclusionsPercentile charts of % TWL after bariatric surgery represent a very useful tool and an important advance in the quality of patient management.ResumenIntroducciónEl objetivo de este trabajo es analizar la evolución ponderal de las principales técnicas quirúrgicas bariátricas (Bypass gastroyeyunal en Y de Roux-BPGY y Gastrectomía Vertical-GV) realizadas en un conjunto representativo de centros nacionales españoles, con el fin de confeccionar unas gráficas de percentiles del porcentaje de pérdida total de peso perdido durante los 3 primeros años ...
Source: Cirugia Espanola - February 8, 2020 Category: Surgery Source Type: research

Iatrogenic diaphragmatic hernia as a late complication of laparoscopic excisional biopsy of peritoneal nodules: A case report
ConclusionSurgeons performing laparoscopic excisional biopsy of the diaphragmatic peritoneum should consider the potential risk for iatrogenic diaphragmatic hernias. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - February 8, 2020 Category: Surgery Source Type: research

Laparoscopic Conversion of Sleeve Gastrectomy to One Anastomosis Gastric Bypass for Weight Loss Failure: Mid-Term Results
ConclusionIn patients with history of SG and weight loss failure, conversion from SG to OAGB is effective in terms of weight loss and has a low risk of surgical complications. (Source: Obesity Surgery)
Source: Obesity Surgery - February 8, 2020 Category: Surgery Source Type: research

Treatment strategies for neuroendocrine carcinoma of the upper digestive tract
ConclusionsA macroscopically unique appearance, like submucosal tumor, suggests the possibility of NEC. Esophagectomy is an effective treatment option for limited-stage NEC without node metastasis, while gastrectomy followed by adjuvant chemotherapy may be effective for NEC even with node metastasis when R0 resection can be achieved. Systemic chemotherapy is relatively effective for advanced NEC, although early progression frequently develops. (Source: International Journal of Clinical Oncology)
Source: International Journal of Clinical Oncology - February 8, 2020 Category: Cancer & Oncology Source Type: research

A New Nomogram Based on Early Postoperative NLR for Predicting Infectious Complications After Gastrectomy
(Source: Cancer Management and Research)
Source: Cancer Management and Research - February 7, 2020 Category: Cancer & Oncology Tags: Cancer Management and Research Source Type: research

Hypotonic Low Esophageal Sphincter Is Not Predictive of Gastroesophageal Reflux Disease After Sleeve Gastrectomy
ConclusionHypotonic LES has a poor predictive value on postoperative GERD. The LES ’s length is significantly reduced after SG and this could be a factor explaining de novo reflux. (Source: Obesity Surgery)
Source: Obesity Surgery - February 7, 2020 Category: Surgery Source Type: research

Hyperglycemia or inappropriate fluid therapy
I read the manuscript entitled “Postoperative hyperglycemia affects survival after gastrectomy for cancer: A single-center analysis using propensity score matching” with great interest.1 (Source: Surgery)
Source: Surgery - February 7, 2020 Category: Surgery Authors: Mesut Tez Tags: Letter to the Editor Source Type: research

Weight Loss and Quality of Life After Sleeve Gastrectomy or One-Anastomosis Gastric Bypass: Results of a Prospective Study of 120 Women with Morbid Obesity
AbstractOur aim was to compare quality of life (QoL) after laparoscopic sleeve gastrectomy (SG) and laparoscopic one-anastomosis gastric bypass (OAGB) on obese female adult patients in the first 2  years following surgery. One hundred twenty patients with BMI over 40 kg/m2 and who underwent either SG or OAGB agreed to take part in this study. Weight loss and QoL were assessed via an online platform (e-baros ®) before surgery and every 6 months after it. Two years after the operation, results showed a clinically meaningful reduction in BMI of 40.4% and a significantly meaningful improvement of QoL. No sig...
Source: Obesity Surgery - February 7, 2020 Category: Surgery Source Type: research

Indocyanine green fluorescence lymphography during gastrectomy after initial endoscopic submucosal dissection for early gastric cancer.
CONCLUSION: Fluorescence lymphography successfully visualized all draining LNs after ESD, with high sensitivity and negative predictive value for detecting LN metastasis. Fluorescence lymphography-guided lymphadenectomy could be an alternative to systematic lymphadenectomy during additional surgery after ESD. PMID: 32031248 [PubMed - as supplied by publisher] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - February 7, 2020 Category: Surgery Authors: Roh CK, Choi S, Seo WJ, Cho M, Son T, Kim HI, Hyung WJ Tags: Br J Surg Source Type: research

Endoscopic submucosal dissection for gastric epithelial lesions: long-term results in a Spanish cohort.
CONCLUSIONS: ESD-G in our setting provides high long-term cure rates, while avoiding surgery. These results are similar to those reported by the European series and remain far removed from the cure and relapse rates obtained in Asian cohorts. Local relapse cases may be monitored with endoscopy. PMID: 32022570 [PubMed - as supplied by publisher] (Source: Revista Espanola de Enfermedades Digestivas)
Source: Revista Espanola de Enfermedades Digestivas - February 6, 2020 Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research

Minimally Invasive Surgical Approach for the Treatment of Superior Mesenteric Artery Syndrome: Long-Term Outcomes
ConclusionsLatero-lateral duodenojejunostomy yields good results in SMAS although it requires other gastric motility disorders to be ruled out for appropriate treatment to be established. (Source: World Journal of Surgery)
Source: World Journal of Surgery - February 6, 2020 Category: Surgery Source Type: research

Impact of fragmentation on rehospitalization after bariatric surgery
AbstractBackgroundThe care of patients who have undergone bariatric surgery is complex and requires a multidisciplinary approach. As such, these patients may be prone to fragmentation of care and differences in healthcare outcomes. We aimed to (1) determine the incidence of fragmentation among patients after Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG), (2) identify risk factors for readmission, and (3) ascertain whether care fragmentation affects outcomes.MethodsThis is a retrospective cohort study using the National Readmission Database 2016. Patients were included if they had primary bariatric surgery duri...
Source: Surgical Endoscopy - February 6, 2020 Category: Surgery Source Type: research

Preoperative Helicobacter pylori Screening and Treatment in Patients Undergoing Laparoscopic Sleeve Gastrectomy
ConclusionAlthough preoperative screening and treatment likely reduce the prevalence of HP in LSG specimens, our findings suggest that they may be of limited clinical value in LSG as they have little influence on surgical morbidity. (Source: Obesity Surgery)
Source: Obesity Surgery - February 6, 2020 Category: Surgery Source Type: research

Bariatric Support Groups Predicts Long-term Weight Loss
This study examined the effect of support group attendance on weight loss (WL) at short- and long-term follow-up (FU) following BS.MethodsParticipants were 531 (mean body mass index (BMI)  = 45.8 (5.4) kg/m2; mean age 45.9 (11.1) years, 76.4% females) who underwent BS (Roux-en-Y gastric bypass (RYGB): 233 (43.8%); sleeve gastrectomy (SG): 298 (56.2%)) in our clinic. The bariatric support group program (BSGP) consisted of two subprograms: Novel-BSGP (N-BSGP; first 12  months after surgery) and Experienced-BSGP (E-BSGP; FU between 12 months 5 years after BS).ResultsThree hundred and twenty-three ...
Source: Obesity Surgery - February 6, 2020 Category: Surgery Source Type: research

Prospective Collection of PROMIS Physical Function Measure Demonstrates Significant Improvement After Bariatric Surgery
ConclusionPatient-reported physical function improved significantly after bariatric surgery. There was no significant difference between procedures. (Source: Obesity Surgery)
Source: Obesity Surgery - February 6, 2020 Category: Surgery Source Type: research

Predictive Factors of Gastroesophageal Reflux Disease in Bariatric Surgery: a Controlled Trial Comparing Sleeve Gastrectomy with Gastric Bypass
AbstractObjectiveTo evaluate the impact of laparoscopic sleeve gastrectomy (LSG) or laparoscopic Roux-en-Y gastric bypass (LRYGB) on gastroesophageal reflux disease (GERD) in patients with obesity.MethodsPatients with class II or III obesity were treated with LSG or LRYGB. Procedure choice was based on patients and surgeon preferences. GERD symptoms, endoscopy, barium swallow X-ray, esophageal manometry, and 24-h pH monitoring were obtained before and 1 year after surgery.ResultsSeventy-five patients underwent surgery (83% female, 39.3 ± 12.1 years, BMI of 41.5 ± 5.1 kg/m2): 35 (46.7%) had LSG and 40 (53.3%) ...
Source: Obesity Surgery - February 6, 2020 Category: Surgery Source Type: research

Analysis of Trajectories of Care After Bariatric Surgery Using Data Mining Method and Health Administrative Information Systems
ConclusionAdministrative claim data can be analyzed through Formal Concept Analysis in order to classify trajectories of care. This approach permits to quantify expected postoperative complications and to identify unexpected events. (Source: Obesity Surgery)
Source: Obesity Surgery - February 6, 2020 Category: Surgery Source Type: research

Impact of Postoperative Complication and Completion of Multimodality Therapy on Survival in Patients Undergoing Gastrectomy for Advanced Gastric Cancer
Postoperative complications (POCs) adversely impact long-term survival in patients with gastric cancer, perhaps in part due to lower rates of receipt of multimodality therapy (MMT). We sought to determine the impact of postoperative complications (POCs) on MMT completion rates and overall survival (OS) in patients with locally advanced gastric cancer. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - February 6, 2020 Category: Surgery Authors: Selena S. Li, Brooks V. Udelsman, Aparna Parikh, Samuel J. Klempner, Jeffrey W. Clark, Eric J. Roeland, Jennifer Y. Wo, Theodore S. Hong, John T. Mullen Tags: New England Surgical Society Article Source Type: research

Impact of Postoperative Complications and Completion of Multimodality Therapy on Survival in Patients Undergoing Gastrectomy for Advanced Gastric Cancer
Postoperative complication (POC) adversely impacts long-term survival in patients with gastric cancer, perhaps due in part to lower rates for receipt of multimodality therapy (MMT). We sought to determine the impact of POC on MMT completion rates and overall survival (OS) in patients with locally advanced gastric cancer. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - February 6, 2020 Category: Surgery Authors: Selena S. Li, Brooks V. Udelsman, Aparna Parikh, Samuel J. Klempner, Jeffrey W. Clark, Eric J. Roeland, Jennifer Y. Wo, Theodore S. Hong, John T. Mullen Tags: New england surgical society article Source Type: research

Long-term oncological outcomes of laparoscopic versus open transhiatal resection for patients with Siewert type II adenocarcinoma of the esophagogastric junction
ConclusionsLong-term outcomes of the LTH group were not inferior to those of the OTH group, suggesting the possibility of LTH as a treatment option for selected patients with Siewert type II AEG. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - February 5, 2020 Category: Surgery Source Type: research