Metabolic Surgery Diabetes Remission (MDR) Score: a New Preoperative Scoring System for Predicting Type 2 Diabetes Remission at 1  Year After Metabolic Surgery in the Singapore Multi-ethnic Asian Setting
AbstractPurposeThe utility of available scoring systems for type 2 diabetes (T2D) remission prediction after metabolic surgery has not been defined in a multi-ethnic Asian population like Singapore. We sought to assess the predictive performance of the Asia-developed ABCD scoring system for T2D remission after metabolic surgery, and develop a new algorithm to improve prediction.Materials and MethodsWe conducted a retrospective analysis of adults with T2D who underwent either Roux-en-Y gastric bypass or sleeve gastrectomy between 2007 and 2018, and followed for 1  year postoperatively (n = 114, mean age 4...
Source: Obesity Surgery - April 8, 2020 Category: Surgery Source Type: research

The Skeletal Consequences of Bariatric Surgery
AbstractPurpose of ReviewThis review outlines the recent findings regarding the impact of bariatric surgery on bone. It explores potential mechanisms for skeletal changes following bariatric surgery and strategies for management.Recent FindingsBone loss following bariatric surgery is multifactorial. Probable mechanisms include skeletal unloading, abnormalities in calciotropic hormones, and changes in gut hormones. Skeletal changes that occur after bariatric surgery are specific to procedure type and persist for several years post-operatively. Studies suggest that while bone loss begins early, fracture risk may be increased...
Source: Current Osteoporosis Reports - April 6, 2020 Category: Orthopaedics Source Type: research

Obstruction After Laparoscopic Roux-en-Y Gastric Bypass: Roux Obstruction and Biliopancreatic Gangrene up to Ligament of Treitz
We present a video of a patient who suffered both early Roux limb obstruction, and late Petersen ’s hernia with proximal biliopancreatic limb volvulus and gangrene up to the ligament of Treitz, and how both were managed. (Source: Obesity Surgery)
Source: Obesity Surgery - April 6, 2020 Category: Surgery Source Type: research

Impact of weight trajectory after bariatric surgery on co-morbidity evolution and burden
Bariatric surgery, such as Roux-en-Y gastric bypass [RYGB] has been shown to be an effective intervention for weight management in select patients. After surgery, different patients respond differently even to... (Source: BMC Health Services Research)
Source: BMC Health Services Research - April 3, 2020 Category: General Medicine Authors: Jason A. Davis and Rhodri Saunders Tags: Research article Source Type: research

Long-Term Effects of Roux-en-Y Gastric Bypass and Sleeve Gastrectomy on Bone Mineral Density: a 4-Year Longitudinal Study
AbstractIntroductionBone mineral density (BMD) declines in the initial years after bariatric surgery, but long-term skeletal effects are unclear and comparisons between sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) are rare.Design and MethodsAn observational longitudinal study of obese patients undergoing SG or RYGB was performed. Whole-body (WB) BMD, along with BMD of the total hip (TH), femoral neck (FN), and lumbar spine (LS), was measured by dual-energy X-ray absorptiometry (DXA) before surgery and yearly thereafter for 4  years. Calciotropic hormones were also measured.ResultsForty-seven patients un...
Source: Obesity Surgery - April 3, 2020 Category: Surgery Source Type: research

One Anastomosis Gastric Bypass as a Revisional Procedure After Failed Laparoscopic Adjustable Gastric Banding
ConclusionsConversion of a failed LAGB to OAGB is effective but carries higher complication rates. Randomized controlled studies comparing different procedures are necessary to further clarify the optimal revisional bariatric operation. (Source: Obesity Surgery)
Source: Obesity Surgery - April 3, 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

Is it the technique or wound protection that is key to reducing wound infections in Roux-en-Y gastric bypass procedures?
In this study, wound-related outcomes are examined, comparing patients who underwent surgery before (Group 1) versus after (Group 2) this intervention. Statistical analysis performed utilizingt tests and Chi square analysis;p 
Source: Surgical Endoscopy - April 2, 2020 Category: Surgery Source Type: research

Five-year results of endoscopic gastrojejunostomy revision (transoral outlet reduction) for weight gain after gastric bypass
ConclusionsWeight loss after EGJR is sustained up to 5  years after revision with little effect on medical comorbidities. Patients with a greater reduction in stoma diameter experienced superior weight loss. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 2, 2020 Category: Surgery Source Type: research

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

Chronic Pain After Gastric Bypass: Another Argument to Support Mesenteric Windows Closure
Chronic pain is frequent after Roux-en-Y gastric bypass (RYGB). Recurrent internal hernias (IHs) may be responsible for chronic abdominal pain. Physical examination and computed tomography are often inconclusive. This observational retrospective study describes 11 patients who underwent elective laparoscopy for post-RYGB chronic abdominal pain of undetermined etiology after noninvasive investigations and failure of conservative treatment. Open intermesenteric and/or Peterson spaces were found in all cases; IH was present in 6 cases. Nine patients were totally relieved from symptoms after mesenteric windows closure; substan...
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - April 1, 2020 Category: Surgery Tags: Original Articles Source Type: research

Comments on “Chronic Pain After Gastric Bypass: Another Argument to Support Mesenteric Windows Closure”
No abstract available (Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques)
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - April 1, 2020 Category: Surgery Tags: Letter to the Editor Source Type: research

Robotic Roux-en-Y gastric bypass with hand sewn anastomosis (with video)
Publication date: Available online 30 March 2020Source: Journal of Visceral SurgeryAuthor(s): P. Blanc, C. Breton, C. Kuperas (Source: Journal of Visceral Surgery)
Source: Journal of Visceral Surgery - April 1, 2020 Category: Surgery Source Type: research

Endoscopic Retrograde Cholangiopancreatography in Patients With Surgically Altered Anatomy
AbstractPurpose of reviewThis review describes the recent advances and evolving techniques in endoscopic retrograde cholangiopancreatography (ERCP) in patients with surgically altered anatomy (SAA) and highlights the novel alternative approaches for pancreato-biliary interventions in this group of patients.Recent findingsThe limitations of ERCP in patients with SAA have led to the development of improved endoscopic devices and accessories, and alternative approaches for pancreato-biliary interventions. Dedicated short-type single and double balloon enteroscopes (BE) have been developed with increased maneuverability and la...
Source: Current Treatment Options in Gastroenterology - April 1, 2020 Category: Gastroenterology 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

Reintervention or mortality within 90  days of bariatric surgery: population-based cohort study.
CONCLUSION: Reintervention and death were uncommon events within 90 days of bariatric surgery even in this unselected nationwide cohort from five countries. Older patients with co-morbidities have an increased relative risk of these outcomes. PMID: 32239499 [PubMed - as supplied by publisher] (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - April 1, 2020 Category: Surgery Authors: Kauppila JH, Santoni G, Tao W, Lynge E, Koivukangas V, Tryggvadóttir L, Ness-Jensen E, Romundstad P, Pukkala E, von Euler-Chelpin M, Lagergren J Tags: Br J Surg 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

Complications of Roux-En-O Gastric Bypass
Roux-en-O anatomy after Roux-en-Y gastric bypass (RYGB) is a rare and potentially devastating complication that can be frequently misdiagnosed 1,2. Generally, the biliopancreatic limb is inadvertently anastomosed to the gastric pouch and patients may present as a partial small bowel obstruction with most frequent complaint of abdominal pain, nausea, and bilious emesis. Radiologic studies and even surgical exploration may misdiagnose this atypical complication3,4. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - March 30, 2020 Category: Surgery Authors: Pearl Ma, Kelvin Higa Tags: VIDEO CASE REPORT Source Type: research

Comment on: Upper endoscopy after Roux-en-Y gastric bypass: diagnostic yield and factors associated with relevant findings
In the current manuscript (1) the authors reported the results of diagnostic upper endoscopy for a cohort of 250 consequent patients who presented with complaints after Roux en Y gastric bypass (RYGB). Ninety-eight patients (39.2%) with a relevant finding at upper endoscopy were identified, mostly marginal ulcer and stomal stenosis. The postoperative endoscopic findings can help us better understand long term complications following bariatric surgery. The authors should be commended for identifying risks factors to an abnormal upper endoscopy (male sex, smoking, alcohol consumption, referral reason and prior imaging studie...
Source: Surgery for Obesity and Related Diseases - March 30, 2020 Category: Surgery Authors: Patrick Noel, Thierry Manos, Marius Nedelcu Source Type: research

Gastroesophageal Reflux Disease Following Roux-en-Y Gastric Bypass
Journal of Laparoendoscopic&Advanced Surgical Techniques, Ahead of Print. (Source: Journal of Laparoendoscopic)
Source: Journal of Laparoendoscopic - March 25, 2020 Category: Surgery Authors: Fabio Butti Olivier Tobler Pierre Allemann Pierre Fournier Source Type: research

Gastroesophageal Reflux Disease Following Roux-en-Y Gastric Bypass
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 25, 2020 Category: Surgery Authors: Fabio Butti Olivier Tobler Pierre Allemann Pierre Fournier 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

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

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

Argon plasma coagulation alone versus endoscopic suturing plus argon plasma coagulation to treat weight regain after Roux-en-Y gastric bypass: a prospective randomized trial (with videos)
A significant portion of patients regain weight after Roux-en-Y gastric bypass (RYGB). Both ablation with argon plasma coagulation (APC) plus endoscopic full-thickness suturing (FTS-APC) and ablation alone have been reported at treating weight regain when associated with gastrojejunostomy (GJ) dilation. However, comparative controlled data are still lacking. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - March 23, 2020 Category: Gastroenterology Authors: Vitor Ottoboni Brunaldi, Galileu Ferreira Ayala Farias, Daniel Tavares de Rezende, Gabriel Cairo-Nunes, Daniel Riccioppo, Diogo Turiani Hourneaux de Moura, Marco Aurelio Santo, Eduardo Guimar ães Hourneaux de Moura Source Type: research

Preoperative psychological characteristics affecting mid-term outcome after bariatric surgery: a follow-up study.
CONCLUSIONS: Psychological factors may also affect long-term outcome of bariatric surgery. This study shows an association between alexithymia/depression pre-operative levels and the weight loss at 30 months'follow-up after bariatric surgery. LEVEL OF EVIDENCE: Level III, longitudinal cohort study. PMID: 32207099 [PubMed - as supplied by publisher] (Source: Eating and weight disorders : EWD)
Source: Eating and weight disorders : EWD - March 23, 2020 Category: Eating Disorders & Weight Management Authors: Lai C, Aceto P, Santucci FR, Pierro L, Petrucci I, Cacioppo M, Castelnuovo G, Sollazzi L, Bellantone R, Raffaelli M Tags: Eat Weight Disord Source Type: research

Farnesoid X receptor contributes to body weight-independent improvements in glycemic control after Roux-en-Y gastric bypass surgery in diet-induced obese mice
Publication date: Available online 19 March 2020Source: Molecular MetabolismAuthor(s): Kun Li, Jianan Zou, Song Li, Jing Guo, Wentao Shi, Bing Wang, Xiaodong Han, Hongwei Zhang, Pin Zhang, Zengmin Miao, Yousheng Li (Source: Molecular Metabolism)
Source: Molecular Metabolism - March 21, 2020 Category: Endocrinology 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

Long-Term Weight Loss, Metabolic Outcomes, and Quality of Life at 10  Years After Roux-en-Y Gastric Bypass Are Independent of Patients’ Age at Baseline
AbstractBackgroundConflicting data have been published for bariatric surgery in older patients, with no long-term large-scale studies available. Our aim was to provide long-term (>  10 years) results on weight loss, metabolic outcomes, and quality of life in a large homogenous series of Roux-en-Y gastric bypass (RYGB) patients, according to age at baseline.Patients and MethodsAll consecutive patients who underwent primary RYGB between 1999 and 2007, and therefore eligible for 10-year follow-up, were retrospectively analyzed. According to their age at baseline, they were divided into three groups: A (
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

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

Laparoscopic mini/one anastomosis gastric bypass: anatomic features, imaging, efficacy and postoperative complications
AbstractLaparoscopic mini/one anastomosis gastric bypass (MGB/OAGB) is an increasingly used bariatric surgical procedure. This surgical technique is effective in terms of both weight loss and the resolution of comorbidities, but it is not without complications. To report our experience in MGB/OAGB, assessing comorbidities and complications, and to illustrate post-surgical anatomy and radiological appearance of complications, a single-centre retrospective study of 953 patients undergoing MGB/OAGB between January 2005 and September 2018 was done. The inclusion criteria: body mass index (BMI) of 40  kg/m2 or higher or BM...
Source: Updates in Surgery - March 18, 2020 Category: Surgery Source Type: research

Association between Hiatal Hernia and Gastroesophageal Reflux Symptoms after One Anastomosis/Mini Gastric Bypass (OAGB/MGB)
One anastomosis gastric bypass (OAGB) is an accepted bariatric and metabolic surgery with certain important complications such as post-operative gastroesophageal reflux disease (GERD) and bile reflux (BR), which are not well addressed in literature. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - March 18, 2020 Category: Surgery Authors: Mohammad Kermansaravi, Ali Kabir, Ali Mousavimaleki, Abdolreza Pazouki Tags: Original articles Source Type: research

The genus Sutterella is a potential contributor to glucose metabolism improvement after Roux-en-Y gastric bypass surgery in T2D
Alterations in gut microbiota have been associated with improvements in blood glucose due to bariatric surgery. (Source: Diabetes Research and Clinical Practice)
Source: Diabetes Research and Clinical Practice - March 17, 2020 Category: Endocrinology Authors: Chen Wang, Hong Zhang, Haijun Liu, Hongwei Zhang, Yuqian Bao, Jianzhong Di, Cheng Hu Source Type: research

The effect of acute dual SGLT1/SGLT2 inhibition on incretin release and glucose metabolism after gastric bypass surgery.
bad S Abstract Enhanced meal-related enteroendocrine secretion, particularly of glucagon-like peptide-1 (GLP-1), contributes to weight-loss and improved glycemia after Roux-en-Y gastric bypass (RYGB). Dietary glucose drives GLP-1 and glucose-dependent insulinotropic polypeptide (GIP) secretion postoperatively. Understanding how glucose triggers incretin secretion following RYGB could lead to new treatments of diabetes and obesity. In vitro, incretin release depends on glucose absorption via sodium-glucose cotransporter-1 (SGLT1). We investigated the importance of SGLT1/SGLT2 for enteropancreatic hormone concentrat...
Source: Am J Physiol Endocri... - March 17, 2020 Category: Endocrinology Authors: Martinussen C, Veedfald S, Dirksen C, Bojsen-Møller KN, Svane MS, Wewer Albrechtsen NJ, van Hall G, Kristiansen VB, Fenger M, Holst JJ, Madsbad S Tags: Am J Physiol Endocrinol Metab Source Type: research

Different surgical techniques that influenced internal hernia prevalence rate after laparoscopic roux-en-Y gastric bypass: a retrospective analysis of 331 cases
Internal hernia (IH) is a serious complication following laparoscopic Roux-en-Y gastric bypass (LRYGB), and closure of mesenteric defect has been recommended to reduce this complication. But what kind of mater... (Source: BMC Surgery)
Source: BMC Surgery - March 16, 2020 Category: Surgery Authors: Jingge Yang, Bingsheng Guan, Shifang Huang, Juzheng Peng, Tsz Hong Chong, Cunchuan Wang and Tsz Kin Mak Tags: Research article Source Type: research

Robotic Primary and Revisional Bariatric Surgery.
Abstract In this article, we review the role of robotics in bariatric surgery. After a brief overview of the evolution of minimally invasive bariatric surgery, we discuss possible advantages of robotic systems and subsequently go into more details about each procedure, including adjustable gastric bands, sleeve gastrectomy, Roux-en-Y gastric bypass, and biliopancreatic diversion with duodenal switch. We also discuss outcomes of robotics in reoperative bariatric surgery. Considerations about training are presented as well. PMID: 32169187 [PubMed - as supplied by publisher] (Source: The Surgical Clinics of North America)
Source: The Surgical Clinics of North America - March 16, 2020 Category: Surgery Authors: Iranmanesh P, Bajwa KS, Felinski MM, Shah SK, Wilson EB Tags: Surg Clin North Am Source Type: research

Effect of Bariatric Surgery on Serum Enzyme Status in Obese Patients
ConclusionSerum enzyme abnormalities are common in bariatric surgery candidates, with reduced prevalence of abnormalities postoperatively. RYGB and SG are related with reduced ALT, AST, γ-GT, ADA, CHE, LDH, CK, and HBDH levels, as well as increased amylase and SOD levels. (Source: Obesity Surgery)
Source: Obesity Surgery - March 16, 2020 Category: Surgery Source Type: research

Leveraging the Gut to Treat Metabolic Disease.
Abstract 25 years ago, the future of treating obesity and diabetes focused on end organs known to be involved in energy balance and glucose regulation, including the brain, muscle, adipose tissue, and pancreas. Today, the most effective therapies are focused around the gut. This includes surgical options, such as vertical sleeve gastrectomy and Roux-en-Y gastric bypass, that can produce sustained weight loss and diabetes remission but also extends to pharmacological treatments that simulate or amplify various signals that come from the gut. The purpose of this Review is to discuss the wealth of approaches currentl...
Source: Cell Metabolism - March 16, 2020 Category: Cytology Authors: Gimeno RE, Briere DA, Seeley RJ Tags: Cell Metab Source Type: research

Personality type, eating behaviour and suicide risk in women in treatment for obesity.
Abstract OBJECTIVES: To determine the personality types of women in treatment for obesity and the associations among their personality characteristics, eating behaviour and suicide risk. SUBJECTS: Sixty women in pharmacological treatment for obesity (clinical group: CG) and 60 women post-bariatric gastric bypass surgery (surgical group: SG) were evaluated. METHODS: This was an observational and transversal study conducted in a specialized outpatient unit. Personality types were evaluated through the Myers-Briggs Type Indicator (MBTI) test. A semi-structured questionnaire that investigated sociodemographi...
Source: Eating and weight disorders : EWD - March 14, 2020 Category: Eating Disorders & Weight Management Authors: de Figueiredo MDD, Nasser SN, Franco CB, Dos Santos CB, Boguszewski CL, Suplicy HL, Rodrigues AM, Radominski RB Tags: Eat Weight Disord Source Type: research

The Prognostic Value of the Dutch Sweet Eating Questionnaire on Weight Loss After Metabolic Surgery: a Randomized Controlled Trial
This study aims to investigate if sweet eating measured with the DSEQ influences weight loss.MethodsIn this multicenter randomized controlled trial, patients were included between 2013 and 2017 in two Dutch high-volume hospitals, and randomized with a 1:1 ratio between LRYGB and LSG. Primary outcome measure was weight loss. Secondary outcome measure was sweet eating behavior, measured with the DSEQ. Data was collected at baseline, 1  year and 2 years postoperatively.ResultsData was analyzed of 623 patients who underwent LRYGB (n = 308; 49.4%) or LSG (n = 315; 50.6%). Follow-up rates at...
Source: Obesity Surgery - March 13, 2020 Category: Surgery Source Type: research

Marijuana use does not affect the outcomes of bariatric surgery
ConclusionThis study suggests marijuana use has no impact on 30-day complications or weight loss following bariatric surgery, and should not be a contraindication to bariatric surgery. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 12, 2020 Category: Surgery Source Type: research

Private and Public Bariatric Surgery Trends in New Zealand 2004 –2017: Demographics, Cardiovascular Comorbidity and Procedure Selection
ConclusionBariatric surgery is increasing in frequency in New Zealand, with SG and GB being the most common procedures. Significant differences in patient characteristics exist between the public and private sectors. Ensuring equitable selection of publicly funded bariatric surgery candidates remains a challenge. (Source: Obesity Surgery)
Source: Obesity Surgery - March 12, 2020 Category: Surgery Source Type: research

Upper endoscopy after Roux-en-Y gastric bypass: diagnostic yield and factors associated with relevant findings
After laparoscopic Roux-en-Y gastric bypass (LRYGB) many patients present with complaints for which an upper endoscopy is performed. However, often no abnormalities are found. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - March 12, 2020 Category: Surgery Authors: Thomas C.C. Boerlage, Paula J.D. Wolvers, Sjoerd C. Bruin, Inge L. Huibregtse, Rogier P. Voermans, Paul Fockens, Barbara A. Hutten, Victor E.A. Gerdes Tags: Original articles Source Type: research

Adenocarcinoma of oesophagus involving gastro-oesophageal junction following mini-gastric bypass/one anastomosis gastric bypass
Sandeep Aggarwal, Amit Bhambri, Vitish Singla, Nihar Ranjan Dash, Atul SharmaJournal of Minimal Access Surgery 2020 16(2):175-178Mini-gastric bypass/one anastomosis gastric bypass (MGB/OAGB) is an emerging weight loss surgical procedure. There are serious concerns not only regarding the symptomatic biliary reflux into the stomach and the oesophagus but also the increased risk of malignancy after MGB/OAGB. A 54-year-old male, with a body mass index (BMI) of 46.1 kg/m2, underwent Robotic MGB at another centre on 22nd June 2016. His pre-operative upper gastrointestinal endoscopy was not done. He lost 58 kg within 18 months af...
Source: Journal of Minimal Access Surgery - March 11, 2020 Category: Surgery Authors: Sandeep Aggarwal Amit Bhambri Vitish Singla Nihar Ranjan Dash Atul Sharma Source Type: research

Management of Acute Gastric Remnant Complications After Roux-en-Y Gastric Bypass: a Single-Center Case Series
ConclusionAcute gastric remnant complications after RYGB are infrequent, but their diagnosis and management can be challenging. Double-balloon enteroscopy has diagnostic and therapeutic value for selected patients. Emergent surgery remains the standard of care  for unstable patients and should not be delayed. (Source: Obesity Surgery)
Source: Obesity Surgery - March 11, 2020 Category: Surgery Source Type: research

Effect of Roux-en-Y Gastric Bypass for Patients with Type 2 Diabetes Mellitus and a BMI   & lt;  32.5 kg/m2: a 6-Year Study in Chinese Patients
ConclusionRYGB may be a safe and effective treatment for T2DM patients with a BMI  
Source: Obesity Surgery - March 10, 2020 Category: Surgery Source Type: research