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Short-term effects of Roux-en-Y gastric bypass or gastric sleeve on bone mineral density and calciotropic hormones: a systematic review and meta-analysis
Roux-en-Y gastric bypass (RYGB) and gastric sleeve (GS) have been associated with significant reductions in bone mineral density (BMD) and fluctuations in serum levels of calciotropic hormones. These changes pose a risk to bone health. Objectives: To evaluate the short-term (12 and 24 months) effects of RYGB and GS on BMD and calciotropic hormones. Setting: PubMed, Embase and Cochrane Library databases were searched. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - March 12, 2024 Category: Surgery Authors: de Almeida Pc, Lima Tr, Avila ETP, Damazo As Tags: Review Article Source Type: research

Reply to comment on Is simultaneous bariatric surgery and ventral hernia repair a safe and effective approach?
This week we are caring for a multiply co-morbid man with a Body Mass Index in the 50 ’s following gastric bypass who suffered major anastomotic disruption related to a day 4, post-hospital discharge small bowel obstruction from a small para-umbilical hernia. As well as the respiratory and renal failure and necrotizing fasciitis experienced, he has a small bowel fistula that we are hoping to control. This is not the first time I have seen this complication after bariatric surgery, however, in most circumstances, the obstruction has occurred later in the post-operative course and usually (but not always) the outcomes have...
Source: Surgery for Obesity and Related Diseases - March 12, 2024 Category: Surgery Authors: Michael Leonard Talbot, Sukrit Khanna Tags: Letter to the Editor Source Type: research

Frequency of Clinically Significant Findings in the Surgical Pathology Specimen Following Laparoscopic Sleeve Gastrectomy and Concordance with Preoperative Endoscopy: Insights from a Large Single-Center Experience
ConclusionThis is one of the largest studies describing clinically significant postoperative pathology after SG. AMAG, in particular, is of particular importance as it is associated with a 3 –fivefold increase in risk for gastric cancer. The incidence of significant postoperative pathology in this population is small but potentially clinically significant and requires validation in larger studies. We recommend wider sampling in preoperative endoscopy (body and antrum), especially in p atients being planned for gastric bypass, consideration for routine pathological examination of SG surgical specimens, with careful gross ...
Source: Obesity Surgery - March 12, 2024 Category: Surgery Source Type: research

Comment on: “Effectiveness of sleeve gastrectomy plus fundoplication versus sleeve gastrectomy alone for treatment of patients with severe obesity: a systematic review and meta-analysis”
Laparoscopic sleeve gastrectomy (LSG) is generally associated with superior perioperative safety profile when compared to laparoscopic Roux-en-Y gastric bypass (LRYGB); however, LRYGB offers better gastroesophageal reflux disease (GERD) control (1). In fact, LRYGB is considered the technique of choice for patients with GERD (2). Additionally, for patients without GERD, there is an increased risk of de novo GERD with LSG as opposed to LRYGB. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - March 11, 2024 Category: Surgery Authors: Guilherme S. Mazzini, Guilherme M. Campos Tags: Editorial Source Type: research

Comment on: Effectiveness of sleeve gastrectomy plus fundoplication versus sleeve gastrectomy alone for treatment of patients with severe obesity: a systematic review and meta-analysis
Laparoscopic sleeve gastrectomy (LSG) is generally associated with a superior perioperative safety profile when compared with laparoscopic Roux-en-Y gastric bypass (LRYGB); however, LRYGB offers better gastroesophageal reflux disease (GERD) control [1]. In fact, LRYGB is considered the technique of choice for patients with GERD [2]. Additionally, for patients without GERD, there is an increased risk of de novo GERD with LSG as opposed to LRYGB. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - March 11, 2024 Category: Surgery Authors: Guilherme S. Mazzini, Guilherme M. Campos Tags: Editorial comment Source Type: research

Sex- and operation-dependent effects on 5-year weight loss results of bariatric surgery
CONCLUSIONS: Weight loss after bariatric surgery is sex- and procedure-dependent. There is an association suggesting a clinically insignificant difference in weight loss between RYGB and SG among male patients at both the 2- and 5-year postsurgery time points.PMID:38462409 | DOI:10.1016/j.soard.2024.01.013 (Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery)
Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery - March 10, 2024 Category: Surgery Authors: Jason M Samuels Vance L Albaugh Danxia Yu You Chen D Brandon Williams Matthew D Spann Lei Wang C Robb Flynn Wayne J English Source Type: research

Performance of a predictive weight loss model in terms of rapid detection of inadequate weight loss after Roux-en-Y gastric bypass
CONCLUSIONS: The predictive weight loss model of Seyssel et al. enables rapid detection of surgical nonresponse, allowing physicians to react as early as 3 months postsurgery. Patients' overestimation of postoperative weight loss was positively correlated with the actual weight loss achieved.PMID:38461056 | DOI:10.1016/j.soard.2024.01.020 (Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery)
Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery - March 9, 2024 Category: Surgery Authors: Francois Pugin Marie Burgard Floryn Cherbanyk Bernhard Egger Source Type: research

Comment on: Performance of a predictive weight loss model in terms of rapid detection of inadequate weight loss after Roux-en-Y gastric bypass
In the youthful early years of my surgical practice, I was blinded by the success of my patients. With each postoperative visit, I could relish their triumphs, whether it was another smaller dress size or perhaps some new exercise goal. I gleefully shared their percent excess weight loss with each patient and compared them to the numbers often quoted in the literature. There were the customary exchanges of before and after photos. The patients and I were in a shared honeymoon phase of postprocedural bliss. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - March 9, 2024 Category: Surgery Authors: John D. Scott Tags: Editorial comment Source Type: research

Bariatric surgery and drugs: Review of the literature and Adverse Drug Reactions analysis in French National Pharmacovigilance Database
CONCLUSION: There is a lack of official information and/or recommendations on medication use in subjects who have undergone bariatric surgery. Apart from under-reporting, ADRs reports remain largely uninformative. Health professional and patients would be awareness for improving, quantitatively and qualitatively the reporting of ADRs in this population.PMID:38458944 | DOI:10.1016/j.therap.2024.02.003 (Source: Therapie)
Source: Therapie - March 8, 2024 Category: Psychiatry & Psychology Authors: Carole Nicol Julien Jacquot Leila Chebane Sandrine Combret Pauline-Eva Pecquet Nathalie Massy Haleh Bagheri Source Type: research