Laparoscopic Conversion of One Anastomosis Gastric Bypass to Roux-en-Y Gastric Bypass Due to Penetrated Marginal Ulcer
(Source: Obesity Surgery)
Source: Obesity Surgery - May 30, 2020 Category: Surgery Source Type: research

Comparison Between Ca ïman® and Ligasure® in Laparoscopic Sleeve Gastrectomy: a Retrospective Study of 200 Patients
(Source: Obesity Surgery)
Source: Obesity Surgery - May 30, 2020 Category: Surgery Source Type: research

Implications of Perioperative Polypharmacy in Adolescents Undergoing Bariatric Surgery: a Single-Center Experience
AbstractAdolescents seeking bariatric surgery may present with pre-existing psychiatric diagnoses for which they use chronic medications. To heighten awareness concerning perioperative polypharmacy in adolescents with extreme obesity, we conducted a retrospective review of patients undergoing laparoscopic sleeve gastrectomy between February 2010 and May 2017 at Children ’s National Health System (CNHS). A total of 167 adolescent patients had pre-existing psychiatric diagnoses which included depression (50%), anxiety (23%), ADHD (23%), and binge eating disorder (11%). Medications prescribed to treat these diagnoses in...
Source: Obesity Surgery - May 30, 2020 Category: Surgery Source Type: research

One Anastomosis Gastric Bypass with an Afferent Limb of 150  cm and Postoperative Reflux
(Source: Obesity Surgery)
Source: Obesity Surgery - May 30, 2020 Category: Surgery Source Type: research

Laparoscopic Removal of a Displaced Vertical Gastric Clip Causing Gastric Outlet Obstruction
ConclusionThis video demonstrates a form to extract a displaced gastric clip used to create a calibrated tubular gastroplasty using a laparoscopic approach. (Source: Obesity Surgery)
Source: Obesity Surgery - May 30, 2020 Category: Surgery Source Type: research

Combined Laparoscopic Revision of the Gastric Pouch and Distalization of the Roux Limb After Failure of Weight Loss Following Roux-en-Y Gastric Bypass
ConclusionCombined laparoscopic pouch resizing and distalization are safe and can lead to adequate weight loss. This technique allows the combination of an added restriction and malabsorption to the previous RYGB and could lead to an improved weight loss. (Source: Obesity Surgery)
Source: Obesity Surgery - May 30, 2020 Category: Surgery Source Type: research

Biography: Professor Moshe Rubin
(Source: Obesity Surgery)
Source: Obesity Surgery - May 30, 2020 Category: Surgery Source Type: research

Correction to: Real Life Changes in Physical Activity due to Intragastric Balloon Therapy and their Relationship to Improving Cognitive Functions: Preliminary Findings
In the original article sections of the text include the term “(BLINDED)” rather than the correct text. (Source: Obesity Surgery)
Source: Obesity Surgery - May 30, 2020 Category: Surgery Source Type: research

A Tryst with Alcohol Post-Gastric Bypass —Dilute It, if You Must!
(Source: Obesity Surgery)
Source: Obesity Surgery - May 30, 2020 Category: Surgery Source Type: research

Correction to: Trocar Site Hernias in Bariatric Surgery —an Underestimated Issue: a Qualitative Systematic Review and Meta-Analysis
The review was not registered for systematic reviews and meta-analyses, and should be disregarded. (Source: Obesity Surgery)
Source: Obesity Surgery - May 30, 2020 Category: Surgery Source Type: research

Letter to the Editor Concerning: Conversion of One Anastomosis Gastric Bypass (OAGB) to Roux-en-Y Gastric Bypass (RYGB) for Biliary Reflux Resistant to Medical Treatment: Lessons Learned from a Retrospective Series of 2780 Consecutive Patients Undergoing OAGB
(Source: Obesity Surgery)
Source: Obesity Surgery - May 30, 2020 Category: Surgery Source Type: research

Laparoscopic Removal of Eroded Non-Adjustable Gastric Band and Conversion to Roux-en-Y Gastric Bypass
AbstractThis video shows the case of a 64-year-old morbidly obese woman, with a non-adjustable gastric band, who consulted for weight regain and gastroesophageal reflux disease (GERD) symptoms and was converted to Roux-en-Y gastric bypass (RYGB). The operative technique included extensive lysis of adhesions, complete band dissection, partial gastrectomy of the fundus and body due to band erosion and conversion to RYGB. (Source: Obesity Surgery)
Source: Obesity Surgery - May 30, 2020 Category: Surgery Source Type: research

Bariatric Surgery in the Times of Corona
(Source: Obesity Surgery)
Source: Obesity Surgery - May 30, 2020 Category: Surgery Source Type: research

The Causes of Gastroesophageal Reflux after Laparoscopic Sleeve Gastrectomy: Quantitative Assessment of the Structure and Function of the Esophagogastric Junction by Magnetic Resonance Imaging and High-Resolution Manometry
AbstractBackgroundThe incidence of de novo gastroesophageal reflux disease (GERD) after LSG is substantial. However, an objective correlation with the structural gastric and EGJ changes has not been demonstrated yet. We aimed to prospectively evaluate the effects of laparoscopic sleeve gastrectomy (LSG) on the structure and function of the esophagogastric junction (EGJ) and stomach.MethodsInvestigations were performed before and after>  50% reduction in excess body weight (6–12 months after LSG). Subjects with GERD at baseline were excluded. Magnetic Resonance Imaging (MRI), high-resolution manometry (...
Source: Obesity Surgery - May 6, 2020 Category: Surgery Source Type: research

Preoperative Upper-GI Endoscopy Prior to Bariatric Surgery: Essential or Optional?
ConclusionPreoperative upper-GI endoscopy identifies a wide range of abnormal endoscopic findings in obese patients, which may have a significant impact on decision-making, particularly regarding the most suitable bariatric procedure and the appropriate follow-up. Therefore, preoperative upper-GI endoscopy should be considered in all obese patients prior to bariatric procedure. (Source: Obesity Surgery)
Source: Obesity Surgery - May 6, 2020 Category: Surgery Source Type: research

Hepatic Function and Fibrosis Assessment Via 2D-Shear Wave Elastography and Related Biochemical Markers Pre- and Post-Gastric Bypass Surgery
AbstractBackgroundNonalcoholic fatty liver disease (NAFLD) exhibits a worldwide distribution and encompasses a wider range of hepatic abnormalities that can culminate in serious clinical outcomes. The growing incidence of NAFLD necessitates more efficient management strategies particularly in clinically severe obese patients. Weight reduction is the cornerstone of NAFLD treatment; therefore, bariatric surgery could be a therapeutic approach in selected obese patients afflicted with NAFLD and other cardiometabolic comorbidities.ObjectiveThe present study focused on the potential role of bariatric surgery on hepatic function...
Source: Obesity Surgery - May 6, 2020 Category: Surgery Source Type: research

Quantifying Thyroid Hormone Resistance in Obesity
(Source: Obesity Surgery)
Source: Obesity Surgery - May 6, 2020 Category: Surgery Source Type: research

Recommendations for Metabolic and Bariatric Surgery During the COVID-19 Pandemic from IFSO
(Source: Obesity Surgery)
Source: Obesity Surgery - May 6, 2020 Category: Surgery Source Type: research

Roux-en-Y Gastric Bypass in Patient with Situs Inversus Totalis
AbstractIn some cases, in addition to the usual difficulties that the bariatric surgeon may encounter during standard bariatric procedures, anatomical anomalies such as situs inversus can pose an additional technical challenge. A 58-year-old patient with total situs inversus underwent Roux-en-Y gastric bypass (RYGB) surgery in our department. The main difficulty was the realization of a mirrored RYGB. Laparoscopic RYGB in a patient with situs inversus totalis is feasible but requires significant concentration and three-dimensional coordination to perform the mirrored procedure. (Source: Obesity Surgery)
Source: Obesity Surgery - May 6, 2020 Category: Surgery Source Type: research

Letter to the Editor Concerning: Petrucciani N, Sebastianelli L, Frey S, Iannelli A. From Nissen Fundoplication to Roux-en-Y Gastric Bypass to Treat Both GERD and Morbid Obesity
(Source: Obesity Surgery)
Source: Obesity Surgery - May 6, 2020 Category: Surgery Source Type: research

Correction to: Impact of Bariatric Surgery on Clinical, Biochemical, and Hormonal Parameters in Women with Polycystic Ovary Syndrome (PCOS)
In the original article the name of author Mohd Ashraf Ganie was presented incorrectly. It is correct here. (Source: Obesity Surgery)
Source: Obesity Surgery - May 6, 2020 Category: Surgery Source Type: research

Biography: Carel le Roux
(Source: Obesity Surgery)
Source: Obesity Surgery - May 6, 2020 Category: Surgery Source Type: research

Impact of a 12-Week Randomized Exercise Training Program on Lipid Profile in Severely Obese Patients Following Bariatric Surgery
ConclusionOur results showed a beneficial effect of a 12-week supervised exercise-training program in bariatric surgery patients showing similar weight loss on HDL-cholesterol levels without additional effect on LDL-cholesterol levels. (Source: Obesity Surgery)
Source: Obesity Surgery - May 4, 2020 Category: Surgery Source Type: research

Reoperation Incidence and Severity Within 6  Months After Bariatric Surgery: a Propensity-Matched Study from Nationwide Data
ConclusionCumulative incidence of reoperations increased from 30  days to 6 months after sleeve, gastric bypass, or gastric banding and corresponded to moderate-risk surgical procedures. Consequently, 30-day reoperation rate should no longer be considered when evaluating complications and surgical performance after bariatric surgery. (Source: Obesity Surgery)
Source: Obesity Surgery - May 4, 2020 Category: Surgery Source Type: research

High Prevalence of Food Insecurity in Participants Attending Weight Management and Bariatric Surgery Programs
AbstractWe evaluated the prevalence and correlates of household food insecurity (HFI) in participants attending weight management and bariatric surgery programs (WMP). We surveyed participants (N = 298) residing with a child and romantic partner from two WMP offering bariatric surgery and medical weight management. We assessed HFI using the Hunger Vital Sign and conducted multivariate logistic regression to assess correlates of HFI. HFI was present in 29.2% of participants. There were i ncreased odds of HFI in participants with lower income and those with three or more children living at home. There was no as...
Source: Obesity Surgery - May 3, 2020 Category: Surgery Source Type: research

Obesity Might Persistently Increase Adrenal Gland Volume: a Preliminary Study
ConclusionsObesity leads to increased AGV, and in some cases, this effect seems to be irreversible. The clinical implication of obesity-induced adrenal morphological changes needs to be studied further. (Source: Obesity Surgery)
Source: Obesity Surgery - May 2, 2020 Category: Surgery Source Type: research

Role of Endoscopic Stent Insertion on Management of Gastric Twist after Sleeve Gastrectomy
ConclusionGastric pouch twisting is a rare complication; however, it has a rising incidence. Endoscopic stent insertion is highly effective on the management of twisting after SG and it should be tried before any further surgical intervention. (Source: Obesity Surgery)
Source: Obesity Surgery - May 1, 2020 Category: Surgery Source Type: research

Midterm Outcomes of Gastric Pouch Resizing for Weight Regain After Roux-en-Y Gastric Bypass
ConclusionsIn carefully selected patients with gastric pouch size>  200 ml and/or GJ anastomosis>  20 mm, and after extensive preoperative evaluation, gastric pouch resizing is a potentially effective option to treat weight regain due to anatomical factors after RYGB, with complication rate of 8%. (Source: Obesity Surgery)
Source: Obesity Surgery - May 1, 2020 Category: Surgery Source Type: research

Endoscopic Argon Plasma Coagulation vs. Multidisciplinary Evaluation in the Management of Weight Regain After Gastric Bypass Surgery: a Randomized Controlled Trial with SHAM Group
AbstractBackgroundRoux-en-Y gastric bypass is one of the most widely performed bariatric surgeries. However, the relapse of obesity occurs in approximately 20% of patients and enlargement of the anastomosis is one of the factors associated with this relapse. Endoscopic treatment of the anastomosis has been proposed to assist in renewed weight loss. One endoscopic technique is the narrowing of the anastomosis argon plasma coagulation (APC). Objective: Evaluate the effectiveness and safety of the endoscopic treatment of an enlarged anastomosis with APC.MethodsA randomized controlled study was conducted comparing APC to exclu...
Source: Obesity Surgery - April 12, 2020 Category: Surgery Source Type: research

Fighting Weight Bias and Obesity Stigma: a Call for Action
AbstractObesity is a complex medical condition, influenced by several factors. Weight bias refers to pervasive negative weight-related attitudes or beliefs, expressed as stereotypes, prejudice, and even open discrimination toward individuals because they have obesity. Obesity increases the risk of acquiring a wide range of associated diseases, as diabetes, hypertension, cardiovascular disease, and cancer. This chronic disease can also impair a person ’s well-being and quality of life. Nevertheless, the media, public, and even healthcare providers, including doctors, focus overwhelmingly on the contribution of individ...
Source: Obesity Surgery - April 12, 2020 Category: Surgery Source Type: research

Cardia Gastric Cancer in the Gastric Pouch 5  Years after Gastric Bypass: A Case Report
ConclusionsThis case report highlights the importance to have gastroscopy to observe the proximal small remnant stomach after RYGB in long-term follow-up. Attention must be paid when patients develop symptoms like abdominal pain or excessive weight loss after RYGB. For patients at high risk such as those who have a family history of gastric cancer or presenting abnormal levels of tumor markers should rather undergo Sleeve Gastrectomy plus Jejunojejunal Bypass (SGJB) instead of RYGB. (Source: Obesity Surgery)
Source: Obesity Surgery - April 12, 2020 Category: Surgery Source Type: research

Diaphragmatic Hernia After Laparoscopic Gastric Bypass Surgery
(Source: Obesity Surgery)
Source: Obesity Surgery - April 12, 2020 Category: Surgery Source Type: research

RYGB in Treating Patients with Obesity, Hypertriglyceridemia-Induced Acute Pancreatitis, and Diabetes: Kill Three Birds with One Stone?
(Source: Obesity Surgery)
Source: Obesity Surgery - April 12, 2020 Category: Surgery Source Type: research

Daniel B. Jones, MD, MS, FASMBS
(Source: Obesity Surgery)
Source: Obesity Surgery - April 12, 2020 Category: Surgery Source Type: research

The Procedureless Elipse Gastric Balloon Program: Multicenter Experience in 1770 Consecutive Patients
ConclusionThe Elipse ™ Balloon demonstrated an excellent safety profile. The balloon also exhibited remarkable efficacy with 14.2% TBWL and improvement across all metabolic parameters. (Source: Obesity Surgery)
Source: Obesity Surgery - April 11, 2020 Category: Surgery Source Type: research

Comparative Safety and Effectiveness of Roux-en-Y Gastric Bypass and Sleeve Gastrectomy in Obese Elder Patients: a Systematic Review and Meta-analysis
ConclusionsSG was the preferable option to RYGB for patients aged 60  years old or older, as SG has been shown not inferior to RYGB in terms of effectiveness, while being safer than RYGB. (Source: Obesity Surgery)
Source: Obesity Surgery - April 10, 2020 Category: Surgery Source Type: research

Bile Reflux After One Anastomosis Gastric Bypass
(Source: Obesity Surgery)
Source: Obesity Surgery - April 10, 2020 Category: Surgery Source Type: research

Impact of Weight Loss with Laparoscopic Sleeve Gastrectomy on Left Ventricular Diastolic Function: a Prospective Study
AbstractPurposeThe present study purposed to investigate the effects of weight loss with LSG on echocardiographic parameters of diastolic dysfunction in subjects with morbid obesity.MethodsSixty-one subjects undergoing LSG for standard indications were enrolled. All subjects underwent a physical examination, electrocardiography, and transthoracic echocardiography before and 6  months after the LSG. Peak early diastolic velocity (E), deceleration time (DT), and peak late diastolic velocity (A) were measured from the transmitral flow signal. Peak early (e′) diastolic mitral annular velocity was measured at the two...
Source: Obesity Surgery - April 9, 2020 Category: Surgery Source Type: research

The Efficacy and Safety of a Procedureless Gastric Balloon for Weight Loss: a Systematic Review and Meta-Analysis
ConclusionsThis meta-analysis demonstrates that EIGB is a safe device offering an effective weight loss that warrants further studies for its long-term weight loss outcomes. Severe adverse events are rare, and the rate of early removal is low. (Source: Obesity Surgery)
Source: Obesity Surgery - April 8, 2020 Category: Surgery Source Type: research

Sleeve Gastroplasty Combined with the NLRP3 Inflammasome Inhibitor CY-09 Reduces Body Weight, Improves Insulin Resistance and Alleviates Hepatic Steatosis in Mouse Model
ConclusionsSurgery imitating ESG combined with CY-09 reduces body weight, improves insulin resistance and alleviates hepatic steatosis. The combination therapy may be a promising method for treating obesity and NAFLD. (Source: Obesity Surgery)
Source: Obesity Surgery - April 8, 2020 Category: Surgery Source Type: research

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

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

Weight Loss After Bariatric Surgery in Morbidly Obese End-Stage Kidney Disease Patients as Preparation for Kidney Transplantation. Matched Pair Analysis in a High-Volume Bariatric and Transplant Center
ConclusionMorbidly obese ESKD patients have an equal weight loss to patients without ESKD. Bariatric surgery could improve access to kidney transplantation and may potentially improve transplantation outcomes of obese patients with ESKD. (Source: Obesity Surgery)
Source: Obesity Surgery - April 5, 2020 Category: Surgery Source Type: research

The Impact of Age on the Prevalence of Sarcopenic Obesity in Bariatric Surgery Candidates
AbstractBackgroundSarcopenia pre-dating bariatric surgery (BS) has been suggested as concern for the use of BS in older-adults with morbid obesity.ObjectiveTo evaluate the impact of age on the prevalence of sarcopenic obesity (SO) in BS-candidates.MethodsCross-sectional study including 1370 consecutive BS-candidates aged ≥18, and grouped according to age: 18–39 (reference group), 40–49, 50–59 and ≥ 60 years. From body composition analysis data obtained using bioelectrical impedance, skeletal muscle mass (SMM), SMM index (SMMI=SMM/height2), and percentage of SMM (%SMM  =&thi...
Source: Obesity Surgery - April 5, 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

Decreased Analgesic Requirements in Super Morbidly Versus Morbidly Obese Patients Undergoing Laparoscopic Sleeve Gastrectomy
ConclusionsSuper morbidly obese patients required fewer opioids and analgesics perioperatively. They exhibited higher comorbidities with greater anaesthesia time and ICU admissions. PACU stay time and pain scores were comparable. (Source: Obesity Surgery)
Source: Obesity Surgery - April 3, 2020 Category: Surgery 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

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

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

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