Overview of the Last 71 Years of Metabolic and Bariatric Surgery: Content Analysis and Meta-analysis to Investigate the Topic and Scientific Evolution
In conclusion, the article provided the identification of the transformation of the research field, initially focused only on physical aspects, to a more complex approach, which also incorporates psychological and social aspects and the correlation between obesity, bariatric surgery, and quality of life.Graphical abstract (Source: Obesity Surgery)
Source: Obesity Surgery - March 15, 2024 Category: Surgery Source Type: research

Effect of Sarcopenic Obesity on Weight Loss Outcomes and Quality of Life after Laparoscopic Sleeve Gastrectomy: A Retrospective Cohort Study
ConclusionsPatients with SO take a slower rate, longer time to reach the ideal weight, and lower quality of life self-ratings than NSO patients after LSG. Thus, preoperative evaluation and tailoring rehabilitation guidance for people with SO should be accounted.Graphical Abstract (Source: Obesity Surgery)
Source: Obesity Surgery - March 15, 2024 Category: Surgery Source Type: research

Acceptability and Feasibility of the Telehealth Bariatric Behavioral Intervention to Increase Physical Activity Before Bariatric Surgery: A Single-Case Experimental Study (Part I)
ConclusionDespite a low recruitment rate, which could be explained by circumstances (COVID-19 pandemic), results support feasibility, acceptability, and preliminary efficacy of the TELE-Bari-ACTIV intervention for increasing MVPA in patients awaiting MBS.Graphical Abstract (Source: Obesity Surgery)
Source: Obesity Surgery - March 14, 2024 Category: Surgery Source Type: research

Incidence of Post-operative Gastro-esophageal Reflux Disorder in Patients Undergoing Laparoscopic Sleeve Gastrectomy: A Systematic Review and Meta-analysis
AbstractGastroesophageal reflux disease (GERD) is a common concern following laparoscopic sleeve gastrectomy (LSG). This paper aimed to assess the incidence of reflux disease following these bariatric procedures. A literature search was conducted to identify observational studies and clinical trials reporting patients developed GERD disease after LSG. Twenty-two studies included in the analysis, involve 20,495 participants, indicated that the estimated proportion of patients who developed post-surgery GERD was 0.35 (95% CI 0.30 –0.41). Subgroup analysis revealed a proportion of 0.33 (95% CI 0.27–0.38) in observational ...
Source: Obesity Surgery - March 14, 2024 Category: Surgery Source Type: research

Midterm Outcome of Early Pregnancy Versus Late Pregnancy After Laparoscopic Sleeve Gastrectomy
ConclusionConception within 12 months from LSG might hinder the weight loss process in the short term but have no significant effect over 5 years of follow-up.Graphical Abstract (Source: Obesity Surgery)
Source: Obesity Surgery - March 14, 2024 Category: Surgery Source Type: research

Indications and Coverage of Metabolic and Bariatric Surgery: A Worldwide IFSO Survey Comparing Different National Guidelines
ConclusionsMost of the IFSO member societies have MBS guidelines. While more than a third of them have already shifted to the most updated ASMBS/IFSO 2022 ones, another significant number of countries are still following the NIH 1991 guidelines or even do not have any at all. Besides, there is a significant number of countries in which surgical treatment is not yet financially covered. More effort is needed to standardize indications worldwide and to influence insurers and health policymakers to increase the coverage of MBS.Graphical Abstract (Source: Obesity Surgery)
Source: Obesity Surgery - March 13, 2024 Category: Surgery Source Type: research

Nomogram for Predicting Remission of Metabolic Syndrome 1 Year after Sleeve Gastrectomy Surgery in Chinese Patients with Obesity
ConclusionOur nomogram could accurately predict MS remission in Chinese patients with obesity 1  year after SG.Graphical Abstract (Source: Obesity Surgery)
Source: Obesity Surgery - March 13, 2024 Category: Surgery Source Type: research

Improvement in Pulmonary Hypertension Following Metabolic and Bariatric Surgery: a Brief Review and Meta-analysis
AbstractWe reviewed the available evidence on the outcome of metabolic and bariatric surgery (MBS) in patients with pulmonary hypertension (PH). Five studies examining 174 patients were included; the mean age was 54.5  ± 9.27 years; the mean BMI before surgery and at the end of follow-up were 47.2 ± 5.95 kg/m2 and 37.4  ± 2.51 kg/m2, respectively. Furthermore, the results showed a significant decrease in the right ventricle systolic pressure (RVSP) after MBS with a mean difference of 10.11% (CI 95%: 3.52, 16.70,I2 = 85.37%,p =  <  0.001), at 16.5 \(\pm\) 3.8 month follow-up with a morbid...
Source: Obesity Surgery - March 13, 2024 Category: Surgery 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

The Impact of Preoperative Dexamethasone Administration on Quality of Recovery Following Laparoscopic Sleeve Gastrectomy: A Prospective Observational Study
ConclusionsIn patients undergoing laparoscopic sleeve gastrectomy, preoperative dexamethasone administration was associated with improved the recovery quality after discharge and reduced early postoperative need for antiemetic medications.Graphical Abstract (Source: Obesity Surgery)
Source: Obesity Surgery - March 12, 2024 Category: Surgery Source Type: research

Impact of Sleeve Gastrectomy on Menstrual Irregularity: a Meta-regression Analysis
(Source: Obesity Surgery)
Source: Obesity Surgery - March 12, 2024 Category: Surgery Source Type: research

Developing a Decision Aid for Clinical Obesity Services in the Real World: the DACOS Nationwide Pilot Study
ConclusionClinicians may use DACOS to discuss potential weight loss predictors with patients after surgery or non-surgical care.Graphical Abstract (Source: Obesity Surgery)
Source: Obesity Surgery - March 11, 2024 Category: Surgery Source Type: research

Pregnancy After Bariatric Surgery —Experience from a Tertiary Center
ConclusionPregnancy after bariatric surgery is associated with both risks and benefits, which should be considered by healthcare providers. Pregnancy after bariatric surgery requires individualized care, to ensure adequate gestational weight and avoid micronutrient deficiencies.Graphical Abstract (Source: Obesity Surgery)
Source: Obesity Surgery - March 11, 2024 Category: Surgery Source Type: research

Patient Complications and Device Issues Associated With FDA-Approved Intragastric Balloons Available in the USA: A Maude Database Study
(Source: Obesity Surgery)
Source: Obesity Surgery - March 11, 2024 Category: Surgery Source Type: research

Vitamin D and the Metabolic Phenotype in Weight Loss After Bariatric Surgery: A Longitudinal Study
ConclusionThis study suggests that VD adequacy and the presence of a healthy phenotype appear to have a positive impact on the reduction of visceral fat in the context of pre- and postoperative obesity. In addition, there was a greater weight reduction in those with VD inadequacy and in MUHO, which suggests that the volumetric dilution effect of VD and catabolism after bariatric surgery is more pronounced in this specific metabolic phenotype.Graphical Abstract (Source: Obesity Surgery)
Source: Obesity Surgery - March 8, 2024 Category: Surgery Source Type: research