Effects of Post-operative Nutritional Disorders Following Bariatric Surgery on Health Care Cost and Use
AbstractPurposeRisk of nutritional disorders (NDs) in bariatric surgical patients has led to guideline recommendations for pre- and post-operative nutrient deficiency screening. The aim of this study was to identify baseline factors associated with incident NDs and, in addition, to explore possible differences in health care spending and use between patients with and without incident NDs following bariatric surgery.Materials and MethodsUsing data linked with a state-wide bariatric surgical registry and a state-wide claims database, subjects who underwent bariatric surgery between July 1, 2013, and December 31, 2015, were i...
Source: Obesity Surgery - February 24, 2021 Category: Surgery Source Type: research

Bariatric Surgery on Reproductive Outcomes: the Impact According to the Diagnosis of Polycystic Ovarian Syndrome and Surgical Procedures
ConclusionBS was associated with an improvement in several reproductive outcomes. Menstrual regularity was especially improved in PCOS women. Further research may clarify the impact of LSG on fertility. (Source: Obesity Surgery)
Source: Obesity Surgery - February 24, 2021 Category: Surgery Source Type: research

One Anastomosis Gastric Bypass in Patient with Situs Ambiguous
(Source: Obesity Surgery)
Source: Obesity Surgery - February 24, 2021 Category: Surgery Source Type: research

Pregnancy After Bariatric Surgery: a Matter of Indications and Procedures?
(Source: Obesity Surgery)
Source: Obesity Surgery - February 24, 2021 Category: Surgery Source Type: research

Impact of Baseline BMI and Adherence to Follow-Up on the Outcome of Sleeve Gastrectomy in Treatment of Adolescent Obesity
ConclusionSG is an effective and safe surgical procedure for adolescents with severe obesity. It was associated with a significant weight loss, high comorbidity remission rates, and no mortality or serious complications. Lower baseline BMI and better adherence to follow-up were associated with better outcome of SG.Graphical abstract (Source: Obesity Surgery)
Source: Obesity Surgery - February 23, 2021 Category: Surgery Source Type: research

Optimizing Multivitamin Supplementation for Sleeve Gastrectomy Patients
ConclusionThe present study showed that the use of a specialized multivitamin supplement for SG patients is effective at preventing deficiencies for most vitamins and minerals, specifically in compliant patients. However, a strict follow-up regime remains necessary to monitor nutritional status and to improve patient compliance. (Source: Obesity Surgery)
Source: Obesity Surgery - February 23, 2021 Category: Surgery Source Type: research

Changes in Anthropometric Measures, Nutritional Indices and Gastrointestinal Symptoms Following One Anastomosis Gastric Bypass (OAGB) Compared with Roux-en-y Gastric Bypass (RYGB)
ConclusionSignificant and similar weight loss results are seen following both OAGB and RYGB. Nutritional disorders were common in both cohorts and increased over time. However, the OAGB patients reported more gastrointestinal side effects, which may contribute to poor quality of life and nutritional consequences. Prospective and longer-term studies investigating the nutritional and gastrointestinal health of patients undergoing OAGB is recommended. (Source: Obesity Surgery)
Source: Obesity Surgery - February 23, 2021 Category: Surgery Source Type: research

Predictors of Postprandial Hypoglycemia After Gastric Bypass Surgery: a Retrospective Case-Control Study
ConclusionsHbA1c and weight loss differed in patients with and without symptomatic hypoglycemia during mixed-meal test. These baseline parameters could be used for screening of postprandial hypoglycemia in patients after gastric bypass and may facilitate the selection of patients requiring further evaluation.Graphical abstract (Source: Obesity Surgery)
Source: Obesity Surgery - February 23, 2021 Category: Surgery Source Type: research

Reply to: Pregnancy After Bariatric Surgery: a Matter of Indications and Procedures?
(Source: Obesity Surgery)
Source: Obesity Surgery - February 23, 2021 Category: Surgery Source Type: research

Test Characteristics of Abdominal Computed Tomography for the Diagnosis of Gastro-gastric Fistula in Patients with Roux-en-Y Gastric Bypass
ConclusionsAbdominal CT with oral contrast has similar diagnostic test characteristics to UGI and EGD at detecting GGF when using surgical diagnosis as a gold standard. (Source: Obesity Surgery)
Source: Obesity Surgery - February 22, 2021 Category: Surgery Source Type: research

Glucagon-Producing Cell Expansion in Wistar Rats. Changes to Islet Architecture After Sleeve Gastrectomy
ConclusionWe concluded that SG leads to an expansion of the alpha-cell population, at expense of beta-cell; this expansion of alpha-cells is related to transdifferentiation. Plasma glucose level was not affected due to an increased glucagon response. (Source: Obesity Surgery)
Source: Obesity Surgery - February 22, 2021 Category: Surgery Source Type: research

Yury Yashkov, MD, PhD
(Source: Obesity Surgery)
Source: Obesity Surgery - February 22, 2021 Category: Surgery Source Type: research

Functional Laparoscopic Roux-en-Y Gastric Bypass with Fundectomy and Gastric Remnant Exploration (LRYGBfse) —a Video Vignette
ConclusionThe LRYGBfse is a feasible and safe technique. The possibility to endoscopically explore the excluded stomach with an easy access to the Vater ’s papilla is a major advantage. Further studies are warranted to deeply explore and compare outcomes with the standard LRYGB. (Source: Obesity Surgery)
Source: Obesity Surgery - February 22, 2021 Category: Surgery Source Type: research

Gastric Per-Oral Endoscopic Myotomy for Treatment of Chronic Proximal Staple Line Leak Precipitated by Downstream Stenosis
We present a case of recalcitrant chronic proximal staple line leak in the context of a downstream gastric stenosis managed by G-POEM. (Source: Obesity Surgery)
Source: Obesity Surgery - February 22, 2021 Category: Surgery Source Type: research

Performance of Noninvasive Liver Fibrosis Tests in Morbidly Obese Patients with Nonalcoholic Fatty Liver Disease
AbstractBackgroundNonalcoholic fatty liver disease (NAFLD) is highly prevalent in morbidly obese patients, and fibrosis is an independent predictor of mortality. Noninvasive tests (NITs) are being developed for the detection of advanced fibrosis (AF).PurposeTo assess the performance of three NITs (NAFLD fibrosis score, NFS, fibrosis-4 index, FIB-4, and aspartate aminotransferase-to-platelet ratio, APRI), in the identification of AF among morbidly obese patients.Materials and MethodsPatients, who underwent bariatric surgery between 2004 and 2009 and had liver biopsy, were included. Fibrosis stages ≥ F2 and ≥&th...
Source: Obesity Surgery - February 22, 2021 Category: Surgery Source Type: research

Effect of SARS-CoV-2 (COVID-19) Pandemic and Lockdown on Body Weight, Maladaptive Eating Habits, Anxiety, and Depression in a Bariatric Surgery Waiting List Cohort
ConclusionThis study showed no effect on weight and BMI nor on rates of maladaptive eating habits associated with quarantine/social isolation among severely obese individuals waiting for the bariatric surgery. At the end of lockdown, a considerable proportion of patients modified their initial obesity class, and in selected cases, it could represent a criteria for rearrangement of the planned bariatric procedure. In obese patients, the lockdown and social distancing generated a reduction of fear of confronting and being negatively judged by others. This psychological aspect was assessed with the reduction of the HADS score...
Source: Obesity Surgery - February 21, 2021 Category: Surgery Source Type: research

Roux-en-Y Gastric Bypass Downregulates Angiotensin-Converting Enzyme 2 (ACE2) Gene Expression in Subcutaneous White Adipose Tissue: A Putative Protective Mechanism Against Severe COVID-19
AbstractThe angiotensin-converting enzyme 2 (ACE2) is the receptor for the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). It is highly expressed in adipose tissue, possibly associated with progression to severe coronavirus disease 2019 (COVID-19) in obese subjects. We searched the Gene Expression Omnibus (GEO) and reanalyzed the GSE59034 containing microarray data from subcutaneous white adipose tissue (sWAT) biopsies from 16 women before and 2 years after RYGB, and 16 controls matched by sex, age, and BMI. After RYGB, there was a significant decrease in sWAT ACE2 gene expression (logFC=-0.4175,P=0.0015). In...
Source: Obesity Surgery - February 21, 2021 Category: Surgery Source Type: research

Impact of COVID-19 Lockdown on Short-Term Results After Laparoscopic Sleeve Gastrectomy
ConclusionsThe COVID-19 lockdown had a negative effect on weight loss in the first year after SG. Larger studies are needed to confirm these results, and we are expecting for a longer follow-up to evaluate the long-term impact on weight loss and comorbidities. (Source: Obesity Surgery)
Source: Obesity Surgery - February 19, 2021 Category: Surgery Source Type: research

Bariatric Surgery Decreases the Risk of Non-traffic Accident –Related Fractures in Patients with Obesity: Real-world Data from Taiwan
AbstractObjectivesThe aim of this study is to investigate the impact of bariatric surgery on non-traffic accident –related fractures in patients with obesity.MethodsThis retrospective cohort study was conducted using the Taiwan National Health Insurance Research Database. Patients aged 18 to 55 years with obesity diagnosis between 2003 and 2008 were enrolled and divided into two groups: non-surgical and bariatric surgery groups. Patients with endocrine bone disease and malignancy history were excluded. Healthy patients were also randomly selected from the database and assigned to the general population group. The dev...
Source: Obesity Surgery - February 19, 2021 Category: Surgery Source Type: research

Metabolic Outcomes of Percutaneous Transcathether Bariatric Embolotherapy: Insights from an RCT
(Source: Obesity Surgery)
Source: Obesity Surgery - February 19, 2021 Category: Surgery Source Type: research

Daily Timing of Meals and Weight Loss After Bariatric Surgery: a Systematic Review
AbstractThe timing of food intake throughout the day can alter circadian clocks and metabolism to modulate the course of obesity. We conducted a systematic literature review to determine whether the timing of meals could alter the change in body weight after bariatric surgery in adults. Twelve cohort studies examined the association between meal timing and changes in body weight after bariatric surgery. Eight studies suggested an association between meal timing and weight loss. All studies examined simple exposure variables such as frequency of breakfast or dinner consumption and overnight meals. Overall, the low-quality e...
Source: Obesity Surgery - February 18, 2021 Category: Surgery Source Type: research

Impact of Bariatric Surgery on Endometrial Cancer Tumor Pathology
AbstractIntroductionObesity is a well-established risk factor for endometrial cancer and is thought to adversely affect outcomes. The impact of significant and sustained weight loss as achieved by bariatric surgery for women with endometrial cancer is not well understood.MethodsWe performed an institutional retrospective review of patients who underwent bariatric surgery and were diagnosed with premalignant or malignant uterine disease from 1989 to 2019 (n=171). We compared tumor characteristics and cancer-specific outcomes in patients diagnosed with uterine disease before ( “PRE” group) or after (“POST&r...
Source: Obesity Surgery - February 18, 2021 Category: Surgery Source Type: research

Pregnancy Less Than 1 Year After the Bariatric Surgery: Is It Really Safe?
ConclusionThe rate of maternal, fetal, and neonatal complications in pregnancies conceived during the first vs. second postbariatric year were indifferent. (Source: Obesity Surgery)
Source: Obesity Surgery - February 18, 2021 Category: Surgery Source Type: research

Implications of Technical Factors in Development of Early Sleeve Stenosis After Laparoscopic Sleeve Gastrectomy: an Analysis Using the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program Database
The objective of this study was to determine the prevalence and impact of early SS and identify technical factors which may predict its development.Materials and MethodsData was extracted from the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) data registry from 2015 to 2018. Patients undergoing primary LSG were included, while patients undergoing revisional bariatric surgery were excluded. A multivariable logistic regression analysis was performed to identify technical factors associated with SS.ResultsA total of 389,839 patients (79.4% female) were included with a mean age of 44.2...
Source: Obesity Surgery - February 18, 2021 Category: Surgery Source Type: research

Revision of a Previous Capella Bypass due to dysphagia, GERD and Candy Cane Syndrome
ConclusionsIn conclusion, bariatric revisional surgery can lead to serious complications, but it is justified in patients with  poor quality of life. A ringed retrocolic retrogastric bypass poses more difficulties in revisional procedures. It is mandatory to know which technique was performed before. The duration of the procedure can result in more complications like liver damage. (Source: Obesity Surgery)
Source: Obesity Surgery - February 18, 2021 Category: Surgery Source Type: research

Nicola Scopinaro: A Celebration of His Life
AbstractThis brief communication is a tribute to the life of Nicola Scopinaro, who died on October 28, 2020. Dr. Scopinaro was an innovative surgeon, a scholar, a pioneer of the metabolic surgery era, a teacher, and one of the most fascinating and original of men. (Source: Obesity Surgery)
Source: Obesity Surgery - February 18, 2021 Category: Surgery Source Type: research

Comparative Effectiveness of Roux-en-Y Gastric Bypass vs. One Anastomosis Gastric Bypass on Kidney Function
In this study, we compare the effects of laparoscopic one anastomosis gastric bypass (LOAGB) and laparoscopic Roux-en-Y gastric bypass (LRYGB) on kidney function one year after surgery.Materials and MethodsThe patients ’ demographic, medical, and surgical data were prospectively collected and retrospectively reviewed. Type 2 diabetes mellitus, hypertension, and dyslipidemia, body mass index (BMI), and kidney function tests were obtained before and one year after surgery. Kidney function was evaluated by estimate d glomerular filtration rate (eGFR) and spot urine albumin to creatinine ratio (ACR). Changes in eGFR and ...
Source: Obesity Surgery - February 18, 2021 Category: Surgery Source Type: research

Metabolic Surgery and Class 1 Obesity ( & lt; 35 kg/m 2 ): a Prospective Study with Short-, Mid-, and Long-term Results Among Latinos
ConclusionGastric bypass is a safe and effective metabolic surgery that results in excellent mid- and long-term results among Mexicans. Patients using one drug preoperatively showed improved results and remission rates, which underscores the importance of intervening in the early stages of the disease.Trial RegistrationClinical Trials identifier: NCT04595396 (www.ClinicalTrials.gov). (Source: Obesity Surgery)
Source: Obesity Surgery - February 17, 2021 Category: Surgery Source Type: research

Areas of Non-Consensus Around One Anastomosis/Mini Gastric Bypass (OAGB/MGB): A Narrative Review
ConclusionThere is enough evidence to include OAGB/MGB as an accepted standard bariatric and metabolic surgical procedure. However, long-term data and more research are needed to have a consensus in all aspects including these non-consensus topics. (Source: Obesity Surgery)
Source: Obesity Surgery - February 17, 2021 Category: Surgery Source Type: research

Endoscopic Dilation of Post-Sleeve Gastrectomy Stenosis: Long-Term Efficacy and Safety Results
AbstractIntroductionPost-sleeve gastrectomy (SG) stenoses occur in about 5% of cases. Hydrostatic dilation (HD) and pneumatic dilation (PD) have been proposed as treatments, but efficacy data remain scarce. Objective is to describe long-term efficacy and safety of HD and PD.MethodsThis retrospective study in a referral endoscopy center included patients with symptomatic post-SG stenosis treated with endoscopic balloon dilation (EBD). Stenosis was defined as “organic” if luminal narrowing was evident, “functional” for a deformation, or “combined.”Endoscopic treatment consisted of ≥ 1 H...
Source: Obesity Surgery - February 17, 2021 Category: Surgery Source Type: research

Outcomes of Bariatric Surgery in Patients with Liver Cirrhosis: a Systematic Review
AbstractObesity is commonly associated with non-alcoholic fatty liver disease and is a significant cause of chronic liver disease and cirrhosis. Some patients undergoing bariatric surgery suffer from cirrhosis of the liver. Currently, there is a lack of consensus on the management of these patients and the safety and efficacy of bariatric surgery in this group. This review aims to update our previously published systematic review on the same topic. A total of 21 studies reporting experience on patients with cirrhosis undergoing bariatric surgery were included. Sleeve gastrectomy was the most common surgery performed, follo...
Source: Obesity Surgery - February 17, 2021 Category: Surgery Source Type: research

Effect of One Anastomosis Gastric Bypass on Haematinics, Vitamin D and Parathyroid Hormone Levels: a Comparison Between 150 and 200 cm Bilio-Pancreatic Limbs
ConclusionWe found that both OAGB-200 and OAGB-150 are associated with a significant increase in anaemia and secondary hyperparathyroidism. Our findings should prompt the evaluation of supplementation protocols with higher dosages than we recommend for iron, folate and calcium. Consideration should also be given to evaluating shorter BPL lengths than 150 cm with OAGB. (Source: Obesity Surgery)
Source: Obesity Surgery - February 17, 2021 Category: Surgery Source Type: research

Is Bariatric Surgery Better than Nonsurgical Weight Loss for Improving Asthma Control? A Systematic Review
AbstractObesity is associated with increased severity of asthma. Bariatric surgery can be effective in weight loss and improvement in asthma. Two reviewers conducted a systematic review using search terms: ‘weight loss’, ‘bariatric surgery’, and ‘asthma’. Adult studies including all bariatric procedures and nonsurgical weight loss regimes were included. Thirty-nine studies, including twenty-six bariatric studies and thirteen nonsurgical studies, were found. No study directly compared baria tric surgery to nonsurgical techniques. Bariatric surgery offered greater weight loss (22–36%...
Source: Obesity Surgery - February 15, 2021 Category: Surgery Source Type: research

Salvage Robotic Roux-en-Y Fistulojejunostomy for Chronic Gastro-Colic Fistula After Laparoscopic Sleeve Gastrectomy
AbstractRoux-en-Y fistulojejunostomy (RYFJ) has been proposed as a surgical option for the treatment of a chronic fistula after sleeve gastrectomy but can be technically challenging. The robotic approach in bariatric surgery has emerged as a new rapidly evolving technology and allows performing more complex surgical procedures. Here we present the case of a 42-year-old man referred to our university tertiary center for a chronic gastro-colic fistula after laparoscopic SG who underwent a salvage robotic RYFJ. The aim of this video is to present our management of a chronic gastro-colic fistula after laparoscopic SG demonstra...
Source: Obesity Surgery - February 15, 2021 Category: Surgery Source Type: research

Impact of Bariatric Surgery on Medication Efficacy: an Analysis of World Health Organization Pharmacovigilance Data
This study underlines the urgent need for more research to better characterize the impact of bariatric surgery on drug pharmacokinetics and clinical efficacy. (Source: Obesity Surgery)
Source: Obesity Surgery - February 12, 2021 Category: Surgery Source Type: research

Conservative Managing of Bezoar in Giant Hiatus Hernia Causing Gastric Outlet Obstruction During the COVID-19 Pandemic
(Source: Obesity Surgery)
Source: Obesity Surgery - February 12, 2021 Category: Surgery Source Type: research

A Retrospective Analysis of the Impact of Bariatric Surgery on the Management of Chronic Migraine
ConclusionType of bariatric procedure, age, number of medications at surgery, and sex were the most important predictors of migraine remission after surgery. (Source: Obesity Surgery)
Source: Obesity Surgery - February 11, 2021 Category: Surgery Source Type: research

Body Fat Indices as Effective Predictors of Insulin Resistance in Obstructive Sleep Apnea: Evidence from a Cross-Sectional and Longitudinal Study
AbstractPurposeBody fat indices serve as predictive markers of insulin resistance (IR) in metabolic diseases. IR is common in obstructive sleep apnea (OSA). However, whether body fat indices have utility as predictors of IR in OSA remain unknown.Materials and MethodsA longitudinal study was conducted in 46 patients undergoing bariatric surgery to explore the relationship between IR and body fat indices. Then, a cross-sectional study was performed to evaluate the relationships between body fat indices and IR, and receiver operating characteristic (ROC) curves were generated. Body indices, homeostasis model assessment index ...
Source: Obesity Surgery - February 10, 2021 Category: Surgery Source Type: research

Immediate Euglycemic Diabetic Ketoacidosis After Gastric Bypass in a Patient with Type II Diabetes
(Source: Obesity Surgery)
Source: Obesity Surgery - February 10, 2021 Category: Surgery Source Type: research

Enhanced Recovery After Revisional Bariatric Surgery: a Retrospective Study of 321 Patients with Laparoscopic Conversion of Failed Gastric Banding or Failed Mason Gastroplasty to Roux-en-Y Gastric Bypass
AbstractPurposeWith the rising incidence of failed bariatric procedures, the importance of revisional surgery has been increasing. These revisional procedures come with a higher risk of complications leading to longer hospital stays. We believe though that enhanced recovery after revisional bariatric surgery is possible and needs to be advocated.Materials and MethodsWe retrospectively analyzed our laparoscopic conversions of failed gastric banding and failed Mason gastroplasty to Roux-en-Y gastric bypass. A total of 321 patients was included in the study, from February 2010 until December 2019. The primary endpoints were l...
Source: Obesity Surgery - February 9, 2021 Category: Surgery Source Type: research

Weight Regain and Insufficient Weight Loss After Bariatric Surgery: Definitions, Prevalence, Mechanisms, Predictors, Prevention and Management Strategies, and Knowledge Gaps —a Scoping Review
AbstractSome patients experience weight regain (WR) or insufficient weight loss (IWL) after bariatric surgery (BS). We undertook a scoping review of WR and IWL after BS. We searched electronic databases for studies addressing the definitions, prevalence, mechanisms, clinical significance, preoperative predictors, and preventive and treatment approaches including behavioral, pharmacological, and surgical management strategies of WR and IWL. Many definitions exist for WR, less so for IWL, resulting in inconsistencies in the reported prevalence of these two conditions. Mechanisms and preoperative predictors contributing to WR...
Source: Obesity Surgery - February 8, 2021 Category: Surgery Source Type: research

Ramadan Fasting Increases Socialization in Patients Who Underwent Sleeve Gastrectomy: An Observational Study
In this study, we aimed to investigate the effect of Ramadan fasting on quality of life in patients who underwent sleeve gastrectomy.Materials and MethodsData regarding the demographic characteristics, weight, the time elapsed after surgery, and the amount of liquid and solid food consumed during fasting were collected with two surveys, one of which was carried out at the beginning and the other at the end of Ramadan. In addition, the SF-36 health survey questionnaire was administered to evaluate the impact of Ramadan fasting on patients ’ quality of life.ResultsFifty-one people participated in the first survey, but ...
Source: Obesity Surgery - February 8, 2021 Category: Surgery Source Type: research

DSM 5 Lifetime Psychiatric Diagnoses in Two Bariatric Surgery Programs
This study examined whether similar lifetime frequencies would be similar using the recent DSM-5. Participants (N = 131) were evaluated as part of a longitudinal study examining post-operative weight loss at two sites. Participants were administered the Structured Clinical Interview for DSM-5 (SCID5) pre-surgically. Lifetime estimates using the SCID5 were compared to the range and mean of 3 prior US studies and 2 international studies using the DSM-IV. Overall, frequency of psychiatric disorders was similar or lower than prior studies. Changes to diagnostic criteria may explain differences although future studies are neede...
Source: Obesity Surgery - February 8, 2021 Category: Surgery Source Type: research

C Peptide Fails to Improve the Utility of the DiaRem Algorithm in Predicting Remission of Type II Diabetes After Bariatric Surgery
AbstractWe evaluated the utility of C peptide as an addition to the DiaRem score for predicting type 2 diabetes (T2D) remission 1 year after bariatric surgery in 175 patients. DiaRem score was significantly correlated with C peptide (r = − .43;p
Source: Obesity Surgery - February 8, 2021 Category: Surgery Source Type: research

Evaluation of the Trends, Characteristics, and Outcomes in North American Youth Undergoing Elective Bariatric Surgery
AbstractBackgroundSevere obesity is increasingly common in youth and young adults, but outcomes following bariatric surgery remain largely unknown. The purpose of this study was to examine the trends, clinical characteristics, and postoperative outcomes of youth who underwent bariatric surgery.MethodsThis retrospective cohort study was conducted using the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) data registry from 2015 to 2018 inclusive. All youth and young adults aged 15 –24 who underwent elective sleeve gastrectomy (SG) or Roux-en-Y gastric bypass (RYGB) were included....
Source: Obesity Surgery - February 6, 2021 Category: Surgery Source Type: research

A Protocol for Rehabilitating the Bypassed Limb Prior to Reversal of Jejunoileal Bypass
(Source: Obesity Surgery)
Source: Obesity Surgery - February 6, 2021 Category: Surgery Source Type: research

Morbid Obesity Increases 30-Day Readmission and Morbidity in Clostridiodes difficile Infection
ConclusionsMorbid obesity is an independent risk factor for 30-day readmission in patients hospitalized for CDI. Morbidly obese patients admitted for CDI experienced higher morbidity and increased resource utilization. (Source: Obesity Surgery)
Source: Obesity Surgery - February 5, 2021 Category: Surgery Source Type: research

Decrease of dipeptidyl peptidase 4 activity is associated with weight loss after bariatric surgery
ConclusionWe demonstrated that weight loss induced by bariatric surgery results in decreased circulating DPP4 activity beyond the initial phase of weight loss. The associations between decreased DPP4 activity and improved cholesterol levels as well as hepatic injury markers point towards pleiotropic effects of DPP4 beyond glucose metabolism which warrant further investigation. (Source: Obesity Surgery)
Source: Obesity Surgery - February 4, 2021 Category: Surgery Source Type: research

Correction to: Sleeve Gastrectomy and Anterior Fundoplication (D-SLEEVE) Prevents Gastroesophageal Reflux in Symptomatic GERD
A Correction to this paper has been published: https://doi.org/10.1007/s11695-021-05244-w (Source: Obesity Surgery)
Source: Obesity Surgery - February 4, 2021 Category: Surgery Source Type: research

The Complex Association Between Bariatric Surgery and Depression: a National Nested-Control Study
AbstractBackgroundAlthough bariatric surgery has been shown to reduce weight loss and obesity-related conditions, an improvement in depression remains unclear. The aim of this study was to determine whether bariatric surgery is associated with a resolution of depression, and the prevention of its onset.MethodPatients with a BMI ≥ 30 kg/m2 who had undergone bariatric surgery were identified from the Clinical Practice Research Datalink (CPRD), matched 5:1 to controls. Cox regression analysis was used to determine the risk of developing de novo depression. Kaplan-Meier analysis compared the proportion of patien...
Source: Obesity Surgery - February 3, 2021 Category: Surgery Source Type: research