Impact of Gastropexy/Omentopexy on Gastrointestinal Symptoms after Laparoscopic Sleeve Gastrectomy
The objectives of this study were to measure the positive or negative effect of gastropexy on reducing distressing postoperative LSG-related gastrointestinal symptoms.Patients and MethodsThis was a comparative randomized study conducted from January 2018 to January 2021. The study was carried out in the general surgery department at Menoufia University Hospital, Menoufia Faculty of Medicine in Egypt. Two hundred participants were included randomly during this trial. The participants were divided into two groups, with 100 patients in each group. Patients in group A underwent gastropexy, and patients in group B underwent LSG...
Source: Obesity Surgery - December 6, 2021 Category: Surgery Source Type: research

Long-term Effect of Bariatric Surgery on the Use of Levothyroxine and Thyroid Levels
ConclusionsBariatric surgery led to frequent dose adjustments during the first 2  years after surgery. However, 24–48 months after surgery in the majority of patients, the dosage remained stable. No significant change in TSH and fT4 was observed 48 months after RYGB. In the first 2 years after surgery, clinicians should frequently monitor TSH and fT4 for individual dose ad justment of levothyroxine. Thereafter, the frequency of monitoring may be decreased.Graphical abstract (Source: Obesity Surgery)
Source: Obesity Surgery - December 2, 2021 Category: Surgery Source Type: research

Correction to: Comparative Effectiveness of Bariatric Surgeries in Patients with Type 2 Diabetes Mellitus and BMI ≥ 25 kg/m2: a Systematic Review and Network Meta-analysis
(Source: Obesity Surgery)
Source: Obesity Surgery - December 2, 2021 Category: Surgery Source Type: research

Sleeve Gastrectomy with Braun Anastomosis Transit Bipartition (B-TB): a Potential Midway Between Single Anastomosis and Roux-en-Y Transit Bipartition
ConclusionB-TB is an exciting procedure with potential benefits. However, as it is an investigational procedure, extra care should be maintained. Larger samples and more extended follow-up data are needed in the future.Graphical abstract (Source: Obesity Surgery)
Source: Obesity Surgery - November 18, 2021 Category: Surgery Source Type: research

Combined Re-sleeve and Single Anastomosis Sleeve Ileal (SASI) Bypass as a Second Stage After Sleeve Gastrectomy (Video Report)
ConclusionsCombined re-sleeve and SASI bypass has a few surgical morbidities and is promising as an alternative to second-stage duodenal switch in patients with super obesity. (Source: Obesity Surgery)
Source: Obesity Surgery - November 18, 2021 Category: Surgery Source Type: research

Editors ’ Recognition Award for Distinction in Reviewing 2021
(Source: Obesity Surgery)
Source: Obesity Surgery - November 18, 2021 Category: Surgery Source Type: research

Bariatric Surgical Services Within a Pandemic Can Continue Safely: the Initial Experience of a UK Centre of Excellence
(Source: Obesity Surgery)
Source: Obesity Surgery - November 18, 2021 Category: Surgery Source Type: research

Symptomatic Gastric Outlet Stenosis After Gastric Clip Removal
(Source: Obesity Surgery)
Source: Obesity Surgery - November 18, 2021 Category: Surgery Source Type: research

Diagnostic Accuracy of Myocardial Perfusion Imaging in Obese Diabetic Patients
(Source: Obesity Surgery)
Source: Obesity Surgery - November 18, 2021 Category: Surgery Source Type: research

The Invisible and Insidious Enemy
(Source: Obesity Surgery)
Source: Obesity Surgery - November 18, 2021 Category: Surgery Source Type: research

Laparoscopic Management of Jejuno-jejunal Intussusception Post Laparoscopic Roux-en-Y Gastric Bypass in a Pregnant Patient
(Source: Obesity Surgery)
Source: Obesity Surgery - November 18, 2021 Category: Surgery Source Type: research

Adherence to Post-operative Appointments Is Associated with Weight Loss Following Bariatric Surgery
Graphical Abstract (Source: Obesity Surgery)
Source: Obesity Surgery - November 18, 2021 Category: Surgery Source Type: research

Radical Subtotal Gastrectomy for Distal Gastric Cancer After Sleeve Gastrectomy: a Case Report
(Source: Obesity Surgery)
Source: Obesity Surgery - November 18, 2021 Category: Surgery Source Type: research

Revisional Single Anastomosis Sleeve Ileal (SASI) Bypass for Failed Gastric Clipping and Proximal Jejunal Bypass (GC-PJB) (Video Report)
ConclusionLaparoscopic removal of gastric clip and SASI bypass with preservation of previous jejunojejunal anastomosis is technically feasible and promising as a revisional procedure for failed GC-PJB. (Source: Obesity Surgery)
Source: Obesity Surgery - November 18, 2021 Category: Surgery Source Type: research

Maintenance of a Gastric Pacemaker in the Excluded Stomach During a Roux-en-Y Gastric Bypass Procedure in a Patient with Obesity, Type 1 Diabetes and Refractory Gastroparesis
(Source: Obesity Surgery)
Source: Obesity Surgery - November 18, 2021 Category: Surgery Source Type: research

Occult Splenic Erosion due to a Retained Gastric Clip — a Case Report
(Source: Obesity Surgery)
Source: Obesity Surgery - November 18, 2021 Category: Surgery Source Type: research

Biography: Christine Stroh, MD
(Source: Obesity Surgery)
Source: Obesity Surgery - November 18, 2021 Category: Surgery Source Type: research

Letter to the Editor: Should We Introduce a Gastric Band Removal Schedule?
(Source: Obesity Surgery)
Source: Obesity Surgery - November 18, 2021 Category: Surgery Source Type: research

Late Stricture from Marginal Ulceration after Roux-en-Y Gastric Bypass: Endoscopic Complications and Surgical Management
(Source: Obesity Surgery)
Source: Obesity Surgery - November 18, 2021 Category: Surgery Source Type: research

Bariatric Surgeries and COVID-19 Outcomes: More and More Benefits
(Source: Obesity Surgery)
Source: Obesity Surgery - November 18, 2021 Category: Surgery Source Type: research

Response to: Comment on: Relevance of Posterior Gastric vessel in Bariatric Surgery
(Source: Obesity Surgery)
Source: Obesity Surgery - November 18, 2021 Category: Surgery Source Type: research

Perhaps It ’s Time to Move on from the LAP-Band Entirely?
(Source: Obesity Surgery)
Source: Obesity Surgery - November 18, 2021 Category: Surgery Source Type: research

Letter to the Editor
(Source: Obesity Surgery)
Source: Obesity Surgery - November 18, 2021 Category: Surgery Source Type: research

Sleeve Gastrectomy with Braun Anastomosis Transit Bipartition (B-TB): a Potential Midway Between Single Anastomosis and Roux-en-Y Transit Bipartition
ConclusionB-TB is an exciting procedure with potential benefits. However, as it is an investigational procedure, extra care should be maintained. Larger samples and more extended follow-up data are needed in the future.Graphical abstract (Source: Obesity Surgery)
Source: Obesity Surgery - November 17, 2021 Category: Surgery Source Type: research

Combined Re-sleeve and Single Anastomosis Sleeve Ileal (SASI) Bypass as a Second Stage After Sleeve Gastrectomy (Video Report)
ConclusionsCombined re-sleeve and SASI bypass has a few surgical morbidities and is promising as an alternative to second-stage duodenal switch in patients with super obesity. (Source: Obesity Surgery)
Source: Obesity Surgery - November 17, 2021 Category: Surgery Source Type: research

Editors ’ Recognition Award for Distinction in Reviewing 2021
(Source: Obesity Surgery)
Source: Obesity Surgery - November 17, 2021 Category: Surgery Source Type: research

Symptomatic Gastric Outlet Stenosis After Gastric Clip Removal
(Source: Obesity Surgery)
Source: Obesity Surgery - November 17, 2021 Category: Surgery Source Type: research

Diagnostic Accuracy of Myocardial Perfusion Imaging in Obese Diabetic Patients
(Source: Obesity Surgery)
Source: Obesity Surgery - November 17, 2021 Category: Surgery Source Type: research

Adherence to Post-operative Appointments Is Associated with Weight Loss Following Bariatric Surgery
Graphical Abstract (Source: Obesity Surgery)
Source: Obesity Surgery - November 17, 2021 Category: Surgery Source Type: research

Revisional Single Anastomosis Sleeve Ileal (SASI) Bypass for Failed Gastric Clipping and Proximal Jejunal Bypass (GC-PJB) (Video Report)
ConclusionLaparoscopic removal of gastric clip and SASI bypass with preservation of previous jejunojejunal anastomosis is technically feasible and promising as a revisional procedure for failed GC-PJB. (Source: Obesity Surgery)
Source: Obesity Surgery - November 17, 2021 Category: Surgery Source Type: research

Maintenance of a Gastric Pacemaker in the Excluded Stomach During a Roux-en-Y Gastric Bypass Procedure in a Patient with Obesity, Type 1 Diabetes and Refractory Gastroparesis
(Source: Obesity Surgery)
Source: Obesity Surgery - November 17, 2021 Category: Surgery Source Type: research

Occult Splenic Erosion due to a Retained Gastric Clip — a Case Report
(Source: Obesity Surgery)
Source: Obesity Surgery - November 17, 2021 Category: Surgery Source Type: research

Late Stricture from Marginal Ulceration after Roux-en-Y Gastric Bypass: Endoscopic Complications and Surgical Management
(Source: Obesity Surgery)
Source: Obesity Surgery - November 17, 2021 Category: Surgery Source Type: research

Response to: Comment on: Relevance of Posterior Gastric vessel in Bariatric Surgery
(Source: Obesity Surgery)
Source: Obesity Surgery - November 17, 2021 Category: Surgery Source Type: research

Perhaps It ’s Time to Move on from the LAP-Band Entirely?
(Source: Obesity Surgery)
Source: Obesity Surgery - November 17, 2021 Category: Surgery Source Type: research

Letter to the Editor
(Source: Obesity Surgery)
Source: Obesity Surgery - November 17, 2021 Category: Surgery Source Type: research

Five Years of MBSAQIP Data: Characteristics, Outcomes, and Trends for Patients with Super-obesity
AbstractPurposeIncidence of super obesity (SO; BMI ≥ 50 kg/m2) is growing rapidly and confers worse metabolic complications than non-SO (BMI 30 –50 kg/m2). We aim to characterize bariatric surgery patients with SO, their postoperative complications, and treatment trends over the last 5 years in hopes of informing SO-specific treatment protocols.Materials and MethodsThe MBSAQIP database was analyzed, and two cohorts were compared, those with SO and non-SO. Univariate analysis was performed to determine between-group differences. Multivariable logistic regression analysis was performed to determine if SO was indepen...
Source: Obesity Surgery - November 15, 2021 Category: Surgery Source Type: research

Remission of Type II Diabetes Mellitus 1-Year Postoperative Following One Anastomosis Gastric Bypass in Correlation with ABCD, DiaRem, and DRS Scores
ConclusionOAGB significantly reduced BMI and HbA1C values 1  year postoperatively with 56.5% DM remission. DiaRem score had more remission predictive value following OAGB than ABCD and DRS scores especially when ≤ 8 with 90.6% sensitivity and 83% specificity.Graphical abstract (Source: Obesity Surgery)
Source: Obesity Surgery - November 15, 2021 Category: Surgery Source Type: research

Role of Endoscopic Internal Drainage in Treating Gastro-Bronchial and Gastro-Colic Fistula After Sleeve Gastrectomy
ConclusionsDespite complete fistula healing was achieved in less than 50% of our population, EID for GB/GC fistula after LSG still represents the most conservative approach with low complications rate. Previous surgical drainage seems to be a positive prognostic factor for endoscopic healing. While the longer the interval between the index surgery and endoscopic treatment, the lower was the rate of treatment success.Graphical abstract (Source: Obesity Surgery)
Source: Obesity Surgery - November 15, 2021 Category: Surgery Source Type: research

Assessment of Cardiorespiratory and Metabolic Responses in Women with Obesity After Surgically Induced Weight Loss: Results from a Pilot Study
AbstractPurposeBariatric surgery is effective in controlling severe obesity. However, studies investigating the impact of surgically induced weight loss on cardiorespiratory and metabolic responses during maximal effort are controversial. The aim of this study was to assess cardiorespiratory and metabolic responses in women with obesity after bariatric surgery.Materials and MethodsWe performed a secondary analysis on data from a pilot study with women with obesity submitted to bariatric surgery and who did not participate in a controlled physical training program. Anthropometry, pulmonary function (spirometry), and cardior...
Source: Obesity Surgery - November 15, 2021 Category: Surgery Source Type: research

Nutritional Deficiencies Among Adolescents Before and After Sleeve Gastrectomy: First Study with  9-Year Follow-up
ConclusionAdolescents had several preoperative nutritional deficiencies, most of which worsened or persisted on the long term. This is the first study among adolescents to assess such deficiencies beyond 5  years.Graphical Abstract (Source: Obesity Surgery)
Source: Obesity Surgery - November 13, 2021 Category: Surgery Source Type: research

Why Good Preoperative Control of Diabetes Is Important in Patients Undergoing Metabolic Bariatric Surgery
(Source: Obesity Surgery)
Source: Obesity Surgery - November 13, 2021 Category: Surgery Source Type: research

Patient Preparation for and Criteria to Progress to Bariatric Surgery Are Not Standardized Across the UK: Results of a National Survey
(Source: Obesity Surgery)
Source: Obesity Surgery - November 12, 2021 Category: Surgery Source Type: research

Incidental Gastrointestinal Stromal Tumors (GIST) During Laparoscopic Sleeve Gastrectomy Procedures: a Retrospective Study
ConclusionThe incidental rate of GIST in the excised portion of the stomach in our 305 obese patients who underwent LSG is 6/305 (1.97%). This adds relevant data to the overall goal of determining whether obesity is a risk factor for GIST. Radical surgical resection of these tumors with adequate disease-free margins performed on a low-grade malignancy serves as a definitive oncological treatment, especially when there is an intact pseudocapsule.Graphical abstract (Source: Obesity Surgery)
Source: Obesity Surgery - November 10, 2021 Category: Surgery Source Type: research

Sex-Specific Differences in Mortality of Patients with a History of Bariatric Surgery: a Nation-Wide Population-Based Study
AbstractPurposeBariatric surgery reduces mortality in patients with severe obesity and is predominantly performed in women. Therefore, an analysis of sex-specific differences after bariatric surgery in a population-based dataset from Austria was performed. The focus was on deceased patients after bariatric surgery.Materials and MethodsThe Austrian health insurance funds cover about 98% of the Austrian population. Medical health claims data of all Austrians who underwent bariatric surgery from 01/2010 to 12/2018 were analyzed. In total, 19,901 patients with 107,806 observed years postoperative were eligible for this analysi...
Source: Obesity Surgery - November 9, 2021 Category: Surgery Source Type: research

Duodeno-Ileal Anastomosis with Self-Assembling Magnets: Initial Concepts and Basis of This Operation
(Source: Obesity Surgery)
Source: Obesity Surgery - November 8, 2021 Category: Surgery Source Type: research

Biography: Christine Stroh, MD
(Source: Obesity Surgery)
Source: Obesity Surgery - November 8, 2021 Category: Surgery Source Type: research

The Role of Relaparoscopy in the Management of Early Bariatric Surgery Complications and 30-Day Outcome: a Tertiary Centre Experience
(Source: Obesity Surgery)
Source: Obesity Surgery - November 5, 2021 Category: Surgery Source Type: research

The Impact of Bariatric Surgery on Diverticulitis Outcomes and Risk of Recurrent Hospitalizations in Adults with Clinically Severe Obesity
ConclusionThis study is first to show improved outcomes and less recurrent hospitalizations for diverticulitis after bariatric surgery compared to patients with clinically severe obesity. Further studies are needed to understand mechanisms leading to this improvement and the role of weight loss in prevention of severe diverticulitis.Graphical abstract (Source: Obesity Surgery)
Source: Obesity Surgery - November 3, 2021 Category: Surgery Source Type: research

Endoscopic Stent Placement Can Successfully Treat Gastric Leak Following Laparoscopic Sleeve Gastrectomy If and Only If an Esophagoduodenal Megastent Is Used
AbstractPurposeGastric staple line leakage (GL) is a serious complication of laparoscopic sleeve gastrectomy (LSG), with a specific mortality ranging from 0.2 to 3.7%. The current treatment of choice is stent insertion. However, it is unclear whether the type of stent which is inserted affects treatment outcome. Therefore, we aimed not only to determine the effectiveness of stent treatment for GL but also to specifically clarify whether treatment outcome was dependent on the type of stent (small- (SS) or megastent (MS)) which was used.Patients and MethodsA single-centre retrospective study of 23 consecutive patients was co...
Source: Obesity Surgery - November 3, 2021 Category: Surgery Source Type: research