Outcomes in Super Obese Patients Undergoing One Anastomosis Gastric Bypass or Laparoscopic Sleeve Gastrectomy
AbstractIntroductionThe data on the role of OAGB in super obese patients and its direct comparison with LSG in super obese patients is scarce.ObjectivesTo compare weight loss, impact on comorbidities and nutritional parameters between LSG and OAGB in super obese patients.MethodsProspectively collected data of 75 matched patients with BMI  >  50, who underwent either laparoscopic sleeve gastrectomy (LSG) or one anastomosis gastric bypass (OAGB), was analyzed retrospectively. Percentage excess weight loss at 1 year and impact on comorbidities were compared in both the groups.ResultsBoth the groups were ...
Source: Obesity Surgery - January 18, 2019 Category: Surgery Source Type: research

Esophageal Squamous Cell Carcinoma After Adjustable Gastric Banding
We present a case of a 49-year-old female who consulted for dysphagia, epigastric pain, and anorexia 17  years after LAGB. An esophageal squamous cell carcinoma was diagnosed in the distal esophagus, close to the lap band. The diagnostic value of the performed contrast swallow study seemed limited. We suggest that a routinely gastroscopic evaluation in the long-term follow-up after LAGB should be str ived for in patients presenting with late-onset dysphagia. (Source: Obesity Surgery)
Source: Obesity Surgery - January 18, 2019 Category: Surgery Source Type: research

Maj. Gen. Prof Khalid Bin Ali Al Khalifa
(Source: Obesity Surgery)
Source: Obesity Surgery - January 17, 2019 Category: Surgery Source Type: research

Patient Perspectives on Adherence with Micronutrient Supplementation After Bariatric Surgery
ConclusionsThis study is the first attempt to understand patient perspectives on poor adherence to post-bariatric surgery nutritional recommendation. Patients offered a number of explanations and also provided with suggestions on how to improve it. (Source: Obesity Surgery)
Source: Obesity Surgery - January 16, 2019 Category: Surgery Source Type: research

A 5-Year History of Laparoscopic Gastric Band Removals: an Analysis of Complications and Associated Comorbidities
ConclusionThis study supports current literature suggesting LAGB may not be an effective long-term surgical intervention for obesity. Patients with>  2 comorbidities had increased rates of removal. Dysphagia was noted to be the primary reason cited for LAGB removal. Postoperative follow-up was found to be a significant challenge for LAGB removal patients. Further study is warranted to explore if these poor follow-up rates should be considered when risk stratifying LAGB patients for revisional surgery. (Source: Obesity Surgery)
Source: Obesity Surgery - January 16, 2019 Category: Surgery Source Type: research

Risk Factors for Relapse of Hyperglycemia after Laparoscopic Roux-en-Y Gastric Bypass in T2DM Obese Patients: a 5-Year Follow-Up of 24 Cases
ConclusionsThe preoperative HbA1c level and C-peptide level at surgery have an important significance in predicting the relapse of hyperglycemia after LRYGB surgery; lifestyle intervention is crucial for these patients. (Source: Obesity Surgery)
Source: Obesity Surgery - January 15, 2019 Category: Surgery Source Type: research

Letter: Celiac Disease Presenting After a Single Anastomosis Duodeno-Ileal Bypass and Sleeve Gastrectomy
(Source: Obesity Surgery)
Source: Obesity Surgery - January 12, 2019 Category: Surgery Source Type: research

Prevalence of Dumping Syndrome After Laparoscopic Sleeve Gastrectomy and Comparison with Laparoscopic Roux-en-Y Gastric Bypass
ConclusionDumping syndrome after LSG is prevalent but has not been widely reported. This finding may impact clinicians and patients in their choice of procedure and has relevance in post-operative education and care. (Source: Obesity Surgery)
Source: Obesity Surgery - January 11, 2019 Category: Surgery Source Type: research

Weight Loss After Bariatric Surgery Predicts an Improvement in the Non-alcoholic Fatty Liver Disease (NAFLD) Fibrosis Score
ConclusionBariatric surgery results in weight reduction as well as an improvement in the NAFLD fibrosis score. The degree of weight loss predicts the extent of improvement in NAFLD fibrosis scores. More long-term studies need to be conducted to assess if this effect is permanent. (Source: Obesity Surgery)
Source: Obesity Surgery - January 11, 2019 Category: Surgery Source Type: research

Short-Term Outcomes of Sleeve Gastrectomy plus Jejunojejunal Bypass: a Retrospective Comparative Study with Sleeve Gastrectomy and Roux-en-Y Gastric Bypass in Chinese Patients with BMI  ≥ 35 kg/m 2
AbstractBackgroundBariatric surgery represents the most effective treatment for obesity and its related comorbidities. The present study aims to evaluate the efficacy and safety of sleeve gastrectomy plus jejunojejunal bypass (SG + JJB).MethodsThis retrospective study included 244 obese patients with BMI  ≥ 35 kg/m2 undergoing SG + JJB (n = 83), SG (n = 82), and Roux-en-Y gastric bypass (RYGB) (n = 79). Postoperative weight loss, metabolic outcomes, nutrition status, and patients’ complaints at 1-year follow-up were compared. Subgroup analyses (36 pairs ...
Source: Obesity Surgery - January 11, 2019 Category: Surgery Source Type: research

Influence of Preoperative Weight Loss on Outcomes of Bariatric Surgery for Patients Under the Enhanced Recovery After Surgery Protocol
AbstractIntroductionThe enhanced recovery after surgery (ERAS) protocol, which emphasizes preoperative interventions, is safely implemented in patients undergoing bariatric surgery. Patients are additionally encouraged to achieve weight loss preoperatively. We aimed to identify factors contributing to preoperative weight loss and assess their influence on outcomes of bariatric surgery among patients under the ERAS protocol.Materials and MethodsWe reviewed a prospectively created database in two bariatric centers with 909 bariatric patients treated in accordance with ERAS principles. The database included demographic charac...
Source: Obesity Surgery - January 10, 2019 Category: Surgery Source Type: research

Impact of Oral-Cecal Transit Time on the Interpretation of Lactulose Breath Tests After RYGB: a Personalized Approach to the Diagnosis of SIBO
ConclusionA personalized approach of combining LBT with SBFT to assess OCTT may improve the accuracy of SIBO testing and enhance clinical outcomes in patients with RYGB. (Source: Obesity Surgery)
Source: Obesity Surgery - January 9, 2019 Category: Surgery Source Type: research

Effect of the EndoBarrier Device: a 4-Year Follow-up of a Multicenter Randomized Clinical Trial
ConclusionsThe effect of weight reduction of initial DJBL treatment seems to be diminished after 4  years of follow-up. However, larger prospective studies with long-term follow-up need to be conducted in the future. (Source: Obesity Surgery)
Source: Obesity Surgery - January 9, 2019 Category: Surgery Source Type: research

The First Report about the Laparoscopic Sleeve Gastrectomy-Induced Lactose Intolerance
AbstractThe impact of laparoscopic sleeve gastrectomy (LSG) on the lactose intolerance (LI) remains unclear. We checked 8 men and 34 women with mean body mass index (BMI) of 43.94  ± 5.89 kg/m2 for LI using hydrogen breath test and clinical examination before LSG and at 3  months postoperation. In addition to appropriate weight loss (34.30 ± 5.51 kg/m2), 1 man and 3 women, who had not LI at starting, were suffered from LI at 3  months postoperation. Among these four patients, the most and least LI was seen in women who had the lowest and highest percentage of ex...
Source: Obesity Surgery - January 9, 2019 Category: Surgery Source Type: research

Outcome of Primary Obesity Surgery Endolumenal Procedure as Obesity Treatment in Private Practice Setting: an Intervention Study
(Source: Obesity Surgery)
Source: Obesity Surgery - January 9, 2019 Category: Surgery Source Type: research

Interpersonal Abuse and Long-term Outcomes Following Bariatric Surgery
AbstractBackgroundHistory of abuse may impact weight loss (WL) following bariatric surgery. Some investigations have indicated slower WL rates among patients reporting abuse; however, among studies with multiple assessments, significant differences in WL are not evidenced at later measurement. Few investigations have extended follow-up beyond 18  months, limiting understanding of the impact of abuse on weight trajectory over time. Furthermore, existing research has insufficiently accounted for forms of interpersonal trauma beyond sexual abuse (i.e., emotional, physical) that may impact WL and other health outcomes.Obj...
Source: Obesity Surgery - January 8, 2019 Category: Surgery Source Type: research

Systematization of Nutritional Care In Endoscopic Treatment for Obesity
ConclusionsSpecialized nutritional care is necessary, through a protocol of nutritional assistance defined after gastric endosuture, in order to achieve long-term weight loss and maintenance goals. The BPM can be an excellent form of nutritional education, observing protein intake as a macronutrient base. (Source: Obesity Surgery)
Source: Obesity Surgery - January 8, 2019 Category: Surgery Source Type: research

TGR5 Protects Against Colitis in Mice, but Vertical Sleeve Gastrectomy Increases Colitis Severity
ConclusionsWhile our data demonstrate that TGR5 protects against colitis, they also demonstrate that VSG potentiates chemically induced colitis in mice. These data suggest that individuals undergoing VSG may be at increased risk for developing colitis; however, further study is needed. (Source: Obesity Surgery)
Source: Obesity Surgery - January 8, 2019 Category: Surgery Source Type: research

Short- and Long-Term Effects of Bariatric Surgery on Vascular Phenotype
This study assessed short- and long-term micro- and macrovascular improvements after bariatric surgery (BS).MethodsSixteen patients (44  ± 12 years) underwent BS in this observational study. Two weeks before as well as 6 weeks and 4 years after surgery, retinal vessel analysis and assessment of brachial-ankle pulse wave velocity (baPWV), cardio-ankle vascular index (CAVI), and anthropometry were performed. Three patients wer e lost to follow-up.ResultsSix weeks after BS, retinal arteriolar diameters (CRAE) were wider (180.1  μm vs. 188.1 μm;p = 0.001), and t...
Source: Obesity Surgery - January 8, 2019 Category: Surgery Source Type: research

Current Controversies in Metabolic Surgery for Nonalcoholic Fatty Liver Disease
AbstractNonalcoholic fatty liver disease (NAFLD) represents the most common liver disease, and it is expected to become the leading cause of end-stage liver disease in the near future. Bariatric operations have beneficial effects on NAFLD, inducing histological resolution of liver damage through weight loss-dependent and weight loss-independent mechanisms. Due to lack of randomized controlled trials, no specific guidelines have been established so far. Yet there is growing evidence that NAFLD will eventually become a formal indication for metabolic surgery. Data regarding the choice of procedure are conflicting, although g...
Source: Obesity Surgery - January 8, 2019 Category: Surgery Source Type: research

Cardiogastric Fistula as a Rare Complication After Gastric Banding and Hiatal Hernia Surgery
(Source: Obesity Surgery)
Source: Obesity Surgery - January 8, 2019 Category: Surgery Source Type: research

Applying Enhanced Recovery After Bariatric Surgery (ERABS) Protocol for Morbidly Obese Patients With End-Stage Renal Failure
ConclusionOur study shows that ERAS in this population has overall minimal adverse events and lack of any ERAS-related complications. (Source: Obesity Surgery)
Source: Obesity Surgery - January 7, 2019 Category: Surgery Source Type: research

Operating on the Edge? Body Contouring Procedures in Patients with Body Mass Index Greater 35
ConclusionA reasonable risk for complications is well known in body contouring surgery especially in obese patients. It is imperative to discuss related risks and expected results. Taking several points into account concerning the perioperative management, reduction of major complications is possible even in still obese patients, making body contouring surgery a discussible option. (Source: Obesity Surgery)
Source: Obesity Surgery - January 7, 2019 Category: Surgery Source Type: research

The Role of the Nutritionist in a Multidisciplinary Bariatric Surgery Team
(Source: Obesity Surgery)
Source: Obesity Surgery - January 7, 2019 Category: Surgery Source Type: research

Sorting out the Myths from the Facts: Commentary on “The Relationship Between Histopathologic Findings and Body Mass Index in Sleeve Gastrectomy Materials” (Commentary)
(Source: Obesity Surgery)
Source: Obesity Surgery - January 7, 2019 Category: Surgery Source Type: research

The Safety and Efficacy of Procedureless Gastric Balloon: a Study Examining the Effect of Elipse Intragastric Balloon Safety, Short and Medium Term Effects on Weight Loss with 1-Year Follow-Up Post-removal
ConclusionEIGB are effective, safe, and feasible non-invasive method for weight loss. (Source: Obesity Surgery)
Source: Obesity Surgery - January 7, 2019 Category: Surgery Source Type: research

Bariatric Surgery Outcomes in Appalachia Influenced by Surgery Type, Diabetes, and Depression
ConclusionsFindings suggest patients completing surgery within an Appalachian region have successful surgical outcomes at 1-year post-surgery, as indicated by significant reductions of>  50% EWL, regardless of other covariates. Results suggest that bariatric programs should consider paying special consideration to patients with T2D or depressive symptoms to improve outcomes. Results have potential to inform future prospective studies and aid in guiding specific interventions tail ored to address needs of this unique population. (Source: Obesity Surgery)
Source: Obesity Surgery - January 6, 2019 Category: Surgery Source Type: research

The Impact of Roux-en-Y Gastric Bypass on Bone Remodeling Expressed by the P1NP/ βCTX Ratio: a Single-Center Prospective Cohort Study
ConclusionFollowing RYGB, bone remodeling increases, with a shift toward degradation. This effect seems to be weight-loss independent and shows a correlation with age,  with the level of systemic inflammation, and with nutritional state. The risk of fractures should be assessed systematically in bariatric patients and measures of prevention should be improved accordingly. (Source: Obesity Surgery)
Source: Obesity Surgery - January 6, 2019 Category: Surgery Source Type: research

The Effects of Probiotic Supplements on Blood Markers of Endotoxin and Lipid Peroxidation in Patients Undergoing Gastric Bypass Surgery; a Randomized, Double-Blind, Placebo-Controlled, Clinical Trial with 13  Months Follow-Up
This study was conducted to assess the effect of probiotic supplements on blood markers of endotoxin (lipopolysaccharides-binding protein: LBP), inflammation and lipid peroxidation (malondialdehyde: MDA) in patients with morbid obesity undergoing the one-anastomosis gastric bypass (OAGB).MethodsThis study is a placebo-controlled, double-blind, and randomized clinical trial and 9  months of additional follow-up. Forty-six morbid obese patients undergoing OAGB were randomized to 4 months of probiotic or placebo supplements. Anthropometric indices and blood concentration of LBP, inflammatory markers, MDA, vitamin D3...
Source: Obesity Surgery - January 5, 2019 Category: Surgery Source Type: research

Does Lung Compliance Optimization Through PEEP Manipulations Reduce the Incidence of Postoperative Hypoxemia in Laparoscopic Bariatric Surgery? A Randomized Trial
AbstractBackgroundIn obese patients (OP), the best intraoperative ventilation strategy remains to be defined. Dynamic lung compliance (Cdyn) and dead space fraction are indicators of efficient ventilation at an optimal positive end-expiratory pressure (PEEP). Herein, we investigated whether intraoperative dynamic lung compliance optimization through PEEP manipulations affects the incidence of postoperative hypoxemia (SpO2 
Source: Obesity Surgery - January 5, 2019 Category: Surgery Source Type: research

Adolescent Bariatric Surgery: Effects of Socioeconomic, Demographic, and Hospital Characteristics on Cost, Length of Stay, and Type of Procedure Performed
ConclusionSocioeconomic and demographic factors as well as hospital characteristics affect not only the LOS and treatment cost, but also the type of bariatric surgery performed in adolescents. Identifying and understanding the factors influencing procedure choice, treatment cost, and LOS can improve care and healthcare resource utilization. (Source: Obesity Surgery)
Source: Obesity Surgery - January 5, 2019 Category: Surgery Source Type: research

Predictors of a Healthy Eating Disorder Examination-Questionnaire (EDE-Q) Score 1  Year After Bariatric Surgery
ConclusionBS seems to promote successful treatment of self-reported eating disorder symptoms during the first postoperative year. The achievement of optimal results is independent of age, sex, weight loss, obesity-related comorbidity status, surgical technique, or 30-day surgical complications. Future studies, using validated questionnaires specifically designed to investigate eating behavior after BS and/or direct measurements of the eating behavior are needed to clarify the underlying neuropsychologic mechanisms that drive the observed postoperative changes. (Source: Obesity Surgery)
Source: Obesity Surgery - January 4, 2019 Category: Surgery Source Type: research

Comparison of Diabetes Remission and Micronutrient Deficiency in a Mildly Obese Diabetic Rat Model  Undergoing SADI-S Versus RYGB
ConclusionIn mildly obese diabetic rat, SADI-S and RYGB procedures have comparable efficacy in diabetes remission and risk of micronutrient deficiency. These data show that each of the surgery accomplishes diabetes improvements through both overlapping and distinct mechanisms requiring further investigation. (Source: Obesity Surgery)
Source: Obesity Surgery - January 4, 2019 Category: Surgery Source Type: research

Comparison of Energy and Food Intake Between Gastric Bypass and Sleeve Gastrectomy: a Meta-analysis and Systematic Review
AbstractObesity is a developed nutritional problem, and today, surgery is one of the approaches to cure it. A good understanding of the variations in food intake will be beneficial for sustaining long-term weight loss post-surgery and for improving nutrition care strategies. The purpose of this review was the comparison of the impact of two methods of gastric bypass (GBP) and sleeve gastrectomy (SG) on dietary intake. Databases of PubMed, Embase, Scopus, Google Scholar, and Web of science were used for the literature search up to June 2018. We concluded the studies that measured mean daily energy intake and the percent of ...
Source: Obesity Surgery - January 4, 2019 Category: Surgery Source Type: research

Unexpected Intraoperative Findings, Situations, and Complications in Bariatric Surgery
ConclusionUnexpected intraoperative findings/complications are common in bariatric surgery, but without increasing morbidity or length of stay. Surgery suspension, change in the planned technique, or adding extra (non-bariatric) procedures may occur. (Source: Obesity Surgery)
Source: Obesity Surgery - January 4, 2019 Category: Surgery Source Type: research

Response to Letter to the Editor Re: “EUS-Guided Intragastric Injection of Botulinum Toxin A in the Preoperative Treatment of Super-Obese Patients: a Randomized Clinical Trial”
(Source: Obesity Surgery)
Source: Obesity Surgery - January 4, 2019 Category: Surgery Source Type: research

Early Experience with Intraoperative Leak Test Using a Blend of Methylene Blue and Indocyanine Green During Robotic Gastric Bypass Surgery
ConclusionsLeak tests using a blend of MB and ICG appear to be more sensitive for small defect detection of gastrojejunal anastomoses during robotic gastric bypass surgery. Larger datasets and research that is more stringent are needed to determine the exact clinical value of this new method. (Source: Obesity Surgery)
Source: Obesity Surgery - January 3, 2019 Category: Surgery Source Type: research

Does Metabolic Surgery Lead to Diabetes Remission in Patients with BMI & lt;  30 kg/m 2 ?: a Meta-analysis
AbstractBackgroundBariatric surgery has demonstrated to be effective in remission of type 2 diabetes in obese patients, but it is unclear in non-obese patients. The aim of this study is to investigate if metabolic surgery is effective in diabetes resolution in patients with BMI
Source: Obesity Surgery - January 2, 2019 Category: Surgery Source Type: research

Which Is a Good Diet —Veg or Non-veg? Faith-Based Vegetarianism for Protection From Obesity—a Myth or Actuality?
ConclusionIn an Asian Indian cohort, we found that vegetarian dietary patterns were associated with a higher incidence of morbid obesity culminating in bariatric surgery. Our study is a myth breaker that all vegetarian diets are healthy diets. Our findings can be utilized to discourage refined and processed food consumption and promote healthy vegetarian food choices. (Source: Obesity Surgery)
Source: Obesity Surgery - January 2, 2019 Category: Surgery Source Type: research

Crashing NASH in Patients Listed for Bariatric Surgery
(Source: Obesity Surgery)
Source: Obesity Surgery - January 2, 2019 Category: Surgery Source Type: research

Pre-surgical Weight Loss Predicts Post-surgical Weight Loss Trajectories in Adolescents Enrolled in a Bariatric Program
ConclusionsModerate weight loss in a pre-surgical lifestyle-oriented intervention program predicts optimal post-surgical weight loss. Additionally, by assessing risk factors and pre-surgical weight loss patterns, it may be possible to identify sub-populations of adolescents undergoing bariatric surgery at risk of achieving sub-optimal long-term results. (Source: Obesity Surgery)
Source: Obesity Surgery - January 2, 2019 Category: Surgery Source Type: research

Ursodeoxycholic Acid for 6  Months After Bariatric Surgery Is Impacting Gallstone Associated Morbidity in Patients with Preoperative Asymptomatic Gallstones
ConclusionUDCA for 6  months after bariatric surgery seems to reduce the incidence of gallstone-associated morbidity when compared to the current literature. Thus, our results call the concept of prophylactic concomitant cholecystectomy in patients with asymptomatic gallstones into question while at the same time pavin g the way for a future clinical trial. (Source: Obesity Surgery)
Source: Obesity Surgery - January 2, 2019 Category: Surgery Source Type: research

The Role of the Gut Microbiota in Sustained Weight Loss Following Roux-en-Y Gastric Bypass Surgery
ConclusionThese results indicate that the gut microbiota are at least functionally, if not compositionally, different between PWL and SWL patients. Some taxa may contribute to weight gain after surgery. Future studies will need to determine the molecular mechanisms behind the effects of the gut bacteria on weight regain after RYGB. (Source: Obesity Surgery)
Source: Obesity Surgery - January 2, 2019 Category: Surgery Source Type: research

Magnetic Liver Retraction: an Incision-Less Approach for Less Invasive Bariatric Surgery
ConclusionsMagnetic-assisted retraction is a novel approach that allows a safe, reproducible, incision-less technique for unconstrained, port-less intra-abdominal mobilization. The device successfully permitted optimal liver retraction during laparoscopic bariatric surgery, enhancing surgical exposure while decreasing the number of abdominal incisions. (Source: Obesity Surgery)
Source: Obesity Surgery - January 2, 2019 Category: Surgery Source Type: research

Botox or No-Tox?
(Source: Obesity Surgery)
Source: Obesity Surgery - January 2, 2019 Category: Surgery Source Type: research

Reproductive Function Abnormalities and Bariatric Surgery: Is a Matter of Time?
(Source: Obesity Surgery)
Source: Obesity Surgery - January 1, 2019 Category: Surgery Source Type: research

Correction to: Agreement Between Body Composition Assessed by Bioelectrical Impedance Analysis and Doubly Labeled Water in Obese Women Submitted to Bariatric Surgery
The name of author Michele Novaes Ravelli was misspelled in the original article – it is correct here. (Source: Obesity Surgery)
Source: Obesity Surgery - January 1, 2019 Category: Surgery Source Type: research

Letter to Editor on “Taste Changes after Bariatric Surgery: a Systematic Review”
(Source: Obesity Surgery)
Source: Obesity Surgery - January 1, 2019 Category: Surgery Source Type: research

Bariatric or Metabolic Surgery?
(Source: Obesity Surgery)
Source: Obesity Surgery - January 1, 2019 Category: Surgery Source Type: research

Cancer Risk Following Bariatric Surgery —Systematic Review and Meta-analysis of National Population-Based Cohort Studies
This study has analyzed results from registry-based population studies to assess the effect of bariatric surgery upon cancer incidence at a population level. Relevant studies were identified and meta-analysis was used to calculate pooled odds ratios (POR) for the incidence of cancer after bariatric surgery compared to controls. Eight population-based studies were included with 635,642 total patients. Bariatric surgery was associated with a significant reduction in overall cancer incidence (POR  = 0.72; 95% CI 0.59 to 0.87;p = 0.0007) and incidence of obesity-related cancer (POR = 0...
Source: Obesity Surgery - December 27, 2018 Category: Surgery Source Type: research