Plasma SHBG Levels as an Early Predictor of Response to Bariatric Surgery
ConclusionsOur results showed for the first time that increase in plasma SHBG levels within the first month after BS is a good predictor of TWL and WR response after 2  years.Graphical Abstract (Source: Obesity Surgery)
Source: Obesity Surgery - January 6, 2024 Category: Surgery Source Type: research

The Utilisation of Digital Applications for Measuring Patient Outcomes Following Bariatric Surgery: a Systematic Review and Meta-analysis of Comparative Studies
AbstractIn the context of escalating obesity rates, bariatric surgery holds a crucial role in managing severely obese patients. With a demonstrated effectiveness in weight loss and with the advent of ambulatory surgery, bariatric surgery allows for a streamlined care pathway, ideally suited for postoperative surveillance using digital health applications. The aim of this systematic review and meta-analysis is to evaluate the effect of eHealth-delivered health services or support for adults undergoing bariatric surgery. Five studies, encompassing 2210 patients, were analysed. The intervention group showed a 10% increase in ...
Source: Obesity Surgery - January 6, 2024 Category: Surgery Source Type: research

Outcomes of Concurrent Hiatus Hernia Repair with Different Bariatric Surgery Procedures
(Source: Obesity Surgery)
Source: Obesity Surgery - January 6, 2024 Category: Surgery Source Type: research

Reply to “Innovative Endoscopic Approach for Staple Line Leaks Following Sleeve Gastrectomy: Promising Outcomes with Considerable Concerns”
(Source: Obesity Surgery)
Source: Obesity Surgery - January 6, 2024 Category: Surgery Source Type: research

Management of Malnutrition and Hepatic Impairment After Duodenal Switch
ConclusionsWhile refractory malnutrition and/or liver failure are rare among patients post-DS, if underdiagnosed and untreated, this can lead to irreversible outcomes and death. All revisional procedures included in this study resulted in improvement of the nutritional status and reversal of liver impairment, with low complication rates.Graphical Abstract (Source: Obesity Surgery)
Source: Obesity Surgery - January 5, 2024 Category: Surgery Source Type: research

Implementation of Artificial Intelligence –Based Computer Vision Model for Sleeve Gastrectomy: Experience in One Tertiary Center
ConclusionsThe AI model provides a fully automated SG video analysis. Outcomes suggest its accuracy in four of five safety milestone annotations. This data is valuable, as it reflects objective performance measures which can help us improve the surgical quality and efficiency of SG. Larger cohorts will enable SG standardization and clinical correlations with outcomes, aiming to improve patients ’ safety.Graphical Abstract (Source: Obesity Surgery)
Source: Obesity Surgery - January 5, 2024 Category: Surgery Source Type: research

Perioperative Dexmedetomidine Infusion Improves Perioperative Care of Bariatric-Metabolic Surgery: A Single Center Experience with Meta-Analysis
ConclusionBased on our limited experience, PDI could be a practical solution to alleviate pain and PONV in Asian patients undergoing BMS. Moreover, it might reduce the need for rescue painkillers with better postoperative pain management for patients with type II diabetes mellitus or longer surgical time.Graphical Abstract (Source: Obesity Surgery)
Source: Obesity Surgery - January 5, 2024 Category: Surgery Source Type: research

Two-Year Study on the Impact of Sleeve Gastrectomy on Depressive and Anxiety Symptoms in Adolescents and Young Adults with Moderate to Severe Obesity
ConclusionNo change was found in depressive and anxiety symptomatology following surgery despite marked weight reduction over a 2-year period, underscoring the need to better evaluate psychopathology in youth undergoing SG to develop supportive therapeutic strategies.ClinicalTrials.gov IdentifierNCT02557438https://clinicaltrials.gov/ct2/show/NCT02557438?id=NCT02557438&draw=2&rank=1; The study was registered on 23 September 2015.Graphical Abstract (Source: Obesity Surgery)
Source: Obesity Surgery - January 4, 2024 Category: Surgery Source Type: research

Using the 5-Item Medication Adherence Report Scale (MARS-5) to Screen for Non-adherence to Vitamin and Mineral Supplementation After Bariatric Surgery
ConclusionMARS-5 demonstrated acceptable psychometric properties for assessment of adherence to vitamin and mineral supplementation post bariatric surgery.Graphical Abstract (Source: Obesity Surgery)
Source: Obesity Surgery - January 4, 2024 Category: Surgery Source Type: research

Bariatric Surgery as a Bridge to Facilitate Renal Transplantation in Patients with End-Stage Renal Disease
ConclusionBS in patients with RF increased access to RT and was safe and effective. We therefore recommend consideration of BS in patients with obesity and RF in specialised units.Graphical Abstract (Source: Obesity Surgery)
Source: Obesity Surgery - January 4, 2024 Category: Surgery Source Type: research

Perceived Benefits of Bariatric Surgery: Patient Perspectives
ConclusionsOur observational pilot study demonstrated that patients value functional benefits after substantial weight loss the most, but that metabolic benefits and social/mental health benefits are also considered important.Graphical Abstract (Source: Obesity Surgery)
Source: Obesity Surgery - January 4, 2024 Category: Surgery Source Type: research

Intra-operative Tranexamic Acid Administration Significantly Decreases Incidence of Postoperative Bleeding Without Increasing Venous Thromboembolism Risk After Laparoscopic Sleeve Gastrectomy: a Retrospective Cohort Study of Over 400 Patients
ConclusionsThis is the largest cohort study of intra-operative TXA in primary LSG to date, which demonstrates significant decrease in postoperative bleeding without increasing VTE risk. The authors recommend administration of TXA immediately following leak test, or removal of bougie to maximise efficacy. Data of TXA in LSG is awaited from the randomised controlled PATAS trial.Graphical Abstract (Source: Obesity Surgery)
Source: Obesity Surgery - January 3, 2024 Category: Surgery Source Type: research

Outcomes of SADI and OAGB Compared to RYGB from the Metabolic and Bariatric Surgery Quality Improvement Program: The North American Experience
ConclusionMore SADIs and OAGBs are being performed. However, there were higher complication rates associated with the SADI procedure. Further studies will be needed to better understand the key drivers for these outcomes.Graphical Abstract (Source: Obesity Surgery)
Source: Obesity Surgery - January 3, 2024 Category: Surgery Source Type: research

Positive Program Evaluation and Health Maintenance among Post-Metabolic and Bariatric Surgery Patients Following a 6-Week Pilot Program
ConclusionFollowing the program, weight loss was maintained among both intervention and control groups. Intervention feedback indicated that the program ’s approach to provide nutrition education and support was successful and acceptable. Future enhancement of the intervention should include a broader multidisciplinary approach, longer intervention period, and intentional recruitment of participants with a weight regain.Graphical Abstract (Source: Obesity Surgery)
Source: Obesity Surgery - January 3, 2024 Category: Surgery Source Type: research

Sleeve Gastrectomy Surgery makes Obstructive Sleep Apnea Worse or Better?: a Multi-Center Observational Study in Patients with Obesity
ConclusionLSG demonstrated effectiveness in improving OSA among patients with obesity. The study highlights the importance of preoperative hypertension evaluation and postoperative management in patients undergoing LSG. Further long-term, multicenter, and large-scale studies are recommended to validate and generalize these findings to diverse patient populations.Graphical abstract (Source: Obesity Surgery)
Source: Obesity Surgery - January 2, 2024 Category: Surgery Source Type: research