Lymphatic Chyle Duct Injury and Identification During Laparoscopic Sleeve Gastrectomy Preventing Postoperative Chylous Ascites
We present a case of intraoperative detection of an iatrogenic chyle duct injury during laparoscopic sleeve gastrectomy. The chyle duct injury was identified and managed by ligature, preventing postoperative chylous ascites. (Source: Obesity Surgery)
Source: Obesity Surgery - April 8, 2024 Category: Surgery Source Type: research

The Effect of Depth of Anesthesia on Postoperative Pain in Laparoscopic Sleeve Gastrectomy: A Randomized Controlled Trial
ConclusionsFor patients with obesity, maintaining a deeper depth of anesthesia during surgery is beneficial to reduce APP causes less need for additional analgesic drugs, and improves patient satisfaction.Graphical Abstract (Source: Obesity Surgery)
Source: Obesity Surgery - April 8, 2024 Category: Surgery Source Type: research

Response to Dr. Buchwald
(Source: Obesity Surgery)
Source: Obesity Surgery - April 8, 2024 Category: Surgery Source Type: research

Development and Evaluation of a Quality Assessment Tool for Laparoscopic Sleeve Gastrectomy Videos: A Review and Comparison of Academic and Online Video Resources
ConclusionsVideos published in the academic literature are describing steps in greater detail with more emphasis on specific technical elements and patient outcomes and thus have a higher educational value. A new quality assessment tool has been proposed for video reporting guidelines to improve the reliability and value of published video research.Graphical abstract (Source: Obesity Surgery)
Source: Obesity Surgery - April 6, 2024 Category: Surgery Source Type: research

Short-Term Changes in Weight, Body Composition, and Metabolic Biomarkers After Laparoscopic Sleeve Gastrectomy in Patients with Obesity: A Comparative Prospective Study
ConclusionLGS significantly improves weight, body composition, and metabolic biomarkers in populations with obesity, regardless of whether they have MS. Among the body composition, VFA and LF were the most significantly improved body composition measurements.Graphical Abstract (Source: Obesity Surgery)
Source: Obesity Surgery - April 6, 2024 Category: Surgery Source Type: research

Brazilian Version of the Yale Food Addiction Scale for Individuals with Severe Obesity
ConclusionMuch like the YFAS 2.0 in other languages, the BR-YFAS 2.0-Obes presented adequate convergent validity, reliability, and one-factor structure results, which makes it suitable for Brazilian candidates for bariatric surgery or any individual who is within BMI  >   = 30 kg/m2.Graphical Abstract (Source: Obesity Surgery)
Source: Obesity Surgery - April 6, 2024 Category: Surgery Source Type: research

Risk Factors for Chronic Abdominal Pain After RYGB: Are Patients Adequately Selected Beforehand?
ConclusionPostoperative complications and diagnosis of depression are risk factors for chronic pain after RYGB. The role of the bariatric MDT remains crucial to select these patients adequately beforehand.Graphical Abstract (Source: Obesity Surgery)
Source: Obesity Surgery - April 5, 2024 Category: Surgery Source Type: research

Bariatric Surgery Improves Serum CD40L Levels as a Predictor of Cardiovascular Risk: Systematic Review and Meta-analysis
AbstractCD40 and its ligand have been recently implicated in the pathogenesis of cardiovascular disease (CVD). This meta-analysis examined the effect of bariatric surgery in reducing circulating CD40L levels. A systematic review was performed using Embase, Google Scholar, PubMed, Scopus, and Web of Science. The meta-analysis was provided by Comprehensive Meta-Analysis (CMA) V4 software. The overall effect size was detected by a random-effects meta-analysis and the leave-one-out approach. Random-effects meta-analysis of 7 studies including 191 subjects showed a significant reduction in CD40L after bariatric surgery (standar...
Source: Obesity Surgery - April 5, 2024 Category: Surgery Source Type: research

Weight Loss with an AI-Powered Digital Platform for Lifestyle Intervention
ConclusionAn AI-assisted lifestyle intervention allowed people with different body sizes to lose 14% body weight on average, with 99% of them losing more than 5%, over 24  weeks. These results show that digital technologies and AI might provide a successful means to lose weight, before, during, and after pharmacological or surgical therapies.Graphical Abstract (Source: Obesity Surgery)
Source: Obesity Surgery - April 4, 2024 Category: Surgery Source Type: research

Medium and Long-Term Weight Loss After Revisional Bariatric Surgery: A Systematic Review and Meta-Analysis
AbstractDespite the current increase in revisional bariatric surgery (RBS), data on the sustainability of weight loss remain unclear. A systematic review and meta-analysis were performed to assess weight loss outcomes in adult patients undergoing RBS with follow-up  >  2 years. Twenty-eight observational studies (n = 2213 patients) were included. The %TWL was 27.2 (95%CI = 23.7 to 30.6), and there was a drop in BMI of 10.2 kg/m2 (95%CI  =  − 11.6 to − 8.7). The %EWL was 54.8 (95%CI = 47.2 to 62.4) but with a high risk of publication bias (Egger’s test = 0.003). The overall quality...
Source: Obesity Surgery - April 4, 2024 Category: Surgery Source Type: research

External Oblique Intercostal Plane Block Versus Port-Site Infiltration for Laparoscopic Sleeve Gastrectomy: A Randomized Controlled Study
ConclusionEOI block can be used as a part of multimodal analgesia due to its simplicity and effective postoperative analgesia in LSG.Graphical Abstract (Source: Obesity Surgery)
Source: Obesity Surgery - April 2, 2024 Category: Surgery Source Type: research

Dexamethasone and Dexmedetomidine: A Synergistic Approach to Reduce Postoperative Nausea and Vomiting in Bariatric Surgery Patients
(Source: Obesity Surgery)
Source: Obesity Surgery - April 2, 2024 Category: Surgery Source Type: research

Routine Upper Gastrointestinal Series Post-bariatric Surgery: Predictors, Usage, and Utility
ConclusionRoutine UGI series may be of limited value for the detection of anastomotic leaks after gastric bypass or sleeve gastrectomy and patients should undergo routine imaging based on clinical parameters. Gastric bypass procedure and female gender were factors increasing the likelihood of routine post-operative UGI. Further larger scale analysis of this important topic is warranted.Graphical Abstract (Source: Obesity Surgery)
Source: Obesity Surgery - April 2, 2024 Category: Surgery Source Type: research

Predictors of Chronic Pain 6 Months and 1 Year After Bariatric Surgery
ConclusionCP decreases after bariatric surgery, but further research with larger sample sizes is needed to establish whether psychosocial characteristics impact this outcome.Graphical Abstract (Source: Obesity Surgery)
Source: Obesity Surgery - April 2, 2024 Category: Surgery Source Type: research

A Dutch Survey on Medication Adjustments after Metabolic and Bariatric Surgery: Experiences of Bariatric Surgeons, Internists, Pharmacists, and General Practitioners
ConclusionsThe majority of prescribers and pharmacists believe that patients will receive better pharmacotherapy if healthcare professionals take MBS into account. However, not all prescribers think they are competent to act adequately. To improve this, information on changed drug effects after MBS should be more widely shared among healthcare professionals via resources that are easily accessible.Graphical Abstract (Source: Obesity Surgery)
Source: Obesity Surgery - April 2, 2024 Category: Surgery Source Type: research