Invited Commentary: The Impact of Bariatric Surgery on Breastfeeding
The authors of this paper have presented an important literature search regarding a topic not often discussed in the office of the bariatric surgeon. There is much to unpack about this thought process that bears mentioning. First, it is well known that a vast majority of bariatric patients, particularly in the US, are women. Although the median age in many series is over 40, (i.e. generally towards the end of maternal age), we certainly see patients in their prime childbearing years present for consideration of bariatric surgery. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - September 27, 2021 Category: Surgery Authors: John R. Romanelli Source Type: research

Comment on: The role of the total alimentary limb length in Roux-en-Y gastric bypass – A systematic review
We read with interest the systematic review by Wang et al. [1], which adds some new elements to the debate about the risk of protein malnutrition in distal Roux-en-Y gastric bypass (RYGB). (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - September 25, 2021 Category: Surgery Authors: Francesco MARTINI, Niccolo PETRUCCIANI, Arnaud LIAGRE Source Type: research

Safety and effectiveness of one-stage conversion of adjustable gastric band to sleeve gastrectomy: A single-institution, case-control study
Patients are increasingly referred for conversion of adjustable gastric band (LAGB) to Roux-en-Y gastric bypass (LRYGB) or sleeve gastrectomy (SG). The safety of a 1- versus 2-stage approach to this revision is debated. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - September 25, 2021 Category: Surgery Authors: James Senturk, Ragini Sharma, Ali Tavakkoli, Ashley Vernon, David Spector, Malcolm Robinson, Eric Sheu, Scott Shikora Tags: Original articles Source Type: research

Cartoon
(Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - September 16, 2021 Category: Surgery Source Type: research

Editorial Board
(Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - September 16, 2021 Category: Surgery Source Type: research

Table of Contents
(Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - September 16, 2021 Category: Surgery Source Type: research

SOARD Category 1 CME Credit Featured Articles, Volume 17, October 2021
Laura E. Fischer, Bruce M. Wolfe, Nora Fino, Miriam R. Elman, David R. Flum, James E. Mitchell, Alfons Pomp, Walter J. Pories, Jonathan Q. Purnell, Mary-Elizabeth Patti, and the LABS Investigators (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - September 16, 2021 Category: Surgery Tags: Continuing medical education program Source Type: research

Bariatric surgery decreases the number of future hospital admissions for diastolic heart failure in subjects with severe obesity. Retrospective analysis of the US national inpatient sample (NIS) database.
Considerable evidence documents the effectiveness and efficacy of bariatric surgery (BaS) in reducing the prevalence and severity of obesity-related comorbidities. Diastolic heart failure (DHF) is a condition with considerable morbidity and mortality, yet recalcitrant to medical-therapy. Our objectives were to assess whether BaS is associated with a decrease in hospital admissions for DHF; and further assess its impact upon DHF hospital admissions among patients with hypertension (HTN) and coronary artery disease (CAD). (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - September 15, 2021 Category: Surgery Authors: David Romero Funes, David Gutierrez Blanco, Cristina Botero-Fonnegra, Liang Hong, Emanuele Lo Menzo, Samuel Szomstein, Raul J. Rosenthal Tags: ASMBS Guidelines/Statements Source Type: research

Ventricular Conduction Improvement After Pericardial Fat Reduction Triggered by Rapid Weight Loss in Subjects with Obesity Undergoing Bariatric Surgery
Obesity is considered a major cardiovascular risk factor. The excess of pericardial fat (PF) in patients with obesity has been associated with a variety of electrocardiographic alterations. In previous studies, we demonstrated that rapid weight loss and bariatric interventions result in decreased PF. The aim of this study is to report the changes in PF after bariatric surgery and its effect on ventricular conduction. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - September 13, 2021 Category: Surgery Authors: Mauricio Sarmiento-Cobos, Roberto Valera, Cristina Botero Fonnegra, Mileydis Alonso, Carlos Rivera, Lisandro Montorfano, Elliot Wasser, Emanuele Lo Menzo, Samuel Szomstein, Raul J. Rosenthal Tags: Original articles Source Type: research

Metabolic Profiles, Energy Expenditures and Body Compositions of the Weight Regain versus Sustained Weight Loss Patients who Underwent Roux-en-Y Gastric Bypass
Weight regain (WR) has been an emerging problem after Roux-en Y gastric bypass (RYGB) and little is known about the mechanisms of WR after RYGB. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - September 10, 2021 Category: Surgery Authors: Prapimporn Chattranukulchai Shantavasinkul, Phillip Omotosho, Michael J. Muehlbauer, Michael Natoli, Leonor Corsino, Jenny Tong, Dana Portenier, Alfonso Torquati Tags: Original articles Source Type: research

Effects of Bariatric Surgery on the Menstruation and Reproductive Related Hormones of Obese Women without Polycystic Ovary Syndrome: A Systematic Review and Meta-analysis
Bariatric surgery is an effective treatment for severe obesity. Several studies have been conducted on the effects of bariatric surgery on the reproductive function of obese patients without Polycystic Ovary Syndrome (PCOS). (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - September 10, 2021 Category: Surgery Authors: Bo Lv, Chuan Xing, Bing He Source Type: research

Assessment of Baseline Rates of Functional and Absolute Iron Deficiency in Bariatric Surgery Candidates: A Retrospective Study.
Pre-operative optimization of iron status is a priority in candidates for bariatric surgery. Inflammation is strongly associated with obesity, and as a consequence, functional iron deficiency (ID) is potentially an under-reported issue in surgical candidates. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - September 9, 2021 Category: Surgery Authors: Ciara Hegarty, Cathy Breen, Naomi Fearon, Helen Heneghan, Neil G. Docherty, Nana Gletsu Miller Tags: Integrated Health Article Source Type: research

The Effect of Bariatric Surgery on Ischemic Stroke Risk
Metabolic and bariatric surgery (MBS) has demonstrated improvements in diabetes and cardiovascular health. The effect of MBS on the risk of ischemic stroke remains unclear. The goal of this study was to determine the risk of stroke following MBS compared to patients with obesity who qualified for but did not undergo MBS. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - September 9, 2021 Category: Surgery Authors: Michael D. Williams, Seungjun Kim, Marc Sarran, Syed Khalid, Adan Z. Becerra, Alfonso Torquati, Philip Omotosho Tags: ASMBS Guidelines/Statements Source Type: research

Why Earlier May Be Better: A Look at the Use of Metabolic and Bariatric Surgery in the Treatment of Severe Childhood Obesity
Pediatric obesity is a chronic disease which leads to the development of significant health consequences in childhood, and increased risk of morbidity and premature mortality in adulthood. It is now estimated that 4% of children and 9% of adolescents in the United States have severe obesity (BMI ≥ 120% of the 95th percentile for age). (1) Causal factors for obesity include genetics, environment, medications, and behavior.(2) Severe obesity during childhood and adolescence is associated with the development of significant comorbidities such as cardiovascular disease, type 2 diabetes (T2D), obstructive sleep apnea (OSA), ...
Source: Surgery for Obesity and Related Diseases - September 7, 2021 Category: Surgery Authors: Rachel E. Herdes, Deborah D. Tsao, Janey SA. Pratt Source Type: research

Assurance of surgical quality within multicenter randomized controlled trials for bariatric and metabolic surgery: a systematic review
This study aimed to establish the measures undertaken to ensure surgical quality within multicenter RCTs investigating bariatric and metabolic surgery, and their influence upon clinical outcomes. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - September 4, 2021 Category: Surgery Authors: Tom Wiggins, Sara Jamel, Sherif Hakky, Ahmed Ahmed, Sheraz R. Markar, George B. Hanna Source Type: research

Comment on: Prior bariatric surgery in COVID-19 positive patients may be protective
In this issue of Surgery of Obesity and Related Diseases , the manuscript titled “Prior bariatric surgery in COVID-19 positive patients may be protective” reports a retrospective review of patients utilizing a COVID-19 database from a single, New York City based academic institution which compared two groups: a bariatric surgery group (n=124) and a control group comprised fr om patients eligible for bariatric surgery[1]. The bariatric surgery group comprised of Roux-en-Y Gastric Bypass (RYGB) (n=45, 36%), laparoscopic Sleeve Gastrectomy (LSG) (n=35, 28%) and laparoscopic adjustable gastric banding (LAGB) (n=44,...
Source: Surgery for Obesity and Related Diseases - September 3, 2021 Category: Surgery Authors: Maria S. Altieri Source Type: research

Impact of bariatric surgery on breastfeeding: a systematic review
The objective of this study was to review the impact of bariatric surgery on breastfeeding following the Preferred Reporting Items for Systema tic Review and Meta-Analyses guidelines. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - September 2, 2021 Category: Surgery Authors: Jennifer Adsit, Susan Joyce Hewlings Tags: Review article Source Type: research

Trends In Early Postoperative Major Adverse Cardiovascular And Cerebrovascular Events Associated With Bariatric Surgery: An Analysis Of The Metabolic And Bariatric Surgery Accreditation And Quality Improvement Program (MBSAQIP) Data Registry
This study aimed to assess the prevalence and trends of major adverse cardiovascular and cerebrovascular events (MACCE) in patients undergoing primary laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB) using the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) data registry from 2015 to 2019. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - September 2, 2021 Category: Surgery Authors: Roberto J. Valera, Cristina Botero-Fonnegra, Mauricio Sarmiento-Cobos, Carlos E. Rivera, Lisandro Montorfano, Rene Aleman, Mileydis Alonso, Emanuele Lo Menzo, Samuel Szomstein, Raul J. Rosenthal Tags: Original articles Source Type: research

ASMBS Position Statement on Preoperative Patient Optimization before Metabolic and Bariatric Surgery
The following position statement is issued by the American Society for Metabolic and Bariatric Surgery in response to inquiries made to the society by patients, physicians, society members, hospitals, health insurance payors, the media, and others, regarding preoperative health optimization prior to bariatric and metabolic surgery. These recommendations are based on current clinical knowledge, expert opinion, and published peer-reviewed scientific evidence available at this time. The statement is not intended to establish a local, regional, or national standard of care. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - September 2, 2021 Category: Surgery Authors: Jonathan Carter, Julietta Chang, T. Javier Birriel, Fady Moustarah, Stephanie Sogg, Kasey Goodpaster, Sue Benson-Davies, Katie Chapmon, Dan Eisenberg Tags: ASMBS Guidelines/Statements Source Type: research

Pain is Adversely Related to Weight Loss Maintenance Following Bariatric Surgery
Pain and obesity are frequently comorbid health conditions; thus, it is unsurprising that pain is commonly experienced by individuals seeking bariatric surgery. While pain is generally reduced in the short-term after surgery, there is also variability in pain outcomes and less is known about how unresolved or recurring pain may relate to long-term weight loss and weight loss maintenance. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - September 2, 2021 Category: Surgery Authors: Gail A. Kerver, Dale S. Bond, Ross D. Crosby, Li Cao, Scott G. Engel, James E. Mitchell, Kristine J. Steffen Tags: Original articles Source Type: research

The rewarding effects of alcohol after bariatric surgery: Do they change and are they associated with pharmacokinetic changes?
Research shows that surgery patients who have undergone Roux-en-Y gastric bypass (RYGB) are at increased risk for an alcohol use disorder (AUD). However, the mechanisms through which this increased risk is incurred are poorly understood. A host of variables have been proposed as potentially causal in developing AUDs, but empirical examination of many of these variables in human samples is lacking. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - September 2, 2021 Category: Surgery Authors: Scott G. Engel, Lauren M. Schaefer, Gail A. Kerver, Lynnette M. Leone, Greg Smith, James E. Mitchell, John Gunstad, Ross D. Crosby, Kristine Steffen Tags: Original articles Source Type: research

The Impact of Bariatric Surgery on Breastfeeding: A Systematic Review
Metabolic and bariatric surgery helps women achieve a healthier weight, reduce comorbid conditions, increase fertility rates and improve pregnancy outcomes compared to counterparts who are obese. Breastfeeding is known to provide both infant and maternal health benefits as well. Less is known about the impact of bariatric surgery on breastfeeding. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - September 2, 2021 Category: Surgery Authors: Jennifer Adsit, Susan Joyce Hewlings Source Type: research

Efficacy of intraoperative intravenous lidocaine for postoperative analgesia following bariatric surgery: A meta-analysis of randomized controlled studies
The impact of intravenous lidocaine in adults undergoing laparoscopic bariatric surgeries (LBS) remains unclear. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 31, 2021 Category: Surgery Authors: Kuo-Chuan Hung, Ying-Jen Chang, I-Wen Chen, Yang-Pei Chang, Sheng-Fu Chiu, Cheuk-Kwan Sun Source Type: research

The Role of Total Alimentary Limb Length in Roux-En-Y Gastric Bypass – A Systematic Review
Roux-en-Y gastric bypass (RYGB) is an established surgical treatment for obesity. Variations in limb length during RYGB procedures have been investigated for optimizing weight loss while minimizing nutritional deficiencies. The role of the total alimentary limb length (TALL) (Roux limb plus common channel (CC)), however, is poorly defined. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 30, 2021 Category: Surgery Authors: Alice Wang, Lauren Poliakin, Naresh Sundaresan, Vilok Vijayanagar, Alexander Abdurakhmanov, Kyle J. Thompson, Iain H. Mckillop, Selwan Barbat, Roc Bauman, Keith S. Gersin, Timothy S. Kuwada, Abdelrahman Nimeri Source Type: research

Comment on: Toll-like receptor 4 and MyD88 are required for gastric bypass-induced metabolic effects
Bariatric and metabolic surgery is the most effective treatment for severe obesity, type 2 diabetes, and co-morbidities. Roux-en-Y gastric bypass (RYGB) is one of the most performed procedures, which has sustained effects on weight loss. The mechanisms underlying the benefits of RYGB are unclear. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 29, 2021 Category: Surgery Authors: Ming Song Tags: Editorial comment Source Type: research

Comment on: Toll-like receptor-4 (TLR4) and MyD88 are required for Gastric Bypass-induced metabolic effects
Bariatric and metabolic surgery (BMS) is the most effective treatment for severe obesity, type 2 diabetes (T2D) and comorbidities. Roux-en-Y gastric bypass (RYGB) is one of the most commonly performed procedures, which has sustained effects on weight loss. The mechanisms underlying the benefits of RYGB are unclear. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 29, 2021 Category: Surgery Authors: Ming Song Source Type: research

Comment on: Are eHealth interventions for adults who are scheduled for or have undergone bariatric surgery as effective as usual care? A systematic review
The COVID-19 pandemic has accelerated the adoption and implementation of eHealth and virtual care services for patients undergoing bariatric surgery. As a result of public health restrictions and lockdowns during the pandemic, the ability to provide in-person bariatric surgery care has been limited and resulted in rapid shifts of bariatric surgery programs to virtual care delivery. As a result, access to effective virtual and eHealth interventions has been critical for many patients after bariatric surgery to support patient self-management and maintenance of weight loss. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 28, 2021 Category: Surgery Authors: Sanjeev Sockalingam Source Type: research

Comment on: Impact on sleeve gastrectomy in patients with esophageal motor disorder
Impact on sleeve gastrectomy in patients with esophageal motor disorder (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 28, 2021 Category: Surgery Authors: Abdelkader Hawasli Source Type: research

Comment on: The Effect of Sleeve Ablation of Gastric Mucosa on Body Weight and Glucose Homeostasis in the Rat.
As a surgical specialty we continue to move away from the inaccurate historical explanations for why metabolic and bariatric surgery has such profound effects on body weight – namely the “malabsorptive and restrictive” explanations. There is a plethora of research [e.g. 1–4] into the putative mechanisms of these operations, which includes alteration of nutrient absorption, changes in brain signaling, bile acid physiology, and organ to organ communication that cu lminate in marked long term weight loss. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 28, 2021 Category: Surgery Authors: Vance L. Albaugh Source Type: research

Comment on: Preoperative weight loss is linked to improved mortality and leaks following elective bariatric surgery: An Analysis of 548,597 patients from 2015 to 2018
In the current study, the authors provide a retrospective review of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program data registry of over 548,000 patients undergoing bariatric surgery they aim to characterize the prevalence and impact of preoperative weight loss (PWL) in elective bariatric surgery. They hypothesize that the trend previously well described continues to be on the rise and is in fact commonplace in bariatric surgical practice and that it would have an effect on postoperative bariatric surgical outcomes. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 27, 2021 Category: Surgery Authors: Yewande Alimi, Dan Azagury Source Type: research

Impact of bariatric surgery on the risk of hospitalization due to influenza virus infection
Obesity independently increases the risk of hospitalization due to viral respiratory infections, including influenza virus and, more recently, severe acute respiratory syndrome coronavirus 2. As an independent risk factor, obesity impairs the immune response to viral infections and decreases the effectiveness of immunizations. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 26, 2021 Category: Surgery Authors: Roberto J. Valera, Cristina Botero-Fonnegra, Vicente J. Cogollo, Lisandro Montorfano, Mauricio Sarmiento-Cobos, Carlos E. Rivera, Liang Hong, Emanuele Lo Menzo, Samuel Szomstein, Raul J. Rosenthal Tags: Original article Source Type: research

The Impact of Bariatric Surgery on the Risk of Hospitalization due to Influenza Virus Infection.
Obesity independently increases the risk of hospitalization due to viral respiratory infections, including influenza virus and more recently severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). As an independent risk factor, obesity impairs the immune response to viral infections and decreases the effectiveness of immunizations. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 26, 2021 Category: Surgery Authors: Roberto J. Valera, Cristina Botero-Fonnegra, Vicente J. Cogollo, Lisandro Montorfano, Mauricio Sarmiento-Cobos, Carlos E. Rivera, Liang Hong, Emanuele Lo Menzo, Samuel Szomstein, Raul J. Rosenthal Tags: Original articles Source Type: research

Potential beneficial effects of bariatric surgery on the prevalence of kidney cancer: A national database study
This study aims to determine the impact of bariatric surgery induced weight loss on the prevention of kidney cancer. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 25, 2021 Category: Surgery Authors: Cristina Botero-Fonnegra, David Romero Funes, Roberto J. Valera, Camila Ortiz G ómez, Emanuele Lo Menzo, Samuel Szomstein, Raul J. Rosenthal Tags: Original articles Source Type: research

Editorial Board
(Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 18, 2021 Category: Surgery Source Type: research

Table of Contents
(Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 18, 2021 Category: Surgery Source Type: research

Cartoon
(Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 18, 2021 Category: Surgery Source Type: research

SOARD Category 1 CME Credit Featured Articles, Volume 17, September 2021
Ari Sapin, Patrick Hilden, Luciana Cinicolo, Jenifer Stein, Amber Turner, Richard Pitera, Paul Yodicei, Prakash R. Paragi (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 18, 2021 Category: Surgery Tags: Continuing medical education program Source Type: research

Opioid consumption in patients undergoing Roux-en-Y bariatric surgery compared with population controls with and without obesity
Patients with obesity are prescribed more opioids than the general population. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 17, 2021 Category: Surgery Authors: Carl Johan Svensson, Christina E. Lundberg, Tatiana Zverkova Sandstr öm, Paulin Andrell, Sven-Egron Thörn, Annika Rosengren, Axel Wolf Tags: Original articles Source Type: research

Comment on: Defining clinically important hypoglycemia in Patients with postbariatric hypoglycemia
Symptomatic postprandial hyperinsulinemic hypoglycemia syndrome, or postbariatric hypoglycemia (PBH), is a relatively uncommon condition that is clinically recognized 1 –3 years after Roux-en-Y gastric bypass (RYGB) and rarely after sleeve gastrectomy (SG). Most patients respond to dietary modifications and medications. However, a small subset of patients develops recalcitrant hypoglycemia with neuroglycopenic (NG) symptoms such as reduced cognition, weakness, dr owsiness, slurred speech, seizures, and loss of consciousness [1,2]. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 11, 2021 Category: Surgery Authors: Jad Khoraki, Jennifer L. Salluzzo, Guilherme M. Campos Tags: Editorial comment Source Type: research

Bariatric surgery improves metabolic and nonalcoholic fatty liver disease markers in metabolically healthy patients with morbid obesity at 5 years
No studies have evaluated the effect of metabolic and bariatric surgery (MBS) on nonalcoholic fatty liver disease (NAFLD) and cardiometabolic markers in metabolically healthy patients with morbid obesity (MHMO) at midterm. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 11, 2021 Category: Surgery Authors: Alberto Goday, Helena Juli à, Aleix de Vargas-Machuca, Juan Pedro-Botet, Sergi Benavente, Jose M. Ramon, Manuel Pera, Anna Casajoana, Montserrat Villatoro, Laia Fontané, Maria Bisbe, Elisenda Climent, Olga Castañer, Juana A. Flores Le Roux, David Benai Tags: Original article Source Type: research

Auricular nerve stimulation using the NSS-2 BRIDGE device to reduce opioid requirement following laparoscopic Roux-en-Y gastric bypass
Evidence supports the use of complementary techniques to reduce pain and opioid use after surgery. The NSS-2 BRIDGE device (NBD; Innovative Health Solutions, Inc., Versailles, Indiana) modulates pain via stimulation of the nucleus of the auricular branch of the cranial nerves at the level of the brainstem and the limbic system. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 11, 2021 Category: Surgery Authors: Bestoun H. Ahmed, Anita P. Courcoulas, Amy L. Monroe, William Gourash, Jacques E. Chelly Tags: Original article Source Type: research

Postoperative nausea and vomiting in bariatric surgery: a position statement endorsed by the ASMBS and the ISPCOP
Despite extensive research regarding risk factors and treatment regimens, postoperative nausea and vomiting (PONV) has remained a challenge affecting up to 40% of the general surgical population, underlining the complex nature of this adverse outcome [1]. In addition to the criteria described by Apfel et  al. [1], contributing risk factors may be anesthesia, patient, or procedure related. Compared with the general surgical population, patients undergoing bariatric surgical procedures experience a much higher incidence of PONV, and current enhanced recovery after bariatric surgery (ERABS) guidelines suggest intraoperat...
Source: Surgery for Obesity and Related Diseases - August 11, 2021 Category: Surgery Authors: Roman Schumann, Patrick Ziemann-Gimmel, Adrian Sultana, Abdelazeem Eldawlatly, Shanu N. Kothari, Sajani Shah, Anupama Wadhwa Tags: ASMBS Guidelines/statements Source Type: research

Auricular Nerve Stimulation using the NSS-2 BRIDGE ® device to reduce opioid requirement following laparoscopic Roux-en-Y gastric bypass
Evidence supports the use of complementary techniques to reduce pain and opioid use after surgery. NSS-2 BRIDGE ® device (NBD®) modulates pain via the stimulation of nucleus of the auricular branch of the cranial nerves at the level of the brainstem and the limbic system. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 11, 2021 Category: Surgery Authors: Bestoun H. Ahmed, Anita P. Courcoulas, Amy L. Monroe, William Gourash, Jacques E. Chelly Tags: Original articles Source Type: research

Postoperative Nausea and Vomiting in Bariatric Surgery - A Position Statement endorsed by the ASMBS and the ISPCOP
Despite extensive research regarding risk factors and treatment regimens, postoperative nausea and vomiting (PONV) has remained a challenge affecting up to 40% of the general surgical population, underlining the complex nature of this adverse outcome1. In addition to the criteria described by Apfel et al, contributing risk factors may be anesthesia, patient or procedure related. Compared to the general surgical population, patients undergoing bariatric surgical procedures experience a much higher incidence of PONV and current enhanced recovery after bariatric surgery (ERABS) guidelines suggest intraoperative prophylaxis bu...
Source: Surgery for Obesity and Related Diseases - August 11, 2021 Category: Surgery Authors: Roman Schumann, Patrick Ziemann-Gimmel, Adrian Sultana, Abdelazeem Eldawlatly, Shanu N. Kothari, Sajani Shah, Anupama Wadhwa Tags: ASMBS Guidelines/Statements Source Type: research

The Effects of Bariatric Surgery on Cardiovascular Diseases
We read with interest the article “Bariatric surgery is associated with reduced admission for aortic dissection: a nationwide case-control analysis” by Okida et al. [1] published online in the Surgery for Obesity and Related Diseases. The authors evaluated the association of bariatric surgery with admissions due to aortic dissec tion. They have perfomed a cross-sectional analysis using the National Inpatient Sample database from 2010 to 2015. They have reported that decreasing the risk factors for a specific condition like aortic dissection might have reduced the incidence of the disease theoretically. (Source:...
Source: Surgery for Obesity and Related Diseases - August 11, 2021 Category: Surgery Authors: Ali Kagan Coskun, Bilgehan Savas Oz Tags: Letter to the Editor Source Type: research

Bariatric Surgery Improves Metabolic and Non-Alcoholic Fatty Liver Disease Markers in Metabolically Healthy but Morbidly Obese Patients At 5 Years
No studies have evaluated the effect of metabolic and bariatric surgery (MBS) on non-alcoholic fatty liver disease (NAFLD) and cardiometabolic markers in metabolically-healthy morbidly-obese (MHMO) patients at mid-term. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 11, 2021 Category: Surgery Authors: Alberto Goday, Helena Juli à, Aleix de Vargas-Machuca, Juan Pedro-Botet, Sergi Benavente, Jose M. Ramon, Manuel Pera, Anna Casajoana, Montserrat Villatoro, Laia Fontané, Maria Bisbe, Elisenda Climent, Olga Castañer, Juana A. Flores Le Roux, David Benai Tags: Original articles Source Type: research

Comment on: Defining Clinically Important Hypoglycemia in Patients with Post-Bariatric Hypoglycemia
Symptomatic postprandial hyperinsulinemic hypoglycemia syndrome, or post-bariatric hypoglycemia (PBH), is a relatively uncommon condition that is clinically recognized 1-3 years after Roux-en-Y Gastric Bypass (RYGB) and rarely Sleeve Gastrectomy (SG). Most patients respond to dietary modifications and medications. However, a small subset of patients develops recalcitrant hypoglycemia with neuroglycopenic (NG) symptoms such as reduced cognition, weakness, drowsiness, slurred speech, seizures, and loss of consciousness(1,2). (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 11, 2021 Category: Surgery Authors: Jad Khoraki, Jennifer L. Salluzzo, Guilherme M. Campos Source Type: research

Comment on: Early postoperative follow-up reduces risk of late severe nutritional complications after Roux-en-Y gastric bypass: a population-based study
Bariatric surgery is the most effective treatment for patients with severe obesity and weight-related morbidity, and long-term outcomes depend at least partly on compliance and follow-up. Anatomic alterations of the gastrointestinal tract can result in vitamin and mineral deficiencies. Factors that affect nutritional complications include excessive weight loss, dumping syndrome, persistent vomiting and diarrhea, preexisting deficiency, failure to take dietary supplements, and inadequate nutritional follow-up. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 10, 2021 Category: Surgery Authors: Yaqeen Qudah, Matthew Kroh Tags: Editorial comment Source Type: research

Comment on: Impact of a severe complication 2 years after laparoscopic Roux-en-Y gastric bypass: a cohort study from the Scandinavian Obesity Surgery Registry
In this issue of Surgery for Obesity and Related Diseases, Vidarsson et  al. [1] highlighted an important aspect of bariatric surgery, namely the long-term impact of severe complications following laparoscopic Roux-en-Y gastric bypass. The authors examine the impact of severe complications (Clavien–Dindo>3b) 2 years following procedures using a Swedish cohort of 48,201 patients between 2007 and 2016. The study reports severe complications rate and mortality rate of 2.9% and .03%, respectively. The study reports a 2.9% rate of severe complications (n = 1411) within the 30-day postoperative period, which includ...
Source: Surgery for Obesity and Related Diseases - August 10, 2021 Category: Surgery Authors: Maria S. Altieri Tags: Editorial comment Source Type: research

Comment on: Early Post-Operative Follow-Up Reduces Risk of Late Severe Nutritional Complications After Roux-En-Y Gastric Bypass: A Population Based Study
Bariatric surgery is the most effective treatment for patients with severe obesity and weight-related morbidity and long-term outcomes are at least partly dependent on compliance and follow-up. Anatomic alterations of the gastrointestinal tract can result in vitamin and mineral deficiencies. Factors that affect nutritional complications include excessive weight loss, dumping syndrome, persistent vomiting and diarrhea, pre-existing deficiency, failure to take dietary supplements and inadequate nutritional follow-up. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 10, 2021 Category: Surgery Authors: Yaqeen Qudah, Matthew Kroh Source Type: research