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Metabolic surgery results in greater metabolic benefits in patients who achieve healthy weight
A percentage of total weight loss>20% as the expected weight loss target after metabolic surgery might be insufficient to produce adequate metabolic benefits. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 15, 2024 Category: Surgery Authors: Yuanyuan Shen, Bingqing Zhang, Xinyun Hu, Ningjing Zhang, Yuanhao Huang, Tao Han, Xitai Sun, Xinyue Xiang, Yan Bi, Wenjuan Tang, Wenhuan Feng Tags: Original articles Source Type: research

Ileum excision partially reverses improvement of glucose metabolism in diabetic rats after biliopancreatic diversion with duodenal switch
Bile acids can stimulate the secretion of glucagon-like peptide-1 (GLP-1) and be mostly reabsorbed in the ileum. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 15, 2024 Category: Surgery Authors: Weijie Chen, Jianhao Huang, Jianchun Xiao, Qiang Xu, Wei Liu, Xiaodong He Tags: Original articles Source Type: research

When Insurance Is Not a Barrier: Psychological Factors Predicting Whether Bariatric Candidates Undergo Surgery
Despite the effectiveness of bariatric surgery, utilization rates have increased only marginally over the last two decades; candidates who are eligible for bariatric surgery regularly fail to undergo surgery. The Minnesota Multiphasic Personality Inventory-2 Restructured Form (MMPI-2-RF) has previously been used to assist in identification of those who will not move forward with surgery after being identified as eligible. However, medical insurance has been identified as a significant barrier to surgery; research in those who have universal healthcare may yield different results. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 14, 2024 Category: Surgery Authors: Fawn A. Walter, Tim Hoyt, Tegan M. Michl Tags: Original articles Source Type: research

Performance of a predictive weight loss model in terms of rapid detection of inadequate weight loss after Roux-en-Y Gastric Bypass
Multiple prediction models exist in the literature to aide both the patients and providers taking care of patients undergoing bariatric surgery.(1 –5) For patients, these models help with understanding predicted ranges of weight loss, comorbidity reduction, and complication risk. Furthermore, their use creates a dialogue of shared decision making with increased patient understanding of bariatric surgery risks and benefits. As stated by Burga rd et al, it is known that about 40% of patients will overestimate their post-operative weight loss.(5) For providers, prediction models aide in counseling patients on realistic expe...
Source: Surgery for Obesity and Related Diseases - April 13, 2024 Category: Surgery Authors: Shaina R. Eckhouse Tags: Editorial Source Type: research

The association of Bariatric Surgery with Myocardial Infarction and Coronary revascularization; A Propensity Score match analysis of National Inpatient Sample
Metabolic bariatric surgery (MBS) not only leads to a durable weight loss but also lowers mortality, and reduces cardiovascular risks. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 12, 2024 Category: Surgery Authors: Ali Esparham, Samira Roohi, Alireza Abdollahi Moghaddam, Hengameh Anari Moghadam, Saeed Shoar, Zhamak Khorgami Tags: Original articles Source Type: research

Comment on: Enhanced Recovery After Surgery (ERAS) Improves Clinical Outcomes in Adolescent Bariatric Surgery
Taking into consideration rising rates of childhood obesity US,1 and recent reports demonstrating the safety, efficacy and increased utilization rates of metabolic and bariatric surgery (MBS) for clinically eligible pediatric patients (BMI ≥ 120% of the 95th percentile or BMI ≥ 35kg.m2),2 the authors of the current study, Enhanced Recovery After Surgery (ERAS) Improves Clinical Outcomes in Adolescent Bariatric Surgery, have offered important insights by presenting the results of a single institutional experience related to the use of an enhanced recovery after surgery (ERAS) protocol. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 11, 2024 Category: Surgery Authors: Marc P. Michalsky Tags: Editorial Source Type: research

Comment on: Limitations of the 2015-2021 MBSAQIP Database for Emergency Bariatric Operations
In this issue of Surgery of Obesity and Related Diseases,Corpodean, et al. describe the prevalence of emergency bariatric surgery within the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) dataset from 2015 to 2021, with a comparison of cases recorded before and after a change in the MBSAQIP definition of emergency cases, which occurred in 2020 (i.e. 2015-2019 compared to 2020-2021). The study found there to be 10,574 emergency cases ( ∼2,115 per year) from 2015-2019 and 455 emergency cases (∼228 per year) from 2020-2021. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 9, 2024 Category: Surgery Authors: Claire B. Rosen, Maria S. Altieri Tags: Editorial Source Type: research

A decade of MBSAQIP: what have we learned, where do we go?
The Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) was initiated in 2015 under the auspices of the American College of Surgeons and began with 742 participating centers in the United States and Canada to ensure quality surgical care.[1] Since then, the program has grown to over 900 centers and tracks 30-day outcomes for over 200,000 patients annually.[1] The program is costly: participating centers must pay to participate and employ 3rd-party surgical clinical reviewers to abstract data into the database. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 9, 2024 Category: Surgery Authors: Jonathan Carter Tags: Editorial Source Type: research

Elevated hemoglobin a1c level and revisional bariatric surgery complications
Elevated glycosylated hemoglobin (HbA1c) is a modifiable risk factor for postoperative complications. However, in bariatric surgery, as published by our group and others, elevated preoperative HbA1c may not be associated with increased postoperative complications. Previous literature has focused on primary bariatric surgery and has excluded the higher risk revisional surgery cohort. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 8, 2024 Category: Surgery Authors: Mahnoor Zia, Therese Hoof, Jiaqiong (Susan) Xu, Garth Davis, Aman Ali, Vadim Sherman, Nabil Tariq Tags: Original articles Source Type: research

Conversion of Sleeve Gastrectomy to Roux-en-Y Gastric Bypass: Impact on Reflux and Weight Loss
Sleeve gastrectomy (SG) is the most commonly performed weight loss operation and its two most common complications are postoperative reflux and weight recurrence. There is limited evidence to guide decision-making in treating these conditions. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 6, 2024 Category: Surgery Authors: Mary R. Shen, Maya M. Hammoud, Aaron J. Bonham, Bryan Aaron, Amir A. Ghaferi, Oliver A. Varban, Arthur M. Carlin, Anne P. Ehlers, Jonathan F. Finks Tags: Original articles Source Type: research

Genetic risk score based on obesity-related genes and progression in weight loss after bariatric surgery: a 60-month follow-up study
Obesity is a polygenic multifactorial disease. Recent genome-wide association studies have identified several common loci associated with obesity-related phenotypes. Bariatric surgery (BS) is the most effective long-term treatment for severe obesity. Huge variability in BS outcome between patients, suggests a moderating effect of several factors, including the genetic architecture of the patients. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 5, 2024 Category: Surgery Authors: Patricia Mas-Bermejo, Natalia Azcona-Granada, Elionora Pe ña, Albert Lecube, Andreea Ciudin, Rafael Simó, Alexis Luna, Mercedes Rigla, Concepción Arenas, Assumpta Caixàs, Araceli Rosa Tags: Original articles Source Type: research

Comment on: Impact of prior bariatric surgery on outcomes of hospitalized patients with systemic lupus erythematosus: a propensity score-matched analysis of the U.S. Nationwide Inpatient Sample
The myriad of benefits from metabolic and bariatric surgery (MBS) include long-term mitigation of obesity-associated medical comorbidities, improved quality of life, and increased life expectancy. The 1991 NIH consensus development conference panel published MBS patient selection guidelines over 30 years ago with limited studies and general clinical knowledge about obesity-related health issues. Since the 1980s, there has been an explosion in research studies looking at the positive impact of MBS on obesity-related medical problems. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 1, 2024 Category: Surgery Authors: Elizabeth M. Hechenbleikner Tags: Editorial Source Type: research

Comment on: The Feasibility and Outcomes of Metabolic and Bariatric Surgery Prior to Neoplastic Therapy
New therapies are constantly changing the treatment paradigm for neoplastic processes. National guidelines may update multiple times a year to address these shifts1. Parallel to these advancements, drug therapy for patients with obesity and advancements in metabolic and bariatric surgery (MBS) provide mechanisms to achieve sustainable weight loss and address co-morbid conditions. As healthcare continues to shift to improve delivery and patient outcomes, it ’s imperative to consider disparities that might exists for patients with obesity. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - March 27, 2024 Category: Surgery Authors: Stacey A. Carter Tags: Editorial Source Type: research

Comment on “Early Postoperative COVID Infection is Associated with Significantly Increased Risk of Venous Thromboembolism After Metabolic and Bariatric Surgery”
Has there ever been a period of great medical uncertainty, such as in the early days of the COVID-19 pandemic? There were so many unanswered questions at the time and very little practical information available to decision-makers, both at the national level and within our specialty of bariatric surgery. For almost a year, surgeons were shut out of our operating rooms and worked the front lines in the battle against this new foe. As hospitals reopened their doors to elective surgery and surgeons came to grips with the new reality of post-COVID triage of preoperative patients, rules for returning to the operating room were d...
Source: Surgery for Obesity and Related Diseases - March 27, 2024 Category: Surgery Authors: John D. Scott Tags: Editorial Source Type: research

Laparoscopic versus robotic-assisted primary bariatric-metabolic surgery. Are we still expecting to overcome the learning curve? A propensity score-matched analysis of the MBSAQIP database.
Robotic surgery is becoming increasingly popular in bariatric-metabolic surgery. However, its superiority regarding postoperative outcomes compared to conventional laparoscopy has not been clearly proven. With growing adoption of robotic surgery and improved technologies, benefits should become more evident. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - March 25, 2024 Category: Surgery Authors: Pauline Aeschbacher, Zoe Garoufalia, Peter Rogers, Justin Dourado, Hong Liang, Ana Pena, Samuel Szomstein, Emanuele Lo Menzo, Raul J. Rosenthal Tags: Original articles Source Type: research