Are the size of the sleeve reservoir and anthropometric measurements associated with reflux esophagitis after laparoscopic sleeve gastrectomy (LSG)
Background: Reflux esophagitis (RE) is related to LSG. It has been suggested that a narrow sleeve may lead to RE. This cross-sectional study addresses this issue. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 1, 2018 Category: Surgery Authors: Carlos A Madalosso, Daniel Navarini, Guilherme S Mazzini, Fabio R Bar ão, Gabriela Ambrós, Richard R Gurski Source Type: research

Association of Alcohol abuse and Binge Eating Disorder Post Bariatric Surgery
Background: Some studies have demonstrated an increase in alcohol abuse after bariatric surgery. The purpose of this study is to determine the prevalence of alcohol abuse in post-bariatric surgery, and test the hypothesis of an association between binge eating disorder before bariatric surgery, and alcohol abuse after-bariatric surgery. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 1, 2018 Category: Surgery Authors: Cristina Freire, Andr éa Z Pereira, Adriano Segal, Glaucia Carneiro, Maria Teresa Zanella Source Type: research

Single Anastomosis Duodenal Switch: Effects on Weight Loss and Reduction of Weight Related Comorbidities
Background: Single Anastomosis Duodenal Switch (SADS) is a novel bariatric procedure where a single loop anastomosis is made between the first portion of the duodenum and the jejunum. Our study is an investigational study to determine if SADS results in weight loss and reduction of associated comorbidities compared with traditional bariatric procedures. We also compare the risks of nutritional and vitamin deficiencies. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 1, 2018 Category: Surgery Authors: Rex Farrer, Matthew Fourman, Gregory Johnston, Brenda S Bal Source Type: research

“Postoperative care of bariatric medical tourism: A public health concern”
Background: Despite considerable evidence supporting the efficacy of bariatric surgery, poor insurance coverage in the United States restricts access to the procedure, encouraging medical tourism. There is no long-term postoperative (PO) care from foreign health services for bariatric medical tourists (BMTs). Consequently, BMTs become the responsibility of US physicians after bariatric surgery abroad. We are using the experience of a patient who returned from Mexico with PO complications to illustrate public health consequences of medical tourism. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 1, 2018 Category: Surgery Authors: LaRae Seemann, Jaine L McKenzie, Karen R Draper, L. Renee Hilton Source Type: research

The Effects of a Dexamethasone-based Prophylaxis Protocol on Postoperative Nausea and Vomiting (PONV) and the Duration and Associated Cost of the Hospital Stay
In this study, we have determined the effects of a prophylaxis protocol involving high dose dexamethasone on the incidence and severity of PONV and the length of the hospital stay (LOS). (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 1, 2018 Category: Surgery Authors: Sharon A Krzyzanowski, Keith Kim, Dennis C Smith, Michele Young, Cynthia K Buffington Tags: TUESDAY, NOVEMBER 13, 20183:45 pm--5:15 pm Source Type: research

A Novel Risk Prediction Model for Complications and Readmissions Following Bariatric Surgery Based on the MBSAQIP database
The objective of this study is to evaluate the outcome and safety of sleeve (SG) and gastric bypass (GB) based on patient characteristics and develop a risk prediction model for the occurrence of Serious Adverse Events (SAE) and readmission within the first 30-days following surgery using for the first time the MBSAQIP data registry. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 1, 2018 Category: Surgery Authors: Maher El Chaar, Jill Stoltzfus, Keith S Gersin, Kyle J Thompson Source Type: research

Postoperative complications increase the risk of venous thromboembolism following sleeve gastrectomy and gastric bypass
Background: Patient specific risk factors associated with venous thromboembolism (VTE) following bariatric surgery are currently used to direct routine chemoprophylaxis. Additional innovative strategies are required to further reduce VTE. The impact of postoperative complications on subsequent risk of VTE after bariatric surgery is relatively unknown. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 1, 2018 Category: Surgery Authors: Arthur M Carlin, Oliver A Varban, Jonathan F Finks, Matthew J Weiner, Aaron J Bonham, Amir A Ghaferi Source Type: research

MBSAQIP National Registry Study of Robotic-assisted Outcomes in Patients Undergoing Sleeve Gastrectomy or Roux-en-Y Gastric Bypass
Background: Robotic-assisted (RA) bariatric surgery is increasing. We investigated the safety of the RA surgical approach in the context of sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) as principle bariatric procedures. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 1, 2018 Category: Surgery Authors: Pavlos K Papasavas, Richard L Seip, Andrea Stone, Tara McLaughlin, Darren Tishler Source Type: research

Current role of staple line reinforcement in 30-day Outcomes of Primary Laparoscopic Sleeve Gastrectomy: An analysis of MBSAQIP data, 2015-2016 PUF Andrew Demeusy, MD, MBA, Anne Sill, MSHS, Andrew Averbach, MD, FACS, FASMBS
Background: Laparoscopic Sleeve Gastrectomy (LSG) has become a dominant bariatric procedure. In the past, significant leak rates prompted the search for staple line reinforcement techniques. Previous analysis of MBSAQIP database for all LSG suggested a detrimental influence of staple line reinforcement on leak rates and overall morbidity. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 1, 2018 Category: Surgery Authors: Andrew Demeusy, Anne Sill, Andrew Averbach Source Type: research

The impact of chronic kidney disease on peri-operative outcomes following bariatric surgery: An analysis of the MBSAQIP Participant Use Data File
Background: Morbid obesity is considered a strong independent risk factor for chronic kidney disease (CKD), and bariatric surgery remains the most effective treatment for obesity-related comorbidities. Previous large database analyses have suggested that CKD does not independently increase the risk of adverse outcomes following bariatric surgery. The safety of elective bariatric surgery in this patient population remains unclear. We compared 30-day outcomes in this patient population after laparoscopic sleeve gastrectomy (LSG) or gastric bypass (LGB). (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 1, 2018 Category: Surgery Authors: Michael Mazzei, Michael A Edwards Source Type: research

How Safe is Bariatric Surgery in Patients with Class I obesity (BMI 30-35 kg/m2)?
Background: Safety profile of bariatric surgery in patients with class I obesity (BMI 30-35 kg/m2) has been a matter of concern among patients and physicians. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 1, 2018 Category: Surgery Authors: Xiaoxi Feng, Amin Andalib, Stacy A Brethauer, Philip R Schauer, Ali Aminian Source Type: research

The Effect of Intraoperative Leak Testing on Postoperative Leak-related outcomes after Bariatric and Metabolic Surgery: An Analysis of the MBSAQIP Database
Background: Intraoperative leak testing (IOLT) is commonly performed to evaluate the integrity of an anastomosis or staple line during bariatric surgery. We aimed to evaluate the impact of IOLT on postoperative leak-related outcomes after bariatric surgery. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 1, 2018 Category: Surgery Authors: Kamthorn Yolsuriyanwong, Bipan Chand, Eric Marcotte Source Type: research

Editorial Board
(Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 1, 2018 Category: Surgery Source Type: research

Table of Contents
(Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 1, 2018 Category: Surgery Source Type: research

Factors Affecting Compliance Rate with Bariatric Surgery Program in Hispanic and Native American Communities- A Pilot Study
Background: Obesity is disproportionally more prevalent in Hispanic and Native American population. However, dropout rate from our bariatric surgery program has been high in these patients. We investigated the perceived challenges that influence compliance with a bariatric program in these communities. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 1, 2018 Category: Surgery Authors: Iman Ghaderi, Amlish B. Gondal, Kevyn Lopez, Cassandra Dicochea, McKenna White, Matthew Mobily Source Type: research

Use of non-invasive positive pressure ventilation in patients with severe obesity undergoing upper endoscopy procedures
Background: Patients being evaluated for bariatric surgery often undergo preoperative upper endoscopy. Patients with obesity are at increased risk for sedation related adverse events during endoscopy. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 1, 2018 Category: Surgery Authors: Makram M Gedeon Source Type: research

Effect of alcohol ingestion on plasma glucose kinetics after Roux-en-Y gastric bypass surgery
Roux-en-Y-gastric bypass (RYGB) is one of the most effective and widely used procedures to treat severe obesity [1] and its related comorbidities [2,3]. Although, RYGB has marked beneficial effects on glycemic control, a subset of patients experience clinically significant postprandial hypoglycemia [4-8] (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 1, 2018 Category: Surgery Authors: Mar ía Belén Acevedo, Ramiro Ferrando, Bruce W. Patterson, J. Christopher Eagon, Samuel Klein, Marta Yanina Pepino Source Type: research

Predictors of glycemic control after sleeve gastrectomy versus Roux-en-Y gastric bypass: a meta-analysis, meta-regression and systematic review
Huang et al. have made a solid contribution to our understanding of the relationship between various bariatric interventions and postoperative glycemic control with this meta-analysis and systematic review. This is timely, given last year's lively discourse over the comparative effectiveness of sleeve gastrectomy and gastric bypass brought up in member commentary on the ASMBS's updated position statement on sleeve gastrectomy as a bariatric procedure [1]. As if to echo this, a recent topic of Dr. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 1, 2018 Category: Surgery Authors: Ann M. Rogers Source Type: research

What is the optimal time-to-conception following bariatric surgery?
Recommendations for clinical practice suggest a minimal time-to-conception following bariatric surgery of 12-18 months [1-4]. This timeframe balances the need to lose sufficient weight prior to conception to significantly decrease the risk of obstetrical complications related to morbid obesity, and entering the weight-stabilization phase following rapid post-surgical weight loss. Indeed, nutritional deficiency occurring during the first post-operative year can negatively impact the maternal and fetal outcomes of pregnancy [5]. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 1, 2018 Category: Surgery Authors: Marie Pigeyre, Philippe Deruelle Source Type: research

Comment on: Five-year changes in dietary intake and body composition in adolescents with severe obesity undergoing Laparoscopic Roux-en-Y Gastric Bypass surgery
While evidence highlighting the numerous negative health effects of obesity and in particular severe obesity, on the general population continue to mount [1], recent data from the U.S. continue to focus on the accelerated rates of obesity among the pediatric population [2]. Furthermore, previous assertions that several age-specific pediatric sub-groups may be experiencing a relative stabilization and/or a decline in current rates of obesity have recently been brought into question [2]. Coupled with recent reports demonstrating the cumulative impact of childhood obesity on cardio-metabolic health, including a graded increas...
Source: Surgery for Obesity and Related Diseases - November 1, 2018 Category: Surgery Authors: Marc P. Michalsky Source Type: research

Paired Editorial - Ventral hernia surgery in morbidly obese patients, immediate or after bariatric surgery preparation: results of a case-matched study
Patients with obesity have a higher incidence of ventral hernias and are at greater risk of developing complications after hernia repair (1,2). These include a higher risk of recurrence, wound infection, wound breakdown and venous thromboembolic episodes. The elevated intra-abdominal pressure, increased abdominal circumference and visceral fat may play a role as does the association of obesity with type 2 diabetes. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 1, 2018 Category: Surgery Authors: Borg Cynthia-Michelle Source Type: research

Comment on: Ventral hernia surgery in morbidly obese patients, immediate or after bariatric surgery preparation: Results of a case-matched study
Patients with obesity have a higher incidence of ventral hernias and are at greater risk of developing complications after hernia repair [1,2]. These complications include a higher risk of recurrence, wound infection, wound breakdown, and venous thromboembolic episodes. The elevated intra-abdominal pressure, increased abdominal circumference, and visceral fat may play a role, as might the association of obesity with type 2 diabetes. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 1, 2018 Category: Surgery Authors: Cynthia-Michelle Borg Tags: Paired Editorial Source Type: research

Prevalence and pathophysiology of early dumping in patients after primary Roux-en-Y gastric bypass during a mixed meal tolerance test
Wijma et al. are spot-on in their assessment that early dumping syndrome after Roux-en-Y gastric bypass is poorly defined and incompletely understood. There has been quite variable data reported on the prevalence of early dumping after gastric bypass, ranging anywhere from 3% to 80% [1,2], with many papers relying only on self-reported symptoms. The current study helps clarify the issue by combining not only symptoms reported via a validated Dumping Severity Score, but with vital signs as well as incretin blood samples at defined time points after a well-characterized mixed meal. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 30, 2018 Category: Surgery Authors: Ann M. Rogers Source Type: research

Controversial Issues: A practical guide to the use of weight loss medications after bariatric surgery for weight regain or inadequate weight loss
Obesity continues to be the most prevalent chronic disease in the United States with ∼40% of the adult population and ∼19% of the pediatric population with this diagnosis, and the prevalence of severe obesity in the adults and pediatrics is ∼8% and ∼6%, respectively [1,2]. In patients with moderate to severe obesity, bariatric surgery has the potential to provide significant and sustainable weight loss while also improving obesity related co-morbid conditions [3]. Despite its overall relative high degree of efficacy compared to other treatment strategies, patients may experience inadequate weight loss ( (So...
Source: Surgery for Obesity and Related Diseases - October 29, 2018 Category: Surgery Authors: Fatima Cody Stanford Source Type: research

Letter to Editor regarding “preoperative liver shrinking diet for bariatric surgery may impact wound healing: A randomized controlled trial”
Many insurance carriers require preoperative nutritional treatment and weight loss attempt before approving the patient for bariatric surgery [1,2]. Although this requirement has been set, in the absence of class I evidence, for a duration of 6 to 12 months, physician-mandated weight loss before bariatric surgery is aimed at reducing surgical risk and evaluating patients ’ adherence to postoperative lifestyle modifications [1]. The timely publication by Chakravartty et al. [3] in the last issue of Surgery for Obesity and Related Disorders entitled “Preoperative liver shrinking diet for bariatric surgery may imp...
Source: Surgery for Obesity and Related Diseases - October 26, 2018 Category: Surgery Authors: Saeed Shoar, Ali Alavi Naini, Essa M. Aleassa, Mohammad Naderan, Habibollah Mahmoodzadeh Tags: Letter to the editor Source Type: research

Long-term outcomes of metabolic and bariatric surgery in adolescents with severe obesity with a follow-up of at least 5 years: A systematic review
The rates of overweight and obesity have increased substantially in the last decades, and they have become a major health problem worldwide [1]. In the National Health and Nutrition Examination Survey (NHANES) from 2015 to 2016, the prevalence of obesity was 20.6% among 12-19 year old adolescents, with no significant difference in the prevalence of obesity between girls (20.9 %) and boys (20.2%) [2]. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 26, 2018 Category: Surgery Authors: Patricia Ruiz-Cota, Monserrat Bacard í-Gascón, Arturo Jiménez-Cruz Source Type: research

Letter to Editor regarding “Pre-operative liver shrinking diet for bariatric surgery may impact wound healing: a randomised controlled trial”
Preoperative nutritional treatment and weight loss attempt is required by many insurance carriers before the patient is approved for bariatric surgery [1-2]. Although this requirement has been set in the absence of class-I evidence for a duration of 6 to 12 months, physician-mandated weight loss before bariatric surgery is aimed at reducing surgical risk and evaluating patients adherence to postoperative lifestyle modifications [1]. The timely publication by Chakravartty et al. in the last issue of Surgery for Obesity and Related Disorders entitled “Pre-operative liver shrinking diet for bariatric surgery may impact ...
Source: Surgery for Obesity and Related Diseases - October 26, 2018 Category: Surgery Authors: Saeed Shoar, Ali Alavi Naini, Essa M. Aleassa, Mohammad Naderan, Habibollah Mahmoodzadeh Source Type: research

30-day outcomes of robot-assisted versus conventional laparoscopic sleeve gastrectomy: first analysis based on MBSAQIP
According to the most recent estimates by the American Society for Metabolic and Bariatric Surgery, sleeve gastrectomy (SG) is now the most commonly performed bariatric surgery in the United States [1]. Its popularity is a reflection of its relative ease, low complication rate, and excellent short- and intermediate-term outcomes. Most SG are performed using conventional laparoscopy in a largely standardized fashion, though some variation exists such as in the management of the staple line after transection of the greater curvature. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 25, 2018 Category: Surgery Authors: Peter William Lundberg, Jill Stoltzfus, Maher El Chaar Source Type: research

Paired editorial: Metabolic Surgery Ameliorates Cardiovascular Risk in Obese Diabetic Patients: Influence of Different Surgical Procedures
A paradigm shift is occurring in the field of bariatric surgery where we increasingly recognize as providers of bariatric care that our goal is not only the surgical treatment of the disease of obesity but also metabolic disease. While weight loss may be a critical component to surgical treatment of many metabolic diseases, there are mechanisms initiated by various bariatric procedures that treat metabolic disease independent of weight loss. The term “metabolic surgery” has been applied to reflect the recognition that specific gastrointestinal surgeries are treatments of metabolic disease rather than only the d...
Source: Surgery for Obesity and Related Diseases - October 24, 2018 Category: Surgery Authors: Tammy L. Kindel Tags: Invited Paired Editorial Source Type: research

The Importance of the Biliopancreatic Limb Length in Gastric Bypass: A Systematic Review
Gastric bypass was first described in 1967 [1], and since then has undergone multiple changes. To date, in its current and standard form with a gastric pouch of 25 to 30 cm3, a biliopancreatic limb of 30-50 cm, and an alimentary limb of 150 cm, this procedure is considered as one of the most efficient and long lasting surgical treatment modalities for obesity [2,3]. In 1995 Pories et al. first established the link between gastric bypass and diabetes remission, due to hormonal changes, which is often found in bypass patients independent of weight loss [4,5]. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 22, 2018 Category: Surgery Authors: Luis F Zorrilla-Nunez, Anthony Campbell, Giulio Giambartolomei, Emanuele Lo Menzo, Samuel Szomstein, Raul Rosenthal Tags: Original articles Source Type: research

Comment on: midterm outcomes of sleeve gastrectomy in the elderly
We read the article written by Froylich et al. [1] with interest. The authors conducted a retrospective review of 55 elderly patients aged ≥60 years who underwent laparoscopic sleeve gastrectomy to assess the complications and efficacy of the procedure. They found 16.8% of patients suffering from early complications and a statistically significant improvement of mean percentage of excess weight loss, type 2 diabetes, hypertension, an d dyslipidemia. The authors’ work is important as it provides additional evidence on the role of bariatric surgery among elderly patients. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 18, 2018 Category: Surgery Authors: Anawin Sanguankeo Tags: Editorial comment Source Type: research

Comment on: evaluating the safety of intragastric balloon: an analysis of the metabolic and bariatric surgery accreditation and quality improvement program
We have read with interest the manuscript “Evaluating the safety of intragastric balloon: an analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program” by Dang et al. [1]. In this retrospective analysis based on the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database , the authors conclude that the intragastric balloon (IGB) is associated with a higher adverse event rate than laparoscopic bariatric surgery due to a 4 times higher 30-day nonoperative intervention rate. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 18, 2018 Category: Surgery Authors: Diogo Turiani Hourneaux de Moura, Eduardo G.H. de Moura, Manoel Galv ão Neto, Christopher C. Thompson Tags: Editorial comment Source Type: research

The Association of IVC Filter Placement with the Incidence of Postoperative Pulmonary Embolism following Laparoscopic Bariatric Surgery: An Analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Project
Obesity is endemic in the United States effecting 39.6% of the population and approximately 200,000 undergo bariatric surgery annually.[1-6] Despite an overall decrease in the rate of adverse events following bariatric surgery, these procedures are not without risk.[6] Venous thromboembolism (VTE), including deep venous thrombosis (DVT) and pulmonary embolism (PE), are among the leading cause of morbidity and mortality following bariatric surgery.[7-9] (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 18, 2018 Category: Surgery Authors: Ivy N. Haskins, Lisbi Rivas, Tammy Ju, Ashlyn E. Whitlock, Richard L. Amdur, Anton N. Sidawy, Paul P. Lin, Khashayar Vaziri Tags: IVC Filters and VTE Rates in Bariatric Surgery Source Type: research

Five-year changes in dietary intake and body composition in adolescents with severe obesity undergoing Laparoscopic Roux-en-Y Gastric Bypass surgery
Childhood obesity affects the health and wellbeing of children and adolescents [1]. Obesity in adolescents causes medical, psychological and social comorbidities, which usually continue into adulthood and can, without intervention, lead to premature death [2]. Non-surgical treatment approaches have shown poor outcome [2]. Bariatric surgery has been increasingly accepted as a treatment for adolescents with extreme obesity [3] but is not yet established as a standard treatment [4]. Studies of adolescents undergoing Laparoscopic gastric bypass surgery (LRYGB) have demonstrated safety and efficacy, with similar long-term mean ...
Source: Surgery for Obesity and Related Diseases - October 18, 2018 Category: Surgery Authors: Pia Henfridsson, Anna Laurenius, Ola Wallengren, Eva Gronowitz, Jovanna Dahlgren, Carl-Erik Flodmark, Claude Marcus, Torsten Olbers, Lars Elleg ård Source Type: research

A long biliopancreatic and short alimentary limb results in more weight loss in revisional RYGB surgery. Outcomes of the randomized controlled ELEGANCE REDO trial
For a number of years the laparoscopic adjustable gastric band (LABG) has been one of the leading bariatric procedures with good short term outcomes 1, 2. However, inadequate weight loss, weight regain and other band-related complications in the long term led to the fast worldwide decrease in LAGB procedures 3,4. Most failed LABG are converted to a Roux-en-Y gastric bypass (RYGB), as band removal alone results in weight regain and deterioration of comorbidities in most patients, even when patients had reached an adequate weight loss at time of explantation 3,5-7. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 18, 2018 Category: Surgery Authors: AB Boerboom, J Homan, EO Aarts, ThJ Aufenacker, IMC Janssen, FJ Berends Source Type: research

Comment on: “Midterm outcomes of sleeve gastrectomy in the elderly”
To the Editor, (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 18, 2018 Category: Surgery Authors: Anawin Sanguankeo Source Type: research

Title: Comment on Evaluating the safety of intragastric balloon: An analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program
We have read with interest the manuscript “Evaluating the safety of intragastric balloon: An analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program” by Dang, et al. 1. In this retrospective analysis based on the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database, the authors conclude that the intragastric balloon (IGB) is associated with a higher adverse event rate than laparoscopic bariatric surgery (LBS), due to a 4-times higher 30-days nonoperative intervention rate. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 18, 2018 Category: Surgery Authors: Diogo Turiani Hourneaux de Moura, Eduardo G.H. de Moura, Manoel Galv ão Neto, Christopher C. Thompson Source Type: research

To the Editor
We have read with interest the manuscript “Evaluating the safety of intragastric balloon: an analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program” by Dang et al. [1]. In this retrospective analysis based on the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database , the authors conclude that the intragastric balloon (IGB) is associated with a higher adverse event rate than laparoscopic bariatric surgery due to a 4 times higher 30-day nonoperative intervention rate. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 18, 2018 Category: Surgery Authors: Diogo Turiani Hourneaux de Moura, Eduardo G.H. de Moura, Manoel Galv ão Neto, Christopher C. Thompson Tags: Letter Source Type: research

Prevalence and pathophysiology of early dumping in patients after primary Roux-en-Y gastric bypass during a Mixed Meal Tolerance Test.
Morbid obesity is a growing healthcare problem in the world and, consequently, effective weight-loss strategies are needed. Weight-loss surgery is the most effective way to achieve sustained weight loss, resolve comorbidity and improve survival.(1) Currently, one of the most frequently performed operations is the laparoscopic Roux-en-Y gastric bypass (RYGB). This procedure is effective but it is known to have several complications. One of these, early dumping, is poorly defined and incompletely understood. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 12, 2018 Category: Surgery Authors: R.B. Wijma, M. Emous, M. van den Broek, A. Laskewitz, AC Muller Kobold, A.P. van Beek Source Type: research

Reasons for Underutilization of Bariatric Surgery: The Role of Insurance Benefit Design
Despite the effectiveness of bariatric surgery, both with respect to weight loss and improvements in obesity-related comorbidities, it remains underutilized. Only 1% of the currently eligible population undergoes surgical treatment for obesity, with roughly 228,000 individuals receiving bariatric surgery in the United States each year. Several barriers to bariatric surgery have been identified including limited patient and referring physician knowledge as well attitudes regarding the effectiveness and safety of bariatric surgery. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 12, 2018 Category: Surgery Authors: Hamlet Gasoyan, Gabriel Tajeu, Michael T. Halpern, David B. Sarwer Source Type: research

Preoperative liver shrinking diet for bariatric surgery may impact wound healing: a randomized controlled trial
Bariatric surgery is the best treatment option available for weight loss and improving weight related co-morbidities in morbidly obese patients [1]. This is reflected in the growing number of operations performed across the world. With more expertise and experience, results are improving and complications are low [2,3]. While practices continuously evolve some practices initiated in the early years of laparoscopic bariatric surgery may need to be reevaluated. Very low-calorie diets (VLCD) were introduced in the early part of the last decade as a short-term optimizing tool immediately before bariatric surgery with the aim o...
Source: Surgery for Obesity and Related Diseases - October 11, 2018 Category: Surgery Authors: Saurav Chakravartty, Gillian Vivian, Nicola Mullholland, Hizbullah Shaikh, John McGrath, Paul S. Sidhu, Ounali Jaffer, Ameet G. Patel Tags: Original article Source Type: research

Pre-operative liver shrinking diet for bariatric surgery may impact wound healing: a randomised controlled trial
Bariatric surgery is the best treatment option available for weight loss and improving weight related co-morbidities in morbidly obese patients. (1) This is reflected in the growing number of operations performed across the world. With more expertise and experience results are improving and complications are low. (2, 3) While practices continuously evolve some practices initiated in the early years of laparoscopic bariatric surgery may need to be re-evaluated. Very low calorie diets (VLCD) were introduced in the early part of the last decade as a short term optimising tool immediately prior to bariatric surgery with the ai...
Source: Surgery for Obesity and Related Diseases - October 11, 2018 Category: Surgery Authors: Saurav Chakravartty, Gillian Vivian, Nicola Mullholland, Hizbullah Shaikh, John McGrath, Paul S. Sidhu, Ounali Jaffer, Ameet G Patel Tags: Original articles Source Type: research

Outcomes of Roux-en-Y gastric bypass versus sleeve gastrectomy in super-super-obese patients (BMI ≥60 kg/m2): 6-year follow-up at a single university
Obesity has assumed pandemic proportions, with the age-adjusted prevalence of obesity during 2013 to 2014 at 35.0% among men and 40.4% among women [1]. Bariatric surgery has proved its superiority over various conventional medical treatment options concerning efficacy in the loss of excess weight and decreased overall mortality [2,3]. In a population of morbidly obese people, super-super-obese (SSO) [4] individuals —body mass index (BMI)>60 kg/m2 —present a treatment challenge for even the most experienced bariatric surgeons. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 10, 2018 Category: Surgery Authors: Konstantinos Arapis, Nikoleta Makrina, Diana Kadouch, Lara Ribeiro Parenti, Jean Pierrre Marmuse, Boris Hansel Tags: Original article Source Type: research

Outcomes of Roux-en-Y gastric bypass versus sleeve gastrectomy in super-super obese patients (BMI ≥60 kg/m2): 6-year follow-up at a single university
: Among the population of morbidly obese people, super-super obese (SSO) individuals (BMI>60 kg/m2) present a treatment challenge for bariatric surgeons. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 10, 2018 Category: Surgery Authors: Konstantinos Arapis, Nikoleta Makrina, Diana K, Lara Ribeiro Parenti, Jean Pierrre Marmuse, Boris Hbnsel Tags: Original articles Source Type: research

Ventral hernia surgery in morbidly obese patients, immediate or after bariatric surgery preparation: results of a case-matched study
Obesity is a risk factor for postoperative complications after abdominal surgery. Firstly, morbid obesity is linked to an increased risk of incisional hernia formation after abdominal surgery, as a body mass index (BMI)>30 kg/m2 is recognized as a risk factor for the development of incisional hernia [1, 2]. Secondly, obesity increases surgical morbidity after open ventral hernia repair due to an increased incidence of surgical site infection, seroma and wound dehiscence [3]. Thirdly, patients with obesity are one of the highest risk groups for recurrence after ventral hernia repair, where patients with grade I or II obe...
Source: Surgery for Obesity and Related Diseases - October 9, 2018 Category: Surgery Authors: M-M Chandeze, D Moszkowicz, A Beauchet, K Vychnevskaia, F Peschaud, J-L Bouillot Source Type: research

Laparoscopic Sleeve Gastrectomy versus Roux-en-Y Gastric Bypass in Cardiovascular Risk Reduction: A Match Control Study
There is a paucity of studies comparing risk reduction of the atherosclerotic cardiovascular disease (ASCVD) and Framingham-BMI Coronary Heart risk score after a laparoscopic Roux-en-Y gastric bypass (RYGB), and few studies assessing the efficacy of laparoscopic sleeve gastrectomy (SG) in reducing cardiovascular risk. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 8, 2018 Category: Surgery Authors: David Gutierrez Blanco, David Romero Funes, Giulio Giambartolomei, Emanuele Lo Menzo, Samuel Szomstein, Raul J. Rosenthal Source Type: research

Comment on: Complications after Laparoscopic Sleeve Gastrectomy: Can we Approach a 0% Rate Using the Largest Staple Height with Reinforcement All Along the Staple Line ? Short Term results and technical considerations
Over the past 10 years, laparoscopic vertical sleeve gastrectomy (SG) has emerged as the most common bariatric procedure in the world. From a technical perspective, it is a highly reproducible procedure. Despite its relative ease, there is a high degree of variability with regards to the various sub-components or steps involved in its construction. Since its inception, numerous refinements have occurred in the various steps resulting in ongoing improvements with regards to safety, efficacy, and durability. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - October 8, 2018 Category: Surgery Authors: Anirban Gupta Source Type: research

Randomized sham-controlled trial of the 6-month swallowable gas-filled intragastric balloon system for weight loss
Obesity is a significant health problem and additional therapies are needed to improve obesity treatment. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - September 28, 2018 Category: Surgery Authors: Shelby Sullivan, James Swain, George Woodman, Steven Edmundowicz, Tarek Hassanein, Vafa Shayani, John C. Fang, Mark Noar, George Eid, Wayne J. English, Nabil Tariq, Michael Larsen, Sreenivasa S. Jonnalagadda, Dennis S. Riff, Jaime Ponce, Dayna Early, Eric Tags: Original article Source Type: research

The effect of surgery-to-conception interval on pregnancy outcomes after sleeve gastrectomy
Due to its continually increasing incidence, obesity is recognized as a global epidemic.1 Its worldwide prevalence has more than doubled in the last two decades, including 35% of the US population.1 The most effective treatment for morbid obesity has become bariatric surgery (BS); its efficacy in achieving significant weight loss and improving obesity-related comorbidities has been well documented.2 (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - September 28, 2018 Category: Surgery Authors: Amihai Rottenstreich, Gabriel Levin, Geffen Kleinstern, Misgav Rottenstreich, Uriel Elchalal, Ram Elazary Source Type: research

Randomized Sham-Controlled Trial of the Six-Month Swallowable Gas-Filled Intragastric Balloon System for Weight Loss
Obesity continues to be a significant medical problem in the United States, with a prevalence of 37.7% and an increase in overall obesity rates in women from 2005 to 2014 [1]. Multiple etiologies are likely contributing to the increasing prevalence of obesity, including lack of treatment options that are acceptable to patients. Recently, endoscopically placed and/or removed bariatric therapies have emerged as viable treatment options. These approaches have less weight loss than bariatric surgery, but are also associated with significantly lower complication rates and are approved for use in lower BMI categories [2 –5...
Source: Surgery for Obesity and Related Diseases - September 28, 2018 Category: Surgery Authors: Shelby Sullivan, James Swain, George Woodman, Steven Edmundowicz, Tarek Hassanein, Vafa Shayani, John C. Fang, Mark Noar, George Eid, Wayne J. English, Nabil Tariq, Michael Larsen, Sreenivasa S. Jonnalagadda, Dennis S. Riff, Jaime Ponce, Dayna Early, Eric Tags: Original articles Source Type: research