Postoperative outcomes based on patient participation in a presurgery education and weight management program
The prevalence of obesity in the United States has steadily increased over the past 5 decades, with approximately 35% of adults classified as obese (body mass index [BMI]>30 kg/m2) and 6.3% with Class III or severe obesity (BMI ≥40 kg/m2) [1,2]. One of the most successful treatment options for severe obesity is bariatric surgery, wherein the majority of patients experience a 50% to 75% reduction in excess weight within 6 months of surgery [3]. However, weight recidivism may occur approximately 2 years postsurgery [4] and is often attributed to reduced motivation [5], reemergence of unhealthy behaviors [6], stress [7]...
Source: Surgery for Obesity and Related Diseases - August 16, 2018 Category: Surgery Authors: Keeley J. Pratt, A. Jalilvand, B. Needleman, K. Urse, M. Ferriby, S. Noria Tags: Original article Source Type: research

Gastric Band Tubing causing Cecal Volvulus
Obesity is a major public health issue, with increasing prevalence in western societies (1). Since 1993, Laparoscopic Adjustable Gastric Band (LAGB) is largely being replaced by other surgical techniques for weight loss, due to high inherent complications. The authors report a rare complication of cecal volvulus precipitated by LAGB tubing inserted 11 years prior. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 16, 2018 Category: Surgery Authors: Joseph D W Choi, T Michael D Hughes, Nicholas K Ngui Source Type: research

Postoperative Outcomes based on Patient Participation in a Pre-surgery Education and Weight Management Program
The prevalence of obesity in the United States has steadily increased over the past five decades, with approximately 35% of adults classified as obese (Body Mass Index [BMI]> 30 kg/m2) and 6.3% with Class III or severe obesity (BMI ≥ 40 kg/m2)(1,2). One of the most successful treatment option for severe obesity is bariatric surgery, wherein the majority of patients experience a 50-75% reduction in excess weight within six months of surgery(3). However, weight recidivism may occur approximately two years post-surgery(4) and i s often attributed to reduced motivation,(5) re-emergence of unhealthy behaviors(6), stress(7...
Source: Surgery for Obesity and Related Diseases - August 16, 2018 Category: Surgery Authors: Pratt KJ, Jalilvand A, Needleman B, Urse K, Ferriby M, Noria S Source Type: research

Comment on: histologic improvement of NAFLD in patients with obesity after bariatric surgery based on standardized NAS (NAFLD activity score)
The article by Sch önfels et al., “Histologic improvement of NAFLD in patients with obesity after bariatric surgery based on standardized NAS (NAFLD activity score),” adds to our understanding of non-alcoholic fatty liver disease (NAFLD), its relationship to obesity, and the effects of various bariatric procedure s on such obesity-related conditions. In 2005, Kleiner et al. [1] described the nonalcoholic steatohepatitis (NASH) activity score (NAS), a tool originally intended to quantify changes in NAFLD in patients undergoing therapeutic trials. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 14, 2018 Category: Surgery Authors: Ann M. Rogers Tags: Editorial comment Source Type: research

Comment on: Histological improvement of NAFLD in patients with obesity after bariatric surgery based on standardized NAS (NAFLD activity score)
The article by Sch önfels et al., “Histological improvement of NAFLD in patients with obesity after bariatric surgery based on standardized NAS (NAFLD activity score)” adds to our understanding of non-alcoholic fatty liver disease (NAFLD), its relationship to obesity, and the effects of various bariatric procedu res on such obesity-related conditions. In 2005 Kleiner et al. described the NAS [1], a tool originally intended to quantify changes in NAFLD in patients undergoing therapeutic trials. Strictly speaking, the diagnosis of non-alcoholic steatohepatitis (NASH) is made histologically, in pati...
Source: Surgery for Obesity and Related Diseases - August 14, 2018 Category: Surgery Authors: Ann M. Rogers Source Type: research

Single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) as a revisional surgery
Few studies of single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) as the revision surgery for laparoscopic adjustable gastric banding (LAGB) have been published. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 13, 2018 Category: Surgery Authors: Anjian Wu, Jingbo Tian, Li Cao, Fengxia Gong, Anqin Wu, Guanglong Dong Tags: Original article Source Type: research

The study of single-anastomosis duodenoileal bypass with sleeve gastrectomy (SADI-S) as the revision surgery for laparoscopic adjustable gastric banding (LAGB)
Few studies of single-anastomosis duodenoileal bypass with sleeve gastrectomy (SADI-S) as the revision surgery for Laparoscopic adjustable gastric banding (LAGB) has been published. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 13, 2018 Category: Surgery Authors: Anjian Wu, Jingbo Tian, Li Cao, Fengxia Gong, Anqin Wu, Guanglong Dong Tags: Original articles Source Type: research

The effect of omentectomy added to bariatric surgery on metabolic outcomes: a systematic review and meta-analysis of randomized controlled trials
Obesity is a growing worldwide epidemic, having tripled in prevalence since 1975 and estimated to be affecting more than 650 million adults in 2016 (1). The disease is closely associated with diabetes, coronary heart disease, and sleep apnea (2). Bariatric surgery results in greater weight loss when compared to non-surgical treatment and can lead to the improvement or resolution of type 2 diabetes (T2D) (3). (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 12, 2018 Category: Surgery Authors: Yung Lee, Micha ł Pędziwiatr, Piotr Major, Karanbir Brar, Aristithes G. Doumouras, Dennis Hong Source Type: research

Outcome of bariatric surgery in older patients
Together with the overall population increase and the rise proportion of seniors, the percentage of people that suffer from obesity and overweight increases accordingly. People over 60 years currently represent 14% of the global population, and the 2050 forecast claims that the proportion of the world's population over 60 years will nearly double to 22%. based on the declining rates of children and youth (1). (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 11, 2018 Category: Surgery Authors: Sergio Susmallian, Royi Barnea, Yossi Weiss, Asnat Raziel Source Type: research

ASMBS Position Statement on Medium- and Long-Term Durability of Weight Loss and Diabetic Outcomes after Conventional Stapled Bariatric Procedures
The following position statement is issued by the American Society for Metabolic and Bariatric Surgery (ASMBS) for the purpose of enhancing quality of care in bariatric surgery. In this statement, suggestions for management are presented that are derived from available knowledge, peer-reviewed scientific literature, and expert opinion. This was accomplished by performing a systematic review of currently available literature regarding weight outcomes after metabolic and bariatric surgery. The intent of issuing such a statement is to provide objective information regarding the durability of weight loss and diabetes improveme...
Source: Surgery for Obesity and Related Diseases - August 10, 2018 Category: Surgery Authors: Dan Azagury, Pavlos Papasavas, Isam Hamdallah, Michel Gagner, Julie Kim Source Type: research

Roux-En-Y Gastric Bypass, Sleeve Gastrectomy, or One Anastomosis Gastric Bypass as Rescue Therapy After Failed Adjustable Gastric Banding: A Multicenter Comparative Study.
Obesity is one of the leading causes of morbidity and mortality worldwide. Bariatric surgery is the most effective procedure for achieving sustained weight loss in the long term. Many surgical techniques have been used. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 10, 2018 Category: Surgery Authors: Juan Pujol Rafols, Amr I. Al Abbas, Stefanie Devriendt, Anabela Guerra, Miguel F. Herrera, Jacques Himpens, Eva Pardina, Julia Peinado-Onsurbe, Almino Ramos, Rui Jos é da Silva Ribeiro, Bassem Safadi, Hugo Sanchez-Aguilar, Claire de Vries, Bart Van Wagen Source Type: research

Comment on: Relationship between bariatric surgery and periodontal status: a systematic review and meta-analysis
We read the article by Souza et  al. [1] with interest. The authors performed a systematic review and meta-analysis of observational studies to determine the association between bariatric surgery and periodontal outcome. The authors concluded that plaque index could be improved after bariatric surgery, while other outcomes did no t improve. While the authors’ efforts to investigate this important topic are appreciated, several methodologic issues compromised the validity of this study. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 7, 2018 Category: Surgery Authors: Anawin Sanguankeo, Sikarin Upala Tags: Editorial comment Source Type: research

Comment on: bariatric surgery and periodontal status: a systematic review with meta-analysis
We read the article by Fontanille et  al. [1] with interest. The authors performed a systematic review and meta-analysis of observational studies to determine the association between bariatric surgery and periodontal outcome. The authors concluded that plaque index could be improved after bariatric surgery, while other outcomes did no t improve. While the authors’ efforts to investigate this important topic are appreciated, several methodologic issues compromised the validity of this study. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 7, 2018 Category: Surgery Authors: Anawin Sanguankeo Tags: Editorial comment Source Type: research

Adipose Tissue and the Physiologic Underpinnings of Metabolic Disease
Adipose tissue dysfunction underlies the pathogenesis of metabolic disease. The metrics used to quantify adiposity and its association with metabolic disease, including body mass index, have limitations with important clinical implications. An understanding of the molecular and cellular mechanisms by which adipose tissue regulates systemic metabolism and contributes to metabolic disease will lead to next generation adipose tissue-based therapy. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 7, 2018 Category: Surgery Authors: Robert W. O'Rourke Source Type: research

Comment on: “Bariatric Surgery and Periodontal Status: A Systematic Review with Meta-Analysis”
We read an article written by Fontanille et al. [1] with interest. The authors performed a systematic review and meta-analysis of observational studies to determine the association between bariatric surgery and periodontal outcome. The authors concluded that plaque index can be improved after bariatric surgery, while other outcomes did not improve. While the authors ’ efforts to investigate this important topic are appreciated, there were several methodologic issues that compromised the validity of this study. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 7, 2018 Category: Surgery Authors: Anawin Sanguankeo, Sikarin Upala Source Type: research

Impact of preoperative body mass index on postoperative co-morbidity remission in super-obese patients undergoing bariatric surgery
We read with great interest the article by Hariri et al [1]. This retrospective study interestingly explored the impact of preoperative body mass index (BMI) on postoperative co-morbidity remission in super-obese patients undergoing bariatric surgery and found that preoperative BMI did not have an impact on postoperative co-morbidity remission rates or percent total weight loss. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 3, 2018 Category: Surgery Authors: Yao-Ming Zhang, Zhen-Tao Zhou, Gao-Min Liu Tags: Letters to the Editor Source Type: research

Impact of Preoperative Body Mass Index on Postoperative Comorbidity Remission in Super Obese Patients Undergoing Bariatric Surgery
We read with great interest the article by Dr. Hariri et  al[1]. This retrospective study interestingly explored the impact of preoperative body mass index (BMI) on postoperative comorbidity remission in super obese patients undergoing bariatric surgery, and found that preoperative BMI did not have an impact on postoperative comorbidity remission rates o r percent total body weight loss. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 3, 2018 Category: Surgery Authors: Yao-Ming Zhang, Zhen-Tao Zhou, Gao-Min Liu Source Type: research

Intragastric balloon outcomes in super-obesity: a 16-year city center hospital series
As global rates of obesity and its associated metabolic dysfunction have risen [1], there have been several surgical approaches designed to decrease obesity in light of the limitations with diet and lifestyle therapies. While bariatric surgery demonstrates very consistent rates of obesity decrease and control, the perceived degree of operative trauma associated with these operations and the significant anesthetic and operative risk associated with super-obese (SO) patients has led to alternative approaches to manage dietary caloric intake. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 2, 2018 Category: Surgery Authors: Hutan Ashrafian, Maren Monich, Thomas Stephen Braby, James Smellie, Gianluca Bonanomi, Evangelos Efthimiou Tags: Original article Source Type: research

Intra-gastric Balloon Outcomes in Super-Obesity - A 16-year City Centre Hospital Series
As global rates of obesity and its associated metabolic dysfunction have risen [1], there have been several surgical approaches designed to decrease obesity in light of the limitations with diet and lifestyle therapies. While bariatric surgery demonstrates very consistent rates of obesity decrease and control, the perceived degree of operative trauma associated with these operations and the significant anaesthetic and operative risk associated with super-obese patients has led to alternative approaches to manage dietary caloric intake. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 2, 2018 Category: Surgery Authors: Hutan Ashrafian, Maren Monich, Thomas Stephen Braby, James Smellie, Gianluca Bonanomi, Evangelos Efthimiou Tags: Original Articles Source Type: research

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

SOARD Category 1 CME Credit Featured Articles, Volume 14, July 2018
Jad Khoraki, Guilherme S. Mazzini, Amar S. Shah, Paul A.R. Del Prado, Luke G. Wolfe, Guilherme M. Campos (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 1, 2018 Category: Surgery Tags: CONTINUING MEDICAL EDUCATION PROGRAM Source Type: research

Cartoon
(Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 1, 2018 Category: Surgery Source Type: research

Psychosocial functioning and quality of life in patients with loose redundant skin 4 to 5 years after bariatric surgery
Use of the Roux-en-Y gastric bypass (RYGB) usually results in significant, sustained weight loss and resolution of comorbid conditions for patients with severe obesity, demonstrating good efficacy at longer-term follow-up [1,2]. Notably, the American Society for Metabolic and Bariatric Surgery reported that approximately 216,000 bariatric surgery procedures were conducted in 2016 [3,4]. Of those, 18.7% were RYGBs. Most patients reach their weight loss nadir between the first and second postoperative year. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 1, 2018 Category: Surgery Authors: Ryan J. Marek, Kristine J. Steffen, David R. Flum, Alfons Pomp, Walter J. Pories, J. Peter Rubin, Bruce M. Wolfe, James E. Mitchell Tags: Original article Source Type: research

Assessment of Mammographic Breast Density After Sleeve Gastrectomy
Obesity rates continue to rise in the United States and around the world. [1,2] Along with its contribution to the metabolic syndrome, obesity is also associated with many cancers including postmenopausal breast cancer. [3,4] Obesity and dense breast tissue are both established risk factors for breast cancer. [5 –7] Bariatric surgery is safe and the most effective therapy for obesity and related metabolic comorbidities with long-lasting results. [8,9] Bariatric surgery may also decrease postmenopausal breast cancer risk. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 1, 2018 Category: Surgery Authors: Rafael Alvarez, Elika Ridelman, Natalie Rizk MD, Morgan S White, Chuan Zhou, Heang-Ping Chan, Oliver A. Varban, Mark A Helvie, Randy J. Seeley Tags: Original articles Source Type: research

Psychosocial Functioning and Quality of Life in Patients with Loose Redundant Skin 4-5 Years After Bariatric Surgery
Use of the Roux-en-Y Gastric Bypass (RYGB) usually results in significant, sustained weight loss and resolution of comorbid conditions for patients with severe obesity, demonstrating good efficacy at longer term follow-ups.[1,2] Notably, the American Society for Metabolic and Bariatric Surgery reported that around 216,000 bariatric surgery procedures were conducted in 2016.[3,4] Of those, 18.7% were RYGBs. Most patients reach their weight loss nadir between the first and second post-operative year. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 1, 2018 Category: Surgery Authors: Ryan J. Marek, Kristine J. Steffen, David R. Flum, Alfons Pomp, Walter J. Pories, J. Peter Rubin, Bruce M. Wolfe, James E. Mitchell Tags: Original articles Source Type: research

Cocaine and amphetamine regulated transcript and Brain-derived neurotrophic factor in morbid obesity. One-year follow-up after gastric bypass
The identification of biomarkers associated with obesity and response to treatment could represent an important advance in order to design more effective and personalized therapeutic strategies. In the case of morbid obesity, bariatric surgery provides the best success rates, which includes partial diabetes remission, improved glucose homeostasis, decreased cardiovascular risk and significant reduction in hepatic steatosis, inflammation, and fibrosis on nonalcoholic fatty liver disease, among other benefits [1 –3]. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - August 1, 2018 Category: Surgery Authors: Jos é Ramón Muñoz-Rodríguez, Andrea Agarrado, Jesús Martín-Fernández, Elisabet Salas, Carmen González-Martín, Luis F. Alguacil Tags: Original contribution Source Type: research

Demographic, clinical, and behavioral determinants of 7-year weight change trajectories in Roux-en-Y gastric bypass patients
For many patients with obesity, weight loss surgery conveys durable benefits that span improvements in physical and mental health, longevity, and quality of life [1 –6]. However, weight change trajectories after surgery are heterogeneous [1]. In 2013, Courcoulas et al. [1] modeled weight change trajectories of surgery patients through 3 years postoperatively and found that approximately 23% of Roux-en-Y gastric bypass (RYGB) patients did not achieve or sustai n>25% total weight loss. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - July 30, 2018 Category: Surgery Authors: Michelle R. Lent, Yirui Hu, Peter N. Benotti, Anthony T. Petrick, G. Craig Wood, Christopher D. Still, H. Lester Kirchner Tags: Original article Source Type: research

The long-term effect of pregnancy on weight loss after sleeve gastrectomy
Obesity is recognized as a global epidemic. Its worldwide prevalence has more than doubled in the last 2 decades, including 35% of the U.S. population [1]. Bariatric surgery (BS) has become the mainstay of treatment for morbid obesity because of its demonstrated efficacy in achieving significant weight loss and in improving obesity-related co-morbidities [2]. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - July 30, 2018 Category: Surgery Authors: Amihai Rottenstreich, Jaber Shufanieh, Geffen Kleinstern, Ariela Goldenshluger, Uriel Elchalal, Ram Elazary Tags: Original article Source Type: research

Long-term results for gastric banding as salvage procedure for patients with weight loss failure after Roux-en-Y gastric bypass
Studies reporting revisionary options for weight loss failure after Roux-en-Y gastric bypass (RYGB) have been underpowered and lacking long-term data. We have previously shown that short-term (12 mo) and midterm (24 mo) weight loss is achievable with laparoscopic adjustable gastric banding (LAGB) for failed RYGB. The present study represents the largest published series with longest postoperative follow-up of patients receiving salvage LAGB after RYGB failure. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - July 30, 2018 Category: Surgery Authors: Shinban Liu, Christine J. Ren-Fielding, Bradley Schwack, Marina Kurian, George A. Fielding Tags: Original article Source Type: research

Demographic, clinical and behavioral determinants of seven-year weight change trajectories in Roux-en-Y Gastric Bypass patients
For many patients with obesity, weight-loss surgery conveys durable benefits that span improvements in physical and mental health, longevity and quality of life [1 –6]. However, weight change trajectories following surgery are heterogenous [1]. In 2013, Courcoulas and colleagues[1] modeled weight change trajectories of surgery patients through three-years postoperatively and found that approximately 23% of Roux-en-Y Gastric Bypass (RYGB) patients did not ach ieve or sustain greater than 25% total body weight loss. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - July 30, 2018 Category: Surgery Authors: Michelle R. Lent, Yirui Hu, Peter N. Benotti, Anthony T. Petrick, G. Craig Wood, Christopher D. Still, H. Lester Kirchner Tags: Original articles Source Type: research

The long term effect of pregnancy on weight loss following sleeve gastrectomy
Obesity is recognized as a global epidemic. Its worldwide prevalence has more than doubled in the last two decades, including 35% of the US population (1). Bariatric surgery (BS) has become the mainstay of treatment for morbid obesity, due to its demonstrated efficacy in achieving significant weight loss and in improving obesity-related comorbidities (2). (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - July 30, 2018 Category: Surgery Authors: Amihai Rottenstreich, Jaber Shufanieh, Geffen Kleinstern, Ariela Goldenshluger, Uriel Elchalal, Ram Elazary Source Type: research

Long term results for gastric banding as salvage procedure for patients with weight loss failure after roux-en-y gastric bypass
Studies reporting revisionary options for weight loss failure after Roux-en-Y gastric bypass (RYGB) have been underpowered and lacking long-term data. We have previously shown that short-term (12-month) and midterm (24-month) weight loss is achievable with laparoscopic adjustable gastric banding (LAGB) for failed RYGB. The present study represents the largest published series with longest postoperative follow up of patients receiving salvage LAGB after RYGB failure. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - July 30, 2018 Category: Surgery Authors: Shinban Liu, Christine J. Ren-Fielding, Bradley Schwack, Marina Kurian, George A. Fielding Source Type: research

Long-term effects of proximal small bowel exclusion by duodenal-jejunal bypass liner on weight reduction and glycemic control in diabetic patients
Obesity and type 2 diabetes (T2D) have become a substantial burden on public health in the last century, and different strategies to mitigate them are advocated [1]. Proximal small bowel diversion bears prominent beneficial metabolic effects associated with augmentation of the incretin system and accelerated glucose handling in the distal part of the gut [2,3]. Roux-en-Y gastric bypass surgery exhibits these advantages [4 –6] and is an effective tool for weight reduction and glycemic control [7]. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - July 28, 2018 Category: Surgery Authors: Liat Deutsch, Limor Ben-Haim, Yael Sofer, Nathan Gluck, Erwin Santo, Sigal Fishman Tags: Original article Source Type: research

Midterm outcomes of sleeve gastrectomy in the elderly
The prevalence of obesity in the older population is increasing [1,2]. Morbid obesity is associated with several co-morbidities including type 2 diabetes (T2D), metabolic syndrome, obstructive sleep apnea, osteoarthritis, certain types of cancers, and numerous others [3,4]. Metabolic syndrome is a well-known risk factor for cardiovascular disease, which in turn is associated with morbidity and mortality at any age and particularly in elderly patients [5]. Bariatric surgery is considered the most effective treatment modality for metabolic syndrome and is known to have superior outcomes compared with medical therapy in the g...
Source: Surgery for Obesity and Related Diseases - July 28, 2018 Category: Surgery Authors: Dvir Froylich, Omer Sadeh, Hagar Mizrahi, Naama Kafri, Guy Pascal, Christopher R. Daigle, Nisim Geron, David Hazzan Tags: Original article Source Type: research

Comment on: Current role of staple line reinforcement in 30-day Outcomes of Primary Laparoscopic Sleeve Gastrectomy: An analysis of MBSAQIP data, 2015-2016 PUF
The manuscript [1] has to be commended for reporting such extensive data on reinforcement of the staple line following LSG, but the manuscript contains two main limitations. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - July 28, 2018 Category: Surgery Authors: Patrick NOEL, Marius NEDELCU Source Type: research

Mid-term Outcomes of Sleeve Gastrectomy in the Elderly
The prevalence of obesity in the elderly population is increasing [1, 2]. Morbid obesity is associated with several comorbidities including T2D, metabolic syndrome, obstructive sleep apnea, osteoarthritis, certain types of cancers and numerous others [3, 4]. Metabolic syndrome is a well-known risk factor for cardiovascular disease, which in turn is associated with morbidity and mortality in any age and particularly in elderly patients [5]. Bariatric surgery is considered the most effective treatment modality for metabolic syndrome and is known to have superior outcomes when compared to medical therapy in the general popula...
Source: Surgery for Obesity and Related Diseases - July 28, 2018 Category: Surgery Authors: Dvir Froylich, Omer Sadeh, Hagar Mizrahi, Naama Kafri, Guy Pascal, Christopher R. Daigle, Nisim Geron, David Hazzan Tags: Original Article Source Type: research

Does the Future of Laparoscopic Sleeve Gastrectomy Lie in the Outpatient Surgery Center? A Retrospective Study of the Safety of 3,162 Outpatient Sleeve Gastrectomies.
Laparoscopic sleeve gastrectomy (LSG) is a safe and effective procedure that can be performed as an outpatient procedure. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - July 28, 2018 Category: Surgery Authors: Amit Surve, Daniel Cottam, Hinali Zaveri, Austin Cottam, LeGrand Belnap, Christina Richards, Walter Medlin, Titus Duncan, Karleena Tuggle, Alberto Zorak, Thomas Umbach, Matthew Apel, Peter Billing, Josiah Billing, Robert Landerholm, Kurt Stewart, Jedediah Tags: Original articles Source Type: research

Long Term Effects of Proximal Small Bowel Exclusion by Duodenal-Jejunal Bypass Liner on Weight Reduction and Glycemic Control in Diabetic Patients
Obesity and type 2 diabetes mellitus (T2DM) have become a substantial burden on public health in the last century and advocate different strategies to mitigate them [1]. Proximal small bowel diversion bears prominent beneficial metabolic effects associated with augmentation of the incretin system and accelerated glucose handling in the distal part of the gut [2, 3]. Roux-en-Y gastric bypass (RYGB) surgery exhibits these advantages [4 –6] and is an effective tool for weight reduction and glycemic control [7]. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - July 28, 2018 Category: Surgery Authors: Liat Deutsch, Limor Ben-Haim, Yael Sofer, Nathan Gluck, Erwin Santo, Sigal Fishman Tags: Original articles Source Type: research

Shifts in intestinal microbiota after duodenal exclusion favor glycemic control and weight loss: a randomized controlled trial.
Type 2 diabetes mellitus (T2D) is a serious public health problem that affects approximately 415 million people worldwide [1]. The causes of insulin resistance and insulin secretion reduction have not been fully elucidated. Recent studies pointed that gut microbiota may be an important modulator of the disease [2,3]. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - July 27, 2018 Category: Surgery Authors: R.V. Cortez, T. Petry, P. Caravatto, Fonseca Rodrigo Pess ôa, Sabri S. Sanabani, M.B. Martinez, Thais Sarian, J.E. Salles, R. Cohen, C.R. Taddei Tags: Original articles Source Type: research

Histologic improvement of NAFLD in patients with obesity after bariatric surgery based on standardized NAS (NAFLD activity score)
Nonalcoholic fatty liver disease (NAFLD) is the most common chronic liver disorder in industrialized countries. Nonalcoholic steatohepatitis is the fastest growing cause for liver failure. Bariatric surgery represents a treatment option for NAFLD with an established effect on liver histology. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - July 23, 2018 Category: Surgery Authors: Witigo von Sch önfels, Jan Henrik Beckmann, Markus Ahrens, Alexander Hendricks, Christoph Röcken, Silke Szymczak, Jochen Hampe, Clemens Schafmayer Tags: Original article Source Type: research

Histological improvement of NAFLD in patients with obesity after bariatric surgery based on standardized NAS (NAFLD activity score)
Nonalcoholic fatty liver disease (NAFLD) is considered to be the hepatic manifestation of the metabolic syndrome with liver steatosis as the unifying liver lesion [1]. While steatosis hepatis solely presents a largely benign condition, NAFLD can progress to nonalcoholic steatohepatitis (NASH), liver cirrhosis, liver failure, and hepatocellular carcinoma. With a global increase of its underlying risk factors such as obesity, hyperlipidemia and type II diabetes (T2DM), NAFLD nowadays affects up to 35% of the adults in the United States and has become the most common cause of elevated liver enzymes in industrialized countries...
Source: Surgery for Obesity and Related Diseases - July 23, 2018 Category: Surgery Authors: Witigo von Sch önfels, Jan Henrik Beckmann, Markus Ahrens, Alexander Hendricks, Christoph Röcken, Silke Szymczak, Jochen Hampe, Clemens Schafmayer Tags: Original articles Source Type: research

Bariatric Surgery and Periodontal Status: A Systematic Review with Meta-Analysis
OBJECTIVE: To review and analyze periodontal clinical parameters after bariatric surgery.Background: Periodontitis, a dysbiotic inflammatory disease has been associated with obesity. The purpose of bariatric surgery is to reduce weight and systemic inflammation. Consequently, it is of interest to systematically review the impact of bariatric surgery on periodontal status.Methods: Electronic searches were conducted in MEDLINE, EMBASE, Thesis database and the Cochrane Library databases. Grey literature and the main journals of both specialties were also reviewed. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - July 23, 2018 Category: Surgery Authors: Isabelle Fontanille, Adrien Boillot, H élène Rangé, Maria Clotilde Carra, Silvia Helena de Carvalho Sales-Peres, Sebastien Czernichow, Philippe Bouchard Source Type: research

Influence of Helicobacter pylori infection on gastrointestinal symptoms and complications in bariatric surgery patients: a review and meta-analysis
Numerous papers have discussed the importance of preoperative detection and eradication of Helicobacter pylori (HP) in bariatric patients. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - July 21, 2018 Category: Surgery Authors: Hendrika J.M. Smelt, Johannes F. Smulders, Lennard P.L. Gilissen, Mohammed Said, Surendra Ugale, Sjaak Pouwels Tags: Review article Source Type: research

Influence of Helicobacter pylori infection on gastro-intestinal symptoms and complications in bariatric surgery patients: a review and meta-analysis
Over the last 20 years, the field of bariatric surgery has achieved a perioperative safety profile similar to that of more minor surgical procedures, particularly concerning key outcome indices such as bleeding, anastomotic leakage and ulcerations. However, despite improved safety, diligent bariatric programs, and compliant patients, certain late complications remain difficult to prevent and will predictably occur following bariatric surgery [1]. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - July 21, 2018 Category: Surgery Authors: Hendrika J.M. Smelt, Johannes F. Smulders, Lennard P.L. Gilissen, Mohammed Said, Surendra Ugale, Sjaak Pouwels Tags: Review articles Source Type: research

How Safe is Same-Day Discharge After Laparoscopic Sleeve Gastrectomy?
Laparoscopic sleeve gastrectomy (LSG) is associated with low morbidity and mortality, and a short length of stay. Studies on the safety of same-day discharge after LSG are limited. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - July 21, 2018 Category: Surgery Authors: Colette S. Inaba, Christina Y. Koh, Sarath Sujatha-Bhaskar, Marija Pejcinovska, Ninh T. Nguyen Tags: Original articles Source Type: research

Laparoscopic Vertical Clip Gastroplasty – Quality of life
There is substantial evidence that surgery is the only valid treatment for morbid obesity [1,2]. Over the last decade, several techniques have emerged and the bariatric trends have changed [3,4]. Presently, the most commonly performed technique is laparoscopic sleeve gastrectomy (LSG), after many years when laparoscopic Roux-en-Y gastric bypass (LRYGBP) has been considered as the gold standard. This growth can be explained by several advantages that LSG carries over LRYGBP, including the absence of most side effects of bypass procedures like dumping syndrome, marginal ulcers, malabsorption, small bowel obstruction and inte...
Source: Surgery for Obesity and Related Diseases - July 20, 2018 Category: Surgery Authors: Patrick Noel, Adrian Marius Nedelcu, Imane Eddbali, Natan Zundel Source Type: research

Impact of Roux-en-Y gastric bypass and sleeve gastrectomy on fetal growth and relationship with maternal nutritional status
More than 80% of the patients undergoing bariatric surgery (BS) are women of childbearing age, in whom postoperative weight loss promotes significant improvement in fertility [1]. Most studies show an improvement of pregnancy outcomes after BS, such as decreased incidence of gestational diabetes, hypertension or macrosomia. However, an increased risk of small for gestational age (SGA) was also reported after biliopancreatic diversion and Roux-en-Y gastric bypass (RYGB), as compared to non-operated women matched for early pregnancy or presurgery body mass index (BMI) [2-6]. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - July 20, 2018 Category: Surgery Authors: Muriel Coupaye, H élène Legardeur, Ouidad Sami, Daniela Calabrese, Laurent Mandelbrot, Séverine Ledoux Tags: Original articles Source Type: research

Roux-en-Y gastric bypass surgery in youth with severe obesity: 1-year longitudinal changes in spexin
Spexin is a novel peptide predominantly produced in human white adipose tissue and has recently been implicated as a potential signal in the regulation of weight, energy homeostasis, and satiety. The effect of bariatric surgery on spexin is unknown. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - July 19, 2018 Category: Surgery Authors: Seema Kumar, Jobayer Hossain, Thomas Inge, P. Babu Balagopal Tags: Original article Source Type: research

Bariatric surgery improves the employment rate in people with obesity: 2-year analysis
Beyond medical complications, people with obesity experience dramatic impairment of quality of life, including adverse workplace effects. Obesity results in weight-based discrimination and a high rate of unemployment because of work disability, absenteeism, loss of productivity, and cost. A few studies have been performed to assess the relationship between obesity surgery and the workplace, concluding in an improvement in weekly working hours and productivity, and a decrease in absenteeism, days of sick leave, and state benefit claims. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - July 19, 2018 Category: Surgery Authors: Adrian Mancini, Anne-Laure Borel, Sandrine Coumes, Nelly Wion, Catherine Arvieux, Fabian Reche Tags: Integrated Health Article Source Type: research