Comment on: Distal gastric bypass: 2-m biliopancreatic limb construction with varying lengths of common channel
For over 25 years, numerous papers [1,2] have looked for the best possible combination of the alimentary (Roux) limb (A) and biliopancreatic limb (B) to achieve a satisfactory weight loss in the long term, especially in the populations of patients who have a body mass index>50 kg/m2 in whom weight loss maintenance is more difficult to obtain, even with a powerful procedure like the biliopancreatic diversion with duodenal switch [3]. More recently, as in the present paper [4], the importance of the common channel (C) has also been studied. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - July 6, 2019 Category: Surgery Authors: Phillipe A. Topart Tags: Editorial comment Source Type: research

Comment on: Meta-analysis of the effect of bariatric surgery on physical activity
Physical activity is an important component of many non-surgical interventions for obesity1 and yet it is uncommonly reported in studies of metabolic and bariatric surgery (MBS). In this meta-analysis of almost 6,000 patients across 20 studies, the authors examine the impact of bariatric surgery on physical activity among adults2. The main findings were of significant improvement in subjective measures of physical activity up to 3 years after bariatric surgery, and in objective measures beyond 6 months. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - July 6, 2019 Category: Surgery Authors: Andrew J. Beamish Source Type: research

Comment on: Pain and nausea after bariatric surgery with total intravenous anesthesia versus desflurane anesthesia - a double blind, randomized, controlled trial
Over the past 5 years the world of surgery, and including bariatric and weight loss surgery, has begun to embrace enhanced recovery pathways. An important part of the pathway is the delivery of anesthesia and what measures we can take to decrease post op nausea, vomiting and pain. In particular it is well described in weight loss surgery patients that post op nausea occurs as a direct result of anesthesia, and it ’s unclear whether any difference on post op nausea, vomiting and pain exists when comparing total intravenous anesthesia (TIVA) to the standard inhaled anesthestics [1, 2]. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - July 6, 2019 Category: Surgery Authors: Jason M. Johnson Source Type: research

Validation of biochemical scores for liver steatosis before and one year after sleeve gastrectomy
Over the past 10 years bariatric surgeons have embraced our role in not only producing sustained and long-term weight loss, but more importantly we have embraced our role in improving metabolic conditions such as Non-Alcoholic Fatty Liver Disease (NAFLD). With obesity increasing worldwide we have seen a concomitant increase in patients with the progression of NAFLD to nonalcoholic steatohepatitis (NASH) and ultimately cirrhosis [1]. Although we have more and more evidence of remission of NAFLD and NASH, liver biopsy remains the gold standard for tracking regression and remission. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - July 6, 2019 Category: Surgery Authors: Jason M. Johnson Source Type: research

Comment on: Distal gastric bypass - 2 m biliopancreatic limb construction with varying lengths of common channel
For over 25 years 1,2, numerous papers have looked for the best possible combination of the alimentary (Roux) limb (A) and biliopancreatic limb (B) to achieve a satisfactory weight loss on the long term especially in the populations of patients who have a body mass index (BMI) over 50 kg/m2 in whom weight loss maintenance is more difficult to obtain even with such a powerful procedure as the biliopancreatic diversion with duodenal switch 3. More recently, as in the present paper4, the importance of the common channel (C) has also been studied. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - July 6, 2019 Category: Surgery Authors: Philippe A. Topart Source Type: research

Reply to letter to the editor: Comparison of one-anastomosis gastric bypass and Roux-en-Y-gastric bypass for treatment of obesity: a 5-year study
We appreciate the interest in and the thoughtful comments by Magouliotis et  al. regarding our paper entitled “Comparison of one-anastomosis gastric bypass (OAGB) and Roux-en-Y-gastric bypass (RYGB) for treatment of obesity: a 5-year study” [1]. We appreciate the corroboration of the essential findings in our study by their updated meta-analysis [2]. Though there is st ill need for further studies, particularly prospective randomized studies, our findings that the OAGB is a less demanding operation that takes less operating time and is more effective for weight loss compared with the RYGB is similar to oth...
Source: Surgery for Obesity and Related Diseases - July 5, 2019 Category: Surgery Authors: Mohit Bhandari, Susmit Kosta, Winni Mathur, Hemant Kumar Nautiyal, Mathias Fobi Tags: Letter to the editor Source Type: research

Reply to letter to the editor: Comparison of one anastomosis gastric bypass (OAGB) and Roux-en-Y-gastric bypass (RYGB) for treatment of Obesity: A five-year Study
We appreciate the interest in and the thoughtful comments by Magouliotis et al. regarding our paper entitled "Comparison of one anastomosis gastric bypass (OAGB) and Roux-en-Y-gastric bypass (RYGB) for treatment of Obesity: A five-year Study" [1]. We appreciate the corroboration of the essential findings in our study by their updated meta-analysis [2] Though there is still need for further studies, particularly prospective randomized studies, our findings that the OAGB is a less demanding operation that takes less operating time and is more effective for weight loss compared to the RYGB is similar to other report...
Source: Surgery for Obesity and Related Diseases - July 5, 2019 Category: Surgery Authors: Mohit Bhandari, Susmit Kosta, Winni Mathur, Hemant Kumar Nautiyal, Mathias Fobi Tags: Letter to the Editor Source Type: research

Bariatric surgery outcomes in oxygen-dependent patients: analysis of the MBSAQIP database
The number of bariatric procedures performed on complex, oxygen-dependent patients has increased. These patients often have other medical co-morbidities that can be improved after bariatric surgery; however, questions remain regarding their perioperative risk. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - July 4, 2019 Category: Surgery Authors: Sadaf Afraz, Jerry T. Dang, Aryan Modasi, Noah Switzer, Daniel W. Birch, Shahzeer Karmali Tags: Original article Source Type: research

Bariatric Surgery Outcomes in Oxygen Dependent Patients: Analysis of the Mbsaqip Database
The number of bariatric procedures performed on complex, oxygen-dependent patients has increased. These patients often have other medical comorbidities that can be improved following bariatric surgery, however questions remain regarding their perioperative risk. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - July 4, 2019 Category: Surgery Authors: Sadaf Afraz, Jerry T. Dang, Aryan Modasi, Noah Switzer, Daniel W. Birch, Shahzeer Karmali Tags: Original articles Source Type: research

Financial impact of improving patient care setting selection after bariatric surgery
Potentially avoidable emergency department (ED) visits are a significant source of excess healthcare spending. Despite improvement in postoperative readmissions, 20% of bariatric surgery patients use the ED postoperatively. Many of these visits may be appropriately managed in lower-acuity centers. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - July 2, 2019 Category: Surgery Authors: Margaret E. Smith, Aaron Bonham, Oliver A. Varban, Jonathan F. Finks, Arthur M. Carlin, Amir A. Ghaferi Tags: Original article Source Type: research

Slipped Capital Femoral Epiphysis and Blount Disease as Indicators for Early Metabolic Surgical Intervention
Slipped capital femoral epiphysis (SCFE) and Blount disease are strongly associated with pediatric obesity, yet they have only recently been identified as indications for consideration of metabolic and bariatric surgery (MBS). (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - July 2, 2019 Category: Surgery Authors: Cornelia L. Griggs, Numa P. Perez, Mabel C. Chan, Janey S. Pratt Tags: Original articles Source Type: research

Financial Impact of Improving Patient Care Setting Selection Following Bariatric Surgery
Potentially avoidable Emergency Department (ED) visits are a significant source of excess healthcare spending. Despite improvement in postoperative readmissions, 20% of bariatric surgery patients utilize the ED postoperatively. Many of these visits may be appropriately managed in lower-acuity centers. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - July 2, 2019 Category: Surgery Authors: Margaret E. Smith, Aaron Bonham, Oliver A. Varban, Jonathan F. Finks, Arthur M. Carlin, Amir A. Ghaferi Tags: Original articles Source Type: research

Editorial Board
(Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - July 1, 2019 Category: Surgery Source Type: research

Table of Contents
(Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - July 1, 2019 Category: Surgery Source Type: research

SOARD Category 1 CME Credit Featured Articles, Volume 15, July 2019
Jamy D. Ard, Daniel P. Beavers, Erica Hale, Gary Miller, Stephen McNatt, Adolfo Fernandez (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - July 1, 2019 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 - July 1, 2019 Category: Surgery Source Type: research

First Assistant Impact on Early Morbidity and Mortality in Bariatric Surgery
The future of bariatric surgery depends largely upon how effectively residents and fellows are trained. The challenge is to assure patient safety during training. Our study compares the impact of first assistants on patient outcomes following Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG). (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - June 29, 2019 Category: Surgery Authors: Mark E. Mahan, David M. Parker, Marcus Fluck, Jon D. Gabrielsen, Anthony T. Petrick, Ryan D. Horsley Tags: Original articles Source Type: research

Prevalence and risk factors for symptoms suggestive of hypoglycemia and early dumping syndrome after sleeve gastrectomy
Postprandial hypoglycemia and early dumping syndrome are common complications after bariatric surgery. Although sleeve gastrectomy (SG) has become a primary option for many bariatric surgeons, limited information were available for the prevalence and risk factors of the complications. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - June 29, 2019 Category: Surgery Authors: Wanwan Sun, Yawen Zhang, Qiwei Shen, Wen Zhang, Qiyuan Yao, Yehong Yang Tags: Original articles Source Type: research

Use of Noninvasive Positive Pressure Ventilation in Patients with Severe Obesity Undergoing Esophagogastroduodenoscopy: A Randomized Controlled Trial
Patients with severe obesity being considered for bariatric surgery often undergo preoperative esophagogastroduodenoscopy (EGD). Severe obesity is a risk factor for oxygen desaturation events during EGD. The use of noninvasive positive pressure ventilation (NIPPV) to reduce desaturation events during EGD among patients with severe obesity has not been studied. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - June 29, 2019 Category: Surgery Authors: Makram Gedeon, Sheldon Gomes, Karen Roy, Patricia Duclos-Miller, Jennifer S. Rose Tags: Original articles Source Type: research

A Frailty Index and the Impact of Frailty on Postoperative Outcomes in Older Patients after Bariatric Surgery
The prognostic value of frailty in the elderly surgical population has been well studied across surgical specialties. However, no studied have yet explored the effects of frailty across the full spectrum of adverse events after bariatric surgery. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - June 29, 2019 Category: Surgery Authors: Amlish Bilal Gondal, Chiu-Hsieh Hsu, Muhammad Zeeshan, Mohammad Hamidi, Bellal Joseph, Iman Ghaderi Tags: Original articles Source Type: research

Potential mechanisms of sleeve gastrectomy for reducing weight and improving metabolism in patients with obesity
Obesity is a severe medical problem endangering the health of individuals worldwide. Sleeve gastrectomy (SG), one of the most commonly performed bariatric procedures, has been widely applied to the treatment of such patients. Currently, the potential mechanisms underlying the significant weight loss and metabolic improvement after SG have been well studied. First, and most importantly, by removing a large volume of stomach, the SG directly or indirectly restricts food intake. Then, there are alterations in the absorption and metabolism of both macro- and micronutrients, which may benefit or worsen the patients ’ well...
Source: Surgery for Obesity and Related Diseases - June 28, 2019 Category: Surgery Authors: Renhong Huang, Xusheng Ding, Hongbing Fu, Qingping Cai Tags: Review article Source Type: research

Potential mechanisms of sleeve gastrectomy for reducing body weight and improving metabolism in patients with obesity
Obesity is a severe medical problem endangering human health of individuals worldwide. Sleeve gastrectomy (SG) is one of the most commonly performed bariatric procedures, has been widely applied to the treatment of patients such patients. Currently, the potential mechanisms underlying the significant weight loss and metabolic improvement after SG have been well studied. First, and most importantly, by removing a large volume of stomach, the SG directly or indirectly restricts food intake. Then, there are alterations in the absorption and metabolism of both macronutrients and micronutrients, which may benefit or worsen the ...
Source: Surgery for Obesity and Related Diseases - June 28, 2019 Category: Surgery Authors: Renhong Huang, Xusheng Ding, Hongbing Fu, Qingping Cai Tags: Review articles Source Type: research

Robotic-assisted conversion of Nissen fundoplication to Roux-en-Y gastric bypass (avoiding pitfalls)
Conversion of Nissen fundoplication to Roux-en-Y gastric bypass can be technically challenging due to factors present for any reoperation, such as presence of scar tissue, altered tissue planes, and often unclear anatomy. Meticulous hiatus and wrap dissection, repair of hiatal hernia if present, complete unwrapping of the fundoplication and clarification of gastric redundancy before pouch creation, and preservation of the left gastric artery are keys to improving outcomes and reducing morbidity. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - June 27, 2019 Category: Surgery Authors: Juaquito M. Jorge, Adam Golas, John Paul Gonzalvo Tags: Video case report Source Type: research

Hospital utilization 4 years after bariatric surgery: sleeve gastrectomy versus Roux-en-Y gastric bypass
While sleeve gastrectomy (SG) has lower perioperative risk compared with Roux-en-Y gastric bypass (RYGB), long-term data about their differential impact on overall health are unclear. Hospital use after bariatric surgery is an important parameter for improving peri- and postoperative care. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - June 27, 2019 Category: Surgery Authors: Konstantinos Spaniolas, Iliya Goldberg, Jie Yang, Chencan Zhu, Salvatore Docimo, Mark A. Talamini, Aurora D. Pryor Tags: Original article Source Type: research

Robotic Assisted Conversion of Nissen Fundoplication to Roux-en-Y Gastric Bypass (Avoiding Pitfalls)
Laparoscopic anti-reflux surgery (LARS) utilizing fundoplication plays a major role in the treatment of gastroesophageal reflux disease (GERD). It is important to consider that long term control of reflux in the patient with obesity has been shown to be worse (failure up to four times more likely) than in normal weight patients following Nissen fundoplication. Recurrence of symptoms after LARS may benefit from medical management in some cases, while in others revisional surgery should be considered. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - June 27, 2019 Category: Surgery Authors: Juaquito M. Jorge, Adam Golas, John Paul Gonzalvo Source Type: research

Hospital Utilization 4 Years following Bariatric Surgery: Sleeve Gastrectomy vs Roux-en-Y Gastric Bypass
While sleeve gastrectomy (SG) has lower perioperative risk compared to Roux-en-Y gastric bypass (RYGB), long-term data about their differential impact on overall health is unclear. Hospital use following bariatric surgery is an important parameter for improving peri- and post-operative care. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - June 27, 2019 Category: Surgery Authors: Konstantinos Spaniolas, Iliya Goldberg, Jie Yang, Chencan Zhu, Salvatore Docimo, Mark A. Talamini, Aurora D. Pryor Tags: Original articles Source Type: research

Prebariatric surgery care and postoperative outcomes: increased number of visits associated with smaller weight losses over first  2 postoperative years
The prebariatric surgery assessment process can be challenging to patients and serve as a barrier to surgery. There is limited evidence to support its utility in improving postoperative outcomes for the majority of patients. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - June 26, 2019 Category: Surgery Authors: Colleen Tewksbury, Jingwei Wu, Kelly C. Allison, Heather Gardiner, Kristoffel R. Dumon, Noel N. Williams, David B. Sarwer Tags: Original article Source Type: research

Pre-Bariatric Surgery Care and Postoperative Outcomes: Increased Number of Visits Associated with Smaller Weight Losses over First 2 Postoperative Years
The pre-bariatric surgery assessment process can be challenging to patients and serve as a barrier to surgery. There is limited evidence to support its utility in improving postoperative outcomes for the majority of patients. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - June 26, 2019 Category: Surgery Authors: Colleen Tewksbury, Jingwei Wu, Kelly C. Allison, Heather Gardiner, Kristoffel R. Dumon, Noel N. Williams, David B. Sarwer Tags: Original articles Source Type: research

Association of preoperative hemoglobin with weight loss after bariatric surgery: a retrospective study
Despite the known positive correlation between exercise and weight loss following bariatric surgery as well as the established association of hemoglobin level with maximal aerobic power and endurance performance, the correlation between preoperative hemoglobin concentration (Pre-Hb) and postoperative weight loss remains unknown. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - June 26, 2019 Category: Surgery Authors: Kuo-Chuan Hung, Chun-Ning Ho, Jen-Yin Chen, Wei-Cheng Liu, Cheuk-Kwan Sun, Tien-Chou Soong Tags: Original articles Source Type: research

Comment on: Improvements in Humoral Immune Function and Glucolipid Metabolism after Laparoscopic Sleeve Gastrectomy in Patients with Obesity
Less than a century ago, the idea of being able to access massive amounts of information and data at any moment from virtually any place of the world would have been inconceivable. While the access to all human knowledge is at the palm of the hand, this vast knowledge resource is not used properly, and pseudoscientific theories gain terrain every day. From modern flat Earth believers, to anti-vaccination movements that seriously endanger the current public health system, which could hardly happen in the 20th century. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - June 26, 2019 Category: Surgery Authors: Juan Jos é González Plaza Source Type: research

Effect of long-term Proton pump inhibitor therapy on hemoglobin and serum iron levels after sleeve gastrectomy
University Hospital, USA (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - June 26, 2019 Category: Surgery Authors: Nitin Sharma, Wai Yip Chau, Lisa Dobruskin Tags: Original articles Source Type: research

Internal hernias in pregnant females with Roux-en-Y gastric bypass: a  systematic review
Improved fertility following a Roux-en-Y gastric bypass (RYGB) can lead to pregnancy and increase the risk of internal herniation. A developing fetus and symptoms of pregnancy can mask the diagnosis and delay intervention, leading to deleterious maternal and fetal consequences. The aim of this systematic review is to summarize the literature regarding internal hernias during pregnancy, their management, and patient outcomes. A comprehensive literature search was undertaken on PubMed and Google Scholar to identify cases of internal hernias presenting during pregnancy after RYGB. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - June 19, 2019 Category: Surgery Authors: Devangi M. Dave, Kevin O. Clarke, John A. Manicone, Adam M. Kopelan, Alan A. Saber Tags: Review article Source Type: research

Internal Hernias in Pregnant Females with Roux-en-Y Gastric Bypass: A Systematic Review
Bariatric surgery has become of the most effective solutions for sustained weight loss in the world [1]. Laparoscopic Roux-en-Y gastric bypass (LRYGB) is one of the most common procedures for treatment of morbid obesity. Females are more likely to undergo a bariatric procedure for weight loss. While significant and sustained weight loss is the primary advantage to bariatric surgery, other positive outcomes include improved fertility in women [2]. This improved fertility can increase the chances of pregnancy. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - June 19, 2019 Category: Surgery Authors: Devangi M. Dave, Kevin O. Clarke, John A. Manicone, Adam M. Kopelan, Alan A. Saber Tags: Review articles Source Type: research

Micronutrient intake and biochemistry in adolescents adherent or nonadherent to supplements 5 years after Roux-en-Y Gastric Bypass surgery
Roux-en-Y Gastric bypass (RYGB) is an effective obesity treatment in adults and has become established in adolescents. Lower adherence to supplementation in adolescents confers a risk for long-term nutritional deficiencies. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - June 19, 2019 Category: Surgery Authors: Pia Henfridsson, Anna Laurenius, Ola Wallengren, Andrew J. Beamish, Jovanna Dahlgren, Carl-Erik Flodmark, Claude Marcus, Torsten Olbers, Eva Gronowitz, Lars Ellegard Tags: Original articles Source Type: research

Unveiling the malabsorptive nature of one anastomosis gastric bypass: a closer look
We read with great interest the article by Bhandari et al.1 evaluating the outcomes following either one anastomosis gastric bypass (OAGB) or Roux-en-Y gastric bypass (RYGB). Given the significance of the presented evidence, we would like to further stress certain points in conjunction with the data reported in our recent meta-analysis2. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - June 19, 2019 Category: Surgery Authors: Dimitrios E. Magouliotis, George Tzovaras Tags: Letter to the Editor Source Type: research

Meta-analysis of the effect of bariatric surgery on physical activity
Obesity leads to impairment of physical activity as measured by an inability to perform activities of daily living. Literature on the effect of bariatric surgery on physical activity is conflicting. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - June 19, 2019 Category: Surgery Authors: Md Tanveer Adil, Vigyan Jain, Farhan Rashid, Omer Al-taan, Mohammad Al-Rashedy, Periyathambi Jambulingam, Douglas Whitelaw Tags: Review articles Source Type: research

Improvements in humoral immune function and glucolipid metabolism  after laparoscopic sleeve gastrectomy in patients with obesity
Obesity is associated with impaired immunity and chronic, low-grade inflammation, but little is known about the immune system ’s response to bariatric surgery–induced weight loss. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - June 18, 2019 Category: Surgery Authors: Chunlan Zhang, Jingjing Zhang, Wei Liu, Xi Chen, Zhenqi Liu, Zhiguang Zhou Tags: Original article Source Type: research

Changes in bone mineral density and bone metabolism after sleeve gastrectomy: a systematic review and meta-analysis
Roux-en-Y gastric bypass (RYGB) surgery adversely affects bone health. The evidence is less well described for sleeve gastrectomy (SG). (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - June 18, 2019 Category: Surgery Authors: Veeravich Jaruvongvanich, Kornpong Vantanasiri, Sikarin Upala, Patompong Ungprasert Tags: Original articles Source Type: research

Healthcare provider knowledge regarding oral contraception effectiveness for women with a history of bariatric malabsorptive procedures
Clinical practice guidelines that recommend women avoid pregnancy immediately after bariatric surgery, highlighting the need for effective contraception. However, women with a history of malabsorptive bariatric procedures should generally not use oral contraceptives, as these procedures may decrease oral contraceptive effectiveness. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - June 17, 2019 Category: Surgery Authors: Jill P. Shah, Tara C. Jatlaoui, Lauren B. Zapata, Kathryn M. Curtis, H. Pamela Pagano, Maura K. Whiteman Tags: Original article Source Type: research

Comment on: Reversal of Roux-en-Y gastric bypass: largest single-institution experience
Ma et  al. [1] have written a comprehensive review of 48 cases where the gastric bypass was reversed. The article offers crucial insights into the complex issues regarding evaluation and process of care of patients requiring reversal. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - June 17, 2019 Category: Surgery Authors: Robin P. Blackstone Tags: Editorial comment Source Type: research

Efficacy of liposomal bupivacaine versus bupivacaine in port site injections on postoperative pain within enhanced recovery after bariatric surgery program; A Randomized Clinical Trial
Use of liposomal bupivacaine in surgery is reported with decreased postoperative opioid requirements. The efficacy of liposomal bupivacaine versus standard bupivacaine injections at laparoscopic port sites during bariatric surgery is unknown. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - June 17, 2019 Category: Surgery Authors: Pearl Ma, Aaron Lloyd, Morgan McGrath, Ariel Shuchleib Cung, Ikemefuna Akusoba, Alice Jackson, Daniel Swartz, Keith Boone, Kelvin Higa Tags: Original articles Source Type: research

Comment on: Reversal of Roux-en-Y Gastric Bypass-largest single institution experience
Dr. Kelvin Higa and colleagues have written a comprehensive review of 48 cases where the Gastric Bypass was reversed (1). The article offers crucial insights into the complex issues regarding evaluation and process of care of patients requiring reversal. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - June 17, 2019 Category: Surgery Authors: Robin P. Blackstone Source Type: research

Health Care Provider Knowledge Regarding Oral Contraception Effectiveness for Women with a History of Bariatric Malabsorptive Procedures
Clinical practice guidelines recommend women avoid pregnancy immediately after bariatric surgery, highlighting the need for effective contraception. However, women with a history of malabsorptive bariatric procedures should generally not use oral contraceptives, as these procedures may decrease contraceptive effectiveness. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - June 17, 2019 Category: Surgery Authors: Jill P. Shah, Tara C. Jatlaoui, Lauren B. Zapata, Kathryn M. Curtis, H. Pamela Pagano, Maura K. Whiteman Tags: Original articles Source Type: research

Effects of Intraoperative Leak Testing on Postoperative Leak-related Outcomes after Primary Bariatric Surgery: An Analysis of the MBSAQIP Database
Intraoperative leak test (IOLT) is commonly performed to evaluate the integrity of an anastomosis or staple line during bariatric surgery. However, the utility of IOLT is controversial. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - June 17, 2019 Category: Surgery Authors: Kamthorn Yolsuriyan wong, Thammasin Ingviya, Chanon Kongkamol, Eric Marcotte, Bipan Chand Tags: Original articles Source Type: research

Patients undergoing intragastric balloon achieve approximately 50% of their target weight loss in the first month postoperatively: an MBSAQIP analysis
Intragastric balloon (IGB) placement can provide a mean percent total weight loss (%TWL) of 10.2% at 6-month follow-up. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - June 15, 2019 Category: Surgery Authors: Priscila R. Armijo, Bhavani Pokala, Laura Flores, Melissa A. Leon, Dmitry Oleynikov, Vishal Kothari Tags: Original article Source Type: research

Comment on: Gastroesophageal reflux –related physiologic changes after sleeve gastrectomy and Roux-en-Y gastric bypass: a prospective comparative study
I would like to congratulate the authors on a very well-written and well-designed study [1]. I believe the question that is being asked and subsequently answered in this paper is of paramount importance. Over the last several years, there has been a paucity of data that are contradictory in the area of reflux after sleeve gastrectomy. However, in the most recent literature it would appear that the incidence of gastroesophageal reflux (GERD) is significant. A recent meta-analysis in the Annals of Surgery by Yeung et  al. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - June 12, 2019 Category: Surgery Authors: Richard M. Peterson Tags: Editorial comment Source Type: research

Comment On: gastroesophageal reflux related physiologic changes after sleeve gastrectomy and Roux-en-Y gastric bypass: a prospective comparative study
I would like to congratulate the authors on a very well-written and well-designed study [1]. I believe the question that is being asked and subsequently answered in this paper is of paramount importance. Over the last several years, there has been a paucity of data that are contradictory in the area of reflux after sleeve gastrectomy. However, in the most recent literature it would appear that the incidence of gastroesophageal reflux (GERD) is significant. A recent meta-analysis in the Annals of Surgery by Yeung et  al. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - June 12, 2019 Category: Surgery Authors: Richard M. Peterson Tags: Editorial comment Source Type: research

Comment On: Gastro-esophageal reflux related physiological changes following sleeve gastrectomy and Roux-en-Y gastric bypass: A prospective comparative study
I would like to congratulate the authors on a very well written and well-designed study.i I believe the question that is being asked and subsequently answered in this paper is of paramount importance. Over the last several years there has been a paucity of data that is contradictory in the area of reflux after sleeve gastrectomy. However, in the most recent literature it would appear that the incidence of gastroesophageal reflux (GERD) is significant. A recent meta-analysis just released and ahead of print in the Annals of Surgery by Yeung et al, identified 46 studies with 10,000 plus patients and found an increase in post...
Source: Surgery for Obesity and Related Diseases - June 12, 2019 Category: Surgery Authors: Richard M. Peterson Source Type: research

Severe obesity and vitamin D deficiency treatment options before bariatric surgery: a randomized clinical trial
Obesity, which has various complications and co-morbidities, is an epidemic issue worldwide. Vitamin D deficiency (VDD) is a well-known metabolic disorder among patients with severe obesity. While they are good candidates for bariatric surgery, this deficiency can affect the outcome of surgery negatively. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - June 11, 2019 Category: Surgery Authors: Masoud Sayadi Shahraki, Noushin Khalili, Shadi Yousefvand, Erfan Sheikhbahaei, Shahab Shahabi Shahmiri Tags: Original article Source Type: research

Liver transplantation for bariatric surgery-related liver failure: a systematic review of a rare condition
Protein malnutrition and bacterial overgrowth occurring after bariatric surgery (BS) might cause severe liver failure (LF) needing liver transplantation (LT). (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - June 11, 2019 Category: Surgery Authors: Pietro Addeo, Manuela Cesaretti, Rodolphe Anty, Antonio Iannelli Tags: Review article Source Type: research