Incidence and treatment of small bowel leak after roux-en-y gastric bypass: a cohort study from the scandinavian obesity surgery registry
Anastomotic leak at the gastrojejunostomy in Roux-en-Y gastric bypass (RYGB) is a rare, but serious, complication. Little have been published on leaks at other sites. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 21, 2020 Category: Surgery Authors: B. Vidarsson, M. Sundbom, D. Edholm Tags: Original articles Source Type: research

Short-medium term results of Single Anastomosis Duodeno-Ileal bypass compared to One Anastomosis Gastric bypass for weight recidivism after Laparoscopic Sleeve Gastrectomy
Single Anastomosis Duodeno-Ileal bypass (SADI) and the One Anastomosis Gastric Bypass (OAGB) are two revisional procedures to address the problem of weight recidivism after laparoscopic sleeve gastrectomy (LSG). (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 21, 2020 Category: Surgery Authors: Marlon de la Cruz, Martin B üsing, Radostina Dukovska, Antonio José Torres, Markus Reiser Tags: Original articles Source Type: research

Letter to: Olmi S, Uccelli M, Cesana GC, et al. Modified laparoscopic Sleeve Gastrectomy with Rossetti anti-reflux fundoplication. Results after 220 procedures with 24 months follow-up
To the Editor: (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 21, 2020 Category: Surgery Authors: Francesco S. Papadia, Giovanni Camerini, Marco Casaccia, Matteo Mascherini, Alice Rubartelli, Nicola Scopinaro Source Type: research

Predictive value of preoperative DeMeester score on conversion to Roux-en-Y gastric bypass for gastroeosophageal reflux disease after sleeve gastrectomy
Obesity is well known to increase the risk of gastroesophageal reflux disease (GERD). The impact of sleeve gastrectomy (SG) on GERD is still discussed but seems to be associated with the development of de novo GERD or the exacerbation of preexisting GERD. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 19, 2020 Category: Surgery Authors: M. De Montrichard, T. Greilsamer, D. Jacobi, S. Bruley des Varannes, E. Miralli é, C. Blanchard Tags: Original article Source Type: research

Change in predicted 10-year and lifetime cardiovascular disease risk after Roux-en-Y gastric bypass
Long-term changes in cardiovascular disease (CVD) risk after bariatric surgery are not well characterized. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 19, 2020 Category: Surgery Authors: Amanda S. Hinerman, Emma J.M. Barinas-Mitchell, Samar R. El Khoudary, Anita P. Courcoulas, Abdus S. Wahed, Wendy C. King Tags: Original article Source Type: research

Outcome of bariatric surgery on hypothyroidism: experience from a tertiary care center in India
In this study, we have tried to evaluate the impact of bariatric surgery on the whole cohort of hypothyroid patients and compare the effect of various bariatric procedures on thyroid hormone replacement dose. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 19, 2020 Category: Surgery Authors: Washim Firoz Khan, Vitish Singla, Sandeep Aggarwal, Yashdeep Gupta Tags: Original article Source Type: research

Outcome of Bariatric Surgery on Hypothyroidism: Experience from a Tertiary Care Centre in India
In this study we have tried to evaluate the impact of bariatric surgery on the whole cohort of hypothyroid patients and compare the effect of various bariatric procedures on thyroid hormone replacement dose. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 19, 2020 Category: Surgery Authors: Washim Firoz Khan, Vitish Singla, Sandeep Aggarwal, Yashdeep Gupta Tags: Original articles Source Type: research

Predictive value of preoperative DeMeester score on conversion to Roux-en-Y gastric by-pass for gastroeosophageal reflux disease after sleeve gastrectomy
Obesity is well-known to increase the risk of GastroEsophageal Reflux Disease (GERD). Impact of Sleeve Gastrectomy (SG) on GERD is still discussed but seems to be associated with the development of de novo GERD or the exacerbation of preexisting GERD. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 19, 2020 Category: Surgery Authors: M. De Montrichard, T. Greilsamer, D. Jacobi, S. Bruley des Varannes, E. Miralli é, C. Blanchard Tags: Original articles Source Type: research

Change in predicted 10-year and lifetime cardiovascular disease risk following Roux-en-Y gastric bypass
To report sex-specific changes in CVD risk following Roux-en-Y gastric bypass surgery (RYGB). (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 19, 2020 Category: Surgery Authors: Amanda S. Hinerman, Emma J.M. Barinas-Mitchell, Samar R. El Khoudary, Anita P. Courcoulas, Abdus S. Wahed, Wendy C. King Tags: Original articles Source Type: research

Association between weight loss and serum biomarkers with risk of incident cancer in the Longitudinal Assessment of Bariatric Surgery cohort
Bariatric surgery reduces cancer risk in populations with obesity. It is unclear if weight loss alone or metabolic changes related to bariatric surgery cause this effect. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 19, 2020 Category: Surgery Authors: Andrea M. Stroud, Elizabeth N. Dewey, Farah A. Husain, Jared M. Fisher, Anita P. Courcoulas, David R. Flum, James E. Mitchell, Walter J. Pories, Jonathan Q. Purnell, Bruce M. Wolfe Tags: Original articles Source Type: research

Gut microbiota differs a decade after bariatric surgery relative to a nonsurgical comparison group
Few studies have assessed differences in the gut microbiota composition after bariatric surgery in the long term or whether differences are correlated with remission of type 2 diabetes. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 18, 2020 Category: Surgery Authors: Jacob G. Mabey, John M. Chaston, Daphne Castro, Ted D. Adams, Steven C. Hunt, Lance E. Davidson Tags: Original article Source Type: research

Gut Microbiota Differs a Decade after Bariatric Surgery Relative to a Non-surgical Comparison Group
Few studies have assessed differences in the gut microbiota composition following bariatric surgery in the long term or whether differences are correlated with remission of type 2 diabetes (T2D). (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 18, 2020 Category: Surgery Authors: Jacob G. Mabey, John M. Chaston, Daphne Castro, Ted D. Adams, Steven C. Hunt, Lance E. Davidson Tags: Original articles Source Type: research

The bipartition may be better, and not just for super obesity
The excellent work published by Topart et  al. [1] is unique in the world. It studies one, single modification in their routine biliopancreatic diversion with duodenal switch (BPD-DS). Instead of connecting the ileum to the proximal duodenum, he left the duodenum intact and connected it to the gastric antrum, a transit bipartition (TB). Th e TB drains the sleeve into the ileum. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 17, 2020 Category: Surgery Authors: S érgio Santoro Tags: Editorial comment Source Type: research

The bipartition may be better and, not just for superobesity.
The excellent work published by Dr Philippe Topart [1] is unique in the world. It studies one single modification in their routine Duodenal Switch (BPD-DS). Instead of connecting the ileum to the proximal duodenum, he left the duodenum intact and connected it to the gastric antrum: a Transit Bipartition (TB). The TB drains the sleeve into the ileum. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 17, 2020 Category: Surgery Authors: S érgio Santoro Source Type: research

Comment on: Severe Obesity and Vitamin D Deficiency Treatment Options before the Bariatric Surgery: A Randomized Clinical Trial
In this peer-reviewed submission, which is a single-blinded, randomized clinical trial on 100 patients who were referred for bariatric surgery in Iran from 2016 to 2018, the authors ’ objective is cited as one of comparing three different vitamin D treatment strategies. They measured serum vitamin D levels (as 25 OH vitamin D) among patients with Class III obesity before bariatric surgery and 7 weeks afterward and compared 25 OH vitamin D levels among the 3 groups. Exclusions from the study included patients with 25 (OH) vitamin D levels> 30 ng/ml (deemed normal Vitamin D level), previous history of hypocalcemia o...
Source: Surgery for Obesity and Related Diseases - April 17, 2020 Category: Surgery Authors: Margaret M. Furtado Source Type: research

Mucosa-associated microbiota in the jejunum of patients with morbid obesity: Alterations in states of insulin resistance and metformin treatment
Stool samples have been widely used to evaluate gut microbiota; however, little is known about the composition of human small intestinal microbiota and the alterations provoked by insulin resistance. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 17, 2020 Category: Surgery Authors: Carolina Guti érrez-Repiso, Isabel Moreno-Indias, Gracia M. Martín-Núñez, Ailec Ho-Plágaro, Alberto Rodríguez-Cañete, Monserrat Gonzalo, Eduardo García-Fuentes, Francisco J. Tinahones Tags: Original articles Source Type: research

Outcome of revisional bariatric surgery for insufficient weight loss after laparoscopic Roux-en-Y Gastric Bypass: an observational study
Tertiary Hospital (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 17, 2020 Category: Surgery Authors: Katja Linke, Romano Schneider, Martina Gebhart, Truc Ngo, Marc Slawik, Thomas Peters, Ralph Peterli Tags: Original articles Source Type: research

Weight regain after bariatric surgery: a systematic literature review and comparison across studies using a large reference sample
Published estimates of weight regain (WR) after bariatric surgery vary greatly. Understanding the sources of variability in the literature and clarifying the magnitude of WR after Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) are critical for informing expectations and planning interventions. A literature search through January 2019 yielded 15 English-language studies that reported WR in at least 30 participants, not selected based on weight loss or WR, at least 3 years after primary RYGB (n = 11) or SG (n = 5). (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 13, 2020 Category: Surgery Authors: Wendy C. King, Amanda S. Hinerman, Anita P. Courcoulas Tags: Review article Source Type: research

Weight regain following bariatric surgery: a systematic literature review and comparison across studies using a large reference sample
Published estimates of weight regain (WR) following bariatric surgery vary greatly. Understanding the sources of variability in the literature and clarifying the magnitude of WR following Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) are critical for informing expectations and planning interventions. A literature search through January, 2019 yielded 15 English-language studies that reported WR in at least 30 participants, not selected based on weight loss or WR, at least 3 years following primary RYGB (N=11) or SG (N=5). (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 13, 2020 Category: Surgery Authors: Wendy C. King, Amanda S. Hinerman, Anita P. Courcoulas Tags: Review articles Source Type: research

Optimizing the use of Upper GI Endoscopy after Laparoscopic Roux-en-Y Gastric Bypass
Paired Editorial: Surgery for Obesity and Related Diseases Upper endoscopy after Roux-en-Y gastric bypass: diagnostic yield and factors associated with relevant findings [SOARD-19-549R] (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 13, 2020 Category: Surgery Authors: Anthony Thomas Petrick Source Type: research

Outcome of idiopathic intracranial hypertension after laparoscopic sleeve gastrectomy
Idiopathic intracranial hypertension (IIH) predominantly affects young, obese women and presents with signs and symptoms of increased intracranial pressure, such as headaches and visual impairment. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 11, 2020 Category: Surgery Authors: Tamer N. Abdelbaki, Mohamed Gomaa Tags: Original article Source Type: research

Comment on: Knowledge, attitudes and behaviors of women during pregnancy after bariatric surgery
The risks of obesity and hyperglycemia during pregnancy on mother and child are significant and well-documented [1,2]. These risks include increased prevalence of gestational diabetes and cesarean delivery, as well as large-for-gestational age, preterm birth, congenital malformations, and spontaneous abortion. Thus, safe and effective interventions to decrease severity of obesity and diabetes are necessary to improve maternal and offspring health. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 11, 2020 Category: Surgery Authors: Vance L. Albaugh Tags: Editorial comment Source Type: research

Comment on: Knowledge, attitudes and behaviors of women during pregnancy after bariatric surgery.
The risks of obesity and hyperglycemia during pregnancy on mother and child are significant and well-documented [1,2]. These risks include increased prevalence of gestational diabetes and cesarean delivery, as well as large-for-gestational age, preterm birth, congenital malformations, and spontaneous abortion. Thus, safe and effective interventions to decrease severity of obesity and diabetes are necessary to improve maternal and offspring health. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 11, 2020 Category: Surgery Authors: Vance L. Albaugh Source Type: research

Outcome of idiopathic intracranial hypertension following laparoscopic sleeve gastrectomy
Idiopathic intracranial hypertension (IIH) predominantly affects young obese women and presents by signs and symptoms of increased intracranial pressure: headaches and visual impairment. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 11, 2020 Category: Surgery Authors: Tamer N. Abdelbaki, Mohamed Gomaa Tags: Original articles Source Type: research

Bariatric Surgery is feasible in patients with Ehlers-Danlos Syndrome
Ehlers-Danlos Syndrome (EDS) is a heterogeneous disease affecting connective tissues. EDS ’ patients have a high susceptibility for developing anastomotic leak after visceral surgery. Although, patients with EDS can also develop severe obesity and might be referred to bariatric surgery, there is just one case report in the literature regarding the outcomes of bariatric surgery in this specific context. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 11, 2020 Category: Surgery Authors: L. Verdure, L. Genser, L. Rebiebo, C. Brient, A. Sterkers, D. Jacobi, L. Lallemand, E. Mirallie, J. Aron-Wisnewsky, C. Blanchard Tags: Original articles Source Type: research

Sleeve gastrectomy as a rescue of failed gastric banding: comparison of 1- and 2-step approaches
Series comparing gastric banding (GB) removal and sleeve gastrectomy (SG) when procedures are performed as a 1- or a 2-step approach are contradictory in their outcomes. No series comparing these approaches with midterm weight loss is available. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 10, 2020 Category: Surgery Authors: Marion Demouron, Lionel Rebibo, Amir Hossein Davarpanah Jazi, Konstantinos Arapis, Boris Hansel, Abdennaceur Dhahri, Jean-Marc Regimbeau, Simon Msika Tags: Original article Source Type: research

Transversus abdominis plane block with liposomal bupivacaine and its  effect on opiate use after weight loss surgery: a randomized controlled trial
Liposomal bupivacaine (LB), as an extended-release local anesthetic, may provide lasting pain control and therefore decrease the need for narcotics in the immediate postoperative period. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 10, 2020 Category: Surgery Authors: Kristen A. Wong, Ana Garcia Cabrera, Alexandra L. Argiroff, David M. Pechman, Michael K. Parides, Joseph T. Vazzana, Erin M. Moran-Atkin, Jenny J. Choi, Diego R. Camacho Tags: Original article Source Type: research

Sleeve gastrectomy as a rescue of failed gastric banding: comparison of one- and two-step approaches.
Series comparing gastric banding (GB) removal and sleeve gastrectomy (SG) when procedures are performed as a one-step or a two-step approach are contradictory in their outcomes. No series comparing these approaches with mid-term weight loss are available. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 10, 2020 Category: Surgery Authors: Marion Demouron, Lionel Rebibo, Amir Hossein Davarpanah Jazi, Konstantinos Arapis, Boris Hansel, Abdennaceur Dhahri, Jean-Marc Regimbeau, Simon Msika Tags: Original articles Source Type: research

Transversus Abdominis Plane Block with Liposomal Bupivacaine and its Effect on Opiate Use after Weight Loss Surgery: A Randomized Controlled Trial
Liposomal bupivacaine as an extended-release local anesthetic may provide lasting pain control and therefore decrease the need for narcotics in the immediate postoperative period. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 10, 2020 Category: Surgery Authors: Kristen A. Wong, Ana Garcia Cabrera, Alexandra L. Argiroff, David M. Pechman, Michael K. Parides, Joseph T. Vazzana, Erin M. Moran-Atkin, Jenny J. Choi, Diego R. Camacho Tags: Original articles Source Type: research

SOARD Category 1 CME Credit Featured Articles, Volume 16, May 2020
Selwan D. Barbat, Kyle J. Thompson, Enayetur Raheem, Iain H. Mckillop, Nicholas Dugan, Abdelrahman Nimeri (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 9, 2020 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 - April 9, 2020 Category: Surgery Source Type: research

Editorial Board
(Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 9, 2020 Category: Surgery Source Type: research

Table of Contents
(Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 9, 2020 Category: Surgery Source Type: research

Endoscopic internal drainage by double pigtail stents in the management of laparoscopic sleeve gastrectomy leaks
Leaks and fistulas after laparoscopic sleeve gastrectomy (SG) are a major adverse event of bariatric surgery. Endoscopic management for post SG leaks has evolved from closure with covered self-expanding metallic stents (SEMS) to endoscopic internal drainage (EID). (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 6, 2020 Category: Surgery Authors: Iqbal Siddique, Waleed Alazmi, Salman K. Al-Sabah Tags: Original articles Source Type: research

Modified laparoscopic sleeve gastrectomy with Rossetti antireflux fundoplication: results after 220 procedures with 24-month follow-up
Gastroesophageal reflux disease (GERD), including erosive esophagitis, is highly prevalent in the obese population. Laparoscopic sleeve gastrectomy (LSG) is one of the most frequently performed bariatric procedures. The relationship between LSG and GERD has gained increasing attention. This retrospective study aimed to assess the effectiveness of combined LSG and modified Rossetti antireflux fundoplication for the treatment of GERD on morbidly obese patients after bariatric surgery. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 4, 2020 Category: Surgery Authors: Stefano Olmi, Matteo Uccelli, Giovanni Carlo Cesana, Francesca Ciccarese, Alberto Oldani, Riccardo Giorgi, Stefano Maria de Carli, Roberta Villa Tags: Original article Source Type: research

Modified laparoscopic Sleeve Gastrectomy with Rossetti anti-reflux fundoplication. Results after 220 procedures with 24 months follow-up
Gastroesophageal Reflux Disease (GERD), including erosive esophagitis, is highly prevalent in the obese population. Laparoscopic Sleeve Gastrectomy (LSG) is one of the most frequently performed bariatric procedures. The relationship between LSG and GERD has gained increasing attention. This retrospective study aims to assess the effectiveness of combined LSG and modified Rossetti anti-reflux fundoplication for the treatment of GERD on morbidly obese patients after bariatric surgery. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 4, 2020 Category: Surgery Authors: Stefano Olmi, Matteo Uccelli, Giovanni Carlo Cesana, Francesca Ciccarese, Alberto Oldani, Riccardo Giorgi, Stefano Maria De Carli, Roberta Villa, Adelinda Angela Giulia Zanoni, Marta Bonaldi Tags: Original articles Source Type: research

Feasibility and Safety of Robot-Assisted Bariatric Conversions and Revisions
This retrospective chart review study aimed to evaluate the safety and feasibility of robot-assisted bariatric conversions and revisions using laparoscopic procedures as the comparison group. Findings suggest that robot-assisted bariatric conversions and revisions are as safe and feasible as laparoscopic ones. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 4, 2020 Category: Surgery Authors: Rena C. Moon, Ana R. Segura, Andre F. Teixeira, Muhammad A. Jawad Tags: Original articles Source Type: research

Bariatric surgery in the super-super morbidly obese: outcome analysis of patients with BMI > 70 using the ACS-NSQIP database
Bariatric surgery offers patients short- and long-term benefits to their health and quality of life. Currently, we see more patients with superior body mass index (BMI) looking for these benefits. Evidence-based medicine is integral in the evaluation of risks versus benefit; however, data are lacking in this high-risk population. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 2, 2020 Category: Surgery Authors: Gustavo Romero-Velez, David M. Pechman, Fernando Munoz Flores, Erin Moran Atkin, Jenny Choi, Diego R. Camacho Tags: Original article Source Type: research

Bariatric Surgery in the Super-Super Morbidly Obese: Outcome Analysis of Patients with BMI over 70 using the ACS-NSQIP Database
Bariatric surgery offers patients short-term and long-term benefits to their health and quality of life. Currently, we see more patients with superior body mass index (BMI) looking for these benefits. Evidence-based medicine is integral in the evaluation of risks versus benefit; however, data is lacking in this high-risk population. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 2, 2020 Category: Surgery Authors: Gustavo Romero-Velez, David M. Pechman, Fernando Munoz Flores, Erin Moran Atkin, Jenny Choi, Diego R. Camacho Tags: Original articles Source Type: research

SOARD Category 1 CME Credit Featured Articles, Volume 16, April 2020
Rena C. Moon, Aaron Bornstein, Andre F. Teixeira, Muhammad A. Jawad (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 1, 2020 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 - April 1, 2020 Category: Surgery Source Type: research

Editorial Board
(Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 1, 2020 Category: Surgery Source Type: research

Table of Contents
(Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 1, 2020 Category: Surgery Source Type: research

Response to the letter to the Editor: FKBP5 polymorphism rs1360780 and weight loss after bariatric surgery
We have read with attention the letter of Yasri and Wiwanitkit. According to our recent paper [1], as stated by the authors, our results suggest how age, sex and FKBP5 genotype have a different impact on weight loss depending on the surgical technique used, sex and age. These factors could contribute to understand the interindividual variation in surgery outcomes, especially in relation to weight loss suffered by the patients in the post-operative period. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - April 1, 2020 Category: Surgery Authors: E. Pe ña, A. Caixàs, C. Arenas, M. Rigla, S. Crivillés, N. Cardoner, A. Rosa Tags: Letter to the Editor Source Type: research

Roux-en-Y Gastric Bypass or Sleeve Gastrectomy for Type 2 Diabetes: Expanding Role of Individualized Metabolic Surgery (IMS) Score
As recently summarized1, there are only four randomized clinical trials (RCTs) in patients with type 2 diabetes mellitus (T2DM) comparing Roux-en-Y gastric bypass (RYGB) with sleeve gastrectomy (SG) and providing level I evidence up to 5 years after randomization.2-5 None of the individual studies were primarily designed and adequately powered to compare the effects of RYGB with SG on T2DM. However, combined analysis of these RCTs (i.e. meta-analysis) in order to increase the sample size and statistical power (RYGB, n=176 versus SG, n=175) would indicate that either there is no significant long-term difference between RYGB...
Source: Surgery for Obesity and Related Diseases - April 1, 2020 Category: Surgery Authors: Ali Aminian Tags: Letter to the Editor Source Type: research

American Society for Metabolic and Bariatric Surgery updated statement on single-anastomosis duodenal switch
The following updated statement is issued by the American Society for Metabolic and Bariatric Surgery (ASMBS) in response to numerous inquiries made to the Society by patients, physicians, society members, hospitals, and others regarding single-anastomosis duodenal switch as a treatment for obesity and metabolic disease. This recommendation is based on current clinical knowledge, expert opinion, and published peer-reviewed scientific evidence available at this time. The statement is not intended as, and should not be construed as, stating or establishing a local, regional, or national standard of care. (Source: Surgery for...
Source: Surgery for Obesity and Related Diseases - March 30, 2020 Category: Surgery Authors: Kara Kallies, Ann M. Rogers, American Society for Metabolic and Bariatric Surgery Clinical Issues Committee Tags: ASMBS Guidelines/Statements Source Type: research

Comment on: The offspring of parents undergoing a weight loss surgery: a systematic review
I am pleased to comment on the manuscript entitled “The Offspring of Parents Undergoing a Weight Loss Surgery: A Systematic Review.” The authors are to be commended for their focus on this understudied, but highly important, area of focus. Bariatric surgery offers many positive benefits to the individual—and potentially others—and those bene fits warrant discovery and focus. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - March 30, 2020 Category: Surgery Authors: Melissa Santos Tags: Editorial comment Source Type: research

Comment on: Impact of preoperative opioid use on health outcomes after bariatric surgery
The opioid epidemic has had far reaching consequences for bariatric surgeons. We have had an awakening and have collectively realized our subspecialty has to do a better job at protecting our patients from this destructive addiction process. In a study of 9 hospital systems in the United States, 4.0% of patients who were not chronic opioid users before bariatric surgery converted to chronic use after surgery [1]. Another similar study indicated 77% of bariatric surgical patients who were on chronic pain medicines before surgery, not only remained on opioid therapy postsurgically, but collectively increased their overall op...
Source: Surgery for Obesity and Related Diseases - March 30, 2020 Category: Surgery Authors: John David Scott Tags: Editorial Comment Source Type: research

Complications of Roux-En-O Gastric Bypass
Roux-en-O anatomy after Roux-en-Y gastric bypass (RYGB) is a rare and potentially devastating complication that can be frequently misdiagnosed 1,2. Generally, the biliopancreatic limb is inadvertently anastomosed to the gastric pouch and patients may present as a partial small bowel obstruction with most frequent complaint of abdominal pain, nausea, and bilious emesis. Radiologic studies and even surgical exploration may misdiagnose this atypical complication3,4. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - March 30, 2020 Category: Surgery Authors: Pearl Ma, Kelvin Higa Tags: VIDEO CASE REPORT Source Type: research

Comment on:The Offspring of Parents Undergoing a Weight Loss Surgery: A Systematic Review
I am pleased to comment on the manuscript entitled “The Offspring of Parents Undergoing a Weight Loss surgery: A Systematic Review.” The authors are to be commended for their focus on this understudied, but highly important, area of focus. Bariatric surgery offers many positive benefits to the individual - and potentially others - and those bene fits warrant discovery and focus. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - March 30, 2020 Category: Surgery Authors: Melissa Santos Source Type: research