Laparoscopic single-anastomosis duodenal-jejunal bypass with sleeve gastrectomy (SADJB-SG): Surgical risk and long-term results
Bariatric surgery is the most effective therapy for patients with morbid obesity today [1]. However, the types of operation are still evolving. Sleeve gastrectomy (SG) recently has quickly gained popularity as a primary bariatric surgery worldwide [2,3]. SG plus duodeno-jejunostomy (SG-DJB) was introduced in 2007 as an alternative to Roux-en-Y gastric bypass (RYGB) because the issue of gastric cancer arising from the excluded stomach [4]. SG-DJB can be regarded as a modification of duodenal switch (DS) with short bypass limb and fewer nutritional problems [5]. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 23, 2018 Category: Surgery Authors: Kong-Han Ser, Wei-Jei Lee, Jung-Chien Chen, Pei-Ling Tsai, Shu-Chun Chun, Yi-Chih Lee Tags: Original article Source Type: research

Two-stage approach is still the gold standard for super-super obese patients (SSO) undergoing bariatric surgery
Super-super obese (SSO) patients with a body mass index (BMI)>60 kg/m2 have been considered for a long time as high-risk surgical candidates for bariatric surgery due to the increased perioperative morbidity and mortality [1]. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 23, 2018 Category: Surgery Authors: Luigi Angrisani, Antonio Vitiello, Luca Ferraro Tags: Editorial Source Type: research

Impact of Preoperative Wireless pH Monitoring in the Evaluation of Esophageal Conditions Prior to Bariatric Surgery in a Severely Obese Patient Population
GERD is a relative contraindication for sleeve gastrectomy (SG). This retrospective study collected data from 43 obese adults, finding that WPHM compared to preoperative EGD alone aids in a better patient selection to undergo either SG or RYGB. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 23, 2018 Category: Surgery Authors: Jose Melendez-Rosado, David Gutierrez-Blanco, Alison Schneider, Emanuele Lo Menzo, Samuel Szomstein, Raul J. Rosenthal Tags: Original articles Source Type: research

Maternal nutritional status and related pregnancy outcomes following bariatric surgery: A systematic review
Obesity is recognized as a global epidemic due to its continually increasing incidence [1]. In the last two decades, the worldwide prevalence of obesity has more than doubled, including 35% of the US population [1]. The mainstay of treatment for morbid obesity has become bariatric surgery; its efficacy in achieving substantial weight loss and improving obesity-related comorbidities has been well established [2]. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 23, 2018 Category: Surgery Authors: Amihai Rottenstreich, Ram Elazary, Ariela Goldenshluger, Alon J Pikarsky, Uriel Elchalal, Tair Ben- Porat Source Type: research

Laparoscopic Single Anastomosis Duodenal-Jejunal Bypass with Sleeve Gastrectomy (SADJB-SG): Surgical risk and long-term results
Bariatric surgery is the most effective therapy for patients with morbid obesity today [1]. However, the types of operation are still in evolving. Sleeve gastrectomy (SG) recently has quickly gained popularity as a primary bariatric surgery worldwide [2, 3]. SG plus duodeno-jejunostomy (SG-DJB) was introduced in 2007 as an alternative to Roux-en-Y gastric bypass (RYGB) because the issue of gastric cancer arising from the excluded stomach [4]. SG-DJB can be regarded as a modification of duodenal switch (DS) with short bypass limb and fewer nutritional problems [5]. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 23, 2018 Category: Surgery Authors: Kong-Han Ser, Wei-Jei Lee, Jung-Chien Chen, Pei-Ling Tsai, Shu-Chun Chun, Yi-Chih Lee Tags: Original articles Source Type: research

Two-stage approach is still the gold standard for super super obese patients (SSO) undergoing bariatric surgery
Super Super Obese patients (SSO) with a body mass index (BMI)> 60 Kg/m2 have been considered for a long time high-risk surgical candidates for bariatric surgery due to the increased perioperative morbidity and mortality [1]. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 23, 2018 Category: Surgery Authors: Luigi Angrisani, Antonio Vitiello, Luca Ferraro Source Type: research

Comment on: Two-stage approach is still the gold standard for super-super obese patients (SSO) undergoing bariatric surgery
Super-super obese (SSO) patients with a body mass index (BMI)>60 kg/m2 have been considered for a long time as high-risk surgical candidates for bariatric surgery due to the increased perioperative morbidity and mortality [1]. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 23, 2018 Category: Surgery Authors: Luigi Angrisani, Antonio Vitiello, Luca Ferraro Tags: Editorial Source Type: research

Opioids and Bariatric Surgery: A Review and Suggested Recommendations for Assessment and Risk Reduction
Prescription opioid use has increased significantly over the past 25 years due to a number of factors including efforts to help patients struggling to cope with pain, overprescribing by providers and marketing by pharmaceutical companies. However, opioids provide euphoria as well as analgesia [1]. This euphoria coupled with iatrogenic physical dependence and addictive qualities has contributed to an epidemic of opioid abuse, addiction and overdose [2]. The increased use of opioids for treating non-cancer chronic pain and the increased use of higher-dose and higher bioavailability formulations has added to what the Centers ...
Source: Surgery for Obesity and Related Diseases - November 22, 2018 Category: Surgery Authors: Leslie J. Heinberg, Laruen Pudalov, Hanan Alameddin, Kristine Steffen Source Type: research

Operative morbidity of laparoscopic sleeve gastrectomy in subjects older than age 65
Bariatric surgery represents the gold standard of treatment for sustainable weight loss and reduction of comorbidities in morbidly obese patients. Despite well-documented improvements in medical comorbidities and quality of life (QOL) after bariatric surgery, many doctors refrain from offering bariatric surgery to those older than 65 years because of the fear of complications in this presumably high-risk group. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 21, 2018 Category: Surgery Authors: Marc Danan, Anamaria Nedelcu, Patrick Noel, Viola Zulian, Sergio Carandina, Marius Nedelcu Tags: Original articles Source Type: research

Vertical sleeve gastrectomy in adolescents reduces the appetitive reward value of a sweet and fatty reinforcer in a progressive ratio task
Adolescents obesity is challenging to treat even if good multidisciplinary approaches are started early. Vertical Sleeve Gastrectomy (VSG) is an effective intervention for long term weight loss, but the underlying mechanisms which result in reduced calorie intake are controversial. Anecdotal evidence from clinic and evidence in rodents after VSG suggest a decrease in reward value of high calorie dense foods. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 20, 2018 Category: Surgery Authors: Ghalia N. Abdeen, Alexander D. Miras, Aayed R. Alqahtani, Carel W. le Roux Tags: Original articles Source Type: research

Re: comment on evaluating the safety of intragastric balloon: An analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program
Thank you for your interest in our analysis of intragastric balloons (IGB) using the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database [1]. We agree that intragastric balloons are a topical subject due to their increasing use in clinical practice. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 16, 2018 Category: Surgery Authors: Jerry T. Dang, Noah Switzer, Warren Y.L. Sun, Faizal Raghavji, Daniel W. Birch, Shahzeer Karmali Tags: Letter to the Editor Source Type: research

Response to Letter to the Editor Re: Comment on Evaluating the safety of intragastric balloon: An analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program
Thank you for your interest in our analysis of intragastric balloons (IGB) using the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database [1]. We agree that intragastric balloons are a topical subject due to its increasing use in clinical practice. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 16, 2018 Category: Surgery Authors: Jerry T. Dang, Noah Switzer, Warren Y.L. Sun, Faizal Raghavji, Daniel W. Birch, Shahzeer Karmali Source Type: research

Authers ’ Response
Thank you for your interest in our analysis of intragastric balloons (IGB) using the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database [1]. We agree that intragastric balloons are a topical subject due to their increasing use in clinical practice. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 16, 2018 Category: Surgery Authors: Jerry T. Dang, Noah Switzer, Warren Y.L. Sun, Faizal Raghavji, Daniel W. Birch, Shahzeer Karmali Tags: Letter to the Editor Source Type: research

Reoperative surgery for nonresponders and complicated sleeve gastrectomy operations in patients with severe obesity. An international expert panel consensus statement to define best practice guidelines
Sleeve gastrectomy (SG) has rapidly become the most prevalent primary bariatric and metabolic procedure performed in the Unites States [1]. This rapid growth is the result of the procedure's popularity among patients and surgeons, likely due to the perceived simplicity of the procedure, the excellent long-term outcomes showing low procedure-related morbidity, and the excellent weight loss and metabolic effects [2]. Recently, guidelines published by the American Society for Metabolic and Bariatric Surgery endorse SG together with Roux-en-Y gastric bypass (RYGB) as equal and effective primary bariatric surgical options for p...
Source: Surgery for Obesity and Related Diseases - November 15, 2018 Category: Surgery Authors: Kandace Kichler, Raul J. Rosenthal, Eric DeMaria, Kelvin Higa Tags: Original article Source Type: research

Gastric bypass specifically impairs liver parameters as compared with sleeve gastrectomy, independently of evolution of metabolic disorders
Bariatric surgery is currently the most efficient technique to treat severe obesity. The 2 surgical procedures most commonly performed in the world are sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) because they induce remission or amelioration of obesity-related co-morbidities in a majority of cases with an acceptable rate of complications. Notably, numerous studies have shown that these procedures improve nonalcoholic fatty liver disease (NAFLD), which has a particularly high prevalence in obese patients (and thus in candidates for bariatric surgery), reaching 86% on preoperative liver biopsies [1]. (Source:...
Source: Surgery for Obesity and Related Diseases - November 15, 2018 Category: Surgery Authors: S éverine Ledoux, Ouidad Sami, Daniela Calabrese, Maude Le Gall, Martin Flamant, Muriel Coupaye Tags: Original article Source Type: research

Comment on how safe is same-day discharge after laparoscopic sleeve gastrectomy?
It is with great interest that we read the article entitled “How safe is same-day discharge after laparoscopic sleeve gastrectomy?” [1] concerning results on a large-population study comparing same-day discharge (SDD) to discharge on postoperative day 1 after sleeve gastrectomy (SG). (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 15, 2018 Category: Surgery Authors: Lionel Rebibo, Simon Msika Tags: Letter to the Editor Source Type: research

Gastric bypass specifically impairs liver parameters as compared to sleeve gastrectomy, independently of evolution of metabolic disorders
Bariatric surgery is currently the more efficient technique to treat severe obesity. The two surgical procedures most commonly performed in the world are sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB), because they induce remission or amelioration of obesity-related comorbidities in a majority of cases with an acceptable rate of complications. Notably, numerous studies have shown that these procedures improve non-alcoholic fatty liver diseases (NAFLD) whose prevalence is particularly high in obese patients and thus in candidates for bariatric surgery, reaching 86% on per-operative liver biopsies [1]. (Source: ...
Source: Surgery for Obesity and Related Diseases - November 15, 2018 Category: Surgery Authors: S éverine Ledoux, Ouidad Sami, Daniela Calabrese, Maude Le Gall, Martin Flamant, Muriel Coupaye Tags: Original articles Source Type: research

Re-operative Surgery for Non-Responders and Complicated Sleeve Gastrectomy Operations in Patients with Severe Obesity. An International Expert Panel Consensus Statement to Define Best Practice Guidelines
Sleeve gastrectomy (SG) has rapidly become the most prevalent primary bariatric and metabolic procedure performed in the USA [1]. This rapid growth is the result of the procedure's popularity amongst patients and surgeons most likely due to the perceived simplicity of the procedure but also because of the excellent long term outcomes showing low procedure related morbidity as well as excellent weight loss and metabolic effects [2]. Recently, published ASMBS guidelines endorse SG together with gastric bypass (GBP) as equal effective primary bariatric surgical options for patients with severe obesity [3]. (Source: Surgery fo...
Source: Surgery for Obesity and Related Diseases - November 15, 2018 Category: Surgery Authors: Kandace Kichler, Raul J. Rosenthal, Eric DeMaria, Kelvin Higa Source Type: research

Comment on: How safe is same-day discharge after laparoscopic sleeve gastrectomy?
It is with great interest that we read the article entitled “How safe is same-day discharge after laparoscopic sleeve gastrectomy?” [1] concerning results on a large population study comparing same-day discharge (SDD) to discharge on post-operative day one after sleeve gastrectomy (SG). (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 15, 2018 Category: Surgery Authors: Lionel Rebibo, Simon Msika Source Type: research

Sleeve gastrectomy in the German Bariatric Surgery Registry from 2005 to 2016: Perioperative and 5-year results
Bariatric and metabolic surgery is significantly superior to conservative treatment in terms of weight loss and remission of co-morbidities; thus, it is an important option to treat obesity III ° and II° with co-morbidities [1,2]. During the last 30 years, bariatric procedures in Germany and worldwide changed significantly. Conventional procedures by laparotomy disappeared almost completely, and laparoscopic adjustable gastric banding decreased distinctly. In Germany, laparoscopic sleeve gastrectomy (SG) is currently the most frequently performed procedure (Fig. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 14, 2018 Category: Surgery Authors: Daniel G ärtner, Christine Stroh, Martin Hukauf, Frank Benedix, Thomas Manger, Obesity Surgery Working Group, Competence Network Obesity Tags: Original article Source Type: research

Long biliopancreatic and short alimentary limb results in more weight loss in revisional RYGB surgery. Outcomes of the randomized controlled ELEGANCE REDO trial
Laparoscopic Roux-en-Y gastric bypass (RYGB) is a standardized metabolic and bariatric procedure. However, there is not consensus yet on the optimal lengths of the 3 bowel limbs to induce maximum weight loss [1,2]. The RYGB, as revisional surgery, can be technically challenging, but skilled surgeons can perform it with acceptable perioperative morbidity as a 1-stage procedure (band removal and RYGB). Making a longer long biliopancreatic limb (LBP), a fairly easy and secure adjustment of the standard technique, could enhance the results of the revisional procedure. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 14, 2018 Category: Surgery Authors: Radwan Kassir Tags: Paired Editorial Source Type: research

Comment on: operative morbidity of laparoscopic sleeve gastrectomy in patients older than age 65
The current demographic characteristics indicate an aging population, with those over the age of 65 years being the fastest growing segment of this population. Also, the vast majority of surgical procedures are performed in the elderly, as the incidence of co-morbidities and need for surgical intervention increases with age. The morbidity and mortality of surgical procedures in this population has been a point of increased interest, especially as relates to elective procedures and quality of life determination. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 14, 2018 Category: Surgery Authors: Keith Gersin Tags: Editorial comment Source Type: research

Sleeve Gastrectomy in the German Bariatric Surgery Registry from 2005 to 2016 – Perioperative and 5-Year Results
Bariatric and metabolic surgery is significantly superior to conservative treatment in terms of weight loss and remission of comorbidities, so that it is an important option to treat obesity III ° and II° with comorbidities [1, 2]. During the last 30 years bariatric procedures in Germany and worldwide changed significantly. Conventional procedures by laparotomy disappeared almost completely and laparoscopic adjustable gastric banding decreased distinctly. In Germany laparoscopic sleeve ga strectomy (SG) is currently the most frequently performed procedure (figure 1), whereas international data shows comparable numb...
Source: Surgery for Obesity and Related Diseases - November 14, 2018 Category: Surgery Authors: G ärtner Daniel, Stroh Christine, Hukauf Martin, Benedix Frank, Manger Thomas, Obesity Surgery Working GroupCompetence Network Obesity Source Type: research

The Relationship between Childhood Maltreatment and Psychopathology in Adults Undergoing Bariatric Surgery
Childhood maltreatment, including childhood abuse and neglect, is common in the general population, with published prevalences ranging from approximately a quarter to two-thirds of the population reporting having experienced some type of maltreatment [1 –4]. A history of childhood maltreatment is also associated with increased risk of obesity in adults, higher body weight, and increased visceral adiposity in community populations [3,5,6]. Meta-analysis has demonstrated the positive association between childhood maltreatmentand obesity in adults, as well as a positive dose-response relationship between the severity of...
Source: Surgery for Obesity and Related Diseases - November 14, 2018 Category: Surgery Authors: Molly Orcutt, Wendy C. King, Melissa A. Kalarchian, Michael J. Devlin, Marsha D. Marcus, Luis Garcia, Kristine J. Steffen, James E. Mitchell Source Type: research

Paired Editorial - Long biliopancreatic and short alimentary limb results in more weight loss in revisional RYGB surgery. Outcomes of the randomized controlled ELEGANCE REDO trial.
Laparoscopic Roux-En-Y Gastric Bypass (RYGB) is a standardised metabolic and bariatric procedure. However, there is not consensus yet on the optimal lengths of the three bowel limbs to induce maximum weight loss. [1,2]. The RYGB, as revisional surgery, can be technically challenging but skilled surgeons can perform it with acceptable perioperative morbidity as one stage procedure (band removal and RYGB). Making longer LBP, a fairly easy and secure adjustment of the standard technique, could enhance the results of the revisional procedure. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 14, 2018 Category: Surgery Authors: Radwan Kassir, Marco Nunziante Source Type: research

Comment on: Operative morbidity of laparoscopic sleeve gastrectomy in subjects older than age 65
The current demographics indicate an aging population, with those over age 65 being the fastest growing segment of this population. Also, the vast majority of surgical procedures are performed in the elderly, as their incidence of comorbidities and need for surgical intervention increases with age. The morbidity and mortality of surgical procedures in this population has been a point of increased interest, especially as relates to elective procedures and quality of life determination. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 14, 2018 Category: Surgery Authors: Keith Gersin Source Type: research

Comment on: Long biliopancreatic and short alimentary limb results in more weight loss in revisional RYGB surgery. Outcomes of the randomized controlled ELEGANCE REDO trial
Laparoscopic Roux-en-Y gastric bypass (RYGB) is a standardized metabolic and bariatric procedure. However, there is not consensus yet on the optimal lengths of the 3 bowel limbs to induce maximum weight loss [1,2]. The RYGB, as revisional surgery, can be technically challenging, but skilled surgeons can perform it with acceptable perioperative morbidity as a 1-stage procedure (band removal and RYGB). Making a longer long biliopancreatic limb (LBP), a fairly easy and secure adjustment of the standard technique, could enhance the results of the revisional procedure. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 14, 2018 Category: Surgery Authors: Radwan Kassir Tags: Paired Editorial Source Type: research

Safety and effectiveness of single- versus double-anastomosis duodenal switch at a single institution
The obesity epidemic in the United States continues to worsen, with recent survey data estimating an obesity prevalence of 39.6% among adults in 2015 to 2016 [1]. The number of bariatric surgeries being performed is increasing to meet this expanding need. From 2015 to 2016 there was an increase of 10% in the number of bariatric surgeries performed. Nevertheless, unfortunately, only approximately 1% of obese patients who qualify actually undergo a bariatric operation [2]. While biliopancreatic diversion has demonstrated superior weight loss and resolution of obesity-related co-morbidities [3 –5] in comparison to other...
Source: Surgery for Obesity and Related Diseases - November 13, 2018 Category: Surgery Authors: Rena C. Moon, Vincent Kirkpatrick, Lori Gaskins, Andre F. Teixeira, Muhammad A. Jawad Tags: Original article Source Type: research

Safety and effectiveness of single vs. double anastomosis duodenal switch at a single institution
The obesity epidemic in the United States continues to worsen with recent survey data estimating an obesity prevalence of 39.6% among adults in 2015-2016 [1]. The number of bariatric surgeries being performed is increasing to meet this expanding need. From 2015 to 2016 there was an increase of 10% in the number of bariatric surgeries performed. Nevertheless, unfortunately, only approximately 1% of obese patients who qualify actually undergo a bariatric operation [2]. While biliopancreatic diversion has demonstrated superior weight loss and resolution of obesity-related comorbidities [3-5] in comparison to other procedures ...
Source: Surgery for Obesity and Related Diseases - November 13, 2018 Category: Surgery Authors: Rena C. Moon, Vincent Kirkpatrick, Lori Gaskins, Andre F. Teixeira, Muhammad A. Jawad Source Type: research

Impact of implementation of an Enhanced Recovery After Surgery (ERAS) program in laparoscopic Roux-en-Y gastric bypass: A prospective randomized clinical trial
Recent improvements in the perioperative care of bariatric patients, optimization of the operative techniques, improvements in equipment and the standardization of bariatric surgery programs have all resulted in decreased morbidity and mortality from bariatric surgery. Laparoscopic bariatric procedures are being performed with increasing frequency, being laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic sleeve gastrectomy (LSG) the most common operations [1]. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 13, 2018 Category: Surgery Authors: Jaime Ruiz-Tovar, Alejandro Garcia, Carlos Ferrigni, Juan Gonzalez, Camilo Castellon, Manuel Duran Source Type: research

Comment on: Content and accuracy of nutrition-related posts in bariatric surgery Facebook support groups
Today's technology provides individuals with the ability to access and share information within seconds. Recognizing this communication method is common practice in society today enables healthcare professionals to consider the ramifications on healthcare education and adherence to treatment interventions by patients who engage in these practices. A literature review by Adzharuddin& Ramly [1] identified that social media platforms, particularly Facebook, served as a repository for users to obtain and exchange healthcare information in a non-threatening way. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 8, 2018 Category: Surgery Authors: Karen D. Groller Tags: Invited Paired Editorial Source Type: research

Replication and extension of dietary adherence as a predictor of suboptimal weight-loss outcomes in postbariatric patients
Each year, obesity-related disorders and complications cause>300,000 premature deaths and cost over $150 billion in the United States [1]. Bariatric surgery is considered the most effective intervention for long-term weight loss and improvement in co-morbid medical conditions [2]. Unfortunately, up to 30% of these patients experience unsatisfactory weight loss outcomes, as defined by (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 6, 2018 Category: Surgery Authors: Lindsay Wakayama, Katherine Nameth, Sarah Adler, Debra L. Safer Tags: Original article Source Type: research

Replication and Extension of Dietary Adherence as a Predictor of Suboptimal Weight Loss Outcomes in Post-bariatric Patients
Each year, obesity-related disorders and complications cause more than 300,000 premature deaths and cost over $150 billion in the United States (2). Bariatric surgery is considered the most effective intervention for long-term weight loss and improved comorbid medical conditions (3). Unfortunately, up to 30% of these recipients experience unsatisfactory weight loss outcomes, as defined by (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 6, 2018 Category: Surgery Authors: Lindsay Wakayama, Katherine Nameth, Sarah Adler, Debra L. Safer Source Type: research

Strategies for Diagnosing and Managing Gastric Diverticulum in Sleeve Gastrectomy
A gastric diverticulum is an uncommon abnormality where there is an outpouching of the gastric wall. They are usually asymptomatic and found incidentally on imaging [1]. Rarely, gastric diverticula can cause a variety of gastrointestinal symptoms such as epigastric pain, nausea, vomiting and reflux [2]. These symptoms are typically well managed with antacid medications and surgical intervention is only warranted if medical therapy fails [3]. Sleeve gastrectomy is one of the most common procedures for weight loss surgery in the morbidly obese population to date [4]. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 6, 2018 Category: Surgery Authors: Anthony A. Castelli, Rami E. Lutfi Tags: Video Case Report Source Type: research

Aspects of excess skin in obesity, after weight loss, after body contouring surgery and in a reference population
Excess skin is well known after massive weight loss but, there is missing knowledge from various groups. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 5, 2018 Category: Surgery Authors: Anna Elander, Christina Bi örserud, Trude Staalesen, Jonas Ockell, Monika Fagevik Olsén Tags: Original article Source Type: research

Aspects of excess skin in obesity, after weight loss, after contouring surgery and in a reference population
Background: Excess skin is well-known after massive weight loss but there is missing knowledge from various groups.Objectives: To describe and compare excess skin in a reference population, in obesity, after obesity surgery and after reconstructive abdominoplasty.Setting: University Hospital, Sweden.Methods: Six groups were included: the reference population, obese adults before and after obesity surgery, adolescents and super obese adults after obesity surgery and adults after abdominoplasty. All groups filled in the Sahlgrenska Excess Skin Questionnaire (SESQ). (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 5, 2018 Category: Surgery Authors: Anna Elander, Christina Bi örserud, Trude Staalesen, Jonas Ockell, Monika Fagevik Olsén Source Type: research

When coronary bypass is the wrong bypass: More sleeve gastrectomies and gastric bypasses to reduce cardiovascular mortalities.
This study of 1330 weight loss surgical patients, in which the majority had laparoscopic sleeve gastrecto my (LSG) (73%), showed that 10-year score cardiovascular risk had a greater reduction in sleeve patients than in Laparoscopic Roux-en- gastric bypass patients, although the difference was small. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 5, 2018 Category: Surgery Authors: Michel Gagner Source Type: research

Commet on: When coronary bypass is the wrong bypass: More sleeve gastrectomies and gastric bypasses to reduce cardiovascular mortalities
This study of 1330 weight loss surgical patients, the majority had laparoscopic sleeve gastrecto my (LSG; 73%), showed that 10-year score CV risk had a greater reduction in sleeve patients than in laparoscopic Roux-en-Y gastric bypass (LRYGB) patients, although the difference was small. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 5, 2018 Category: Surgery Authors: Michel Gagner Tags: Editorial Source Type: research

What is the optimal time-to-conception after bariatric surgery?
Recommendations for clinical practice suggest a minimal time to conception after bariatric surgery of 12 to 18 months [1 –4]. This timeframe balances the need to lose sufficient weight before conception to significantly decrease the risk of obstetric complications related to morbid obesity with entering the weight-stabilization phase after rapid postsurgical weight loss. Indeed, nutritional deficiency occurring duri ng the first postoperative year can negatively affect the maternal and fetal outcomes of pregnancy [5]. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 1, 2018 Category: Surgery Authors: Marie Pigeyre, Philippe Deruelle Tags: Editorial Source Type: research

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

Does the RYGB Common Limb Length influence Hypertension Remission, Weight Loss and Cardio-Metabolic Parameters? Data from the GATEWAY TRIAL
Background: Although Roux-en-Y Gastric Bypass (RYGB) results for weight loss (WL) and cardio-metabolic improvement are well established, there is no consensus for the optimum limb lengths to obtain the best results. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 1, 2018 Category: Surgery Authors: Carlos A Schiavon, Dimas Ikeoka, Renato N Santos, Eliana V Santucci, Tamiris A Miranda, Lucas P Damiani, Juliana D Oliveira, Camila R Torreglosa, Priscila T Bueno, Angela C Bersch-Ferreira, Patrcia M Noujaim, Ricardo V Cohen, Helio Halpern, Frederico LJ M Tags: TUESDAY, NOVEMBER 13, 201810:00 am--12:00 pm Source Type: research

Effects of bariatric surgery on the glomerular integrity of morbidly obese patients with chronic kidney disease (CKD)
The objective of our study is to assess the beneficial extent of bariatric surgery in patients with CKD. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 1, 2018 Category: Surgery Authors: David Romero Funes, David Gutierrez Blanco, Mauricio F Sarmiento-Cobos, Rama Ganga, Emanuele Lo Menzo, Samuel Szomstein, Raul J Rosenthal Source Type: research

Bariatric Surgery is Safe and Effective in ALL Medicare Patients Regardless of Age
Background: Studies have shown Bariatric surgery in older patients is safe and effective. However, it is unclear how the outcomes of bariatric surgery differ within the Medicare population. The purpose of this study was to evaluate the safety and efficacy of bariatric surgery in older (CMS ≥65) and younger (CMS (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 1, 2018 Category: Surgery Authors: Jai Prasad, Jacob A Petrosky, Jason Kuhn, Robert Cunningham, James T Dove, Marcus Fluck, Christopher Still, Craig Wood, David M Parker, Jon Gabrielsen, Anthony Petrick Source Type: research

Bariatric Surgery Reduces The Incidence of Atrial Fibrillation: A Propensity Score Matched Analysis
Background: Obesity is associated with an increased risk of atrial fibrillation (AF). Bariatric surgery results in a high rate of long-term weight loss and is associated with amelioration of several chronic comorbidities. We hypothesize weight reduction with bariatric surgery will reduce the long-term incidence of AF. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 1, 2018 Category: Surgery Authors: Kevin Lynch, J. Hunter Mehaffey, Robert B Hawkins, Taryn Hassinger, Bruce Schirmer, Peter T Hallowell, Jennifer Kirby Source Type: research

Bariatric Surgery Decreases Mortality of Congestive Heart Failure: A Nationwide Study
Background: The impact of bariatric surgery on hard cardiovascular events has been less characterized. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 1, 2018 Category: Surgery Authors: Essa M. Aleassa, Zhamak Khorgami, Chao Tu, Philip R Schauer, Stacy A Brethauer, Ali Aminian Source Type: research

Aspiration Therapy for the Treatment of Obesity: 2-4 Year Results of the PATHWAY Multicenter Randomized Controlled Trial
Background: The AspireAssist is the first FDA-approved endoluminal device indicated for treatment of Class II and III obesity. We earlier reported one-year results of the PATHWAY study: a 10-center randomized controlled trial involving 171 participants with the treatment arm receiving Aspiration Therapy (AT) plus Lifestyle Therapy and the control arm receiving Lifestyle Therapy (2:1 randomization). Here, we report 2-4 year outcomes. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 1, 2018 Category: Surgery Authors: Christopher C Thompson, Barham K Abu Dayyeh, Vladimir Kushnir, Robert F Kushner, Alan B Schorr, Louis J Aronne, Anastassia Amaro, David L Jaffe, Allison R Schulman, Dayna Early, Adam C Stein, Reem Sharaiha, Steven A Edmundowicz, J. Matthew Bohning, Michae Tags: 2018 Top Ten Abstracts, THURSDAY, NOVEMBER 15, 201810:30 am--12:00 pm Source Type: research

Manometric changes after sleeve gastrectomy, are there any preoperative manometric findings that could predict reflux?
Background: Sleeve gastrectomy is currently the most common bariatric procedure performed. One of its most concerning secondary effect is alteration of the antireflux mechanism. Several theories have been described to explain the etiology of “de Novo” reflux. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 1, 2018 Category: Surgery Authors: Luciano Poggi, Gerardo Arredondo, Felix Camacho, Omar Ibarra, Diego Romani, Luis Poggi Source Type: research

Efficiency and safety of One Anastomosis Gastric Bypass versus Roux-en-Y Gastric Bypass: preliminary data of the YOMEGA randomized controlled trial
We report here the preliminary data of YOMEGA, a randomized controlled trial comparing the outcomes of OAGB vs standard Roux-en-Y gastric bypass (RYGB). (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 1, 2018 Category: Surgery Authors: Maud Robert, Philippe Espalieu, Elise Pelascini, Robert Caiazzo, Adrien Sterkers, Litavan Khamphommala, Tigran Poghosyan, Adriana Torcivia, Jean Marc Chevallier, Vincent Malherbe, Elie Chouillard, Fabian Reche, Delphine Maucort-Boulch, Sylvie Bin, Fran ç Source Type: research

Employing New Enhanced Recovery Goals for Bariatric Surgery (ENERGY): A Metabolic and Bariatric Surgery Accreditation and Quality Improvement (MBSAQIP) National Quality Improvement Project
Background: To date, there have been no large-scale enhanced recovery projects in bariatric surgery. The aim of this project was to implement a multi-center enhanced recovery protocol for selected MBSAQIP centers. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 1, 2018 Category: Surgery Authors: Stacy A Brethauer, Anthony Petrick, Arielle Grieco, Teresa R Fraker, Kimberly Evans-Labok, April N Smith, Matthew McEvoy, John M Morton Source Type: research

Metabolic surgery versus best medical management for type 2 diabetes: Interim analysis of the REMISSION prospective controlled trial
Background: With the increase in life expectancy together with the obesity epidemic, there has been an increase in older patients undergoing bariatric surgery. There are conflicting opinions regarding the safety of performing bariatric procedures on older patients. The purpose of this study was to compare the safety of laparoscopic sleeve gastrectomy (SG) and Roux-en-Y-gastric bypass (RYGB) for older patients. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - November 1, 2018 Category: Surgery Authors: Laurent Biertho, M élanie Nadeau, Melissa Pelletier, Simon Marceau, Stefane Lebel, Frederic-Simon Hould, Francois Julien, Francois Dube, Denis Richard, Andre Tchernof Source Type: research