Preoperative Very Low-Energy Diets in Obese Patients Undergoing Non-Bariatric Surgery
Patients with obesity undergoing surgery face higher risks, mitigated by preoperative weight loss strategies like very low-energy diets (VLEDs) commonly used in bariatric surgery. However, VLEDs’ application in non-bariatric surgery is understudied. A pilot trial is needed to assess feasibility and safety for a larger trial. The upcoming PREPARE pilot trial will gather crucial data for future definitive studies, potentially transforming preoperative care for obese surgery patients.
Endoscopic sleeve gastroplasty (ESG) provides moderate weight loss with a lower risk of complications compared to laparoscopic sleeve gastrectomy (LSG), making it a viable option for patients, particularly those with existing gastro-esophageal reflux disease (GERD).
Endoscopic duodenal-jejunal bypass liner may significantly improve glycemic control and weight loss in patients with poorly controlled type 2 diabetes and obesity.
