One-anastomosis gastric bypass with modified fundoplication significantly reduces dumping syndrome compared to standard one-anastomosis gastric bypass. Dumping syndrome occurred in 19.6% of the fundoring group vs. 35% in the standard group (p=0.001). At one year, BMI in the fundoring group was 27.0 vs. 29.0 in the standard group (p=0.04). Surgeons should consider the fundoring technique […]
Category: Metabolic and Bariatric Surgery
Single Anastomosis Sleeve Ileal Bypass Shows Strong Results
Single anastomosis sleeve ileal bypass is a promising option for treating obesity and its related conditions. Significant weight loss achieved: 63% at 6 months, 82% at 12 months, and 93% at 24 months. High remission rates for conditions like diabetes (93%) and hypertension (79%). Most complications are mild, with a mean rate of 14%. No […]
Crural Stitch Technique Enhances Liver Retraction in Laparoscopy
Liver retraction can make or break laparoscopic upper GI surgeries; this new technique simplifies the process and cuts costs. In a study of 1,956 patients, the crural stitch method achieved effective liver retraction without complications. No hepatic injuries or infections were linked to the technique across various procedures like sleeve gastrectomy and gastric bypass. This […]
Early Ambulation Cuts Recovery Time in Bariatric Surgery
A structured ambulation protocol starting in the PACU significantly accelerates recovery after laparoscopic sleeve gastrectomy. Time to first flatus: 18.6 hours in the early ambulation group vs. 24.0 hours in controls (5.4-hour difference, p < 0.001). Quality of recovery scores improved in the experimental group on postoperative days 0 (122 vs. 105), 1 (135 vs. […]
Roux-en-Y Bypass Outperforming Sleeve Gastrectomy for Diabetes Remission
Roux-en-Y gastric bypass offers better outcomes for type 2 diabetes remission than sleeve gastrectomy in obese patients. Patients receiving Roux-en-Y showed higher remission rates for diabetes at 1 and 3 years, with significant differences from sleeve gastrectomy. At 1 and 3 years, HbA1c levels were lower in the Roux-en-Y group, indicating better glycemic control. Prioritize […]
Effective Weight Loss Device for Type 2 Diabetes and Obesity
An endoscopically placed bypass liner significantly improves glycemic control and weight loss in patients with poorly controlled type 2 diabetes and obesity. HbA1c reduction at 12 months was -1.10% for the bypass group versus -0.28% for sham (p=0.0004). Patients in the bypass group experienced a 7.7% total weight loss compared to 2.1% in the sham […]
High-resolution Manometry Outperforms UGI for Hiatal Hernia Diagnosis
Using high-resolution esophageal manometry (HREM) improves diagnosis of sliding hiatal hernia in morbidly obese patients. HREM identified intraoperative sliding hiatal hernia with an accuracy of 93%, compared to the upper gastrointestinal series. Study involved 137 bariatric surgery patients, confirming sliding hiatal hernias in 19% of cases. Incorporating HREM into preoperative evaluations can enhance surgical planning […]
Alcohol Use Disorder Increases After Bariatric Surgery
Bariatric surgery significantly raises the risk of alcohol use disorder (AUD) and alcohol-related mortality, crucial for surgical decision-making. Gastric bypass (GBP) patients face a 5.07 times higher AUD risk, while vertical banded gastroplasty (VBG) and gastric banding patients are 2.28 and 2.34 times more likely to develop AUD, respectively. Alcohol-related mortality is 6.18 times higher […]
Metabolic Surgery Significantly Improves Liver Health in MASH Patients
Metabolic bariatric surgery markedly enhances glycemic control and liver histology in patients with metabolic dysfunction-associated steatohepatitis (MASH). A scoping review of 14 studies reveals substantial reductions in fasting glucose, insulin resistance, and liver enzymes, alongside histological improvements, including decreased steatosis and fibrosis. These changes, observed over follow-up periods of 6 months to 5 years, underline […]
Robotic Roux-en-Y Surgery Shows Technical Edge Without Added Risks
A meta-analysis of 38,647 gastric bypass patients across 27 countries reveals robotic Roux-en-Y gastric bypass (rrygb) requires longer surgical time but offers improved intraoperative safety compared to laparoscopic Roux-en-Y (lrygb). Despite a significant increase in robotic surgeries from 0.2% to 5.7% over 25 years, both techniques maintain similar mortality and complication rates. This comprehensive analysis […]