Category: Metabolic and Bariatric Surgery

Long-Term Impact of Metabolic Bariatric Surgery on Cardiovascular Events

Metabolic bariatric surgery shows enduring weight reduction and improvement in obesity-related comorbidities. Both OAGB and SADJB-SG procedures lead to significant improvements in BMI, diabetes, hypertension, and dyslipidemia over three years. Patients also experience a substantial reduction in 10-year MACE, stroke, and atherosclerotic CVD risks. These findings highlight the effectiveness of OAGB and SADJB-SG in metabolic […]

Impact of Recurrent Weight Gain on Comorbid Conditions Progression Post-Laparoscopic Sleeve Gastrectomy

Recurrent weight gain after laparoscopic sleeve gastrectomy was studied in 122 patients over 2-7 years, showing significant weight loss and comorbidity remission rates. Diabetes, hypertension, and dyslipidemia had substantial remission rates, while a recurrent weight gain ≥ 20% of maximum weight loss indicated comorbidity progression. Healthcare providers can use these findings to implement targeted management strategies for […]

Higher Intraoperative Blood Pressure Reduces Post-Bariatric Hemorrhage

Increasing intraoperative blood pressure to 150 mmHg systolic, without staple line reinforcement, significantly reduces post-bariatric hemorrhagic complications. A retrospective study of 438 patients found a reduction in postoperative bleeding rates from 10% to 5% after implementing this intervention, with a decrease in revisional surgery for bleeding. The method shows promise in improving outcomes without additional […]

Impact of County Health Ranking on Short-Term Bariatric Surgery Outcomes

Study examines the influence of social determinants of health, race/ethnicity, and surgical risk factors on short-term metabolic surgery outcomes. Patients from counties with lower County Health Rankings (CHRs) were at higher risk but CHR was not independently linked to 30-day outcomes. Racial disparities in outcomes persisted despite adjustments. Middle and worst CHR tercile patients were […]

Bariatric surgery reduces the risk of developing hidradenitis suppurativa

Bariatric surgery significantly reduces the risk of developing hidradenitis suppurativa (hs) in individuals with obesity, with a protective effect on hs recurrence. Individuals without a history of hs who underwent bariatric surgery had a significantly lower risk of de novo hs. Those with hs history showed a trend towards reduced hs recurrence after bariatric surgery. […]

Long-term Outcomes of Laparoscopic Gastric Bypass Surgery

Long-term study on laparoscopic gastric bypass surgery revealed sustained weight loss over 11 years, with recurrent weight gain observed in some patients. The procedure improved hypercholesterolemia and hypertriglyceridemia significantly, leading to remission of diabetes in many cases. However, adverse effects such as gallstones, bowel obstruction, and anemia emerged post-surgery. Results highlight the procedure’s efficacy in […]

Optimal Weight Loss Target for Metabolic Surgery and Metabolic Benefits

Metabolic surgery patients who achieve a healthy weight experience greater metabolic benefits compared to those with %twl >20%. This study determines the optimal weight loss target for substantial benefits post-surgery, identifying healthy weight as a more stringent goal than %twl. Patients with lower preoperative BMI saw more improvements and relief from comorbidities, emphasizing the importance […]

Impact of Metabolic and Bariatric Surgery on Apo B100 Levels

Bariatric surgery significantly reduces Apo B100 levels, improving lipid profiles and liver enzymes in high BMI individuals. Apo B100 decreased from 94.63 ± 14.35 mg/dl to 62.97 ± 19.97 mg/dl post-surgery. Reductions in cholesterol, triglycerides, LDL, VLDL, AST, and ALT were observed. Non-diabetics had greater decreases in Apo B100 levels. Surgery type did not impact Apo B100 changes. These […]

Genetic Risk Score Impact on Weight Loss After Bariatric Surgery

Genetic risk score based on 7 obesity-related genes significantly influences weight loss after bariatric surgery in patients with severe obesity. The study, conducted in Spain, revealed a substantial effect of the genetic risk score on the percentage of excess weight loss during a >60-month follow-up period. This underlines the importance of considering the polygenic nature […]

Impact of Bariatric Surgery on Cardiovascular Events

Metabolic bariatric surgery significantly reduces the risk of acute myocardial infarction (AMI), including ST-elevation and non ST-elevation MI. Patients with a history of bariatric surgery have lower odds of AMI admission, coronary revascularization procedures, and in-hospital mortality compared to those without bariatric surgery. These findings suggest a strong association between metabolic bariatric surgery and cardiovascular […]