Category: Metabolic and Bariatric Surgery

Effectiveness of Bariatric Surgery on Ovulation Rates in Women with Polycystic Ovary Syndrome

Findings from the BAMBINI trial show that bariatric surgery significantly increased rates of spontaneous ovulation in women with polycystic ovary syndrome (PCOS) and obesity compared to medical care. The surgical group had 2.5 times more ovulations than the medical group, indicating greater efficacy in improving fertility prospects. Although complications were more frequent in the surgery […]

Pylorus Preservation in SG + LoopDJB Reduces Hypoalbuminemia Compared to OAGB

One anastomosis gastric bypass (OAGB) and sleeve gastrectomy with loop duodenojejunal bypass (SG + LoopDJB) demonstrate similar weight loss, type 2 diabetes remission, and lipidemia improvements at 1 year post-operation. OAGB presents higher hypoalbuminemia but lower gastroesophageal reflux disease symptoms compared to SG + LoopDJB. Pylorus preservation in SG + LoopDJB may reduce hypoalbuminemia risk, […]

Preoperative Risk Factors for Early Postoperative Bleeding after Roux-en-Y Gastric Bypass Surgery

Preoperative risk factors, including age, gender, hypertension, and revisional bariatric surgery, are associated with early postoperative bleeding after Roux-en-Y gastric bypass. Further primary studies are needed to explore additional risk factors for this complication, aiding in patient risk stratification and optimization. Male gender was identified as a significant predictor of early postoperative bleeding, emphasizing the […]

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 […]

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 […]