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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…
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…
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…
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…
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,…
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…
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…
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…
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…
Stapler line reinforcement with continuous imbricating sutures in laparoscopic sleeve gastrectomy significantly reduces leakage rates and reoperation rates postoperatively. A retrospective study involving 510 patients revealed a lower leakage incidence (0.7% vs. 4%) in the reinforcement group compared to the non-reinforcement group. While staple line…
