Category: Metabolic and Bariatric Surgery

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 […]

Effectiveness of Reinforcement in Laparoscopic Sleeve Gastrectomy

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 bleeding did not differ, the reinforcement technique showcased improved outcomes […]

Sleeve Gastrectomy VS Roux-en-Y Gastric Bypass in Bariatric Surgery

Findings from a multicenter study comparing Sleeve Gastrectomy (SG) and Roux-en-Y Gastric Bypass (RYGB) in morbidly obese patients revealed that RYGB resulted in greater weight loss and higher remission rates of comorbidities like hypertension, sleep apnea, and gastroesophageal reflux disease over a five-year period. The study suggests that RYGB may be more effective in improving […]

Effectiveness of Virtual Care in a Multidisciplinary Bariatric Program

Transition to virtual care in a bariatric program saw significant increase in virtual visits, with high patient satisfaction rates. Patient preferences varied by healthcare providers, with most patients preferring in-person visits with medical doctors. Despite the preference, virtual care offers added benefits and high satisfaction rates. The study highlights the importance of a hybrid model […]

3D Reconstruction and Virtual Reality for Body Image Improvement in Bariatric Metabolic Surgery

3D Reconstruction and Virtual Reality proved effective in improving body image satisfaction and psychological outcomes for bariatric metabolic surgery patients. Participants reported a more accurate perception of their body changes and overall appearance, with positive feedback on group workshops and VR discussions. This method offers a feasible and acceptable approach to supporting patients in adjusting […]

Long-term Benefits of Body Contouring Surgery Post-Bariatric Surgery

Body contouring surgery after bariatric surgery leads to sustained improvements in health-related quality of life and satisfaction with appearance over a significant period. Patients who underwent body contouring surgery maintained or even improved their scores, contrasting with those who only had bariatric surgery. This highlights the significant role of body contouring surgery in enhancing the […]

Impact of Same-Day Discharge on Bariatric Surgery Outcomes

Same-day discharge for bariatric surgery increased from 2.4% to 7.4% between 2016 and 2021. Black race, history of MI, renal insufficiency, DVT, and smoking were associated with higher complications. Roux-en-Y had a 72% higher risk than sleeve gastrectomy. While overall major complications were lower, there were significantly more deaths, cardiac arrests, and cases of dehydration […]