Paragastric neural blockade (PGNB) significantly reduces postoperative pain and nausea/vomiting after sleeve gastrectomy, as evidenced by lower visual analog scale (VAS) and postoperative nausea and vomiting (PONV) scores. Additionally, PGNB facilitates earlier mobilization and higher patient satisfaction compared to the control group, indicating its efficacy and safety in managing early postoperative symptoms in patients undergoing […]
Category: Metabolic and Bariatric Surgery
Long-Term Effects of Physical Activity Following Bariatric Surgery
Regular physical activity post-bariatric surgery led to reduced blood pressure and lower type-2 diabetes recurrence in individuals with diabetes. Normoglycemic individuals experienced sustained BMI reduction and improved blood pressure control with physical activity throughout a 5-year follow-up. Integrating physical activity into post-bariatric care can enhance long-term outcomes. Journal Article by Moriconi D, Manca L (…) […]
Metabolic Bariatric Surgery Reduces Risk of New-Onset Type 2 Diabetes
Metabolic bariatric surgery lowers the risk of new-onset type 2 diabetes in patients with obesity, with a more pronounced reduction in those of low socioeconomic status. In a cohort study with 917 patients and 1811 controls, new-onset type 2 diabetes was less frequent in the surgery group (4.1 per 1000 person-years) than in the control […]
Impact of Social Support on Weight Loss After Bariatric Surgery
Exploring patient and provider perceptions of social support post-bariatric surgery, this study identified key themes influencing weight loss maintenance. Family involvement, partner/friend engagement, transportation assistance, and addressing life stressors are crucial for sustained weight loss outcomes. Providers play a vital role in reinforcing facilitators of social support and making appropriate referrals for patient success. Journal […]
Therapeutic Outcomes of Laparoscopic Sleeve Gastrectomy for Low BMI Obesity
Study compared weight loss, comorbidity remission, complications, and quality of life post-lsg in different BMI groups. %EWL at 12 months was significantly higher in class I obesity compared to class II and III. Remission of comorbidities showed no significant difference. Favorable outcomes suggested for various BMI individuals post-lsg, particularly for class I obesity patients. Journal […]
Role of Serum Biomarkers in Predicting Complications Post Bariatric Surgery
A systematic review and meta-analysis on pre-operative biomarkers and complications following bariatric surgery identified a significant association between lower pre-operative albumin levels and post-operative complications. While other biomarkers did not show a significant impact, changes in certain biomarkers during the peri-operative period were observed. This suggests the potential use of biomarkers for predicting complications in […]
Bariatric Surgery Linked to Reduced Cardiovascular Disease Risk in Patients with MASLD
Researchers examined the impact of metabolic bariatric surgery (MBS) on cardiovascular diseases (CVDs) in patients with metabolic dysfunction-associated steatotic liver disease (MASLD). An analysis of the National Inpatient Sample from 2016 to 2020 revealed that MBS was significantly associated with a lower risk of hospitalization for various CVDs, including coronary artery disease, acute myocardial infarction, […]
Standardized Key Procedural Steps for Endoscopic Sleeve Gastroplasty
Experts established 21 key steps for safe and effective endoscopic sleeve gastroplasty (ESG) through a modified Delphi method. Consensus was reached on the importance of full-thickness bites and the use of a helix device in tissue swirling, although opinions varied on minor details like fundus inclusion. This standardized protocol will enhance ESG training and adoption […]
Sleeve Gastrectomy Shows Promising Effects on Metabolic Dysfunction-Associated Fatty Liver Disease (MAFLD)
Researchers investigated the diagnostic accuracy of transient elastography (TE) for steatosis and liver fibrosis in patients with metabolic dysfunction-associated fatty liver disease (MAFLD) undergoing sleeve gastrectomy (SG). TE’s controlled attenuation parameter (CAP) and liver stiffness measurement (LSM) showed high accuracy in identifying liver steatosis and fibrosis. A nomogram was developed based on multivariate logistic regression […]
Over-the-Scope Clips Show Higher Success Rates for Bariatric Surgery Leaks
A meta-analysis of five studies found that the pooled proportion of successful closure with over-the-scope clips (OTSC) for leaks and fistulae following bariatric surgery was 81.1% (95% CI 67.3 to 91.7). Observational reports suggest that patients managed with OTSC had higher rates of defect healing compared to those treated with endoscopic suturing. Larger controlled studies […]