Six studies with 629 patients compared 2D and 3D laparoscopic bariatric surgery. 3D laparoscopy showed significantly shorter operative times and hospital stays during gastric bypass and sleeve gastrectomy procedures. It also indicated potential benefits in preventing complications. Surgeons may find 3D laparoscopy advantageous in bariatric surgery despite limited evidence. Review by Peltrini R, Esposito MD […]
Category: Metabolic and Bariatric Surgery
Medium-Term Outcomes of One Anastomosis Gastric Bypass in Australia
This case series of 1000 patients undergoing one anastomosis gastric bypass in Australia showed a mean total weight loss of 33.6% with 74% achieving type 2 diabetes remission at 1-year post-op. Complication rates, including bile reflux and marginal ulceration, were low, with no cases of internal herniation reported. Results support the efficacy and safety of […]
Incidence of Venous Thromboembolic Events After Metabolic and Bariatric Surgery
Systematic review/meta-analysis of 87 studies and 2,731,797 patients shows low cumulative incidence of VTE after metabolic and bariatric surgery. In-hospital VTE rates were 0.15%, increasing to 0.78% at 12 months. Open approach surgeries had higher incidence than laparoscopic. 60% of VTE occurred within first month post-discharge. North American and earlier studies had higher incidence. Extended […]
Positive Effects of Laparoscopic Sleeve Gastrectomy
Significant weight loss and improvements in body composition and metabolic biomarkers were observed in obese patients after laparoscopic sleeve gastrectomy. These positive effects were seen regardless of the presence of metabolic syndrome. Visceral fat area and liver fat were notably reduced, indicating the effectiveness of this surgical intervention in improving health outcomes. Journal Article by […]
Gastrin Orchestrates Glucose Regulation Post-Sleeve Gastrectomy
Gastrin plays a central role in glucose improvement after sleeve gastrectomy (SG). SG induces a medium-term elevation of the insulin response and plasma gastrin levels, with long-term depletion of the insulin response and elevated oral glucose tolerance test results. Gastrin antagonists, like netazepide, prevent these effects. This study highlights the dual effects of gastrin on […]
Impact of Preoperative Comorbidities on %EBWL After Bariatric Surgery
Patients with higher baseline BMI, diabetes mellitus, hypothyroidism, and those undergoing laparoscopic sleeve gastrectomy may experience lower %EBWL in the first year post-bariatric surgery. Anxiety, depression, and obstructive sleep apnea were not significantly associated with %EBWL. This study highlights the need for tighter control of certain comorbidities to optimize weight loss outcomes after bariatric surgery. […]
Quality Assessment of Laparoscopic Sleeve Gastrectomy Videos: Academic vs. Online Comparison
Academic laparoscopic sleeve gastrectomy videos provide more detailed information on technical steps, instruments used, and patient outcomes compared to online videos. A newly developed quality assessment tool can enhance the value and reliability of educational video resources. Commercial videos on platforms like YouTube score lower in quality reporting, highlighting the importance of peer-reviewed publications in […]
Adaptation and Validation of the Brazilian Version of the Yale Food Addiction Scale for Severe Obesity
A study validated the Brazilian version of the Yale Food Addiction Scale (BR-YFAS 2.0-OBES) for individuals with severe obesity, demonstrating its adequacy in terms of convergent validity, reliability, and one-factor structure. This adaptation allows its use among Brazilian candidates for bariatric surgery and individuals with BMI ≥ 30 kg/m², facilitating assessment of food addiction in […]
Long-Term Weight Loss After Revisional Bariatric Surgery
This systematic review and meta-analysis of 28 observational studies involving 2213 patients revealed a mean total weight loss (%TWL) of 27.2% and a decrease in BMI of 10.2 kg/m² after revisional bariatric surgery. These findings underscore the effectiveness of revisional procedures in achieving sustained weight loss over medium to long-term follow-up periods (>2 years). Review […]
Identifying Risk Factors for Chronic Abdominal Pain After RYGB
Postoperative complications and depression diagnosis increase the risk of chronic abdominal pain after RYGB, while being an ex-smoker and older age are protective factors. The study underscores the importance of the bariatric multidisciplinary team in adequately selecting patients before surgery to mitigate this complication. Journal Article by Ortega PM, Scholtz S (…) Ahmed AR et […]
