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, […]
Category: Metabolic and Bariatric Surgery
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 […]
Familial Obesity Linked to Reduced Long-Term Success After Sleeve Gastrectomy
Researchers examined the outcomes of sleeve gastrectomy (SG) in patients with familial aggregation of obesity (FAO) compared to those with sporadic obesity (SO). The study, involving 193 patients, found no significant differences in baseline characteristics or short-term postoperative weight loss between FAO and SO groups. However, by the two-year mark, patients with FAO had a […]
Smaller Gastrojejunostomy Diameters Linked to Enhanced Weight Loss in Laparoscopic Gastric Bypass
Researchers reviewed the impact of gastrojejunostomy (GJ) anastomosis diameter on weight loss outcomes after laparoscopic Roux-en-Y gastric bypass (RYGB). In the systematic review, including six studies with varying GJ diameters and follow-up durations of 1-5 years, smaller GJ diameters generally led to greater short-to-medium-term weight loss. However, complications like stenosis increased with smaller diameters beyond […]
Endoscopic bariatric and metabolic therapies for obesity: ASGE-ESGE guideline
The joint American Society for Gastrointestinal Endoscopy-European Society of Gastrointestinal Endoscopy (ASGE-ESGE) guideline provides evidence-based recommendations for endoscopic bariatric and metabolic therapies (EBMTs) in treating obesity. Using the GRADE framework, the guideline evaluates the efficacy and safety of EBMT devices and procedures with CE Mark or FDA clearance/approval. It recommends EBMTs plus lifestyle modification for […]
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 […]
Shorter Operative Times and Hospital Stays with 3D Laparoscopic Bariatric Surgery Compared to 2D.
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 […]
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 […]