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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…
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…
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…
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…
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…
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.…
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…
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…
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…
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…
