Category: Metabolic and Bariatric Surgery

Gender-specific Nutrition and Body Composition Guidelines Improve Metabolic-Bariatric Surgery Outcomes

Researchers developed preliminary body composition guidelines for post-surgical patients based on gender-specific goals, leading to significant fat mass reduction and lean mass-sparing outcomes below obesity thresholds. Serial body composition analysis and evidence-based nutrition practices consistently influenced patient outcomes, supporting the effectiveness of the guidelines in enhancing metabolic-bariatric surgery success. Journal Article by Knopp KB in […]

Impact of Intensive Pre-Operative Information Course on Long-Term Weight Loss Post-Bariatric Surgery

Intense pre-operative information course (IPIC) and higher pre-operative weight loss significantly contribute to sustained weight loss post-bariatric surgery, with 80.5% achieving EWL ≥ 50% and 53.1% achieving EWL ≥ 70%. Those who underwent IPIC had increased likelihood of maintaining EWL ≥ 50% and ≥ 70% after a median of 6.5 years, suggesting that IPIC and […]

Impact of Bariatric Surgery on Incontinence Improvement in Asian Women

Bariatric surgery significantly improved urinary incontinence scores among obese Asian women, with age and gynecological history influencing the degree of improvement. Among 200 participants, 50.5% reported UI symptoms before surgery, with an average weight loss of 29 kg and a mean BMI drop of 11.2 kg/m. Limited studies on this topic in Asian countries were […]

Comparison of Single Anastomosis Duodenal Switch and Roux-en-Y Gastric Bypass in High-BMI Patients

Patients with BMI ≥ 50 kg/m undergoing single anastomosis duodenal switch (SADI-S) had higher and sustained weight-loss results compared to Roux-en-Y gastric bypass (RYGB), along with better comorbidity resolution. Both procedures showed similar safety profiles, but further research is needed to confirm the long-term safety of SADI-S. This multicenter retrospective study included 968 patients, indicating the potential benefits […]

Underutilization of Anti-obesity Medications Post-Bariatric Surgery

After bariatric surgery, many patients experience insufficient weight loss or regain. This study examines the utilization of anti-obesity medications (AOMs) post-surgery using a large database. Among 59,160 patients, AOM use was highest for topiramate, with varying age and racial distributions. Despite weight concerns, AOMs are underused, suggesting a need to address barriers and consider AOMs […]

Combatting Stigma: Embracing Metabolic Bariatric Surgery

Metabolic bariatric surgery offers durable weight loss and medical improvement for obesity, contrary to misconceptions about obesity as a lack of willpower. Despite its effectiveness and safety, surgical treatment remains vastly underutilized due to societal stigma and patient misconceptions. Healthcare practitioners must combat these perceptions, advocating for surgery as a legitimate treatment for obesity alongside […]

Optimal Weight Loss Improves CVD Risk After Bariatric Surgery

After bariatric surgery, cardiovascular disease risk scores significantly decrease, showing a greater reduction in patients with optimal weight loss compared to suboptimal weight loss. 91% of patients experienced a decrease in their Framingham score one year post-surgery, with a mean CVD risk score decrease from 7.2% to 4.1%. Weight loss post-surgery is directly associated with […]

Anti-reflux Suture Reduces De Novo GERD After Gastric Bypass

Researchers compared the efficacy of adding an anti-reflux mechanism during one anastomosis gastric bypass (OAGB) to treat preoperative GERD and prevent de novo GERD. The study found that the anti-reflux suture reduced the incidence of de novo GERD symptoms, with a lower rate in patients who received the intervention. While there was no statistically significant […]

Similar Weight Loss and Psychological Health in Bariatric Surgery Patients with Chronic Pain

Patients with chronic pain syndromes showed similar improvements in weight and psychological wellbeing after bariatric metabolic surgery (BMS) compared to patients without pain. However, the relationship between weight loss and improved self-efficacy to control eating behaviors was weaker in patients with chronic pain. Further research is needed to understand the mechanism underlying pain and postoperative […]

Capsule-Based pH Testing Shows Limited Association with GERD Symptom Scores in Bariatric Surgery Patients

Researchers compared capsule-based pH testing and GERD symptom scoring in bariatric surgery patients. They found no significant difference in GERD symptom scores between patients with and without a diagnosis based on pH testing. Objective pH testing may aid in procedure selection and informed consent, potentially reducing risks for future GERD-related complications. Journal Article by Scott […]