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 […]
Category: Metabolic and Bariatric Surgery
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 […]
GPT-4 Demonstrates Superior Readability in Bariatric Surgery Patient Education
Large language models (LLMs) like GPT-4 significantly improve the readability of bariatric surgery patient education materials (PEMs), with responses ranging from 6th to 9th grade reading levels. While GPT-3.5 and GPT-4 showed similar accuracy and comprehensiveness in simplifying responses, Bard’s responses were less comprehensive when simplified. This study emphasizes the potential of LLMs in enhancing […]
Global Discrepancies in Metabolic and Bariatric Surgery Guidelines and Coverage
Analysis of worldwide IFSO survey on metabolic and bariatric surgery (MBS) indicates that 74.6% of national societies have MBS guidelines, with 34% adopting the latest ASMBS/IFSO 2022 guidelines. However, 22% still follow outdated NIH 1991 recommendations. Financial coverage for MBS is present in 65% of countries, highlighting the need for standardization of indications and increased […]
Dichotomous Thinking Mediates Weight Loss Post-Bariatric Surgery
Eating-specific dichotomous thinking fully mediates the relationship between dietary restraint and weight loss after weight-loss surgery, while generalised dichotomous thinking shows no mediation effect. This suggests that pre-surgical assessment of dichotomous thinking and psychological therapy to promote flexible thinking about food may be beneficial for weight loss maintenance in individuals who have undergone bariatric surgery. […]