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 […]
Category: Metabolic and Bariatric Surgery
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 However, 22% still follow outdated NIH 1991 recommendations.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. […]
Identifying Pre-surgical Factors Affecting Long-term Weight Loss Trajectories After Bariatric Surgery
The study analyzed pre-surgical factors affecting latent trajectories of 5-year weight loss in a bariatric surgery population. Researchers identified three distinct trajectories of weight loss for gastric sleeve and bypass operations, influenced by factors such as BMI, environmental factors, comorbidity burden, race, and weight control strategies. Monitoring real-time patient-reported outcomes post-surgery is crucial for tailoring […]
IFSO Worldwide Survey: Shifting Trends in Bariatric and Metabolic Procedures (2020-2021)
IFSO Worldwide Survey 2020-2021 shows a decrease in the number of metabolic and bariatric surgeries in 2020, but a positive trend in 2021, with sleeve gastrectomy remaining the most performed procedure. Regional protocols for surgery during COVID-19 were reported by 52% of national societies, with limited change in telemedicine and mortality data collection between 2020 […]
Cost-effectiveness of Bariatric Surgery in Treating Obesity
Researchers reviewed 15 studies on economic evaluations of bariatric surgeries and pharmacotherapy for obesity treatment in adults. They found that bariatric surgery was seen as a cost-effective approach, but there was varying opinion on the cost-effectiveness of pharmacological interventions. Most evaluations were done from healthcare system perspectives, and the researchers suggest future studies should consider […]
Safety and Efficacy of Bariatric Surgery in People Living with HIV
Efficacy and safety outcomes of bariatric surgery were similar between people living with HIV (PLWH) and controls, except for the lack of improvement in dyslipidemia in PLWH. At 1-year post-surgery, 89% of PLWH achieved ≥20% total weight loss, compared to 94% of controls. Improvement rates in hypertension and type 2 diabetes mellitus were lower in […]
Gastric Volumetry’s Key Role in Weight Loss and Fatty Liver Improvement
Researchers conducted a study on 63 morbidly obese patients undergoing laparoscopic sleeve gastrectomy to determine the optimal percentage of excised stomach for significant weight loss and improvement in fatty liver. They found that a %rgv value of >75.3% led to more significant weight loss, while a %rgv value of >56.4% resulted in improved fatty liver […]
What is the main reason for re-establishing care in bariatric patients after metabolic/bariatric surgery?
Patients after metabolic/bariatric surgery who sought to re-establish care mostly presented due to recurrent weight gain. Sleeve gastrectomy patients had a higher rate of revision surgery, while Roux-en-Y gastric bypass patients underwent more endoscopic interventions. Additionally, response to anti-obesity medications, particularly GLP-1 drugs, was more effective in Roux-en-Y gastric bypass patients compared to sleeve gastrectomy […]
Which Bariatric Procedure Shows Superior Long-Term Results: LSG or OAGB?
After a 7-year follow-up, OAGB demonstrated significantly higher %EWL and %TWL compared to LSG. Quality of life scores improved in both groups, with more OAGB patients reaching very good or excellent outcomes on the BAROS score. Both procedures led to significant drops in total body weight and BMI, with most patients experiencing remission or improvement […]