Meta-analysis of 14 studies demonstrates a significantly reduced risk of esophageal adenocarcinoma in patients with obesity undergoing metabolic and bariatric surgery, with an overall incidence reduction (OR=0.69) and particularly lower risk in European populations (OR: 0.60) and studies with larger sample sizes (OR: 0.59). Articles published before and in 2020, as well as those with […]
Category: Metabolic and Bariatric Surgery
Relative Muscle Strength Improves Post-Bariatric Surgery
Findings from a randomized controlled trial on an 11-month multicomponent exercise program after bariatric surgery showed no significant improvements in absolute muscle strength in knee and trunk regions, but significant enhancements in relative muscle strength, particularly in dominant knee flexion. Further exploration of different exercise intensities and frequencies is suggested to optimize postoperative muscle recovery. […]
High Rate of Malnutrition Found After Single Anastomosis Sleeve Ileal Bypass
Researchers conducted a study on 30 patients who underwent single anastomosis sleeve ileal bypass (SASI) and found that despite good short-term weight loss and improvement in obesity-related complications, there was a high alarming rate of malnutrition observed, even in the short-term follow-up. This highlights the importance of evaluating novel metabolic and bariatric surgeries for their […]
Superior Weight Loss with Gastric Band to Roux-en-Y Revision
Revisional bariatric surgery from adjustable gastric band to Roux-en-Y gastric bypass (RYGB) resulted in significantly greater weight loss at 5 years compared to conversion to sleeve gastrectomy (LSG). RYGB patients had higher percentage total weight loss, excess weight loss, and decreased BMI. There were no significant differences in remission or new comorbidities. Further multicenter studies […]
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 […]
