Br J Surg12 Apr 2024
Biliopancreatic diversion for severe obesity leads to good and sustained weight maintenance up to 30 years with low perioperative risk. However, it is associated with a high long-term prevalence of nutritional complications, with 60% of patients experiencing nutritional issues at 20 years and 74% at…
Br J Surg12 Apr 2024
Metabolic bariatric surgery tourism presents barriers such as availability, accessibility, cost, eligibility, reputation, and stigma. Despite limited literature, the study highlights the need for further understanding motivational insights, healthcare system challenges, cost, and long-term outcomes. An audit to explore clinical relationships and guide policy-making is…
Obes Surg12 Apr 2024
Routine upper gastrointestinal series post-bariatric surgery showed limited value in detecting leaks. Out of 135 patients, 23% underwent imaging, with gastric bypass patients having higher rates of complications. The sensitivity and specificity for leak detection in gastric bypass patients were high, but the positive predictive…
Obes Surg12 Apr 2024
The study compared the weight loss outcomes and safety profiles of Banded One-Anastomosis Gastric Bypass (BOAGB) with other bariatric procedures. Despite a longer surgery duration, BOAGB showed favorable weight loss outcomes and weight maintenance at 1 year post-surgery, with no significant differences in complications compared…
Liver Transpl9 Apr 2024
Bariatric surgery post-liver transplantation in Belgium showed significant and sustained weight loss, resolution of metabolic dysfunction-associated liver disease, and favorable metabolic outcomes. Sleeve gastrectomy was the favored procedure, leading to improved clinical and biochemical markers. Despite a small sample size, the results suggest the safety…
Metabolic and Bariatric Surgery5 Apr 2024
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…
Obes Surg5 Apr 2024
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…
Metabolic and Bariatric Surgery5 Apr 2024
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…
Surg Endosc4 Apr 2024
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…
Metabolic and Bariatric Surgery3 Apr 2024
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…