Category: Metabolic and Bariatric Surgery

Higher Post-operative Complication Rates in Bariatric Surgery Patients with Inflammatory Bowel Disease

Patients with inflammatory bowel disease (IBD) who underwent sleeve gastrectomy (SG) had a 48% higher risk of post-operative complications compared to those without IBD. While there was no significant difference in readmission rates or hospital costs, lengths of stay were similar between the two groups. Despite the increased complication rates, SG remains a safe weight […]

Superior Glycemic Control and Diabetes Remission with Bariatric Surgery vs Medical Management in Long-Term Type 2 Diabetes Patients

After 7 to 12 years of follow-up, individuals who underwent bariatric surgery instead of medical/lifestyle intervention showed superior glycemic control, requiring fewer diabetes medications, and experiencing higher rates of diabetes remission. An average HbA1c decrease of 1.4% at 7 years and 1.1% at 12 years was observed in the bariatric surgery group compared to the […]

High Diagnostic Accuracy of TE and VLS for NAFLD/NASH in Bariatric Patients

The combined use of transient elastography (te) and visual liver score (vls) in assessing non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH) in morbidly obese patients undergoing bariatric surgery showed high sensitivity and diagnostic accuracy. Transient elastography with a visual liver score is comparable to liver biopsy, with an overall sensitivity of 100% and […]

Sleeve Gastrectomy: A Vital Reducer of Liver Transplantation Need in Non-Alcoholic Steatohepatitis Patients

Simulation of 20,000 obese patients with non-alcoholic steatohepatitis found that sleeve gastrectomy (SG) led to a gain of 14.3 years compared to medical weight management (MWM), with only 5% of SG patients requiring liver transplantation (LT) after one year, compared to 9% in the MWM group. SG reduced the need for LT in patients with […]

Same-Day Discharge Trends in Bariatric Surgery

Same-day discharge (SDD) after bariatric operation has increased from 2.4% in 2016 to 7.4% in 2021. The study found that black/African American race, history of myocardial infarction, renal insufficiency, DVT, and smoking were preoperative factors associated with increased complications for SDD. SDD for RYGB had a 72% increased risk of postoperative complications compared with SG. […]

Remission of Obesity-Related Sleep Apnea After Metabolic and Bariatric Surgery Reduces Mortality and Cardiovascular Events

After metabolic and bariatric surgery, 74% of patients achieved remission of obesity-related sleep apnea, which was associated with significantly lower risks of overall mortality and major cardiovascular events compared to those who did not reach remission. The risk for death and cardiovascular events in the remission group was similar to a control group without sleep […]

Bariatric Surgery-Related Small Bowel Obstruction: Impact of Age, Gender, and Procedure Type

Patients who developed small bowel obstruction (SBO) after bariatric surgery were older, with lower BMI, and more likely female. Serious complications at 30 days post-operation were increased in SBO patients, with Roux-en-Y gastric bypass being the largest independent predictor of SBO development. COPD, prior DVT, lower BMI, and female sex were also predictive factors. SBO […]

Impact of Bariatric Surgery on Cognitive Performance and Metabolites

After bariatric surgery, attention capacity and executive function improved, while immediate memory worsened. Serine, glutamic acid, and glycolic acid were identified as potential metabolites linked to cognitive performance alterations. Cluster analysis revealed two subgroups, with cluster 2 showing improved attention and executive function but reduced immediate memory. These findings suggest that bariatric surgery affects cognitive […]

Single Anastomosis Duodeno-Ileal Bypass (SADI-S) Shows Comparable Outcomes in Primary and Two-Stage Approaches

Comparing outcomes of primary single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) to two-stage SADI-S after sleeve gastrectomy (SG), a Canadian bariatric study with 179 laparoscopically treated patients (2016–2020) revealed both approaches as efficient in achieving weight loss and comorbidity reduction at short and mid-term follow-ups. Preoperative criteria are crucial for surgeon decision-making between primary […]

Laparoscopic Roux-en-Y Gastric Bypass Outperforms Sleeve Gastrectomy in Weight Loss and Diabetes Remission

Researchers compared laparoscopic sleeve gastrectomy (LSG) with laparoscopic Roux-en-Y gastric bypass (LRYGB) in treating obesity. The meta-analysis of 20 studies involving 1270 patients showed that LRYGB was superior to LSG in terms of BMI loss at six months and short-term T2DM remission efficacy. However, LSG had less complications and shorter operating times. Therefore, LRYGB is […]