Roux-en-Y gastric bypass (RYGB) patients display higher rates of continued diabetes remission (CDR) compared to sleeve gastrectomy (SG) patients, even with weight recurrence (WR). The odds of Type 2 diabetes mellitus (T2DM) recurrence were 5.5 times higher in the SG group. Baseline insulin use, higher preoperative HbA1c, and longer preoperative T2DM duration were associated with […]
Category: Metabolic and Bariatric Surgery
Improved Quality of Life and Weight Loss in Patients Undergoing Conversion from Sleeve Gastrectomy to Roux-en-Y Gastric Bypass
Studies on 196 participants reveal that converting sleeve gastrectomy (SG) to Roux-en-Y gastric bypass (RYGB) significantly improves quality of life (QoL). Following conversion, there’s a notable reduction in gastroesophageal reflux disease (GERD) symptoms, proton pump inhibitor (PPI) use, and positive outcomes in excess weight loss (EWL). However, the limited number of studies and varied QoL […]
Bariatric surgery reduces longitudinal cancer risk, particularly for breast, ovarian, and endometrial cancers
The review highlights the strong association between bariatric surgery and decreased incidence of breast, ovarian, and endometrial cancers. However, there is heterogeneity in the findings regarding esophageal, gastric, liver, pancreas, colon, and rectal cancers. The study identifies epidemiologic shortcomings in cohort studies that potentially explain these discrepancies. The review offers a framework to identify subgroups […]
The Effect of Staple Line Reinforcement on Short-term Outcomes of Laparoscopic Sleeve Gastrectomy
A comparative study analyzed data from patients undergoing laparoscopic sleeve gastrectomy (LSG) in Egypt over 11 years to evaluate the efficacy and safety of staple line reinforcement (SLR). The SLR group had longer surgery times but a lower rate of postoperative bleeding compared to the non-SLR group. All leakage cases occurred in the non-SLR group, […]
Transumbilical stapling technique for OAGB has been successfully developed.
Researchers have developed a transumbilical stapling technique specifically tailored to the unique demands of one anastomosis gastric bypass (OAGB) procedures. The study builds upon previous work and addresses the challenge of creating a slender gastric tube spanning 25 cm for OAGB. The technique, called transumbilical stapling technique, has shown promising results and could effectively overcome […]
ERAS Protocols Reduce Adverse Surgical Outcomes in Bariatric Surgery
The systematic review and meta-analysis of randomized clinical trials on enhanced recovery after surgery (ERAS) protocols in bariatric surgery revealed that ERAS programs significantly reduce postoperative nausea and vomiting, intraoperative time, time to mobilization, intensive care unit stays, hospital stay, and readmission rates compared to standard care. These findings suggest that implementation of ERAS protocols […]
Insulin-like growth factor 1 levels predict weight loss in women post laparoscopic sleeve gastrectomy
The study aimed to assess the association between insulin-like growth factor 1 (IGF-1) levels and weight loss in female patients post laparoscopic sleeve gastrectomy (SG). It included 100 patients who underwent clinical and laboratory investigations, with follow-up after one year. Results showed a significant reduction in body mass index, fasting HbA1c levels, and triglycerides, along […]
Study Finds Over Half of ESG Patients Require Opioids in the Perioperative Setting
A retrospective study on endoscopic sleeve gastroplasty (ESG) evaluated the need for peri- and postoperative opioid therapy. Of the 67 patients included, 58.2% required opioids in the perioperative setting, with a mean dose of 12.3 mg morphine milligram equivalents (MMEs). Furthermore, 17.9% of patients required home opioid prescriptions postoperatively, while more than a third reported […]
Impedance Planimetry Establishes New Diagnostic and Severity Values for Gastric Sleeve Stenosis
Impedance planimetry measurements provide objective assessments in diagnosing gastric sleeve stenosis (GSS), a common complication following sleeve gastrectomy. This retrospective analysis of 110 upper endoscopies identifies new benchmark values for the diagnosis and severity of GSS. Impedance planimetry measurements of diameter and distensibility index were significantly lower with increasing severity of GSS, regardless of balloon […]
No Significant Impact of Preoperative Glycemic Control on Bariatric Surgery Outcomes
The study aimed to determine the impact of preoperative glycemic control on bariatric and metabolic surgery outcomes. The researchers conducted a retrospective cohort study on patients with type 2 diabetes who underwent surgery after completion of a specialist weight management program. The study found no significant differences in complications between patients with preoperative HbA1c levels […]