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Metabolic and Bariatric Surgery

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Obes Surg21 Mar 2024

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 However, 22% still follow outdated NIH 1991 recommendations.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…

Metabolic and Bariatric Surgery17 Mar 2024

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…

Metabolic and Bariatric Surgery14 Mar 2024

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…

Obes Surg13 Mar 2024

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…

J Formos Med Assoc12 Mar 2024

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…

Obes Surg10 Mar 2024

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…